Drug Cards - Week 5

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Author:
kcichy
ID:
19481
Filename:
Drug Cards - Week 5
Updated:
2010-05-16 15:21:42
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Pharmacology
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Drug Cards - Week 5
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  1. Amyl Nitrate

    Class
    Pharmacology and Actions
    Class: Nitrate

    • P&A:
    • Vasodilator and smooth muscle relaxant
    • Convert hemoglobin to methemoglin
  2. Amyl Nitrate

    Indications
    Contraindications
    • Indications:
    • Cyanide poisoning (bitter almond smell to breath)

    • Contraindications:
    • None when used to manage acute cyanide poisoning
  3. Amyl Nitrate

    Precautions and Side Effects
    Dosage
    • P/SE:
    • Headaches/dizziness
    • Orthostatic V/S changes
    • Syncope
    • Tachycardia
    • Nausea/Vomiting

    • Dosage:
    • 0.3 ml ampule crushed every minute and inhaled for 15-30 seconds
  4. Succinylcholine

    Class
    Pharmacology and Actions
    • Class:
    • Depolarizing neuromuscular blocker

    • P&A:
    • An ultra-short acting neuromuscular blocker with high affinity for Ach receptor sites
  5. Succinylcholine

    Indications
    Contraindications
    • Indications:
    • Facilitated endotracheal intubation

    • Contraindications:
    • Family history of malignant hyperthermia
    • Glaucoma
    • Dehydration
    • Liver disease
  6. Succinylcholine

    Precautions and Side Effects
    Dosage
    • P/SE:
    • Bradycardia
    • Tachycardia
    • Hypotension
    • Hypertension
    • Respiratory depression
    • Sinus Arrest

    • Adult dose:
    • 1.0 - 1.5 mg/kg IV/IM
  7. Nitrous Oxide

    Class
    Pharmacology and Actions
    • Class:
    • General anesthetic

    • P&A:
    • A self-administered analgesic gas compound of 50% oxygen and 50% nitrous oxide.
    • It's effects lasts only 2-5 minutes after administration ceases
  8. Succinylcholine

    Indications
    Contraindications
    • Indications:
    • Musculoskeletal
    • Burns
    • Severe anxiety
    • Ischemic chest pain

    • Contraindications:
    • ALOC
    • COPD
    • Pneumothorax
    • Bowel obstruction
  9. Succinylcholine

    Precautions and Side Effects
    Dosage
    • P/SE:
    • Dizziness
    • ALOC
    • Hallucinations
    • N/V

    • Dosage:
    • Self administered inhalation until pain is relieved or patient drops the mask
  10. Heparin

    Class
    Pharmacology and Actions
    • Class:
    • Anticoagulant

    • P&A:
    • A rapid onset of anticoagulant.
    • It exerts direct effect on blood coagulation by enhancing the inhibitory actions of antithrombin III on severe factors essential to normal blood clotting, thereby blocking the conversion of prothrombin to thrombin and fibrinogen to fibrin
  11. Heparin

    Indications
    Contraindications
    • Indications:
    • To prevent thrombus formulation in acute MI

    • Contraindications:
    • Active bleeding
    • Pregnancy
    • Menstruation
    • Hemophilia
  12. Heparin

    Precautions and Side Effects
    Dosage
    • P/SE:
    • Spontaneous bleeding
    • Hypertension
    • Headache
    • Nasal congestion
    • Bronchospasm

    • Dosage:
    • 5000 units IV followed by 20,000 to 40,000 units IV over hours
  13. Etomidate
    (Name)

    Class
    Pharmacology and Actions
    (Name: Amidate)

    • Class:
    • Hypnotic

    • P&A:
    • An ultra-short acting non-barbiturate hypnotic with no analgesic effects and limited cardiovascular effects and respiratory effects
  14. Etomidate

    Indications
    Contraindications
    • Indications:
    • First line hypnotic for Rapid Sequence Induction (RSI) Intubation

    • Contraindications:
    • Hypersensitivity
  15. Etomidate

    Precautions and Side Effects
    Dosage
    • P/SE:
    • Hypotension
    • Tachycardia
    • Bradycardia
    • Apnea

    • Dosage:
    • 0.1 - 0.3 mg/kg IV over 15-30 seconds
  16. Dopamine Hydrochloride
    (Name)

    Class
    Pharmacology and Actions
    (Name: Intropin)

    • Class:
    • Sympathomimetic

    • P&A:
    • Precursor to norepinephrine (an endogenous catecholamine)
    • Increases cardiac output without appreciably increasing myocardial oxygen demand
    • Stimulates alpha, beta and dopaminergic receptors in a dose-dependent fashion ** (See page in binder)
    • Doses higher than 20 mcg/kg/min produce norepinephrine like effects. For this reason, if further support is necessary, wither Epinephrine infusions or Dobutamine infusions are added
    • Onset of action: less than 5 minutes
  17. Dopamine Hydrochloride

    Indications
    Contraindications
    • Indications:
    • Cardiogenic Shock (Pulmonary edema with non-hypovolemic hypotension BP<100)
    • Anaphylaxis - refractory to Epinephrine administration and fluid boluses
    • Bradycardia - refractory to Atropine and Transcutaneous Pacing
    • Shock states with hemodynamically significant hypotension in the ABSENCE of hypovolemia (sepsis, neurogenic shock)
    • Crush injury

    • Contraindications:
    • Should not be given for hemodynamically significant hypotension secondary to hypovolemia from blood loss or dehydration
  18. Dopamine Hydrochloride

    Precautions and Side Effects
    Dosage
    • P/SE:
    • Tachycardia, ectopic beats, nausea, vomiting, angina, palpitations, headache and dyspnea
    • High doses can cause hypertension, requiring a reduction in infusion rate

    • Dose:
    • Anaphalaxis: Infusion of 20mcg/kg/min
    • Cardiogenic Shock: Infusion of 10 mcg/kg/min
    • Bradycardia: Infusion of 10 mcg/kg/min
    • Crush: Infusion of 2 mcg/kg/min

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