Drugs All Things Flashcards

1
Q

Adenosine

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

Indications: SVT

Contraindications: hypersensitivity, drug induced tach, bradycardia

Side Effects: light headedness, hypotension, nausea

Adult Dosages: 1st: 6mg; 2nd: 12 mg; 3rd: 12mg

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2
Q

Albuterol

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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3
Q

Alcaine

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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4
Q

Amiodarone

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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5
Q

Amyl Nitrate

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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6
Q

Atrovent

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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7
Q

Aspirin

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

Indications: Cardiac chest pain

Contraindications: Aspirin Allergy; GI bleed; hemorrhagic stroke

Side Effects: None in Emergency Setting

Adult Dosages: 324 mg

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8
Q

Ativan

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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9
Q

Atropine

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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10
Q

Calcium Chloride

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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11
Q

Calcium Gluconate

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

Indications: Hyperkalemia; Magnesium OD; Ca Channel Blocker OD

Contraindications: Cardiac Arrest; Hypercalcemia

Side Effects: Bradycardia; Hypercalcemia

Adult Dosages: 15-30 mL of 10% solution

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12
Q

Cardizem (Calcium Channel Blocker)

Indications:
Contraindications:
Side Effects:
Adult Dosages:

A

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

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13
Q

Decadron
(Dexahemthsone)

Indications:
Contraindications:
Dose:
Side Effects:

A

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

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14
Q

Decadron
(Dexamethasone)

Indications:
Contraindications:
Dose:
Side effects:

A

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

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15
Q

Dextrose 10%

Indications:
Contraindications:
Dose:
Side effects:

A

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

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16
Q

Diazapam
(Valium)

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: Active seizures; pre medication

Contraindications: Alcohol or sedative drug use; head injury

Dose: Adult:
5-10mg to max 10mg
(IV/IM)
Pediatric:
.5mg/kg max of 5mg (rectal)
.2/kg max 5mg (IV)

Side effects: Respiratory depression: hypotension

17
Q

Diphenhydramine (Benadryl)

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: Anaphylaxis; moderate/severe allergic reactions (after epi)

Contraindications: MAOI’s; newborns and nursing mothers

Dose: Adult: 25-50mg
Pediatric: 1-2mg/kg

Side effects: Drowsiness, dizziness, sedation

18
Q

Dopamine (Inotropin)

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: Nonhypovolemic hypotension; Symptomatic bradycardia if atropine ineffective

Contraindications: Hypovolemic shock; Tachydysrhythmias; VFib

Dose: 2-20mcg/kg/min; effects start at 5-10mcg/kg/min

Side effects: Hypertension
Headache
Nausea/vomiting

19
Q

Epi 1 : 1000

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: Athematic bronchosonstrictions; allergic reaction; bradycardia

Contraindications: Hypersensitivity; Hypovolemic shock; Coronary insufficiency

Dose: Adult
Asthma/Allergy: 0.3mg SubQIM
Bradycardia: 2-10mcg/min
Pediatric: .15mg SubQ or IM

Side effects: Tachycardia; Hypertension; Can worsen cardiac ischemia

20
Q

Epi 1 : 10000

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: cardiac arrest; anaphylaxis

Contraindications: Hypersensitivity; Hypovolemic shock; Coronary insufficiency

Dose: Adult:
CA: 1mg IV q 3-5 min
AR: 0.3mg may repeat no more than once
Pediatric:
CA: .01mg/kg
AR: .15mg may repeat no more than once

Side effects: Palpitations; anxiety; Tremulousness; Headache; Dizziness; Hypertension; Can worsen cardiac ischemia

21
Q

Etomidate

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: Induction agent before the admin of a Neuromuscular blockade agent

Contraindications: Known hypersensitivity; Labor/Delivery

Dose: .3 mg/kg for a max of 40 mg

Side effects: N&V; Dysrhythmias; SOB; Hypotension; Muscle twitch

22
Q

Fentanyl

Indications:
Contraindications:
Dose:
Side effects:

A

Indications: Pain Control; Sedation for RSI & PAI

Contraindications: Respiratory; Depression; Hypotension; N&V

Dose: 1-2 mcg/kg to
MAX 200mcg

Side effects: Respiratory Depression; Bradycardia; Hypo/Hypertension; N&V

23
Q

Oral Glucose
Indications:
Contraindications:
Dose:
Side Effects

A

Indications: Altered LOC caused by hypoglycemia.

Contraindications: No gag reflex; Unable to protect airway

Dose: 25-50g (full tube)

Side Effects: Aspiration

24
Q

Glucagon

A

Indications: Hypoglycemia (IN or IM)

Contraindications: Hypersensitivity to Proteins

Dose: Low sugar: 1mg IM or IN
CCB or Beta Blocker OD:
1mg IV/IO up to 3mg
Less than age 1
0.5 mg IV/IO/IM/IN/SQ

Side effect:
-N&V
-Tachycardia

25
Q

Haldol

A

Indications: Patients who require sedation for comfort or safety during transport

Contraindications: Intoxication
Known cardiovascular disease

Dose: Adult: 18 y.o.+ 5-10 mg IM Not to exceed 100 mg in 24 hours
Pedi: Less than 5 y.o. Not recommended
6 to 12 y.o. 1-3 mg IM Max: 0.15 mg/kg/day
13 to 17 y.o. 2-5 mg IM Not to exceed adult dosage

