What is the class of Epinephrine?
sympathomimetic, alpha-1, beta-1, and beta-2 agonist, blocks histamine receptors
Adrenalin
What is the trade name for Epinephrine?
0.3-0.5mg IM
What is the adult dose for Epinephrine 1:1?
0.01mg/kg IM
What is the pediatric dose for Epinephrine 1:1?
bronchospasm, COPD, asthma, allergic reaction
What are the indications for Epinephrine 1:1?
none in the emergency setting; relative: HTN, PE, MI
What are the contraindications for Epinephrine 1:1?
HA, restlessness, anxiety, PE, dysrhythmias, CP, tachycardia
What are the potential adverse effects for Epinephrine?
IM
What is the route for Epinephrine 1:1?
1mg/kg IV/IO every 3 to 5 min
What is the adult dosage for Epinephrine 1:10?
0.01mg/kg
What is the pediatric dosage for Epinephrine 1:10?
cardiac arrest, hypotension
What are the indications for Epinephrine 1:10?
none in the emergency setting; HTN, PE, MI
What are the contraindications for Epinephrine 1:10?
IV, IO
What is the route for Epinephrine 1:10?
Think about the drug facts for epinephrine.
Epinephrine
MicroNefrin
What is the trade name for Racemic Epinephrine?
sympathomimetic; stimulates beta-2, reduces airway resistance
What is the class of Racemic Epinephrine?
inhalation
What is the route for Racemic Epinephrine?
5mL in 5mL of NS over 15 min.
What is the adult dosage for Racemic Epinephrine?
-4yo: 0.25mL in 3mL NS over 15 min
+4yo: 0.5mL in 3mL NS over 15 min
What is the pediatric dosage for Racemic Epinephrine?
bronchospasm, COPD/asthma, croup, laryngeal edema
What are the indications for Racemic Epinephrine?
HTN, cardiovascular disease, epiglottitis
What are the contraindications for Racemic Epinephrine?
HA, anxiety, restlessness, fear, palpitations
What adverse effects might Racemic Epinephrine cause?
Nitro-stat, Nitro-Bid, Tridil
What are the trade names for Nitroglycerin?
vasodilator; decreases cardiac oxygen demand
What is the class of Nitroglycerin?
SL
What is the route for Nitroglycerin?
0.4mg SL
What is the adult dosage for Nitroglycerin?
not indicated
What is the pediatric dosage for Nitroglycerin?
CP/signs of ACS, angina pectoris, HTN, CHF, PE
What are the indications for Nitroglycerin?
hypotension, hypovolemia, head bleed, severe brady- or tachycardia, RV infarction
What are the contraindications for Nitroglycerin?
Proventil, Ventolin
What are the trade names for Albuterol?
Think about the drug facts for Nitroglycerin
Nitroglycerin
Think about the drug facts for Albuterol
Albuterol
bronchodilator, sympathomimetic; stimulates beta-2 receptors
What is the class of Albuterol?
2.5mg/2.5mL
What is the adult dosage of Albuterol?
under 20kg - 1.25mg/dose
What is the pediatric dosage of Albuterol?
inhalation
What is the route for Albuterol?
bronchospasm, COPD, asthma
What are the indications for Albuterol?
tachycardia, dysrhythmias
What are the contraindications for Albuterol?
HA, dizziness, weakness, syncope, hypotension, N/V, dry mouth
What adverse effects might Nitroglycerin have?
jittery, light-headed, tachycardia, irritable, restlessness
What adverse effects might Albuterol have?
Brethine
What is the trade name for Terbutaline?
Terbutaline
What is the generic name for Brethine?
bronchodilator, Beta-2 agonist, tocolytic
What is the class of Terbutaline?
0.25mg SQ
What is the adult dose for Terbutaline?
Not recommended for under 12yo
What is the pediatric dose for Terbutaline?
