Pain Flashcards
1
Q
Morphine Sulfate
A
2-5mg IV, 5-15mg IM (increments of 2mg)
Narcotic
For pain control skeletal and cardiac, pulmonary edema
Contra: head/chest/abdominal injury, hypovolemia
Side Effects: respt. depression
2
Q
Fentanyl Citrate (Sublimaze)
A
25-100mcg SIVP, IM Narcotic analgesic For pain Contra: respt. depression, TBI Side Effects: apnea, respt. depression, hypotension
3
Q
Ketamine (Ketalar)
A
1-4.5mg/kg SIVP Analgesic For pain, short duration anesthesia Contra: head trauma, stroke, ICP Side Effects: hypertension, hypotension
4
Q
Naloxone (Narcan)
A
0.4-2mg IV, IO, IM Opioid antagonist For narcotic overdose Contra: head trauma, SVT, sensitivity Side Effects: nausea, vomiting, hypertension, tachycardia
5
Q
Ibuprofen
A
400-800mg PO NSAID For pain, fever, arthritis Contra: asthma, renal disease Side Effects: nausea, vomiting
6
Q
Aspirin (ASA)
A
324mg (4x 81mg baby aspirin) Analgesic, platelet inhibitor For angina, MI Contra: hypersensitivity, ulcers Toxicity: long term high dose is nephratoxic
7
Q
Etomidate (Amidate)
A
0.1-0.3mg/kg over 15-30 sec Hypnotic For RSI, amnesia needs Contra: pregnancy Side Effects: hypotension, respt. depression
8
Q
Diazepam (Valium)
A
5-10mg SIVP
Benzodiazepine
For anxiety, alcohol withdrawal, seizure
9
Q
Midazolam (Versed)
A
2-4mg SIVP Benzodiazepine For sedation, anxiety Contra: pregnancy, acute angle glaucoma Side Effects: respt. depression, headache
11
Q
Promethazine (Phenergan)
A
12.5-25mg IV, IO, IM Antihistamine, antiemetic For nausea, vomiting Contra: sensitivity Side Effects: hypotension, hypertension, headache, fatigue
12
Q
TXA
A
1g in 100mL bag over 10 minutes (10 drop set needs set at 100 drops/min)
Antifibrolytic
Used for bleeds
Contra: head trauma, stroke, brain bleed, pregnancy, patient under 16
13
Q
Flumazenil (Romazicon)
A
0.2mg IV, IO Benzo Antagonist For benzo overdose Contra: cyclic depression, OD Side Effects: seizures, dizziness