DSU Paramedic medictions

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DSU Paramedic medictions
2013-09-07 12:49:30
DSU Paramedic

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  1. Acetaminophen (Tylenol) Adverse effects
    nausea, vomiting, abdominal pain, GI Bleeding
  2. Acetaminophen (Tylenol) Class
    Analgesic, anti-pyretic, anti-inflammatory
  3. Acetaminophen (Tylenol) Action
    inhibits prostaglandin
  4. Acetaminophen (Tylenol) Indications
    mild fever and pain
  5. Acetaminophen (Tylenol) Contraindications
    Known sensitivity, chronic alcoholism, liver/renal disease, pregnancy, anemia
  6. Acetaminophen (Tylenol) Dose adults
    650-1000mg PO
  7. Acetaminophen (Tylenol) Dose peds
    10-15mg/kg max 75mg/kg PO
  8. Aspirin Adverse effects
    Stomach irritation, nausea, vomiting, anaphylactic reaction
  9. Aspirin Class
    Analgesic, anti-pyretic, anti-inflammatory, anti-platelet
  10. Aspirin Action
    Prevents the chemical thromboxane A2,
  11. Aspirin Indications
    Chest pain that maybe cardiac origin
  12. Aspirin Contraindications
    Known sensitivity, GI bleeds, bleeding disorders, hemorrhagic stroke, peptic ulcers, children with flu like symptoms, children under 12 years old,
  13. Aspirin Dose
    324mg PO
  14. Lorazepam (Ativan) Adverse effects
    Dizziness, drowsiness, orthostatic hypotension, blurred vision,
  15. Lorazepam (Ativan) Class
    short acting benzodiazepine
  16. Lorazepam (Ativan) Action
    Potentiates the actions of GABA
  17. Lorazepam (Ativan) Indications
    sedation, anxiety, status epilepticus
  18. Lorazepam (Ativan) Contraindications
    Known sensitivity to benzodiazepines and benzyl alcohol, pregnancy, closed angle glaucoma, COPD, sleep apnea
  19. Lorazepam (Ativan) Dose adults
    1-4mg over 2-5 minutes IV, IO
  20. Lorazepam (Ativan) Dose peds
    neonate 0.05mg/kg IV; children 0.1mg/kg max 4 mg IV, IO
  21. Ipratropium bromide (Atrovent) Adverse effects
    Anxiety, dizziness, headache, palpitations, nausea, vomiting, dry mouth, blurred vision
  22. Ipratropium bromide (Atrovent) Class
    Anti-cholinergic, bronchodilator
  23. Ipratropium bromide (Atrovent) Action
    Inhibits interaction of acetylcholine receptors on the bronchial smooth muscles causing bronchodilation.
  24. Ipratropium bromide (Atrovent) Indications
    breathing difficulty, COPD
  25. Ipratropium bromide (Atrovent) Contraindications
    Known sensitivity to atropine, bromide, soybean or peanuts
  26. Ipratropium bromide (Atrovent) Dose adults
    0.5mg nebulizer
  27. Albuterol (Proventil, ventolin) Adverse effects
    Tremors, anxiety, restlessness, tachycardia
  28. Ipratropium bromide (Atrovent) Dose peds
    5-14 years 0.25-0.5mg every 20 min. Max.3 doses nebulizer
  29. Albuterol (Proventil, ventolin) Class
    Sympathomimetic, bronchodilator, beta 2 agonist
  30. Albuterol(Proventil, ventolin) Action
    binds to the beta 2 receptors which relaxes smooth muscles causing bronchodilation
  31. Albuterol (Proventil, ventolin) Indications
    asthma, acute bronchospasm, bronchitis, emphysema
  32. Albuterol (Proventil, ventolin) Contraindications
    Known sensitivity, severe cardiac disease, heart block, tachycardia dysrhythmias
  33. Albuterol (Proventil, ventolin) Dose adults
    2.5mg max 3 doses Nebulizer
  34. Adenosine (Adenocard) Adverse effects
    lightheadedness, dizziness, tingling, numbness, chest pressure or pain, hypotension, headache
  35. Albuterol (Proventil, ventolin) Dose peds
