Master so far Flashcards
Narcan contrindications
None
Calcium chloride side effect
Hypotension
Bradycardia
Cardiac dysrhythmias
Cardiac arrest
Sodium bicarb side effect
Extracellular alkalosis
Cardiac arrhythmias
Decreased cerebral and cardiac functioning
Activated charcoal action
Activated charcoal is a specially prepared charcoal that when given soon after ingestion of a toxin will adsorb and bind organic toxins from the GI tract
Nitroglycerine actions
Reduce preload and afterload
Vasodilation of cerebral and coronary arteries
Generalized smooth muscle relaxation
Onset of action 1-2min
Magnesium sulfate dose
Adult
- Torsades de pointes: 1 – 2g IVP over 1 – 2 minutes
- Eclamptic seizure: 4 – 5g IVP concurrently with up to 5g IM in each buttock then 4 – 5 g every 4 hours
- Bronchodilation: 2g IVP
Pediatrics
- Torsades de pointes: 25 – 50mg/kg/dose max dose of 2g
- Bronchodilation: 25mg/kg/dose max 2g
Activated charcoal side effect
Vomiting
Abdominal cramping
Abdominal bloating
Constipation
Diazepam dose
Seizures 5 – 10 mg IV/IO/IM Anxiety 2 – 5 mg IV/IM Premedication 5 – 15 mg IV/IO
Pediatric Dosage Seizures and anxiety 0.5 – 2 mg IV/IO/IM Premedication 0.2 – 0.5 mg/kg
Glucagon class
Hormone, anti-hypoglycemic
Activated charcoal class
Adsorbents
Atrovent side effect
Dry Mouth GI distress N/V Nervousness Dizziness Headache Palpitations Blurred vision
Thiamine contraindication
Hypersensitivity
Aspirin action
Aspirin produces analgesia and reduces inflammation and fever by inhibiting the production of prostaglandins. It decreases platelet aggregation.
Dextrose dose
Adult
25g D50 IV/IO/PO
28 Days to 8 years old
0.5g/kg D25 IV/IO/PO
Neonate
0.2g/kg D10 IV/IO/PO
Thiamine class
Vitamin
Aspirin class
Analgesic, antipyretic, platelet inhibitor, anti-inflammatory
Thiamine side effect
Weakness
Pulmonary edema
Sweating
Nausea/vomiting
Amiodarone dose
Adult
-VF/Pulseless V tach: 300mg IV/IO repeat at 150mg after 3 – 5 minutes
-Wide complex tachycardia: 150mg IV/IO over 10 minutes
-Post resuscitation maintenance: 1mg/min over 6 hours
Max dose: 2.2g IV/IO over 24 hours
Pediatrics
-VF/Pulseless V tach: 5mg/kg IV/IO
-Wide complex tachycardia: 5mg/kg IV/IO over 20 – 60 minutes
Max dose: 15mg/kg
Dextrose action
Principal form of glucose used by the body to create energy
Midazolam dose
Adult
1 – 2.5mg slow IV/IO
0.07 – 0.08mg/kg IM (typical max of 5mg)
Pediatrics
- 05 – 0.20mg/kg slow IV/IO
- 10 – 0.15mg/kg IM
Activated charcoal contraindication
Uncontrolled airway
Ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol
or methanol
Adenosine side effect
Palpitations Hypotension Chest discomfort Headache/dizziness Respiratory distress
Atrovent contraindication
Hypersensitivity to atrovent, atropine or atropine derivatives
Not to be used as the primary treatment for bronchospasm
Atropine contraindications
None
Albuterol dose
Adult 2.5 – 5.0mg via nebulizer (repeat PRN) Pediatrics <20kg: 1.25mg in 3ml NS via nebulizer >20kg: 2.5mg in 3ml NS via nebulizer
Albuterol indication
Bronchospasm
Hyperkalemia
Crush syndrome
Lidocaine class
Antiarrhythmic, Sodium Channel Blocker
Ondasetron dose
Adult
4mg IVP/PO. Max dose of 8mg.
Pediatric
4mg IVP/PO
Aspirin indications
Inhibit platelet aggregation in the presence of chest pain suggestive of an acute myocardial infarction.
