FIELD Meds Flashcards

Dosages

1
Q

Mag Sulfate Drug class

A

Electrolyte

Anticonvulsant

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2
Q

Mag MOA

A

Reduces striated muscle contractions &
blocks peripheral neuromuscular transmission by reducing acetylcholine release at the myoneural junction

(seizure control, uterine relaxation, bronchodilation)

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3
Q

Mag Sulfate indications

A

Hypomagnesemia

Eclampsia seizures

Respiratory distress

Torsades

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4
Q

Mag Sulfate contraindications

A

Hypermagnesemia or Hypercalcemia

Hypotension

Heart Block or Myocardial damage

Myasthenia Gravis

Diabetic coma

Pulmonary Edema

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5
Q

Mag Special Considerations

A
  • CNS depressant effects can be amplified if the pt is on downers
  • Not recommended 2 hrs prior Delivery (Calcium is antagonist)
  • Caution in pt’s w/ Renal Failure (cleared by the kidneys & toxicity can be achieved w/ ease)
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6
Q

Mag Supplied

A

10mL Vial of 5g of 50% Mag Sulfate

0.5g/mL

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7
Q

Mag Sulfate Respiratory

A

14 y/o & over =
2g (4ml) infused in 50ml of NS over 15 minutes

13 y/o & under =
25mg/kg (2g Max) infused in 50ml of NS over 15 minutes

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8
Q

Mag Sulfate Eclampsia

A

5g (10ml) infused in 50ml of NS over 15 minutes

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9
Q

Mag Sulfate for Torsades

A

2g SIVP push over 1-2 minutes

13y/o & under =
Pulse: 25mg/kg (2g Max) infusion over 15 minutes

CA: 25mg/kg SIVP over 2-3 minutes

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10
Q

Methylprednisolone Drug Class

A

Glucocorticoid Steroid

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11
Q

Methylprednisolone MOA

A

Synthetic steroid that suppresses acute & chronic inflammation

Increases vascular smooth muscle relaxation by beta adrenergic agonists (alter airway hypersensitivity)

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12
Q

Methylprednisolone Indications

A

Anaphylaxis

Respiratory distress

Adrenal Insufficient Hypotension

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13
Q

Methylprednisolone Contraindications

A

Pulmonary Edema

TBI

Severe Infection

IM administration w/ Idiopathic thrombocytopenic purpura

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14
Q

Methylprednisolone Special Considerations

A

Caution:
- GI bleeds
- Diabetes

May blunt hypoglycemia responses to Insulin & Oral hypoglycemic agents

Potassium-Depleting agents may enhance hypokalemia

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15
Q

Methylprednisolone Supplied

A

ACT-O Vial w/ sterile powder of the compound w/ 2mL of bacteriostatic water to equal 125mg

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16
Q

Methylprednisolone Dosage

A

IV/IM

2mg/kg

*125mg Max Dose, 60mg for Peds

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17
Q

Ondansetron Drug Class

A

Serotonin 5-HT3 receptor antagonists

Antiemetic

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18
Q

Ondansetron MOA

A

Binds to the serotonin receptors located on the vagal neurons lining the GI tract, which then blocks signaling to the vomiting center in the brain

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19
Q

Ondansetron Contraindications

A

<3 Month

Prolonged QT

Liver Disease

GI Obstruction

Apomorphine

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20
Q

Ondansetron Special Considerations

A

May prolong QT interval

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21
Q

QT Prolongation Causes

A

Hypokalaemia
Hypomagnesaemia
Hypocalcaemia
Hypothermia

MI’s

ROSC Post-cardiac arrest
Raised ICP

Congenital long QT syndrome

Medications/Drugs (Psych Meds)

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22
Q

Ondansetron Supplied

A

2mL Vial of 4mg

2mg/mL

2 Total Vials

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23
Q

Ondansetron Dosage

A

IV/PO/SL

0.15mg/kg (4mg Max Single Dose)

*May repeat in 15 minutes for a max total of 8mg

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24
Q

Diphenhydramine Drug Class

A

Antihistamine

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25
Q

Diphenhydramine MOA

A

Acts as an inverse agonist at the H1 receptor, thereby reversing the effects of histamine on capillaries, reducing allergic reaction symptoms. The H1 receptor is similar to muscarinic receptors

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26
Q

Diphenhydramine Indications

A

Allergic reactions

Anaphylaxis (after Epi)