    older than 12: 0.5mg/kg/hr Younger than 12: 0.15mg/kg or 0.5mg/kg/hr Nebulizer
  36. Adenosine (Adenocard) Class
  37. Adenosine (Adenocard) Action
    slows the impulses at the AV node
  38. Adenosine (Adenocard) Indications
  39. Adenosine (Adenocard) Contraindications
    Known sensitivity, sick sinus syndrome, second and third degree heart block,
  40. Adenosine (Adenocard) Dose adults
    6mg repeat 12 mg IV followed by 10cc rapid flush
  41. Adenosine (Adenocard) Dose peds
    above 50kg use adult; under 50kg 0.1mg/kg repeat 0.2 mg/kg IV followed by 10cc rapid flush
  42. Atropine Sulfate Adverse effects
    Dry mouth, hot skin temperature, facial flushing, dilated pupils, photophobia, restlessness, tachycardia, paradoxical bradycardia
  43. Atropine Sulfate Class
    Anti- cholinergic parasympatholytic, anti-muscarinic, Antidysrhythmic
  44. Atropine Sulfate Action
    Blocks acetylcholine at the muscarinic receptors sites (blocks the vagal stimulation)
  45. Atropine Sulfate Indications
    Symptomatic bradycardia, organophosphate poisoning
  46. Atropine Sulfate Contraindications
    Known sensitivity to belladonna alkaloids, closed angle glaucoma, Acute MI, myasthenia gravis, GI obstruction
  47. Atropine Sulfate Dose adults Brady:
    0.5mg 3-5 minutes max 3 mg poisoning: 2-6 mg IV, IO
  48. Atropine Sulfate Dose peds
    • Adol: 0.02 mg/kg min.0.1 mg/kg max.1mg/dose total 2mg
    • Peds: 0.02 mg/kg min.0.1 mg/kg max. 0.5 mg/dose total 1 mg IV, IO
    • Poisoning 0.05 mg/kg every 10 min. IV, IO
  49. Activated Charcoal Adverse effects
    Nausea, vomiting, diarrhea, constipation
  50. Activated Charcoal Class
  51. Activated Charcoal Action
    Absorbs certain toxins
  52. Activated Charcoal Indications
    Toxic ingestion
  53. Activated Charcoal Contraindications
    Coma, GI obstruction, ingestions of acids, bases, Cyanide, lithium, Methanol, Ethanol,
  54. Activated Charcoal Dose:
    1 g/kg PO
  55. Amiodarone (Cordarone) Adverse
    Headache, dizziness, tremors, hypotension, bradycardia, nausea, vomiting.
  56. Amiodarone (Cordarone) Class
  57. Amiodarone (Cordarone) Action
    Prolongs duration of action potential and effective refractory period
  58. Amiodarone (Cordarone) Indications
    Ventricular arrhythmias, second line agent for atrial arrhythmias
  59. Amiodarone (Cordarone) Contraindications
    Known sensitivity, pregnancy, neonates, infants, cardiogenic shock.
  60. Amiodarone (Cordarone) Dose adults
    Pulseless: 300mg repeat 3-5 min 150mg; Pulse: 150 in 100 mL over 10 minutes IV, IO
  61. Amiodarone Dose peds Pulseless
    5 mg/kg (max. 300mg) R 3-5mins max 15 mg/kg Pulse: 5 mg/kg (max.300mg) repeat 10-60 min. max 15 mg/kg IV, IO
  62. Diphenhydramine Hydrochloride (Benadryl) Adverse effects
    dizziness, drowsiness, hypotension, palpations, nausea, increased thick secretions, wheezing, chest tightness, blurred vision.
  63. Diphenhydramine Hydrochloride (Benadryl) Class
  64. Diphenhydramine Hydrochloride (Benadryl) Action
    H1 receptor antagonist
  65. Diphenhydramine Hydrochloride (Benadryl) Indications
    allergic reactions
  66. Diphenhydramine Hydrochloride (Benadryl) Contraindications
    Known sensitivity, acute asthma attack, lower respiratory tract disease, neonates.
  67. Diphenhydramine Hydrochloride (Benadryl) Dose adults
    older than 12 years 25-50mg IV, IO, IM
  68. Diphenhydramine Hydrochloride (Benadryl) Dose peds
    1-1.25 mg/kg IV, IO, IM
  69. Calcium Chloride Adverse effects
    hypotension, bradycardia, nausea, vomiting, constipation.
