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Need-to-Know Drugs > Top ED Drugs > Flashcards

Top ED Drugs Flashcards

1
Q

Mucomyst

A

aka NAC

for: APAP OD
dose: if IV, 150 mg/kg in 200mL D5W x 1h, then 50 mg/kg in 500mL D5W x 4h, then 100mg/kg in 1000mL D5W x 16h (for 21hr total). If hypersensitivity, switch to po 70 mg/kg q4h x 17 (72hr total)

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2
Q

Adenosine

A

for: SVT
dose: 6mg IV rapid push, then 12mg IV q2min x 2 PRN

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3
Q

Albuterol

A

aka Ventolin, ProAir

for: acute bronchospasm; hyperK+
dose: 2.5 to 5mg q20min x 1 hr; or 2.5 to 10mg q1-4h PRN
avoid: hypoK+, hypergly, tachy

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4
Q

Amiodarone

A

for: pulseless vtach/vfib; wide-complex tachy
dose: 300mg IV rapid push, then 150mg IV rapid push PRN q2min
avoid: hypotensive, preg

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5
Q

Atropine

A

for: brady
dose: 0.5mg IV (3mg max); 0.02 mg/kg IV (1mg max) peds

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6
Q

CaCl/gluconate

A

for: hyperK+ or scary hypoCa2+
dose: 10% IV soln (1 g/10 mL)
note: CaCl is 3x stronger than CaGluc

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7
Q

Diazepam

A

aka: Valium
for: seizure, agitation, spasm, EtOH withdrawal
dose: 2-10mg (po, IV, or IM) q6h PRN
avoid: bradypnea, hypotension, preg

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8
Q

Diltiazem

A

for: SVT, stable afib with RVR
dose: 0.25 mg/kg IV x 1, or continuous infusion 5-15mg/hr

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9
Q

Dobutamine

A

for: refractory hypotension; decompensated heart failure
dose: 2-20 mcg/kg/min IV

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10
Q

Dopamine

A

for: hypotension; decompensated heart failure
dose: 5-10mcg/kg/min CENTRAL LINE for b-adrenergic, or 10-20mcg/kg/min CENTRAL LINE for a-adrenergic

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11
Q

Lovenox

A

aka: enoxaparin
for: DVT/PE; NSTEMI/unstable angina
dose: 1 mg/kg SQ q12h, or 1.5 mg/kg SQ q24h
BBW: using in someone with spinal anesthesia/analgesia or LP

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12
Q

Etomidate

A

for: RSI
dose: 0.3 mg/kg IV

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13
Q

Fosphenytoin

A

for: status epilepticus
dose: 15-20mg/kg IV at 150mg/min
avoid: preg, unmonitored pts

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14
Q

Haldol

A

aka Haloperidol

for: psychosis, agitation
dose: 5-10 mg (po, IV, or IM) q2h (max 100mg/d)

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15
Q

Dilaudid

A

aka: hydromorphone
for: pain
dose: 1-2 mg IV 13-6h

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16
Q

Labetalol

A

for: HTN emergency
dose: 20-80mg IV q10 bolus + 1-8 mg/min continuous infusion

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17
Q

Mannitol

A

for: inc ICP
dose: 1 g/kg IV x 1
avoid: dehydrated

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18
Q

Reglan

A

aka Metoclopramide

for: N/V
dose: 10mg IV q6h PRN

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19
Q

Nimodipine

A

for: SAH
dose: 60mg pa q4h

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20
Q

Norepi

A

aka Levophed

for: hypotension that IVF isn’t fixing
dose: 1-30 mcg/min CENTRAL LINE

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21
Q

Zofran

A

aka Ondansetron

for: N/V
dose: 4-8mg IV q4-6h PRN
avoid: long QTc

22
Q

Propofol

A

for: RSI, procedural sedation
dose: RSI - 1.5-2.5 mg/kg IV x 1; procedural - 1 mg/kg bolus + 0.5 mg/kg q3min to effect

23
Q

Bicarb

A

aka Sodium bicarbonate
for: hyperK+, TCA/ASA tox, maybe metabolic acidosis
dose (for hyperK+): 50 mEq IV x 1 (aka one amp)
avoid: hyperNa+, CHF

24
Q

Droperidol

A

for: migraines, nausea
dose: 1.25-2.5 mg IV q4h PRN
avoid: long QT; might cause NMS/extrapyramidal Sx

25
Q

Esmolol

A

for: aortic dissection
dose: 500 mcg/kg loading then continuous infusion 50-300 mcg/kg/min

26
Q

Fentanyl

A

for: pain
dose: 1 mcg/kg IV q 1-2h

27
Q

Lasix

A

aka Furosemide

for: CHF exacerbation, pulm edema, non-anuric hyperK+
dose: 20-40mg IV to start; max single dose 200mg
avoid: metabolic alkalosis