SQ
What is the route for Terbutaline?
bronchospasm, COPD, asthma, stop labor contractions
What are the indications for Terbutaline?
tachydysrhythmia
What are the contraindications for Terbutaline?
HA, restlessness, anxiety, wheezing, coughing, ECG changes
What are the potential adverse effects for Terbutaline?
Think about the drug facts for Terbutaline
Terbutaline
Ipratropium
What is the generic name for Atrovent?
Think about the drug facts for Atrovent
Atrovent
bronchodilator adjunct, anticholinergic, inhibits mucous secretions
What is the class of Atrovent?
250-500mcg via nebulizer (0.5mg/2.5mL)
What is the dose of Atrovent?
persistent bronchospasm, COPD
What are the indications for Atrovent?
hypersensitivity to: peanuts, atropine, alkaloids
What are the contraindications for Atrovent?
dizzy, nervous, blurred vision, dry mouth, N/V
What are the potential adverse effects for Atrovent?
anticholinergic, prevents PNS from slowing HR
What is the class of Atropine?
Think about the drug facts for Atropine
Atropine
Symptomatic sinus bradycardia/AVB: 0.5mg IV
Asystole/PEA: 1mg IV
Symptomatic bradycardia: 0.5mg IV
Organophosphate poisoning: 1mg IV and/or 2mg IM
What is the adult dosage for Atropine?
Symptomatic sinus bradycardia/AVB: 0.02mg/kg
What is the pediatric dosage for Atropine?
IV, IM
What is the route for Atropine?
symptomatic bradycardia, organophosphate poisoning
What are the indications for Atropine?
Tachycardia, MI
What are the contraindications for Atropine?
HA, N/V, palpitations, blurred vision, paradoxical bradycardia
What are the potential adverse effects from Atropine?
Decadron
What is the trade name of Dexamethasone?
Dexamethasone
What is the generic name of Decadron?
Think about the drug facts for Decadron
Decadron
corticosteroid, suppresses immune response
What is the class of Decadron?
10-100mg IV/IO/IM
What is the adult dose for Decadron?
0.25-1mg/kg
What is the pediatric dose for Decadron?
IV, IO, IM
What are the routes for Decadron?
bronchospasm, COPD, asthma, croup, spinal cord injury, elevated ICP
What are the indications for Decadron?
sepsis
What are the contraindications for Decadron?
HA, restlessness, euphoria, HTN, fluid retention
What are the potential adverse effects from Decadron?
Methylprednisolone
What is the generic name for Solu-Medrol?
Solu-Medrol
What is the trade name for Methylprednisolone?
Think about the drug facts for Solu-Medrol
Solu-Medrol
corticosteroid, suppresses immune response, dilates smooth muscle
What is the class of Solu-Medrol?
1-2mg/kg IV
What is the dosage for Solu-Medrol?
IV
What is the route for Solu-Medrol?
bronchospasm, COPD, asthma, allergic reaction
What are the indications for Solu-Medrol?
premature infants, systemic fungal infections, GI bleed
What are the contraindications for Solu-Medrol?
HA, restlessness, depression, hypokalemia
What are the potential adverse effects for Solu-Medrol?
Acetaminophen
What is the generic name for Tylenol?
Think about the drug facts for Tylenol
Tylenol
analgesic, antipyretic; acts on hypothalamus
What is the class of Tylenol?
15mg/kg PO
What is the dosage for Tylenol?
PO
What is the route for Tylenol?
fever, pain
What are the indications for Tylenol?
hepatic disease
What are the contraindications for Tylenol?
GI upset
What are the potential adverse effects from Tylenol?
Ofirmev
What is the trade name for acetaminophen injection?
acetaminophen injection
What is the generic name for Ofirmev?
Think about the drug facts for Ofirmev
Ofirmev
analgesic, antipyretic
What is the class of Ofirmev?
Mix 1g in 100mL NS, give over 10 min.
What is the adult dosage for Ofirmev?
not indicated
What is the pediatric dosage for Ofirmev?