  70. Calcium Chloride Class
  71. Calcium Chloride Action
    needed for maintenance of nervous, muscular, skeletal function, cardiac contractility, and blood coagulation.
  72. Calcium Chloride Indications
    Hypocalcemia, hypomagnesaemia, calcium blocker overdose
  73. Calcium Chloride Contraindications
    Hypercalcemia, digoxin toxicity, ventricular fibrillation.
  74. Calcium Chloride Dose adults
    500-1000mg over 10-15min. IV, IO
  75. Calcium Chloride Dose peds
    10-20 mg/kg IV, IO
  76. Dextrose Adverse effects
    Hyperglycemia, hypertension, nausea, necrosis at injection site
  77. Dextrose Class
  78. Dextrose Action
    Increases the blood glucose levels
  79. Dextrose Indications
  80. Dextrose Contraindications
    Hyperglycemia, delirium tremens, intracranial and intraspinal hemorrhage
  81. Dextrose Dose adults
    10-25g IV, IO
  82. Dextrose Dose peds
    above 2 years 2mL/kg D50; less 2 years 2-4mL D10 IV, IO
  83. Dopamine (Intropin) Adverse effects
    headache, anxiety, palpations, tachycardia, hypertension, soft tissue necrosis, angina,
  84. Dopamine (Intropin) Class
  85. Dopamine(Intropin) Action
    Act on beta 1 and alpha receptors causing increased cardiac output and vasoconstriction
  86. Dopamine (Intropin) Indications
    Hypotension after ROSC, Hypotension with the heart rate does not need to be increased, Symptomatic bradycardia when atropine has no effect
  87. Dopamine (Intropin) Contraindications
    Ventricular fibrillation, tachydysrhythmias, pheochromocytoma, hypovolemia.
  88. Dopamine (Intropin) Dose
    Cardiac; 5-10mcg/kg/min IV, IO Vasopressor; 10-20mcg/kg/min IV, IO
  89. Epinephrine 1:1,000 Adverse effects
    Tremors, anxiety, headache, palpations, tachycardia, hypertension, dysrhythmias, nausea, vomiting.
  90. Epinephrine 1:1,000 Class
  91. Epinephrine 1:1,000 Action
    Stimulates the sympathic nervous system causing an increase heart rate, blood pressure, and bronchodilation.
  92. Epinephrine 1:1,000 Indications
    Anaphylaxis, Bradycardia, acute bronchospasm
  93. Epinephrine 1:1,000 Contraindications
    Closed angle glaucoma, nonanaphylactic shock, but none in an emergency
  94. Epinephrine 1:1,000 Dose adults
    0.3-0.5 mg IM/Sub Q Brady; 1mcg/min IV infusion
  95. Epinephrine 1:1,000 Dose peds
    0.01mg/kg max 0.5mg IM/Sub Q Brady; 1mcg/min IV infusion
  96. Epinephrine 1:10,000 Adverse effects
    Tremors, anxiety, headache, palpations, tachycardia, hypertension, dysrhythmias, nausea, vomiting.
  97. Epinephrine 1:10,000 Class
  98. Epinephrine 1:10,000 Action
    Stimulates the sympathic nervous system causing an increase heart rate, blood pressure, and bronchodilation
  99. Epinephrine 1:10,000 Indications
    Cardiac arrest
  100. Epinephrine 1:10,000 Contraindications
    none in an emergency
  101. Epinephrine 1:10,000 Dose adults
    Arrest; 1mg repeat every 3-5min. IV, IO
  102. Epinephrine 1:10,000 Dose peds
    Arrest 0.01mg/kg repeat 3-5 minutes 0.01mg/kg repeat 3-5min IV, IO
  103. Etomidate (Amidate) Adverse effects
    Bradycardia, hypotension, nausea, vomiting, abdominal cramping, injection site reaction, cough, hiccups, apnea. laryngospasm.
