Set 4 Flashcards
Trade name: acetysalicylic acid, ASA
Bayer, St.John’s, Children’s
Generic name: Bayer, St. John’s
aspirin, acetylsalicylic acid
Drug class: acetylsalicylic acid (ASA)
Antiplatelet
Dose: acetylsalicylic acid
160-325 mg PO
Indications: acetylsalicyclic acid
chest pain protocol, helps thin blood and prevent further clotting
Contraindications: acetylsalicylic acid
in children, risk of Reye’s syndrome
Trade name: nitroglycerin
Nitrostat
Generic name: Nitrostat
nitroglycerin
Drug class: nitroglycerin
Vasodilator
Dose: nitroglycerin
0.4 mg SL, max 1.2 mg SL
Indications: nitroglycerin
Chest pain “MONA” protocol
CHF/pulmonary edema algorithm
Contraindications: nitroglycerin
BP less than 90 systolic
Use of ED medications
Trade name: diphenhydramine
Benadryl
Generic name: Benadryl
diphenhydramine
Drug class: diphenhydramine
Antihistamine
Dose: diphenhydramine
25-50 mg IV/IM/PO
Indications: diphenhydramine
block histamine response in allergic reaction
Contraindications: diphenhydramine
hypersensitivity to diphenhydramine
Trade name: diltiazem
Cardizem
Generic name: Cardizem
diltiazem
Drug class: diltiazem
Calcium channel blocker
Dose; diltiazem
0.25 mg IV
Indications: diltiazem
new onset A-fib w RVR.
SVT, hypertension
Contraindications: diltiazem
CHF, AV or SA node conduction issues,
hypotension
Trade name: verapamil
Isoptin, Calan
Generic name: Isoptin, Calan
verapamil
Drug class: verapamil
calcium channel blocker
Dose: verapamil
2.5-5 mg IV
Indications: verapamil
not for EMS.
Control SVT, hypertension
Contraindications: verapamil
severe LV dysfunction
hypotension
sick sinus syndrome
Trade name: adenosine
Adenocard
Generic name: Adenocard
adenosine
Drug class: adenosine
Antidysrhythmic
Dose: adenosine
(1) 6 mg, (2) 12 MG FAST IV
Indications: adenosine
cardioversion SVT or V-tach
stable SVT w/pulse
wide tachy w/pulse
Contraindications: adenosine
no effect on true V-tach originating below AV node
Trade name: amiodarone
Cordarone
Generic name: Cordarone
amiodarone
Drug Class: amiodarone
antidysrhythmic
Dose: amiodarone
w/pulse: 150 mg IV, 10 mins
w/o pulse: 300 mg, 150 mg IV
Drip: 900 mg/500 mL NS
at 1 mg/min for 8 hours
Indications: amiodarone
Vfib and Vtach (stable and pulseless) in megacode
Run over 10 minutes in pt. w pulse 150/IV
Contraindications: amiodarone
SA and AV block, digoxin toxicity
Trade name: lidocaine
Xylocaine
Generic name: Xylocaine
lidocaine
Drug class: lidocaine
antidysrhythmic
Dose: lidocaine
(1) 1-1.5 mg/kg IV (2) 0.5-.75 mg/kg IV
Max 3 mg/kg
Drip: 1 g/250 mL D5W at 1-4 mg/min
Indications: lidocaine
Ventricular irritability, Vfib, Vtach
amiodarone is preferred = survivability
maintenance drip after cardioversion
Contraindications: lidocaine
prior use of amiodarone, bradycardia, heart block
Trade name: procainamide
Pronestyl
Generic name: Pronestyl
procainamide
Drug Class: procainamide
antidysrhythmic
Dose: procainamide
20-30 mg/min IV
Indications: procainamide
ventricular and atrial irritability
Contraindications: procainamide
TCA overdose, torsades de pointe
AV block
amiodarone use, digoxin toxicity