Tillamook Drugs

Question 0

Adenosine

Indications:

Contraindications:

Precautions:

Adult dose:

Pediatric dose:

Answer 0

Adenosine

Indications: SVT

Contraindications: 2nd or 3rd degree heart block, AFib, WPW

Precautions: effects are decreased by caffeine, methylxanthines, and theophylline. Effects are increased by dipyridamole.

Adult dose: 6mg/flush, 12mg/flush, 12mg/flush

Pediatric dose: 0.1mg/kg. 2nd and 3rd dose @ 0.2mg/kg if needed

Question 1

OLMC drugs

Answer 1

Activated charcoal
Amiodarone (not required, but good idea)
Atropine (for poisoning)
Calcium Chloride
Dexamethasone
Diazepam (Valium)
Diltiazem (cardizem)

Question 2

Albuterol

Indications:

Contraindications:

Dose:

Answer 2

Albuterol

Indications: asthma, COPD

Contraindications: none

Dose: 2.5mg repeat as needed

Question 3

Amiodarone

Class:

Supplied:

Indications:

Contraindications:

Vfib/pulseless vtach Dose:

Vtach with pulse Dose:

Answer 3

Amiodarone

Class: antidysrhythmic

Supplied: 150mg in 3mL

Indications: Vfib, Pulselss Vtach, Vtach with pulse

Contraindications: pregnancy

Dose: Vfib/pulseless vtach - 300mg 1st dose, 150mg 2nd dose

Dose: vtach w/pulse - 150mg over 10 minutes (150mg in 100mL bag)

Question 4

Atropine

Class:

Supplied:

Indications:

Contraindications:

Bradycardia dose:
Poisoning dose:

Pediatric dose:

Answer 4

Atropine

Class: parasympatholytic

Supplied: 1mg/10mL per filled syringe

Indications: bradycardia, organophosphate or nerve agent poisoning

Contraindications: AFib/Aflutter, hypothermia <90F

Bradycardia dose: 0.5mg q.3-5min, max 3.0mg
Poisoning dose: 2-5mg - OLMC for frequency

Pediatric dose: 0.02 mg/kg (minimum 0.1mg)

Question 5

Calcium Chloride

Supplied:

Indications:

Contraindications:

Precautions:

Dosage:

Answer 5

Calcium Chloride

Supplied: 1000mg/10mL (100mg/mL)

Indications: hyperkalemia, CCB O.D, mag sulfate O.D., muscle spasms from black widow bites

Contraindications: none

Precautions: will precipitate if mixed with sodium bicarbonate, may enhance digitalis toxicity

Dosage: 2-4mg/kg over 5 minutes (OLMC required)

Question 6

Dexamethasone

Class:

Supplied:

Indications:

Contraindications:

Adult dose:

Pediatric dose:

Answer 6

Dexamethasone

Class: corticosteroid

Supplied: 20mg/5mL

Indications: asthma, allergic reaction, COPD, Addisonian crisis, croup

Contraindications: systemic fungal infections

Adult dose: 2-10mg (OLMC)

Pediatric dose: same as adult. Croup: 0.6mg/kg (OLMC)

Question 7

Diazepam (Valium)

Supplied:

Indications:

Contraindications:

Adult dose:

Pediatric dose:

Answer 7

Diazepam (Valium)

Supplied: 10mg/2mL per filled carpujet (5mg/mL)

Indications: seizure

Contraindications: narrow angle glaucoma

Adult dose: 5mg IV, may repeat, max 10mg

Pediatric dose: 0.25mg/kg IV/IO