Morphine action
Morphine is a natural opium alkaloid that acts on the opiate receptors in the brain. Provides both analgesic and sedative effects. Vasodilatation, reduction of venous return and decrease of myocardial oxygen demand
Narcan indication
Narcotic overdose
Coma of unknown origin
Dextrose class
Carbohydrate
Midazolam class
Sedative/hypnotic
Succinylcholine dose
Adult
-1.0 – 1.5mg/kg IV/IM
Pediatrics
-1 – 2mg/kg IV/IM
Aspirin dose
160-325mg PO, not for pedi
Furosemide side effect
Postural hypotension
Dizziness
Hypovolemia
Circulatory collapse
Amiodarone contraindication
Hypersensitivity Cardiogenic shock Bradycardia AV blocks Liver disease
Thiamine action
Thiamine is vitamin B1. It is required for the metabolism of glucose and the production
of ATP. It is not manufactured by the body and must be constantly provided from
ingested foods.
Dopamine contraindication
Hemodynamically significant hypotension secondary to
Hypovolemia from blood loss or dehydration
Hemodynamically significant hypotension secondary to
third spacing fluids prior to sufficient fluid replacement
Midazolam indication
Sedation prior to cardioversion/Pacing/RSI
Seizure control
Aspirin side effects
Nausea/Vomiting Stomach pain GI bleeding Dizziness Confusion Tinnitis
Nitroglycerine indications
Angina
Chest pain
Pulmonary edema
Albuterol side effect
Tremors/anxiety/dizziness Headache/diaphoresis Angina/palpitations Tachycardia CNS stimulation Hypertension
Calcium chloride contraindication
Ventricular fibrillation
Hypercalcemia
Digitalis toxicity
Adenosine action
Slows conduction time through the AV node and interrupts the reentry pathways of the AV node and SA node. Half life of <10 seconds and does not cause a decrease in blood pressure.
Atrovent class
Parasympatholytic (anticholinergic) bronchodilator
Fentanyl contraindication
Myasthenia gravis
MAO inhibitors within 14 days
Sodium bicarb contraindication
None
Narcan side effects
Increase BP Increase respirations Tachycardia N/V Tremors Withdrawal symptoms
Epinephrine dose
Adult -Cardiac arrest 1mg IV 1:10,000 2-2.5mg ETT 1:1000 -Anaphylaxis 0.3-0.5mg 1:1000 IM/SC 0.5-1mg 1:10,000 IV/IO -Brady 2-10mcg/min Pediatric -Cardiac arrest 0.01mg/kg IV/IO 0.1mg/kg ETT -Anaphylaxis 0.01mg/kg 1:1000 SC/IM 0.01mg/kg 1:10,000 IV/IO
Calcium chloride indication
Hyperkalemia
Hypocalcemia
Hypermagnesemia
Calcium channel blocker OD
Diphenhydramine indication
Anaphylaxis, allergic reactions, and dystonic reactions
Epinephrine indication
To restore cardiac rhythms in a cardiac arrest event
Allergic reaction/Anaphylaxis
Bradycardia refractory to dopamine
Epinephrine action
Natural catecholamine, increases HRm cardiac contractile force, myocardial electrical activity, systemic vascular resistance and systolic BP. Decreases overall airway resistance and automaticity. Thru bronchial artery constriction may reduce pulmonary congestion and increase tidal volume
Ondasetron contraindication
Hypersensitivity
Prolonged QT syndrome
Lidocaine contraindication
Not used for supraventricular rhythms or bradycardias
Hypersensitivity to any of the “caines”
Amiodarone class
Antiarrhythmic
Albuterol action
Selective beta-2 adrenergic bronchodilator causing bronchial smooth muscle relaxation with minimal beta-1 or alpha stimulation. Inhibits histamine release reducing mucus secretion and mucosal edema
Diphenhydramine dose
Adult
25 – 50mg IV/IM/PO
Pedi (6 – 12 years old)
12.5 – 25mg IV/IM/PO
Pedi (under 6 years old)
2 – 5 mg/kg IV/IM not to exceed 25mg
Narcan action
Competes and displaces narcotic molecules from opiate receptors in the brain. Blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression
Dopamine dose
Cardiogenic shock and bradycardia
5 – 10mcg/kg/min
Anaphylaxis
20mcg/kg/min
Crush syndrome
2mcg/kg/min
Pediatric dosing is the same as adult dosing
Diphenhydramine side effect
Drowsiness
Tachycardia
Dizziness
Hypertension/Hypotension