IV
What is the route for Ofirmev?
pain or fever in patients unable to take oral meds
What are the indications for Ofirmev?
pediatrics, hepatic impairment
What are the contraindications for Ofirmev?
N/V, HA
What are the potential adverse effects from Ofirmev?
Dilaudid
What is the trade name for Hydromorphone?
Hydromorphone
What is the generic name for Dilaudid?
opioid analgesic
What is the class of Dilaudid?
0.5-2mg slow IVP, 1-2mg IM
What is the adult dose for Dilaudid?
0.2-0.5mg IVP
What is the pediatric dose for Dilaudid?
IV, IM
What is the route for Dilaudid?
moderate to severe pain
What are the indications for Dilaudid?
GI obstruction, respiratory depression
What are the contraindications for Dilaudid?
Low BP, increased ICP, decreased RR
What are the potential adverse effects from Dilaudid?
Think about the drug facts for Dilaudid
Dilaudid
Sublimaze
What is the trade name for Fentanyl?
Fentanyl
What is the generic name for Sublimaze?
opioid analgesic
What is the class of Fentanyl?
moderate to severe pain, induction of anesthesia
What are the indications for Fentanyl?
head injury
What are the contraindications for Fentanyl?
0.5-1mcg/kg slow IV/IN
What is the adult dose of Fentanyl?
0.5mcg/kg slow IV/IN
What is the pediatric dose of Fentanyl?
IV, IN
What is the route for Fentanyl?
confusion, drowsiness, syncope, increased ICP, apnea, N/V
What are the potential adverse affects from Fentanyl?
Think about the drug facts for Fentanyl
Fentanyl
Roxanol, MS Contin
What is the trade name for Morphine?
Morphine
What is the generic name for Roxanol (MS Contin)?
opioid analgesic; decreases fear and anxiety, decreases pre- and afterload
What is the class of Morphine?
2-5mg IV or IM
What is the adult dose of Morphine?
0.1mg/kg IV or IM
What is the pediatric dose of Morphine?
IV, IM
What is the route for Morphine?
moderate to severe pain, heart failure, CP associated with MI
What are the indications for Morphine?
head injury, COPD exacerbation, GI obstruction, respiratory depression, hypovolemia
What are the contraindications for Morphine?
low BP, decreased RR, bronchospasm, confusion, syncope, increased ICP
What are the potential adverse effects from Morphine?
Think about the drug facts for Morphine
Morphine
Naloxone
What is the generic name for Narcan?
opioid analgesic
What is the class of Narcan?
0.4-2mg IV/IM/IN/SQ
What is the adult dose for Narcan?
0.1mg/kg IV/IM/IN/SQ
What is the pediatric dose for Narcan?
IV, IM, IN, SQ
What is the route for Narcan?
opiate overdose, coma of unknown origin
What are the indications for Narcan?
caution with: addicts, neonates of addicted mothers
What are the contraindications for Narcan?
N/V, seizures, withdrawal symptoms, agitation, aggression
What adverse effects might Narcan cause?
Think about the drug facts for Narcan
Narcan
Toradol
What is the trade name for Ketelorac Tromethamine?
NSAID analgesic; does not cause sedative or anxiolytic effects
What is the class of Toradol?
15-30mg IV, 30-60mg IM
What is the adult dose for Toradol?
10-15mg IV or IM
What is the pediatric dose for Toradol?
IV, IM
What is the route for Toradol?
moderate to severe pain
What are the indications for Toradol?
allergies to salicylates or NSAIDS, bleeding disorders, renal failure
What are the contraindications for Toradol?
HA, dyspnea, GI bleed, diarrhea, nausea, dyspepsia
What adverse effects might Toradol cause?
Think about the drug facts for Toradol
Toradol
Ibuprofen
What is the generic name for Motrin?
NSAID analgesic, antipyretic
What is the class of Motrin?
10mg/kg
What is the dosage for Motrin?