Dystonic reactions from antipsychotics

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27
Q

Diphenhydramine Contraindications

A

Caution in pts w/ CNS depression or lower respiratory tract diseases (asthma)

Newborns & Nursing Moms

Nonselective MAO inhibitors (rare)

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28
Q

Diphenhydramine Special Considerations

A

Drowsiness

Hypotension

Downers

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29
Q

Diphenhydramine Supplied

A

1mL Vial of 50mg

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30
Q

Diphenhydramine Dosage

A

1mg/kg Slow IV Push

Adults = 50mg Max

<13yrs = 25mg max

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31
Q

Tranexamic Acid Drug Class

A

Antifibrinolytic

Hemostatic Agent

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32
Q

TXA MOA

A

A synthetic version of enzyme Lysine, which disrupts the cycle of clot formation & breakdown during bleeding episodes

Binds w/ lysine sites on plasminogen, prevent it from forming into plasmin, ultimately inhibiting the breakdown of fibrin (what forms clots)

May promote platelet function & decrease inflammation

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33
Q

Tranexamic Acid Indications

A

Trauma

Excessive Bleeding

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34
Q

Tranexamic Acid Contraindications

A

Coagulopathy

Thromboembolic Disorder

PE or DVT

Acute MI

Ischemic cerebrovascular accident

Ischemic retinopathy

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35
Q

TXA Special Considerations

A

Thromboembolisms

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36
Q

TXA Supplied

A

10mL Vial of 1000mg

100mg/mL

2 Total Vials

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37
Q

Tranexamic Acid Dosage

A

> 14yrs = 2g SIV/IOP over 2 minutes

<14yrs = 30mg/kg SIV/IOP over 2 minutes
*2g Max Total

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38
Q

Ketamine Drug Class

A

Anesthetic

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39
Q

Ketamine MOA

A

Derivative of PCP

Interrupts the afferent transmissions between the Limbic & Cortex systems associated w/ pain

Blocks the following receptors:
- NMDA
- Opiate (analgesia)
- Muscarinic
- Nicotinic Acetylcholine

Stimulates Catecholamine release:
- Increased HR, BP & Cardiac Output
- Bronchodilation

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40
Q

Ketamine Indications

A

Pain

Painful procedures

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41
Q

Ketamine contraindication

A

Pregnancy

Increased ICP

CHF

Cardiac Decompensation

Angina

Stroke

Severe Hypertension

Schizo HX

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42
Q

Ketamine Special Considerations

A

Can cause:
- Hallucinations/delusions/explicit dreams
- Hypotension, Bradycardia, Respiratory Depression if administered too quickly

Increases effects of:
- ETOH
- Opioids
- Downers

Older Adults should receive lower end dose first

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43
Q

Ketamine Supplied

A

5mL Vial of 500mg

100mg/mL

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44
Q

Ketamine Dosage

A

0.2mg/kg

Adult = 20mg SIVP Max single dose

*May repeat for a max total dose of 40mg

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45
Q

Ketamine Prep

A

Waste 1ml from a 10ml flush, draw 1ml of Ketamine into the syringe & MIX

Waste 6ml so 4ml (4Omg) is left, 2ml is a full dose of 20mg

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46
Q

Midazolam Drug Class

A

Benzodiazepine

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47
Q

Midazolam MOA

A

Acts on GABA-A receptor to reduce the excitability of neurons, resulting in impairment of multi-domain cognitive functions

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48
Q

Midazolam Indications

A

Seizures

Sedations

Agitation/Exited Delirium

Painful procedures

Uncontrolled shivering (hypothermia)

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49
Q

Midazolam Contraindications

A

Respiratory/CNS depression

Shock

Depressed vital signs

Downers (drugs/etoh or meds)

Severe Glaucoma

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50
Q

Midazolam Supplied

A

2mL Vial of 10mg

5mg/mL

4 Total Vials

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51
Q

Midazolam IM Seizure Dosages

A

> 60yrs = 5mg (1ml)
*May repeat if seizure continues for a max total of 10mg

> 12yrs - Adults = 10mg (2ml)
*10 max total if under 14yrs (call medical direction)
*May repeat in adults if seizure continues for a max total of 20mg

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52
Q

Midazolam Ped Seizure Dosages

A

IM

6 - 11yrs = 5mg (1ml)
*May repeat if seizure continues for a max total of 10mg

17mnths - 5yrs = 2.5mg (0.5ml)
*May repeat if seizure continues for a max total of 5mg

