Drug Profiles Flashcards
Morphine
Class:
Narcotic Agonist
Morphine
Indications:
Analgesia, Burns, Pulmonary Edema (cardiogenic)
Morphine
Contraindications
Head Injures, Abdominal Pain, Respiratory Depression
Morphine
Adult Dose:
1-3 mg over 1-5 minutes to desire effect (Max dose 10 mg)
Morphine
Pediatric Dose:
0.1-0.2 mg/kg slow IVP
Amiodarone
Class:
Anti-arrhythmic Agent
Amiodarone
Indications:
Pulseless Vtach/ V Fib, V tach, secondary consideration in SVT
Amiodarone
Contraindications:
Bradycardia, 2nd or 3rd degree block, shock, hypotension, pregnancy
Amiodarone
Adult Dose Pulseless Vtach/V Fib:
Pulseless Vtach/ V Fib: 300 mg
Amiodarone
Adult Dose Vtach:
150 mg in 50cc bag over 10 minutes
Amiodarone
Pediatric Dose Pulseless Vtach/Vfib
5mg/kg
Amiodarone
Pediatric Dose Vtach:
5mg/kg IV drip over 20 minutes
Aspirin
Class:
Analgesic, antipyretic, anti-inflammatory
Aspirin
Indications:
Chest pain, AMI, Unstable angina
Aspirin
Contraindications
Bleeding ulcers, hemophilia, hypersensitivity, children
Aspirin
Dose:
160mg-324mg
Nitroglycerin
Class:
Vasodilator, antianginal
Nitroglycerin
Indication
MI/Angina, CHF w/ pulmonary edema
Nitroglycerin
Contraindications:
Hypovolemia, Increased ICP, ED drugs 72 hours, systolic BP below 90
Nitroglycerin
Adult Dose:
0.4 mg tablet every 5-10 minutes x 3 as long as BP > 90 systolic
Atropine
Class:
Anticholinergic, antidote,antiarrhythmic, antimuscurinic
Atropine
Indications:
Symptomatic bradycardia, AChE inhibitor, asystole/PEA (after epi)
Atropine
Contraindications:
Wide complex 2nd and 3rd degree blocks, glaucoma
Atropine
Adult Dose Symptomatic Bradycardia
0.5mg IVP every 3-5 minutes Max dose 3.0mg
Atropine
Adult Dose Cholinergic Poisoning
1.0-5.0 mg with no max, give all you got
Atropine
Pediatric Dose Symptomatic Bradycardia
0.02mg/kg up to 2 times max single dose 0.5mg
Epinephrine
Class:
Sympathomimetic
Epinephrine
Indication:
Cardiac arrest, severe bronchospasm, anaphylaxis, bradycardia, refractory with hypotension
Epinephrine
Contraindications:
None
Epinephrine
Adult Dose Cardiac Arrest
1.0mg 1:10,000 IV every 3-5 minutes
Epinephrine
Adult Dose Anaphylaxis/Asthma
0.3-0.5 mg 1:1,000 IM
Epinephrine
Pediatric Dose Cardiac Arrest
0.01mg/kg 1:10,000 IV every 3-5 minutes
Epinephrine
Pediatric Dose Anaphylaxis/Asthma:
0.01 mg/kg 1:1,000 IM max dose 0.3mg
Epinephrine
Pediatric Dose Croup
3mg 1:1,000 in 3cc NS SVN
Dopamine
Class:
Sympathomimetic
Dopamine
Indications
Symptomatic Bradycardia, Hypotension
Dopamine
Contraindications
Hypovolemia, MAO inhibitors, Pheochromocytoma
Dopamine
Adult Dose/Pediatric Dose
2-10 mcg/kg/min
Lidocaine
Class
Antiarrhythmic, local anesthetic
Lidocaine
Indications
Suppression of ventricular arrhythmia, PVC, infusion for successful conversion
Lidocaine
Contraindications
Hypersensitivity, Use caution with 2nd 3rd degree blocks
Lidocaine
Adult Dose
1.0-1.5mg/kg IVP every 3-5 minutes max 3.0mg/kg
Lidocaine
Pediatric Dose
1.0mg/kg IVP no repeat dose
Ondansetron (Zofran)
Class
Antiemetic agent
Ondansetron (Zofran)
Indications
Nausea and vomiting
Ondansetron (Zofran)
Contraindications
Hypersensitivity, use caution with pt. W/ hepatic impairment
Ondansetron (Zofran)
Adult Dose
4-8mg IV or IM over 2-5 minutes
Ondansetron (Zofran)
Pediatric Dose
> 40 kg- 4mg IV or IM over 2-5 minutes
<40 kg- 0.1 mg/kg IV or IM over 2-5 minutes