Review Drugs Flashcards by Matt Young

Acetaminophen

Indication: Fever, pain relief
Contraindication: Hypersensitivty, liver disease
Dose: 325-1000mg PO

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Activated Charcoal

Indication: Acute ingested poisonings
Contraindication: Cyanide, mineral acids, iron, ethanol
Dose: 1g/kg PO

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Adenosine

Indication: SVT/ PSVT
Contraindication: Bradycardia, A-Fib, A-Flutter
Dose: 6mg, then 12mg RIVP

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Albuterol

Indication: Asthma, bronchospasm, reversible obstructive airway disease
Contraindication: Hypersensitivity, cardiac dysrhythmias
Dose: 2.5mg/3mL via nebulizer

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Amiodarone

Indication: V-Fib, V-tach, stable atrial rhythms
Contraindication: CHF, cardiogenic shock, hypersensitivity
Dose: 300mg, then 150mg IV/IO

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Atropine

Indication: unstable bradycardia, organophosphates, nerve gas poisoning
Contraindication: Tachycardia, hypothermia
Dose: 0.5mg up to 3mg IV/IO

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Calcium Chloride

Indication: Hyperkalemia, hypocalcemia, hypermagnesemia
Contraindication: V-fib, digitalis toxicity, hypercalcemia
Dose: 1-2g slow IV

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Dextrose

Indication: Hypoglycemia
Contraindication: Intracranial hemorrhage, ICP, Suspected Stroke
Dose: 12.5-25g slow IV

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Diazepam (Valium)

Indication: Seizure, acute anxiety, sedation for pacing
Contraindication: respiratory depression, head injury w/ CNS depression, shock, coma.
Dose: 5-10mg IV

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Diltiazem (Cardizem)

Indication: A-FIb, A-Flutter, SVT
Contraindication: hypotension, cardiogenic shock, SSS
Dose: 0.25mg/kg IV

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Benadryl

Indication: Allergic reactions, anaphylaxis, dystonia
Contraindication: hypersensitivity, caution with glaucoma
Dose: 25-50mg IV/IM/PO

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Dopamine

Indication:cardiogenic, neurogenic, septic shock
Contraindication: Hypovolemia, trauma, V-Fib
Dose: 2-20mcg/kg/min

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Epinephrine

Indication: Anaphylaxis, cardiac arrest, asthma Contraindication: Hypovolemic shock
Dose: 0.3mg 1:1000 IM, 1mg 1:10000 IV/IO

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Etomidate

Indication:synchronized cardioversion, conscious sedation
Contraindication: labor and delivery
Dose: 0.3mg/kg IV over 1 minute

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Fentanyl

Indication: Pain and sedation
Contraindication: hypotension, head injury, respiratory depression, cardiac dysrhythmias
Dose: 25-100mcg

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Furosemide

Indication: hyperkalemia, hypertensive emergencies, pulmonary edema
Contraindication: anuria, hypovolemia, hypokalemia
Dose: 20-40mg IV

Glucagon

Indication: hypoglycemia beta blocker overdose
Contraindication: hypersensitivity
Dose: 1mg IM

Haloperidol

Indication: Acute psychotic episodes, emergency sedation
Contraindication: CNS depression, pregnancy, seizures
Dose: 5mg IV or 10mg IM

Ipratropium

Indication: Persistant bronchospasm, asthma, COPD exacerbation
Contraindication: atropine, peanuts
Dose: 0.5mg/2.5mL via nebulizer

Ketamine

Indication: pain, sedation
Contraindication: stroke, severe hypertension, cardiac instability
Dose: 0.3mg/kg IV/IO/IM/IN for pain, 1-4mg for everything else

Lidocaine

Indication: pulseless V-tach or V-Fib, stable V-tach
Contraindication: 2nd or 3rd degree heart block
Dose: 1-1.5mg/kg IV/IO bolus

Lorazepam (Ativan)

Indication: Seizures, agitation, anxiety, alcohol withdrawal
Contraindication: hypotension, respiratory depression
Dose: 1-4mg IM/IV

Magnesium Sulfate

Indication: Seizures due to eclampsia, torsades
Contraindication: any heart block, hypotension
Dose: 1-4g IV/IO

Solu-medrol

Indication: anaphylaxis, asthma, adrenal insufficiency
Contraindication: GI bleeding, diabetes, severe infection
Dose: 125mg IV

Metoprolol

Indication: SVT/ PSVT, A-Fib, A-Flutter Contraindication: CHF, hemodynamically unstable pts, cardiogenic shock Dose: 5mg slow IV push

Midazolam

Indication: seizures and anxiety Contraindication: shock, respiratory depression, alcohol Dose: 2-5mg IV/IO/IM/IN

Morphine Sulfate

Indication: Acute pain, pulmonary edema Contraindication: CNS depression, hypotension, hypovolemia Dose: 2-10mg IV

Narcan

Indication: Opioid overdose Contraindication: Hypersensitivity Dose: 0.4-2mg IV/IM/IO/IN

Nitroglycerin

Indication: Chest pain, ACS, pulmonary edema Contraindication: Erectile Dysfunction Drugs, head injury Dose: 0.4mg SL

Nitrous Oxide

Indication: Burns, moderate to severe pain Contraindication: ALOC, hypotension, chest trauma, COPD Dose: Self administration , deep breaths

Norepinephrine

Indication: Cardiogenic shock, neurogenic shock, hypotension Contraindication: Hypotension due to hypovolemia Dose: 2-20mcg/min IV

Ondansetron (Zofran)

Indication: Nausea and vomiting Contraindication: GI obstruction, liver disease Dose: 4mg IV/IO/IM

Oral Glucose

Indication: Hypoglycemia Contraindication: Unconscious, unable to swallow, Dose: 15-25g PO

Oxygen

Indication: Hypoxia Contraindication: None Dose: As needed

Oxytocin (Pitocin)

Indication: Post-partum hemorrhage Contraindication: Hyperactive uterus, fetal distress Dose: 10-40 units in 1L NS

Promethazine

Indication: Nausea, vomiting, motion sickness Contraindication: CNS depression, Coma Dose: 12.5-25mg IV diluted in 10cc NS

Sodium Bicarbonate

Indication: TCA overdose, DKA, cardiac arrest Contraindication: Hypocalcemia, hypokalemia, respiratory alkalosis Dose: 1mEq/kg IV

Succinylchlorine

Indication: RSI Contraindication: burns or crash injuries Dose: 1mg/kg IV/IO for RSI

Thiamine

Indication: Hypoglycemia with malnourishment Contraindication: None Dose: 100mg slow IV/IM