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53
Q

Midazolam IV Seizure Dosages

A

> 60yrs = 2.5 (0.5ml)
*May repeat if seizure continues for a max total of 5mg

Adult = 5mg (1ml)
*May repeat if seizure continues for a max total of 10mg

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54
Q

Midazolam Combative Dosages

A

IM

Adults = 10mg (2ml)
*May repeat half the dose for a max total of 15mg

<14yrs & >60yrs = 5mg (1ml)
*May repeat half the dose for a max total of 7.5mg

IV is Half the IM Dose

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55
Q

Midazolam Sedation Dosages

A

IM

Adults = 5mg (1ml)
*May repeat for a max total of 10mg

IV or >60 = 2.5mg (0.5ml)
*May repeat for a max total of 5mg

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56
Q

Morphine Drug Class

A

Opioid Analgesic

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57
Q

Morphine MOA

A

Activates:

Mu Receptors which are present in the brainstem & the thalamus

Kappa Receptors which are present in the limbic system (part of the forebrain called the diencephalon), the brain stem & spinal cord

Delta receptors which are widely distributed in the brain & also present in the spinal cord & digestive tract

=
- Pain Relief
- Sedation
- Euphoria
- Respiratory CNS Depression
- Peripheral Venous Capacity
- Decreases Venous Return
- Physical Dependence

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58
Q

Morphine Indications

A

Pain

Chest pain associated with ACS

Acute cardiogenic pulmonary edema

59
Q

Morphine Contraindications

A

Hypersensitivity

Hypovolemia

Hypotension

Head injury/ increased ICP

Severe respiratory depression

MAO inhibitors w/in 14 days

Caution in right ventricular infarction

May worsen heartblock in inferior MI

60
Q

Morphine Supplied

A

1mL Vial of 10mg

4 Total Vials

61
Q

Morphine Dosages

A

0.1 mg/kg Slow IV/IM/IO (10mg Max Single dose)

*May repeat for a max total dose of 20mg

62
Q

Albuterol Drug Class

A

Beta 2 Agonist

Sympathomimetic

Bronchodilator

63
Q

Albuterol MOA

A

Relaxes smooth muscles of the bronchial tree & peripheral vasculature by stimulating adrenergic receptors of the sympathetic nervous system

64
Q

Albuterol Indications

A

Bronchospasm/Wheezing

Anaphylaxis

Hyperkalemia

65
Q

Albuterol Contraindications

A

Use w/ Caution:

Tachycardic Dysrhythmias

66
Q

Albuterol Special Considerations

A

Other sympathomimetics may exacerbate adverse cardiovascular effects

MAO inhibitors & TCA’s may potentiate vasodilations

Beta Blockers may blunt effects

May potentiate diuretic induced hypokalemia

Caution:
- Diabetes
- Hyperthyroidism
- Seizure Disorder
- Cardiovascular Disorders

67
Q

Albuterol Supplied

A

3mL Unit Dose Vial of 2.5mg

68
Q

Albuterol Dosage

A

2.5mg SVN

*May repeat for a max dose of 7.5mg

69
Q

Ipatropium Drug Class

A

Anticholinergic

Bronchodilator

70
Q

Ipratropium MOA

A

Inhibits interaction of acetylcholine @ receptor sites on bronchial smooth muscle, resulting in decreased levels of cyclic guanosine monophosphate = Bronchodilation

71
Q

Ipratropium Indications

A

Persistent Bronchospasm

COPD Exacerbation

72
Q

Ipratropium Contraindications & Special Considerations

A

Atropine, Soy & Peanut Allergy

Caution in Pts w/ urinary retention

73
Q

Ipratropium Supplied & Dosage

A

2.5mL Unit Dose Vial of 0.5mg

0.5mg Dose Total Max

74
Q

Atropine Drug Class

A

Anticholinergic Agent

75
Q

Atropine MOA

A

Inhibits actions of acetylcholine @ postganglionic parasympathetic (primarily muscarinic) receptor sites

Blocked vagal effects result in increased HR & enhanced AV conduction w/ limited or no inotropic effect

Antagonizes excess muscarinic receptor stimulation (from organophosphate insecticides or chemical nerve agents)