PO
What is the route for Motrin?
minor pain relief, reduce fever
What are the indications for Motrin?
pregnancy, allergies to aspirin
What are the contraindications for Motrin?
skin rash, vomiting
What adverse effects might Motrin cause?
Think about the drug facts for Motrin
Motrin
GlucaGen
What is the trade name for Glucagon?
hyperglycemic
What is the class of Glucagon?
hypoglycemia: 1mg IM/IN
beta-blocker/calcium channel blocker OD: 3-10mg IV/IO
What is the adult dose for Glucagon?
hypoglycemia: under 20kg - 0.5mg
beta-blocker or calcium channel blocker OD: 0.05-0.15mg/kg over 3-5 min
What is the pediatric dose for Glucagon?
IV, IO, IM, IN
What is the route for Glucagon?
hypoglycemia and unable to obtain IV access, beta-blocker or calcium channel blocker OD
What are the indications for Glucagon?
hyperglycemia
What are the contraindications for Glucagon?
dizzy, headache, hypertension, tachycardia, rebound hypoglycemia
What are the potential adverse effects for Glucagon?
Think about the drug facts for Glucagon
Glucagon
Oral Glucose
What is the generic name for Insta-Glucose?
carbohydrate; absorbs in the GI tract
What is the class of Oral Glucose?
25g PO
What is the adult dose for Oral Glucose?
0.5-1g PO
What is the pediatric dose for Oral Glucose?
PO
What is the route for Oral Glucose?
hypoglycemia (must be conscious)
What are the indications for Oral Glucose?
decreased LOC, N/V
What are the contraindications for Oral Glucose?
N/V
What are the potential adverse effects for Oral Glucose?
Think about the drug facts for
Oral Glucose
D50W
What is the trade name for Dextrose?
carbohydrate
What is the class of Dextrose?
25g slow IVP
What is the adult dose of Dextrose?
0.5-1g 25% Dextrose
What is the pediatric dose of Dextrose?
IV
What is the route for Dextrose?
hypoglycemia, coma of unknown origin
What are the indictions for Dextrose?
head bleed
What are the contraindications for Dextrose?
Extravasion causes tissue necrosis; warmth, pain, burning at IV site
What are the potential adverse effects for Dextrose?
Think about the drug facts for Dextrose
Dextrose
Zofran
What is the trade name for Ondansetron?
antiemetic, serotonin receptor antagonist
What is the class of Zofran?
4-8mg IV/IM/PO/SL
What is the adult dose for Zofran?
0.15mg/kg
What is the pediatric dose for Zofran?
IV, IM, PO, SL
What is the route for Zofran?
prevention and control of N/V
What are the indications for Zofran?
long QT syndrome
What are the contraindications for Zofran?
HA, wheezing, long QT syndrome, A-Fib, constipation, diarrhea
What are the potential adverse effects for Zofran?
Think about the drug facts for Zofran
Zofran
Phenergan
What is the trade name for Promethazine?
antiemetic, antihistamine, phenothiazine
What is the class of Phenergan?
12.5mg IV, 25mg IM
What is the adult dose for Phenergan?
0.25mg/kg IV, 0.5mg/kg IM
What is the pediatric dose for Phenergan?
IM, IV
What is the route for Phenergan?
N/V, motion sickness
What are the indications for Phenergan?
coma, CNS depression
What are the contraindications for Phenergan?
HA, dizziness, drowsiness, palpitations
What are the potential adverse effects from Phenergan?
Think about the drug facts for Phenergan
Phenergan
Benadryl
What is the trade name for Diphenhydramine?
antihistamine; reverses extrapyramidal reactions
What is the class for Benadryl?
25-50mg IM, IV, PO
What is the adult dose for Benadryl?
1-2mg/kg IV, IO, IM
What is the pediatric dose for Benadryl?
IM, IV, PO, IM, IO
What are the routes for Benadryl?
allergic reaction, dystonic reaction
What are the indications for Benadryl?
