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Indications & Doses Flashcards

2
Q

Drugs for ACS (Unstable, STEMI, NSTEMI)?

A

Aspirin (324mg)

Nitro (0.4mg q 3-5min x3 (BP>100))

O2 (95%)

Morphine (2-4mg max=10mg) or Fentanyl (25-50mcg max=200mcg)

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3
Q

Drugs for Pain Management?

A

Morphine (2-10mg max=20mg)

Fentanyl (25-50mcg max=200mcg)

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4
Q

Drugs for heart rate too slow (Narrow QRS)?

A

Atropine (0.5-1mg q 3-5min max=3mg)

Pacing- mechanical function

Dopamine (5mcg/kg/min IV infusion)= B1 inotropic, chronotropic, dromotropic

Epi (2-10mcg/min IV infusion titrated for effect) Mix is 1mg 1:1000 in 250mL NS which = 4mcg/mL

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5
Q

Drugs for Seizure?

A

Ativan 2-4mg SIVP

Versed (2.5-5mg IV or IM max=20mg)

Valium (2-5mg IV or IM max=10mg)

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6
Q

Drugs for RSI/Airway?

A

Etomidate (0.3mg/kg SIVP over 30-60sec)

Succs (1.5mg/kg SIVP over 60sec repeat after conf ETT)

Versed (5mg SIVP over 2min)

Morphine (2-4mg) or Fentanyl (25-50mcg)

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7
Q

Drugs for Restrictive Airway (asthma/COPD/chronic bronchitis)?

A

Albuterol (2.5mg/3mL SVN)

Atrovent (0.5mg/2.5mL SVN)

Solu-Medrol (125mg SIVP)

Epi (0.1-0.5 1:1000 SIVP or 0.3 IM)

Mag Sulfate (1-2g IV infusion diluted in 50 or 100mL over 10min)

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8
Q

Drugs for Restrictive Airway (wet)?

A

Nitro (0.4mg q 3-5min max=3 doses)

Lasix (0.5-1mg/kg typical 40mg or 2x daily dose)

CPAP or ETT w/ PPV (both mechanically clear lungs of fluid with pressure)

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9
Q

Drugs for Asystole/PEA?

A

Epi (1:10,000 1mg q 3-5min)

Vasopressin (40u after 2nd dose of Epi)

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10
Q

Drugs for ALOC (low glucose)?

A

Dextrose 50% (25g SIVP)

Glucagon (1mg IM q 7-10min)

Thiamine (100mg SIVP for ETOH/malnutrition)

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11
Q

Drugs for Atrial Arrhythmias (Non WPW)?

A

Adenosine (6mg repeated once @ 12mg)

Diltiazem (0.25mg/kg repeated 0.35mg/kg q 15min)

Verapamil (2.5-5mg repeat 5-10mg q 15-30min)

Calcium Chloride (2-4mg/kg to pretreat for Verapamil)

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12
Q

Drugs for Atrial Arrhythmias (Suspected WPW)?

A

Amiodarone (150mg diluted in 50-100mL infused over 10min)

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13
Q

Drugs for Pulseless V-Fib/V-Tach?

A

Epi (1:10,000 1mg q 3-5min)

Vasopressin (40u after 2nd dose of Epi)

Amiodarone (300mg SIVP q 3-5min with 150mg)

Lidocaine (1-1.5mg/kg SIVP q 3-5min @ 0.5-0.75mg max=3mg/kg)

Mag (1-2g SIVP diluted in 10mL over 2min)

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14
Q

Drugs for Hypoglycemia?

A

Dextrose 50% (12.5-50g SIVP)

Glucagon (1mg IM q 7-10min)

Thiamine (100mg IV or IM for ETOH malnourishment)

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15
Q

Drugs for Alkalizing Agent?

A

Sodium Bicarb (1mEq/kg)

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16
Q

Drugs for Vasopressors/Shock Management?

A

Dopamine (5-20mcg/kg/min IV infusion)

Epi (2-10mcg/min IV infusion)

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17
Q

Drugs for Nausea/Vomiting?

A

Ondansetron (4-8mg SIVP over 2-5min or 4-8mg oral)

18
Q

Drugs for Ventricular Arrhythmias (with a pulse)?

A

Amiodarone (150mg diluted in 50-100mL infused over 10min)

Lidocaine (1-1.5mg/kg SIVP q 3-5min 0.5-0.75mg max=3mg/kg)

Mag (1-2g diluted in 50-100mL infused over 10min)

19
Q

Drugs for Allergy/Anaphylaxis?

A

Epi (1:1,000 0.1-0.3mg IM) or (1:10,000 0.3-0.5mg IV)

Benadryl (25-50mg SIVP or IM)

Solu-Medrol (125mg SIVP)

Decadron (8-24mg SIVP)

20
Q

Drugs for Nasal Intubation?

A

Neo-Synephrine (2-4 sprays/nostril)

21
Q

Drugs for OB Emergencies?

A

Mag (4-6g diluted in 100mL infused over 10min)

22
Q

Drugs for Oral Toxin Ingestion?

A

Charcoal (25-50g or 1-2mg/kg)

23
Q

Drugs for Opiate Overdose?

A

Narcan (2mg SIVP as needed @ 2mg max=6mg)

24
Q

Drugs for Beta Blocker Overdose?

A

Glucagon (2mg IM q 7-10min)

25
Q

Drugs for Alcoholism/Malnourishment?

A

Thiamine (100mg SIVP)

26
Q

Drugs for Extrapyramidal/Acute Dystonic Reaction?

A

Benadryl (25-50mg SIVP)

27
Q

Drugs for SLUDGE (Organophosphates, Carbamates)?

A

Atropine (2-5mg SIVP q 5-10min until symptoms subside)

28
Q

Drugs for ASA/Tricyclic Overdose?

A

Sodium Bicarb (1mEq/kg SIVP)

29
Q

Dopamine infusion dose for Bradycardia?

A

5mcg/kg/min

30
Q

Dopamine infusion dose for Shock?

A

BP<70= 5-20mcg/kg/min

31
Q

Lidocaine infusion dose following bolus?

A

2-4mg/min (+1mg than total IVP dose)

-Note: unless over 70 and/or known liver or kidney history

32
Q

Epinephrine infusion dose for Bradycardia?

A

2-10mcg/min

33
Q

Epinephrine infusion dose for Hypotension?

A

2-10mcg/min

34
Q

Drugs for heart rate too slow (wide QRS)?

A

Pacing

Dopamine (5mcg/kg/min infused)

Epinephrine (2-10mcg/min titrated for effect mixed 1mg of 1:1000 in 250mL NS = 4mcg/mL)

35
Q

Drugs for violent/combative?

A

Versed (2.5-5mg SIVP or IM)

Ativan (2-4mg SIVP)

Valium (2-5mg SIVP)

36
Q

Drugs for anxiety?

A

Ativan (2-4mg SIVP)

Valium (2.5-5 mg SIVP)

Versed (2-5mg SIVP)

37
Q

Drugs for ALOC (opiate OD)?

A

Narcan (2mg SIVP)

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Pharmacology (8 decks)

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