  104. Etomidate (Amidate) Class
  105. Etomidate (Amidate) Action
  106. Etomidate (Amidate) Indications
    Induction of general anesthesia
  107. Etomidate (Amidate) Contraindications
    Known sensitivity, labor/delivery
  108. Etomidate (Amidate) Dose
    above 10 years 0.2-0.6 mg/kg slowly IV
  109. Fentanyl Citrate (Sublimaze) Adverse effects
    Dizziness, delirium, sedation, hypo or hypertension, nausea, vomiting, respiratory depression or arrest, muscle rigidity
  110. Fentanyl Citrate (Sublimaze) Class
    Opioid analgesic
  111. Fentanyl Citrate (Sublimaze) Action
    Binds the opioid receptors
  112. Fentanyl Citrate (Sublimaze) Indications
  113. Fentanyl Citrate (Sublimaze) Contraindications
    Known sensitivity to opioids, myasthenia gravis,
  114. Fentanyl Citrate (Sublimaze) Dose adults
    older than 12 years 0.5-1 mcg/kg/dose IM or slow IV, IO
  115. Fentanyl Citrate (Sublimaze) Dose peds
    under 12 years 1-2 mcg/kg/dose IM or slow IV, IO
  116. Furosemide (Lasix) Adverse effects
    Orthostatic hypotension, polyuria, vertigo, cramps
  117. Furosemide (Lasix) Class
    loop diuretic
  118. Furosemide (Lasix) Action
    Inhibits the reabsorption of sodium and chloride at the distal and proximal tubule and in the loop of henle.
  119. Furosemide (Lasix) Indications
    Hypertension emergencies, Pulmonary Edema, CHF
  120. Furosemide (Lasix) Contraindications
    Known sensitivity, hypovolemia, renal impairment
  121. Furosemide (Lasix) Dose adults
    40-80mg IV, IO
  122. Furosemide (Lasix) Dose peds
    1 mg/kg IV, IO, IM
  123. Glucagon Adverse effects
    Nausea, vomiting, hypotension, rebound hyperglycemia, sinus tachycardia
  124. Glucagon Class
    Pancreatic hormone
  125. Glucagon Action
    converts glycogen into glucose
  126. Glucagon Indications
    Hypoglycemia, beta blocker over dose
  127. Glucagon Contraindications
    Known sensitivity, insulinoma, pheochromocytoma
  128. Glucagon Dose adult
    Hypoglycemia; 1mg IV, IO, IM, SubQ Beta blocker OD 2-5mg IV, IO over 1 minute
  129. Glucagon Dose peds
    under 20kg 0.5mg IV, IO, IM, SubQ
  130. Haloperidol (Haldol) Adverse effects
    Tardive dyskinesia, drowsiness, headache, orthostatic hypotension, dry mouth, nausea, vomiting,
  131. Haloperidol (Haldol) Class
  132. Haloperidol (Haldol) Action
    Blocks postsynaptic dopamine receptors
  133. Haloperidol (Haldol) Indications
    psychotic episodes, agitation
  134. Haloperidol (Haldol) Contraindications
    Known sensitivity, depressed mental status, Parkinson’s disease
  135. Haloperidol (Haldol) Dose adults
    mild 0.5-2mg, Mod. 5-10 mg, severe 10mg OP/IM
  136. Hydroxocobalamin Adverse effects
    Hypertension, anaphylaxis, headache, red colored urine, nausea, injections site reaction, photophobia.
  137. Hydroxocobalamin Class
  138. Hydroxocobalamin Indications
    cyanide poisoning
  139. Hydroxocobalamin Contraindications
    Known sensitivity
  140. Hydroxocobalamin Dose adults
    5g over 10 min max 10 g IV, IO
  141. Hydroxocobalamin Dose peds
    70 mg/kg IV, IO
  142. Lidocaine (Xylocaine) Adverse effects
    Headache, dizziness, seizures, hypotension, bradycardia
  143. Lidocaine (Xylocaine) Class
  144. Lidocaine (Xylocaine) Action
    blocks the sodium channels and increases the action potential
  145. Lidocaine (Xylocaine) Indications
    Ventricular arrhythmias when Amiodarone is not available
  146. Lidocaine (Xylocaine) Contraindications
    Known sensitivity to amides, heart block, supraventricular dysrhythmias, Adam-stokes syndrome, Wolf-Parkinson-white syndrome.