Newborns, premature infants, narrow angle glaucoma, MAOI use
What are the contraindications for Benadryl?
Drowsy, sedation, dizzy, HA, dry mouth
What are the potential adverse effects for Benadryl?
Think about the drug facts for Benadryl
Benadryl
Aspirin
What is the generic name for Acetylsalicylic Acid (ASA)?
anti-inflammatory, platelet inhibitor
What is the class of Aspirin?
325mg as 4x 81mg chewable tablets
What is the dose for Aspirin?
PO
What is the route for Aspirin?
CP/signs of ACS
What are the indications for Aspirin?
Relative: GI bleeding, ulcer disease, asthma
What are the contraindications for Aspirin?
Increase in bleeding, bronchospasm, N/V
What are the potential adverse effects for Aspirin?
Think about the drug facts for Aspirin
Aspirin
Dopamine
What is the generic name of Intropin?
adrenergic, vasopressor, inotropic agent; increases BP and preload
What is the class of Dopamine?
5-20mcg/kg/min
What is the dose for Dopamine?
IV
What are the routes for Dopamine?
Cardiogenic/septic/distributive shock, hypotension
What are the indications for Dopamine?
hypovolemic shock, V-fib
What are the contraindications for Dopamine?
Extravasion my cause tissue necrosis, HA, anxiety, dyspnea, CP, palpitations
What are the potential adverse effects for Dopamine?
This about the drug facts for Dopamine
Dopamine
Etomidate
What is the generic name for Amidate?
sedative/anesthetic; short-acting hypnotic
What is the class of Etomidate?
0.2-0.6mg IV, IM
What is the adult dose for Etomidate?
0.2-.4mg IV
What is the pediatric dose for Etomidate?
IV, IM
What are the routes for Etomidate?
intubation, cardioversion
What are the indications for Etomidate?
labor/delivery
What are the contraindications for Etomidate?
Apnea, respiratory, depression, hypoventilation, hyperventilation
What are the potential adverse effects for Etomidate?
Think about the drug facts for Etomidate
Etomidate
Ketalar
What is the trade name for Ketamine?
sedative/anesthetic
What is the class of Ketamine?
1-2mg/kg over 1-2min
What is the route of Ketamine?
IV
What is the route for Ketamine?
excited delirium, pain management, procedural sedation
What are the indications for Ketamine?
hypersensitivity
What are the contraindications for Ketamine?
N/V, elevated BP, apnea
What adverse effects might Ketamine cause?
Think about the drug facts for Ketamine
Ketamine
Rocuronium
What is the generic name for Zemuron?
neuromuscular blocker; skeletal muscle paralysis
What is the class of Rocuronium?
0.6-1.2mg/kg
What is the dose for Rocuronium?
IV
What is the route for Rocuronium?
RSI
What are the indications for Rocuronium?
sensitivity to bromides, heart and liver disease
What are the contraindications for Rocuronium?
bronchospasm, wheezing, rhonchi, respiratory depression, apnea
What adverse effects might Rocuronium cause?
Succinylcholine
What is the generic name for Anectine?
neuromuscular blocker; short-acting
What is the class of Succinylcholine?
1-2mg/kg
What is the dose for Succinylcholine?
IV
What is the route for Succinylcholine?
RSI
What are the indications for Succinylcholine?
acute narrow angle glaucoma, penetrating eye injuries, malignant hyperthermia
What are the contraindications for Succinylcholine?
apnea, respiratory depression, brady-dysrhythmia, tachydysrhythmia
What adverse effects might Succinylcholine cause?
Think about the drug facts for Succinylcholine
Succinylcholine
Vecuronium
What is the generic name for Norcuron?
neuromuscular blocker
What is the class of Vecuronium?
0.1-0.2mg/kg
What is the dose for Vecuronium?
IV
What is the route for Vecuronium?