Side effects: Tardive dyskinesia
Neuroleptic Malignant Syndrome (NMS) – symptom: fever

26
Q

Haldol

A

Indications: Patients who require sedation for comfort or safety during transport

Contraindications: Intoxication
Known cardiovascular disease

Dose: Adult: 18 y.o.+ 5-10 mg IM Not to exceed 100 mg in 24 hours
Pedi: Less than 5 y.o. Not recommended
6 to 12 y.o. 1-3 mg IM Max: 0.15 mg/kg/day
13 to 17 y.o. 2-5 mg IM Not to exceed adult dosage

Side effects: Tardive dyskinesia
Neuroleptic Malignant Syndrome (NMS) – symptom: fever

27
Q

Heparin

A

Indications: Prevention of thrombus formation in acute MI

Contra: Active bleeding or bleeding tendencies
Recent major surgery or trauma

Dose: Adult: 5,000 units IV
Pedi: 100-150 units/kg IV

SE: Potentially life-threatening bleeding
May cause hematologic disorder

28
Q

Hydroxocobalamin (Cyanokit®)

A

Indications: Cyanide toxicity

Contra: None

Dose: 5 grams (2 vials) over 15 minutes

SE: Flushing, urticaria, itching or rash
Chest tightness and dyspnea Transient blood pressure elevation Anaphylaxis Red skin, tears, sweat and urine

29
Q

Ketamine

A

Indication: -Anesthesia prior to RSI
-Chemical sedation for Psychiatric/Behavioral issues
Affects catecholaminergic transmission

Contra: Hypersensitivity

Dose: RSI: 1mg/kg IV may repeat every 5-10
Sedation: 1mg/kg IV or 4mg/kg IM

SE: Hypertension
Tachycardia

30
Q

Labetolol
(Trandate or Normodyne)

A

Indication: Acute hypertensive crisis with End-Organ Dysfunction
∙ Unstable angina

Contra: Cocaine or amphetamine overdose
Congestive Heart Failure (CHF)

Dose:

SE: Bronchospasms, Hypotension, Hallucinations,

31
Q

Lasix (Furosmede)

A

Indications: Acute Pulmonary Edema

Contra: -Hypersensitivity
-Hypovolemia/ Dehydration

Dose: 1mg/kg over 2 min

SE: hypotension, dry mouth

32
Q

Levophed
(Norepinephrine bitartrate)

A

Indications: -Neurogenic & Cardiogenic Shock & Septic Shock

Contra: Hypovolemia

Dose: 8-12 mcg/min

SE: -HTN
-Dysrhythmias
-Angina
-Reflex Brady
-Tissue Necrosis

33
Q

Lidocaine

A

Indications: -Cardiac Arrest from VT / VF

Contra: -2nd/3rd heart block

Dose: CA- 1-1.5mg/kg
Q 5-10min to MAX 3mg/kg
ROSC- 1-4mg/min

SE: -Light-headed
-Confusion
-Blurred Vission
-Hypotension
-Bradycardia
-Altered LOC
-Seizures

34
Q

Magnesium Sulfate

A

Indications: -Eclamptic Seizure
-Ventricular Dysrhythmias
-Torsades
-Digitoxin Toxicity
-Asthma
-CNS Depressant
-Physiologic Calcium Channel Blocker

Contra: -Heart Block
-Myocardial Damage

Dose: Eclampsia, Torsades, Asthma: 1-2 g over 10mis
Cardiac Arrest 1-2g IV push

SE: -Diaphoresis
-Hypothermia
-Respiratory Depression
-Facial Flush
-Bradycardia
-Hypotension
-N/V

35
Q

Methylprednisolone (Solu-medrol®)
Indications: Wheezing refractory to inhaled bronchodilators
Status asthmaticus
Severe anaphylaxis, in conjunction with epinephrine and diphenhydramine

Contra: hypersensitivity

Dose: 60 – 125 mg IV/IO, if there are no contraindications
IM in Asthma
Anaphylaxis bp is to low for IM
Pedi: 2 mg/kg

SE: May produce hypertension
Rare instances of:
Anaphylactic reactions
Exacerbation of congestive heart failure
Seizure

A

Indications: Wheezing refractory to inhaled bronchodilators
Status asthmaticus
Severe anaphylaxis, in conjunction with epinephrine and diphenhydramine

Contra: hypersensitivity

Dose: 60 – 125 mg IV/IO, if there are no contraindications
IM in Asthma
Anaphylaxis bp is to low for IM
Pedi: 2 mg/kg

SE: May produce hypertension
Rare instances of:
Anaphylactic reactions
Exacerbation of congestive heart failure
Seizure

36
Q

Midazolam (Versed)

Indications
-Active Seizure
-Status Epilepticus
-Sedation prior to Cardioversion/Pacing

Contra:
-Hypersensitivity
-Acute Narrow Angle Glaucoma

Dose:
2.5-5mg may repeat once (IV or IN)

SE:
-Respiratory Depression
-Confusion
-Hypotension
-Nausea

A
37
Q

Morphine

Indications:
-Pain & Anxiety
-Chest Pain unrelieved by NITRO
Contra:
-BP <90
-Traumatic Brain Inj.
-Respiratory Depression

Dose:
2-4 mg q 3-5 mins to hypotension or respiratory depression

SE:
-Respiratory depression
-Dizziness
-N/V
-Hypotension
-Bradycardia

A