  147. Lidocaine (Xylocaine) Dose
    1 mg/kg max 3 mg/kg IV, IO
  148. Lidocaine (Xylocaine) Infusion adult
    1-4mg/min IV, IO
  149. Lidocaine (Xylocaine) Infusion peds
    20-50mcg/kg/min IV, IO
  150. Magnesium Sulfate Adverse effects
    Nausea, vomiting, cramps
  151. Magnesium Sulfate Class
    Electrolyte/ anticonvulsant
  152. Magnesium Sulfate Action
    Blocks peripheral neuromuscular transmission and a peripheral vasodilator
  153. Magnesium Sulfate Indications
    Torsades de pointes, preeclampsia, eclampsia, status asthmaticus
  154. Magnesium Sulfate Contraindications
    AV block, GI obstruction
  155. Magnesium Sulfate Dose adults
    torsade or arrhythmias 1-2g in 50-100mL DW5 over 5-60 min. IV,IO
  156. Magnesium Sulfate Dose peds
    25-50mg/kg over 10-20 min IV,IO
  157. Meperidine (Demerol) Adverse effects
    Drowsiness, dizziness, headache, sedation, respiratory depression
  158. Meperidine (Demerol) Class
    Opioid analgesic
  159. Meperidine (Demerol) Action
    Binds to the opioid receptors
  160. Meperidine (Demerol) Indications
  161. Meperidine (Demerol) Contraindications
    Known sensitivity to opioids
  162. Meperidine (Demerol) Dose adults
    50-150mg slowly PO/IM/Sub Q
  163. Meperidine (Demerol) Dose peds
    1-2mg/kg slowly PO/IM/Sub Q
  164. Morphine Sulfate Adverse effects
    Drowsiness, dizziness, headache, sedation, respiratory depression
  165. Morphine Sulfate Class
    Opioid analgesic
  166. Morphine Sulfate Action
    Binds to the opioid receptors
  167. Morphine Sulfate Indications
  168. Morphine Sulfate Contraindications
    Known sensitivity to opioids, shock, hypovolemia, head trauma
  169. Morphine Sulfate Dose adults
    2-15mg IV, IO, IM, SubQ
  170. Morphine Sulfate Dose peds
    0.2mg/kg IV, IO, IM, SubQ
  171. Midazolam (Versed) Adverse effects
    Hypotension, tachycardia, nausea, vomiting, respiratory depression hiccups, laryngospasm.
  172. Midazolam (Versed) Class
    short acting benzodiazepine
  173. Midazolam (Versed) Action
    Binds to benzodiazepine receptors producing GABA effects
  174. Midazolam (Versed) Indications
    seizures, sedation, anxiety
  175. Midazolam (Versed) Contraindications
    Known sensitivity
  176. Midazolam (Versed) Dose adults
    1-2mg max 5mg, elderly or chronically ill 1-1.5mg max 3.5 IV, IO
  177. Midazolam (Versed) Dose peds
    above two months 0.15mg/kg IV, IO
  178. Naloxone (Narcan) Adverse effects
    Narcotic withdraw, combativeness, tachycardia, nausea, vomiting, seizures
  179. Naloxone (Narcan) Class
    Opioid agonist
  180. Naloxone (Narcan) Action
    Binds and blocks the opioid receptors
  181. Naloxone (Narcan) Indications
    Narcotic overdose
  182. Naloxone (Narcan) Contraindications
    Known sensitivity
  183. Naloxone (Narcan) Dose adults
    0.4-2mg may repeat 1/3-2/3 original dose IV, IO, intranasally
  184. Naloxone (Narcan) Dose peds
    under 5 or 20kg 0.1mg/kg IV, IO, intranasally
  185. Nitroglycerin Adverse effects
    Headache, hypotension, dizziness, flushing, cardio vascular collapse
  186. Nitroglycerin Class
  187. Nitroglycerin Action
    Causes the vascular smooth muscles to dilate
  188. Nitroglycerin Indications
    Angina, hypertension emergency, CHF, Acute MI
  189. Nitroglycerin Contraindications
    Known sensitivity, increased intracranial pressure, erectile dysfunction medications.