RSI
What are the indications for Vecuronium?
acute narrow angle glaucoma, penetrating eye injuries
What are the contraindications for Vecuronium?
weakness, prolonged neuromuscular block, bronchospasm, apnea
What adverse effects might Vecuronium cause?
Think about the drug facts for Vecuronium
Vecuronium
Midazolam
What is the generic name for Versed?
benzodiazepine, interacts with CNS
What is the class of Versed?
seizure: 0.2mg/kg IM/IN, 0.1mg IV
sedation: 0.5-0.25mg IV
chemical restraint: 5mg IV/IN/IM
What is the adult dose for Versed?
IV, IM, IN
What is the route for Versed?
seizures: 0.1-0.3mg/kg IV/IM
What is the pediatric dose for Versed?
seizures, procedural sedation, chemical restraint
What are the indications for Versed?
acute narrow angle glaucoma, shock, coma, OD
What are the contraindications for Versed?
HA, respirator arrest, nausea, hypotension
What are the potential adverse effects for Versed?
Valium
What is the generic name for Diazepam?
benzodiazepine
What is the class of Valium?
seizure: 5mg over 5 min. IV, 10mg IM
cardioversion: 5-15mg IV over 5-10 min.
What is the adult dose for Valium?
seizure: 0.05-0.1mg/kg slow IV, 0.1-2mg/kg IM
What is the pediatric dose for Valium?
IV, IM
What are the routes for Valium?
acute anxiety, agitation, seizures, sedation, chemical restraint
What are the indications for Valium?
narrow angle glaucoma, myasthenia graves, nausea, thrombosis
What are the contraindications for Valium?
dizziness, confusion, respiratory depression, hypotension
What adverse effects might Valium cause?
Think about the drug facts for Valium
Valium
systemic hydrogen ion buffer, raises pH; binds with acids in body
What is the class of Sodium Bicarbonate?
1 mEq/kg slow IV/IO (dilute to 4.2% in small children)
What is the dose for Sodium Bicarbonate?
IV/IO
What is the route for Sodium Bicarbonate?
metabolic acidosis, TCS/ASA overdose, crush injuries
What are the indications for Sodium Bicarbonate?
alkalosis, hypokalemia
What are the contraindications for Sodium Bicarbonate?
alkalosis, NAIS, seizes, electrolyte imbalance
What adverse effects might Sodium Bicarbonate cause?
Thiamine
What is the generic name for Vitamin B1?
100mg IVP
What is the dose for Thiamine?
hypoglycemia patient that appears to be intoxicated or malnourished
What are the indications for Thiamine?
hypersensitivity
What are the contraindications for Thiamine?
none
What potential adverse effects might Thiamine cause?
Think about the drug facts for Thiamine
Thiamine
naturally occurring atmospheric gas
What is the class of oxygen?
cardiac arrest/CO poisoning: 100%
hypoxemia: 10-15L/min NRB
COPD:0-2 L/min
What is the dose for oxygen?
hypoxemia, chest pain, breathing problems, CO poisoning, decreased LOC
What are the indications for oxygen?
COPD, hyperventilation
What are the contraindications for oxygen?
none
What are the potential adverse effects from oxygen?
Think about the drug facts for oxygen
oxygen
0.9% Sodium Chloride
What is the generic name for Normal Saline?
isotonic crystalloid solution
What is the class of Normal Saline?
20mL/kg
What is the adult dose for Normal Saline?
10mL/kg
What is the pediatric dose for Normal Saline?
IV, IO
What are the route for Normal Saline?
hypovolemia, hypovolemic shock, heart related problems, DKA
What are the indications for Normal Saline?
heart failure, PE
What are the contraindications for Normal Saline?
none
What are the potential adverse effects from Normal Saline?
Think about the drug facts for Lactated Ringers
Normal Saline
isotonic crystalloid solution; contains lactate that is converted to bicarbonate to help buffer acidosis
What is the class of Lactated Ringers?
20mL/kg
What is the adult dosage for Lactated Ringers?
