Meds Flashcards
9 Contraindications for nitroglycerin
-allergy/sensitivity
-Viagra/Levitra 24 hours
-Cialis 48 hours
-Severe anemia
-Restrictive pericarditis/ pericardial tamponade
-Documented right sided M.I.
-Hypotension/ uncorrected hypovolemia
-Systolic BP <110
-pulse 50< or >150
What is nitroglycerin used for
Relief from chest pain suggestive of acute coronary syndrome
Doses for nitroglycerin
CliniCall consultation required prior to administration if the patient has no prior prescription for nitroglycerin or if more than 3 doses are required.
0.4 mg SL every 3-5 minutes
Verify systolic blood pressure prior to administering each dose; systolic blood pressure must be ≥ 110 mmHg and heart rate must be between 50 and 150 beats/minute
Not for peds
Contraindications for nitrous oxide
Pneumothorax
Air embolism
Inhalation
Nitro in 5 mins
Decompression
Inability to comply
Emphysema
Shock
Abdominal distension
Depressant drugs
Facial trauma
Copd
Enclosed environment
Contraindications of asa
Hypersensitivity
bronchospasm from asa
bleeding
Peds with viral illnesses
Dosages for adult of acetaminophen
500-1,000 mg PO (15 mg/kg max 1,000 mg)
May repeat once after 4 hours
24-hour maximum: 3 g (3,000 mg)
liver dysfunction (24hr max 1-2 g)
Acetaminophen for peds dosage
< 30 kg: 15 mg/kg PO liquid
30-50 kg: 500 mg PO (liquid,tablets if able)
> 50 kg: 500-1,000 mg PO
May repeat once after 4 hours
24-hour maximum: 75 mg/kg or 1 g (1,000 mg)
Do not exceed 5 doses in 24-hours in patients < 12 years of age
Dextrose adult dose
PCP: Suspected or known hypoglycemia
10-25 g IV (equivalent to 100-250 mL of D10W solution)
How is dextrose supplied , and what ratio
Intravenous solution: 10% solution in 250 mL bag
Gravol
dosage adult
PCP: Nausea relief
25-50 mg IV/IM
12.5 mg IV/IM in elderly or frail patients
May repeat dose once after 4-6 hours if required
Give IM dose as direct injection; IV dose should be diluted with saline; administer medication at rate of 25 mg/min
Gravol for peds
PCP: Nausea relief
1.25 mg/kg IV/IM; maximum single dose of 25 mg
May repeat dose once after 4-6 hours if required
Maximum total daily dose 5 mg/kg/day
Note: not authorized for patients < 12 years of age by PCP
Dosage of epi for adult
PCP: Severe bronchospasm with impending respiratory arrest
CliniCall consultation recommended prior to administration.
0.5 mg IM every 5-20 minutes
Epi dosage for peds
PCP: Anaphylaxis
0.01 mg/kg IM to a maximum of 0.5 mg; may repeat up to 3 times
PCP: Severe bronchospasm with impending respiratory arrest
CliniCall consultation required prior to administration.
0.01 mg/kg IM to a maximum of 0.5 mg
PCP: Severe croup
5 mg by nebulizer mask
CliniCall consultation recommended to discuss care planning options.
If under 1 year of age: 0.5 mg/kg to a maximum of 5 mg
Total volume of fluid in nebulizer mask should be 5 mL
Requires additional training
Glucose oral gel dosage
FR: Known or suspected hypoglycemia
15 g glucose PO (equivalent to one 38 g tube or 32 ml pouch)
Repeat at 5 minutes as necessary; no limit
Pediatric Considerations And Dosing
EMR: Known or suspected hypoglycemia
15 g glucose (equivalent to one 38 g tube or 32 ml pouch)
Pediatrics may require a smaller dose depending on age
Repeat at 5 minutes if necessary; 30 g glucose max
Glucagon adult dosage
PCP: Suspected or confirmed hypoglycemia where IV access in unavailable
1 mg IM/SC