  190. Nitroglycerin Dose adults
    0.4mg every 5 min. max of 3 doses Sublingual IV bolus: 12.5-25 mcg
  191. Nitroglycerin Infusion:
    5 mcg/min titrate to B/P
  192. Nitroglycerin Infusion peds
  193. Oxytocin (Pitocin) Adverse effects
    Seizures, hypo or hypertension, bradycardia or tachycardia, dysrhythmias, nausea, vomiting
  194. Oxytocin (Pitocin) Class
    Pituitary hormone
  195. Oxytocin (Pitocin) Action
    Causes uterine smooth to contract
  196. Oxytocin (Pitocin) Indications
    Postpartum hemorrhage
  197. Oxytocin (Pitocin) Contraindications
    Known sensitivity, second fetus, hypertonic uterus,
  198. Oxytocin (Pitocin) Dose
    3-10 units IM after placenta delivery
  199. Promethazine (Phenergan) Adverse effects
    Sedation, dizziness, allergic reaction, drowsiness, nausea, vomiting, dysrhythmias
  200. Promethazine (Phenergan) Class
  201. Promethazine (Phenergan) Action
    Competes with H1 receptors
  202. Promethazine (Phenergan) Indications
    Nausea, vomiting, allergic reactions
  203. Promethazine (Phenergan) Contraindications
    Known sensitivity, breastfeeding, coma, jaundice, Reye`s syndrome, bone marrow suppression
  204. Promethazine (Phenergan) Dose adults
    12.5-25 mg IV
  205. Phenylephrine (Neo-synephrine) Adverse effects
    Headache, anxiety, tremors, dizziness, palpations, tachycardia, hypertension, angina, nausea, vomiting, tissue necrosis.
  206. Phenylephrine (Neo-synephrine) Class
  207. Phenylephrine (Neo-synephrine) Action
    Alpha 1 agonist causing vasoconstriction
  208. Phenylephrine (Neo-synephrine) Indications
    spinal and neurogenic shock, hypotension
  209. Phenylephrine (Neo-synephrine) Contraindications
    Known sensitivity, ventricular fibrillation, tachycardia dysrhythmias, pheochromocytoma, closed angle glaucoma, severe hypertension
  210. Phenylephrine (Neo-synephrine) Dose adults
    hypotension 2-5mg SubQ, IM 0.1-0.5mg IV shock: 100-180 mcg/min IV
  211. Phenylephrine (Neo-synephrine) Dose peds
    Hypotension: 0.1mg/kg/dose SubQ, IM shock: 5-20mcg/kg followed by 0.1-0.5 mcg/kg/min IV
  212. Propofol (Diprivan) Adverse effects
    Bradycardia, hypotension, nausea, vomiting, abdominal cramping, injection site reaction, cough, hiccups.
  213. Propofol (Diprivan) Class
  214. Propofol (Diprivan) Action
    Produces GABA like effects
  215. Propofol (Diprivan) Indications
  216. Propofol (Diprivan) Contraindications
    Known sensitivity to Propofol, soybean oil, eggs, benzyl alcohol.
  217. Propofol (Diprivan) Dose adults
    40 mg over 10 seconds maintenance infusion: 100-200mcg/kg/min IV
  218. Rocuronium (Zemuron) Adverse effects
    Apena, respiratory depression, brady or tachycardia, nausea, vomiting, edema.
  219. Propofol (Diprivan) Dose peds
    2.5-3.5mg/kg over 30 seconds 125-300mcg/kg/min IV
  220. Rocuronium (Zemuron) Class
    Neuromuscular blocker
  221. Rocuronium (Zemuron)Action
    Inhibits transmission of nerve impulses by binding with cholinergic receptors sites
  222. Rocuronium (Zemuron) Indications
    Muscle relaxation, general anesthesia
  223. Rocuronium (Zemuron) Contraindications
    Known sensitivity
  224. Rocuronium (Zemuron) Dose adults
    0.6-1.2mg/kg IV
  225. Rocuronium (Zemuron) Dose peds
    older than 3 months 0.6mg/kg IV
  226. Sodium Bicarbonate Adverse effects
    Metabolic alkalosis, muscle twitching, headache, irregular pulse.