10mL/kg
What is the pediatric dosage for Lactated Ringers?
hypovolemia, hypovolemic shock
What are the indications for Lactated Ringers?
heart or renal failure
What are the contraindications for Lactated Ringers?
none
What are the potential adverse effects from Lactated Ringers?
Ativan
What is the trade name for Lorazepam?
benzodiazepine; short-acting
What is the class for Lorazepam?
anxiety/sedation: 2mg IV, 4mg IM
seizures: 0.1mg/kg
What is the adult dose for Lorazepam?
0.05mg/kg
What is the pediatric dosage for Lorazepam?
IV, IO, IM
What are the routes for Lorazepam?
initial control of status epileptics or severe recurrent seizures, anxiety, sedation, chemical restraint
What are the indications for Lorazepam?
acute narrow-angle glaucoma, coma, shock, drug abuse
What are the contraindications for Lorazepam?
dizziness, headache, respiratory depression, hypotension
What are the potential adverse effects from Lorazepam?
Think about the drug facts for Lorazepam
Lorazepam
Romazicon
What is the trade name of trade name of Flumazenil?
benzodiazepine
What is the class of Romazicon?
0.2mg over 15sec, 0.3mg over 30sec, 0.5 over 30sec
What is the adult dosage for Romazicon?
not indicated!
What is the pediatric dose for Romazicon?
IV, IO
What is are the routes for Romazicon?
Respiratory depression, sedation from benzodiazepine
What are the indications for Romazicon?
Tricyclic antidepressant OD, seizure-prone pt
What are the contraindications for Romazicon?
Seizures, dizziness, agitation, HA
What are the potential adverse effects from Romazicon?
Xylocaine
What is the trade name for Lidocaine?
Antidysrhythmic, anesthetic; decreases automaticity of heart
What is the class of Lidocaine?
Initial bolus: 1-1.5mg/kg IV/IO
Subsequent bolus: 0.5-0.75mg/kg
What is the adult dose for Lidocaine?
Infusion: 20-50mcg/kg/min
What is the pediatric dose for Lidocaine?
IV, IO
What are the routes for Lidocaine?
Alternative to amiodarone in cardiac arrest from VT or VF
What are the indications for Lidocaine?
2nd or 3rd degree AVB in absence of artificial pacemaker
What are the contraindications for Lidocaine?
Anxiety, drowsiness, confusion, seizures
What potential adverse effects might Lidocaine cause?
Think about the drug facts for Romazicon
Romazicon
Think about the drug facts for Lidocaine
Lidocaine
Adenocard
What is the trade name for Adenosine?
Antidysrhythmic; slows conduction through the AV node
What is the class of Adenosine?
6mg, 12mg, 12mg rapid IV
What is the adult dose for Adenosine?
0.1mg/kg
What is the pediatric dose for Adenosine?
IV
What are the routes for Adenosine?
SVT
What are the indications for Adenosine?
2nd or 3rd AVB, drug induced tachycardia
What are the contraindications for Adenosine?
CP, metallic taste, short lasting
What are the potential adverse effects for Adenosine?
Think about the drug facts for Adenosine
Adenosine
Cardizem
What is the trade name for Diltiazem?
Antidysrhythmic, calcium channel blocker
What is the class of Cardizem?
20-25mg (0.25mg/kg) slow IVP
What is the adult dose for Cardizem?
0.25mg/kg slow IVP
What is the pediatric dose for Cardizem?
IV
What are the routes for Cardizem?
Stable narrow QRS tachycardia, treatment of A-Fib with RVR
What are the indications for Cardizem?
Hypotension, 2nd or 3rd degree HB, Wolf-Parkinson's White syndrome
What are the contraindications for Cardizem?
Dizziness, HA, dyspnea, cough, dysrhythmias, heart failure, syncope, VF, VT, CP
What are the potential adverse effects from Cardizem?
