Drugs All Things Flashcards
Adenosine
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: SVT
Contraindications: hypersensitivity, drug induced tach, bradycardia
Side Effects: light headedness, hypotension, nausea
Adult Dosages: 1st: 6mg; 2nd: 12 mg; 3rd: 12mg
Albuterol
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Bronchospasms from asthma or COPD
Contraindications: Pregnancy
Side Effects: Tachychardia, hypertension, restlessness
Adult Dosages: 1st: 2.5mg in 3 mL; 2nd: same; 3rd: same. If no improvement after first, combine 2 and 3 with atrovent
Alcaine
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Burns to eye or corneal abrasion
Contraindications: Trauma/obstruction/laceration to/in eye
Side Effects: Initial burning or stinging
Adult Dosages: 1-2 drops every 5 minutes for max of 3 doses
Amiodarone
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: V Fib and V Tac
Contraindications: Cardiogenic shock, bradycardia
Side Effects: Hypotension if given rapid infusion, bradycardia, CHF
Adult Dosages:
VFib/VTach w/o P-
1st-300mg IV/IO
2nd-150mg IV/IO
VTach w/ P:
150mg over 10 mins
Amyl Nitrate
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Acute cyanide poisoning with severe symptoms; altered mental status; Dyspnea, cyanosis; vomiting, seizures
Contraindications: Do not give if IV established and able to give sodium nitrite.
Side Effects: Hypotension- vasodilation
Adult Dosages: 1 Ampule crushed and inhaled
Atrovent
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Bronchospasm that didn’t improve w/ 1st albuterol
Contraindications: Sensitivity to atropine; bronchospasms due to allergic reation
Side Effects: Dry Mouth; Nausea/Vomiting
Adult Dosages: .5mg in 2.5mL
Aspirin
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Cardiac chest pain
Contraindications: Aspirin Allergy; GI bleed; hemorrhagic stroke
Side Effects: None in Emergency Setting
Adult Dosages: 324 mg
Ativan
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Active seizure or status epilepticus; Sedation; to facilitate airway placement; prior to painful procedure; stimulant or hallucinations ingestion induced chest pain and/or tachycardia; excited delirium
Contraindications: Hypotension; head injury; pregnancy
Side Effects: Hypotension; respiratory depression, confusion/stupor, nausea, veir irritation, phlebitis or sclerosis
Adult Dosages: 2-10 mg
Atropine
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Symptomatic Bradycardia; organophosphate poisoning
Contraindications: Hypothermic Bradycardias
Side Effects: Tachycardia, Blurred vision, dry mouth
Adult Dosages:
Sym Brady- .5mg IV q 3-5 mins.
Poisoning- 2-5 mg q 15 mins until secretions stop
Calcium Chloride
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Hyperkalemia; hypocalcemia; magnesium OD; Ca Channel Blocker OD
Contraindications: Cardiac arrest; hypercalcemia; digitalis
Side Effects: Bradycardia and hypotension if too much pushed too fast
Adult Dosages: 10-15 mg/kg
Calcium Gluconate
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: Hyperkalemia; Magnesium OD; Ca Channel Blocker OD
Contraindications: Cardiac Arrest; Hypercalcemia
Side Effects: Bradycardia; Hypercalcemia
Adult Dosages: 15-30 mL of 10% solution
Cardizem (Calcium Channel Blocker)
Indications:
Contraindications:
Side Effects:
Adult Dosages:
Indications: A Fib or A flutter with RVR; PSVT unresponsive to adenosine
Contraindications: Systolic less than 90, diastolic less than 60; Wide Complex Tach
Side Effects: Bradycardia; hypotension
Adult Dosages:
1st: .25mg/kg
2nd: .35mg/kg IV push over 2 minutes
Decadron
(Dexahemthsone)
Indications:
Contraindications:
Dose:
Side Effects:
Indications: Reduces swelling and inflammation due to- bronchospasms.
Contraindications: Known Hypersensitivity
Dose: IV Push
Adult: 4-24mg
IV/IM Pedi: .2-.5mg/kg not to exceed Adult
Side Effects: Hypertension; CHF
Decadron
(Dexamethasone)
Indications:
Contraindications:
Dose:
Side effects:
Indications: Reduces swelling & inflammation due to Refractory bronchospasm in status asthmaticus, Acute exacerbation of Chronic Obstructive Pulmonary
Contraindications: Known hypersensitivity
Dose: IVP Adult: 4-24 mg
IV/IM Pedi: 0.2- 0.5 mg/kg
Not to exceed adult dosage
Side effects: May produce hypertension; Rare instances of Anaphylactic reactions, Exacerbation of Congestive Heart Failure (CHF), Seizures
Dextrose 10%
Indications:
Contraindications:
Dose:
Side effects:
Indications: Hypoglycemia
Contraindications: None in hypoglycemia; use with caution in head injuries.
Dose: Adult: 250ml D10 IV
Pediatric: 5mL/kg of 10% solution
Side effects: Tissue necrosis w/ infiltration