28
Q

Heparin

A

for: VTE, ACS, afib
dose: VTE - load 80 U/kg IV, then 18 U/kg/hr; ACS/afib - load 60 U/kg IV, then 12 U/kg/hr

29
Q

Insulin R

A

for: hyperK+, DKA/HHS, CCB tox
dose: hyperK+ - 5-10 U IV x1; DKA/HHS - 0.1 U/kg bolus + continuous infusion of the same
avoid: hypoK+, hypoglycemia

30
Q

Lorazepam

A

aka: Ativan
for: agitation, delirium tremens, status epilepticus, 5-HT syndrome
dose: 1-2mg IV bolus + 1-10 mg/hr continuous infusion

31
Q

Methohexital

A

for: procedural sedation
dose: 1 mg/kg IV + 0.5 mg/kg q2-5min PRN
avoid: resp issues

32
Q

Midazolam

A

aka: Versed
for: procedural sdation, RSI, seizures
dose: procedural - 0.02-0.04 mg/kg IV; RSI - 0.1 mg/kg IV; other - 1-10mg/hr continuous infusion

33
Q

NTG

A

for: angina, CHF
dose: 5-200mcg/min, inc 10mcg q3-5min to effect
avoid: with PDE5i

34
Q

Octreotide

A

for: esophageal varices rupture, SU tox
dose: varices - 50 mcg IV bolus + 50 mcg/hr IV; SU tox - 50 mcg subQ q6h PRN

35
Q

Phenobarb

A

for: status epilepticus
dose: 20 mg/kg IV x 1, then 5-10mg/kg in 20min PRN. Max dose 30 mg/kg. Max infusion rate 50 mg/min.

36
Q

Protamine Sulfate

A

for: UFH-bleeding
dose: 1 mg per 100 U UFH (max 50mg) administered at a rate of 5mg/min
avoid: fish allergies

37
Q

Succinylcholine

A

for: RSI paralytic
dose: 1.5 mg/kg IV, or 3-4 mg/kg IM
avoid: hyperK+, burns/crush injuries, inc IOP, inc ICP

38
Q

Epi

A

for: ACLS, PALS, anaphylaxis, peds severe asthma, IVF-refractory hypotension
dose:
ACLS - 1mg 1:10,000 IV
PALS - 0.01 mg/kg 1:10,000 IV
IVF-refractory hypotension - 1-10 mcg/min IV
Anaphylaxis - 0.1-0.5 1:1,000 IM (or SQ if needed)
Peds anaphylaxis/asthma - 0.01 mg/kg 1:1,000 IM/SQ
avoid: peripheral lines, dosing errors

39
Q

Esomeprazole

A

aka: Nexium
for: non-variceal UGIB
dose: 80 mg IV bolus + 8 mg/hr

40
Q

Fomepizole

A

for: methanol or ethylene glycol tox
dose: load 15 mg/kg IV, then 10 mg/kg q12h x 4, then 15 mg/kg q12h til levels <20mg/dL and ASx and normal pH

41
Q

Glucagon

A

for: hypoglycemia, beta-blocker/CCB tox
dose: hypoglycemia - 1 mg IV/SQ/IM; tox - load 3-10mg IV then 1-10 mg/hr continuous infusion
avoid: aspiration of emesis

42
Q

Hydrocortisone

A

for: pressor-refractory septic shock, status asthmaticus, acute adrenal insufficiency
dose: shock - 50mg IV q6h; asthma - 1-2 mg/kg IV q6h x 24h then maintenance; adrenal - 100mg IV bolus + 50mg IV q6h x 24h then taper

43
Q

Ketamine

A

for: RSI, procedural sedation, analgesia (dissociation)
dose: RSI - 2 mg/kg IV; procedural - 0.5-1 mg/kg IV

44
Q

Mag Sulfate

A

for: TdP, eclampsia, ventricular dysrhythmias, status asthmaticus
dose: TdP - 2g IV push; eclampsia - 2-4g IV over 5min; asthma - 2g IV over 15min

45
Q

Methylpred

A

for: asthma, acute hypersensitivity rxn, PCP PNA with inc A-a or paO2 <70
dose: 1 mg/kg IV; PNA - 30mg IV bid x 5d then taper off

46
Q

Morphine

A

for: pain
dose: 2-10mg IV q2-6h PRN (recommended 0.1 mg/kg)

47
Q

Nitropress

A

for: HTN emergency
dose: 0.3 mcg/kg/min IV titrating to effect (max 10 mcg/kg/min). d/c after trying 10min without success.
avoid: cyanide tox

48
Q

Olanzapine

A

for: psychosis/agitation
dose: 5-10mg IM (max 30mg/d)

49
Q

Prednisone

A

for: asthma, allergic rxn, PCP PNA with A-a gradient >35 or paO2 <70
dose: 1 mg/kg/d
avoid: GI perf/ulcer, hyperglycemia

50
Q

Rocuronium

A

for: RSI paralytic
dose: 1 mg/kg IV

Need-to-Know Drugs (2 decks)

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