76
Q

Atropine Indications

A

Bradycardia

Organophosphate, Carbamates, or nerve gas poisoning

77
Q

Atropine Contraindications

A

Glaucoma

Obstructive GI tract disease
Obstructive uropathy

Thyrotoxicosis

Unstable cardiovascular status in acute hemorrhage w/ Myocardial ischemia

78
Q

Atropine Special Consideration

A

Increased Effects/Vagal Blockade when used w/ other Anticholinergics:
- Antihistamines
- Psych Meds
- Thiazides
- Procainamide
- Quinidine

79
Q

Atropine Supplied

A

10mL Stick of 1mg

0.1mg/mL

80
Q

Atropine Bradycardia Dosage

A

IV

> 10yrs = 1mg FIVP

*May repeat every 3-5 minutes for a max total of 3 mg

> 1yrs - <10yrs = 0.02mg/kg RIVIOP
(0.1mg Minimum - 1mg Max Initial Dose)

*May repeat every 3-5 minutes for a
max total of 3 mg

81
Q

Atropine SLUDGE Dosage

A

> 10yrs = 2mg IV/IO

<10yrs = 0.02mg/kg IV/IO or
0.04mg/kg IM

82
Q

Naloxone Drug Class

A

Opioid Antagonist

83
Q

Naloxone MOA

A

Acts as a competitive antagonist at various opioid receptors in the CNS

84
Q

Naloxone Contraindication/Special Considerations

A

Withdrawal

85
Q

Naloxone Supplied

A

2mL Stick of 2mg

1mg/mL

5 Sticks Total

86
Q

Naloxone Dosage

A

Intranasal
4mg
*May repeat for a max total of 8mg

IV/IM/IO/IN
2mg
*May repeat as needed every 3-5 minutes

87
Q

Epinephrine Drug Class

A

Sympathomimetic

88
Q

Epi MOA

A

Acts on all Adrenergic Receptors
Alpha1 & 2
Beta1, 2, & 3

Alpha1 Activation = Smooth Muscle Contraction in Blood Vessels (Vasoconstriction)

Beta1 Activation = Impact the Heart’s Inotropy (Force of Contraction) & Chronotropy (Heart Rate)

Beta2 Activation = Smooth Muscle Relaxation of the Lungs

89
Q

Epi Indications

A

Cardiac arrest (PEA, VF & Pulseless VT)

Anaphylaxis & Bronchial asthma

Symptomatic Bradycardia

Hypotension

90
Q

Epi Contraindications

A

Hypovolemic shock w/out correcting hypovolemia

Dilated Cardiomyopathy

91
Q

Epi 1:1,000 Supplied

A

1mL Vial of 1mg

92
Q

1:1,000 Epi Anaphylaxis Dosage

A

> 30kg/9yrs - Adults = 0.3mg IM (upper lateral thigh)

<30kg/9yrs = 0.15mg IM (upper lateral thigh)

*May repeat every 5-15 minutes

93
Q

1:1,000 Epi Respiratory Dosage

A

> 14yrs = 0.3mg IM (upper lateral thigh)

<14yrs = 0.01 mg/kg IM (upper lateral thigh)

*Max dose 0.3 mg

94
Q

1:1,000 Epi Croup Dosage

A

3 mL by SVN

*May repeat x 1 in 20 minutes

95
Q

Amiodarone Drug Class

A

Class 3 Antiarrhythmic

Potassium Channel Blocker

96
Q

Amiodarone MOA

A

Blocks potassium currents that cause repolarization of the heart muscle during the third phase of the cardiac action potential, which increases the duration of the action potential as well as the effective refractory period for cardiac cells (myocytes)

97
Q

Amiodarone Indications

A

VF

VT (monomorphic)

Cardiac arrest

<14 yrs SVT (2nd line of defense)

98
Q

Amiodarone Contraindications

A

Pulmonary congestion

Cardiogenic shock

2nd or 3rd degree AV blocks (if no pacemaker present)

WPW

Severe sinus node dysfunction

Hyperkalemia

Torsades

Drugs that Prolong QT interval

99
Q

Amiodarone Special Considerations

A

Rapid Infusion = Hypotension

Beta Blockers:
- Bradycardia
- Hypotension

CCB’s:
- AV block
- Bradycardia
- Hypotension

Increased Serum Levels of:
- Phenytoin
- Procainamide
- Quinidine
- Theophyllines