  227. Sodium Bicarbonate Class
  228. Sodium Bicarbonate Action
    neutralizes acidosis
  229. Sodium Bicarbonate Indications
    Metabolic acidosis
  230. Sodium Bicarbonate Contraindications
    Metabolic alkalosis
  231. Sodium Bicarbonate Dose
    1 mEq/kg repeat 0.5 mEq/kg IV
  232. Succinylcholine (Anectine) Adverse effects
    Apena, respiratory depression, brady or tachycardia, nausea, vomiting, edema.
  233. Succinylcholine (Anectine) Class
    neuromuscular blocker
  234. Succinylcholine (Anectine) Action
    Inhibits transmission of nerve impulses by binding with cholinergic receptors sites
  235. Succinylcholine (Anectine) Indications
    Muscle relaxation, general anesthesia
  236. Succinylcholine (Anectine) Contraindications
    Known sensitivity, malignant hyperthermia, trauma
  237. Succinylcholine (Anectine) Dose adults
    0.3-1mg/kg max 150mg IV; maintenance 0.04-0.07mg/kg 5-10 minutes as needed
  238. Succinylcholine (Anectine) Dose peds
    1mg/kg small children/infants 2mg/kg max 150mg IV; maintenance not recommended
  239. Alteplase (TPA) Adverse effects
    irregular heart rate, bradycardia, tachycardia, blood in urine or stool, nose bleed, coughing up blood, bleeding around IV site
  240. Alteplase (TPA) Class
    Thrombolytic enzyme
  241. Alteplase (TPA) Action
    produces fibrin conversion of plasminogen to plasmin
  242. Alteplase (TPA) Indications
    Acute Myocardium infarction
  243. Alteplase (TPA) Contraindications
    Known sensitivity, active internal bleeding, history of CVA, known bleeding diathesis, severe uncontrolled hypertension, intracranial or intraspinal surgery or trauma within two months, intracranial neoplasm, ateriovenous malformation, or aneurysm
  244. Alteplase (TPA) Dose under 60 kg
    30 mg in 6 mL IV over five seconds
  245. Alteplase (TPA) Dose 60-70 kg
    35 mg in 7mL IV over five seconds
  246. Alteplase (TPA) Dose 70-80 kg
    40mg in 8 mL IV over five seconds
  247. Alteplase (TPA) Dose80-90 kg
    45 mg in 9 mL IV over five seconds
  248. Alteplase (TPA) Dose Above 90 kg
    50mg in 10 mL IV over five seconds
  249. Vasopressin Adverse effects
    Cardiac ischemia, angina
  250. Vasopressin Class
  251. Vasopressin Action
    Causes vasoconstriction independent of the adrenergic
  252. Vasopressin Indications
    Asystole, PEA, adult shock refractory VF or pulseless VT, vasodilatory shock
  253. Vasopressin Contraindications
    Responsive patients with cardiac disease
  254. Vasopressin Dose
    40 units IV, IO.
  255. Vecuronium (Norcuron) Adverse effects
    Hypotension, apnea, tachycardia, flushing.
  256. Vecuronium (Norcuron) Class
    non depolarizing neuromuscular blocker
  257. Vecuronium (Norcuron) Action
    Inhibits transmission of nerve impulses by binding with cholinergic receptors sites
  258. Vecuronium (Norcuron) Indications
    Muscle relaxation, general anesthesia
  259. Vecuronium (Norcuron) Contraindications
    Known sensitivity
  260. Vecuronium (Norcuron) Dose adults
    .08-0.1mg/kg IV, IO
  261. Vecuronium (Norcuron) Dose peds
    Less than 1 years 0.1mg/kg
  262. Ondansetron (Zofran) Adverse effects
    Muscle pain, headache, dizziness, drowsiness
  263. Ondansetron (Zofran) Class
  264. Ondansetron (Zofran) Action
    Binds the serotonin receptors
  265. Ondansetron (Zofran) Indications
  266. Ondansetron (Zofran) Contraindications
    Known sensitivity, GI obstruction
  267. Ondansetron (Zofran) Dose adults
    4-8 mg max of 16 mg IV, IM, PO
  268. Ondansetron (Zofran) Dose peds
    2-12 years 0.1mg/kg IV, IM, PO