Think about the drug facts for Cardizem
Cardizem
Cordarone
What is the trade name for Amiodarone?
Antidysrhythmic; delays repolarization and increases duration of action potential
What is the class of Amiodarone?
VF/pulseless VT: 300mg at 150mg slow IV/IO
Wide complex tachycardia: 150 slow IV/IO followed by 150mg infusion over 10 min.
What is the adult dose for Amiodarone?
VF/pulseless VT: 5mg/kg IV/IO at 5mg/kg
Wide complex tachycardia: 5mg/kg in 100cc over 10-20 min.
What is the pediatric dose for Amiodarone?
IV, IO
What are the routes for Amiodarone?
V-Fib, VT, ectopy
What are the indications for Amiodarone?
Sensitivity to amiodarone or iodine, cardiogenic shock
What are the contraindications for Amiodarone?
Dizziness, fatigue, malaise, CHF
What are the potential adverse effects from Amiodarone?
Think about the drug facts for Amiodarone
Amiodarone
Labetalol
What is the generic name for Normodyne (Trandate)?
Selective A1 and nonselective B1 blocker; reduces BP w/o reducing cardiac output
What is the class for Labetalol?
10mg, may double every 10 min.
What is the adult dose of Labetalol?
Not recommended!
What is the pediatric dose for Labetalol?
IV
What are the routes for Labetalol?
hypertension
What are the indications for Labetalol?
Asthma, heart failure, cardiogenic shock, bradycardia, 2nd and 3rd degree HB
What are the contraindications for Labetalol?
Fatigue, weakness, bronchospasm, dyspnea, heart failure, PE
What are the potential adverse effects from Labetalol?
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Labetalol
Furosemide
What is the generic name for Lasix?
Loop diuretic; blocks absorption of sodium and chloride in kidneys
What is the class of Lasix?
0.5mg/kg IV over 2 min
What is the adult dose for Lasix?
0.5-1mg/kg over 2 min
What is the pediatric dose for Lasix?
IV
What are the routes for Lasix?
Heart failure, PE
What are the indications for Lasix?
Hypovolemia, anuria, hypotension, electrolyte imbalances
What are the contraindications for Lasix?
Dry mouth, dizziness, hyperglycemia, ECG changes, orthostatic hypotension
What are the potential adverse effects from Lasix?
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Lasix
Electrolyte; increases ventricular automaticity and contractile force
What is the class of Calcium Chloride?
0.5-1g slow IV/IO
What is the adult dose for Calcium Chloride?
20mg/kg slow IV/IO
What is the pediatric dose for Calcium Chloride?
IV, IO
What are the routes for Calcium Chloride?
Hypocalcemia, hyperkalemia, calcium channel blocker toxicity
What are the indications for Calcium Chloride?
Hypercalcemia, V-Fib, digitalis toxicity
What are the contraindications for Calcium Chloride?
Syncope, dysrhythmias, hypotension, vasodilation, coronary artery spasm, NAIS
What are the potential adverse effects from Calcium Chloride?
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Calcium Chloride
Think about the drug facts for Magnesium Sulphate
Magnesium Sulphate
Electrolyte, anti-inflammatory; reduces muscle contractions, relaxes uterus
What is the class of Magnesium Sulphate?
Seizure: 1-4g over 4 min.
Cardiac: 1-2g over 5-20 min.
Asthma: 1-2g over 15-30 min.
What is the adult dose for Magnesium Sulphate?
Cardiac: 25-50mg/kg
Asthma: 30-60mg/kg
What is the pediatric dose for Magnesium Sulphate?
IV
What are the routes for Magnesium Sulphate?
Seizures of toxemia, torsades de pointes, bronchoconstriction refractory to other therapies
What are the indications for Magnesium Sulphate?
HB
What are the contraindications for Magnesium Sulphate?
Drowsiness, respiratory depression, abnormal ECG, AVB, hypotension, dysreflexia
What are the potential adverse effects from Magnesium Sulphate?