100
Q

Amiodarone Supplied

A

3mL Vial of 150mg

50mg/mL

3 Total Vials

101
Q

Amiodarone Stable Dosages

A

> 14 = 150mg infused in 50mg of NS over 10 minutes

*May repeat if no response for a max total of 300mg

<14yrs = 5 mg/kg (max 150 mg) infused in 100mg of D5W over 20 minutes

102
Q

Amiodarone Cardiac Arrest Dosage

A

IV/IO

5mg/kg (300mg max) followed by 20ml saline bolus

*May repeat 2.5mg/kg (150mg max) followed by 20ml saline bolus

103
Q

1:10,000 Epi Supplied

A

10mL Stick of 1mg

0.1mg/mL

5 Sticks total

104
Q

1:10,000 Epi Cardiac Arrest Dosage

A

IV/IO

0.01mg/kg (1mg max) Stick as early as possible

*2nd & last dose @ 8 minute mark for a max total of 2mg

105
Q

1:10,000 Epi Push Pressor for Hypotension/Bradycardia Dosage

A

IV/IO

> 14yrs ONLY = 10-20 mcg boluses every 2 minutes

106
Q

1:10,000 Epi Push Pressor Prep

A

Mix 1 or 2mL with 9 or 8mL NS

107
Q

Adenosine Drug Class

A

Class 5 Antiarrhythmic (Miscellaneous)

Endogenous nucleoside

108
Q

Adenosine MOA

A

Decreases electrical conduction through the AV node w/out causing negative inotropic effects

Acts directly on sinus pacemaker cells & vagal nerve terminals to decrease chronotropic (HR) activity

*Conduction time is decreased by inducing potassium efflux and inhibiting calcium influx through channels in nerve cells, leading to hyperpolarization and an increased threshold for calcium dependent action potentials

109
Q

Adenosine Indications

A

SVT

Diagnostics

110
Q

Adenosine Contraindications

A

Drug induced tachycardia

2nd or 3rd degree AV block

WPW

Sick sinus syndrome

Obstructive Pulmonary Diseases (Asthma, COPD)

111
Q

Adenosine Special Considerations

A

Methylxanthines (Caffeine, Theophylline) antagonizes the action of Adenosine = Larger Doses

Dipyridamole & Carbamazepine (potentiated effects) = 3mg Initial Dose

3mg Initial Dose = Heart Transplant or if by Central Venous Access

112
Q

Adenosine Supplied

A

One 2mL Vial of 6mg (3mg/mL)

One 4mL Prefilled Syringe of 12mg
(3mg/mL)

113
Q

Adenosine Dosage

A

Proximal IV

> 14yrs = 6mg FIVP followed by a 20ml saline fluid bolus
*May repeat 12mg FIVP followed by a 20 ml saline fluid bolus

<14yrs = 0.1 mg/kg (max 6mg) FIVP followed by a 10ml saline flush
*May repeat 0.2mg/kg (max 12mg) FIVP follow by a 10 mL saline flush

114
Q

Nitroglycerin Drug Class

A

Vasodilator

115
Q

Nitro MOA

A

Nitroglycerin forms free radical nitric oxide (NO) which activates
guanylate cyclase, resulting in an increase of guanosine 3’5’ monophosphate (cyclic GMP) in
smooth muscle and other tissues.

These events lead to dephosphorylation of myosin light chains, which regulate the contractile state in smooth muscle, and result in vasodilatation

116
Q

Nitro Indications

A

Ischemic CP

Heart failure

Acute MI

Hypertensive emergencies w/ ACS

Pulmonary edema

117
Q

Nitro Contraindications

A

Volume depletion

Hypotension (<110 or 30 below baseline)

Head injury

Extreme bradycardia

Extreme tachycardia in the absence of heart failure

Right ventricular infarction

Cerebral hemorrhage

PDE5 inhibitors

Aortic stenosis

118
Q

Nitro Supplied & Dosage

A

Bottle of 25 SL 0.4mg Tabs

3 Total Max Doses = 1.2mg

119
Q

Calcium Chloride Drug Class

A

Electrolyte

120
Q

Calcium Chloride MOA

A

Increases serum ionized calcium concentration by dissociating into ionized calcium in plasma

Restores the normal gradient between threshold potential and resting membrane potential when in hyper-kalemia/magnesemia

121
Q

Calcium Chloride Indications

A

Hyperkalemia (non-digitalis)

Hypermagnesemia

Hypocalcemia (eg, multiple transfusions)

Calcium Channel Blocker OD

Prevent Calcium Channel Blocker (Diltiazem) Hypotension

122
Q

Calcium Chloride Contraindications

A

Hypercalcemia

VF during Cardiac Arrest

Digitalis OD

123
Q

Calcium Chloride Considerations

A

Severe local necrosis & sloughing if infiltration occurs

Bradycardia/hypotension/dysrhythmia may occur if administered fast

124
Q

Calcium Chloride Supplied

A

10mL Prefilled Syringe of 10% 1g

100mg/mL

125
Q

Calcium Chloride Dosage

A

20mg/kg (0.2mL/kg) SIV/IOP

1g SIVP Max

126
Q

Glucagon Drug Class

A

Pancreatic Hormone

Antihypoglycemic Agent

127
Q

Glucagon MOA

A

Raises blood sugar through activation of hepatic glucagon receptors, stimulating glycogenolysis and the release of glucose

Increases Cardiac inotropy & Decreases Hepatic vascular resistance

128
Q

Glucagon Indications

A

Hypoglycemia

Calcium Channel Blocker or Beta Blocker toxicity

129
Q

Glucagon Contraindication & Special Considerations

A

Pheochromocytoma (type of neuroendocrine tumor)

Insulinomas (pancreatic tumors)

Avoid use in:
- Peds/Infants
- Anorexics/extremely lean/fasting pt’s

130
Q

Glucagon Supplied

A

1mg Tab of Glucagon in the Vial accompanied w/ a 1ml prefilled syringe of diluent

131
Q

Glucagon Dosage

A

0.1mg/kg IM/IN

1mg Max single dose

May repeat 1x

132
Q

Dextrose Drug Class

A

Carbohydrate

Hypertonic Solution

133
Q

Dextrose MOA

A

Dextrose is derived from corn & is considered a simple sugar. It is easily metabolized by the body’s cells into glucose thereby making it easy absorbed & utilized for a rapid raise in blood glucose levels & thereby energy

134
Q

Dextrose Indications

A

Hypoglycemia

ALOC

Seizure/coma of unknown origin

135
Q

Dextrose Contraindications

A

Hyperglycemia

Intracranial or intraspinal Hemorrhage

Increased ICP

Known or suspected stroke in absence of hypoglycemia

Dehydrated Delirium Pts

136
Q

Dextrose 10% Supplied & Dosage

A

250mL bag of 25g of Dextrose (10g/100mL)

1mL/kg IV/IO, 250mL Max Single Dose

*May repeat for a max total of 500ml (50g)

137
Q

Hypoglycemia High Risk Meds

A

Any non rapid meds or on multiple meds:

Glyburide
Glipizide
Glimepiride
Repaglinide
Nateglinide
Lantus
Regular insulin
Insulin lispro + glipizide

138
Q

Diltiazem Drug Class

A

Class 4 Antiarrhythmic

Calcium Channel Blocker

139
Q

Diltiazem MOA

A

inhibits the inflow of calcium ions into the cardiac muscle during depolarization, which slows conduction & increases refractoriness in the AZ node.

Reduced intracellular calcium concentrations increase smooth muscle relaxation, resulting in arterial vasodilation and decreased blood pressure

140
Q

Diltiazem Indications

A

A fib & w/ RVR
A flutter
Junctional tach
SVT

141
Q

Diltiazem Contraindications

A

Wide QRS tachs of unknown origin

Poison/drug induced tach

WPW > A fib or flutter

VT

Sick sinus syndrome

2nd or 3rd degree AV block (except w/ a functioning pacemaker)

Hypotension

cardiogenic shock & acute MI

Pulmonary Congestion

142
Q

Diltiazem Special Consideration

A

Reduce the dose by 50% in older adults (>65)

Caution w/ pt’s using other meds that affect cardiac contractility &/or sinoatrial or AV node conduction

Can cause hypotension

143
Q

Diltiazem Supplied

A

Add-Vantage vial contains Lyophilized powder containing 100mg of Diltiazem Hydrochloride & 75mg of Mannitol

Separate 100mL NS bag used to for infusion

144
Q

Diltiazem Dosage

A

> 14yrs = Draw 20mg, give 10mg SIVP over 2 minutes
*Give the rest slowly as BP permits

> 65yrs = Draw 10mg, give 5mg SIVP over 2 minutes
*Give the rest slowly as BP permits

May repeat Dose 1x if needed