pam drugs

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pam drugs
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  1. Lactated Ringers
    Class
    Isotonic Crystalloid
  2. Lactated Ringers
    Action
    Approximates the electrolyte concentration of the blood
  3. Lactated Ringers
    Indication
    Hypovolemic shock
  4. Lactated Ringers
    Contraindications
    • Congestive heart failure
    • Renal failure
  5. Lactated Ringers
    Precaution
    Monitor for circulatory overload
  6. Lactated Ringers
    Side effects
    Rare
  7. Lactated Ringers
    Dosage
    • Hypovolemic shock (systolic less then 90): infuse wide open until a systolic of 100 is attained, Infusion should be slowed to 100 ml/hr
    • Other: as indicated by the patients condition
    • and situation being treated
  8. Lactated Ringers
    Route
    IV
  9. Lactated Ringers
    Ped dose
    20 ml/kg repeated as required based on hemodynamic response
  10. D5W
    Class
    Sugar solution
  11. D5W
    Action
    Glucose nutrient solution
  12. D5W
    Indication
    • IV access for emergency drugs 
    • For the dilution of concentrated
    • drugs for IV infusion
  13. D5W
    Contraindication
    • Should not be used as fluid replacement for hypovolemic states
    • Avoid
    • in head injury and stroke
  14. D5W
    Precautions
    • Monitor for circulatory overload
    • Draw tube of blood before admin to diabetics
  15. D5W
    Side effects
    Rare
  16. D5W
    Dosage
    • Generally admin TKO
    • Ped dose is the same
  17. D5W
    Route
    IV
  18. Normal Saline solution
    Class
    Istotonic electrolyte
  19. Normal Saline solution
    Action
    Fluid & sodium replacement
  20. Normal Saline solution
    Indication
    • Heat related problems
    • Fresh water drowning
    • Hypovolemia
    • Diabetic ketoacidose
  21. Normal Saline solution
    Contraindication
    CHF
  22. Normal Saline solution
    Precaution
    Electrolyte depletion can occur following administration of large amounts of NSS
  23. Normal Saline solution
    Side effects
    Thirst
  24. Normal Saline solution
    Dosage
    • Dependent on PT condition & situation being treated 
    • In fresh water drowning & heat emergency is usually rapid
  25. Normal Saline solution
    Route
    IV
  26. Normal Saline solution
    Ped Dose
    dose is dependent on PT size and condition
  27. O2
    Class
    Gas
  28. O2
    Action
    Necessary for cellular metabolism
  29. O2
    Indication
    Hypoxia
  30. O2
    Contraindication
    Non-hypoxic PT
  31. O2
    Precautions
    • Avoid hyperoxia 
    • Use cautiously in pt with COPD
    • Humidify when providing high flow rates
  32. O2
    Side effects
    Drying of mucous membranes
  33. O2
    Dosage
    • Cardiac-arrest: 100%
    • Other critical PT: 100%
    • Other: only administer enough to correct hypoxia
  34. O2
    Route
    Inhalation
  35. O2 
    Ped dosage
    24-100% as required
  36. Aspirin
    Class
    Platelet inhibitor & anti-inflammatory
  37. Aspirin
    Action
    Inhibits platelet aggregation
  38. Aspirin
    Indications
    • New chest pain suggestive of acute myocardial infarction
    • Signs & symptoms suggestive of recent stroke
  39. Aspirin
    contraindication
    Pt with known hypersensitivity to the med
  40. Aspirin
    Side effects
    • Heartburn
    • Nausea & Vomiting 
    • Weezing
  41. Aspirin
    Precaution
    Gastrointestinal bleeding & upset stomach
  42. Aspirin
    Dosage
    160 or 325 mg by mouth chewed
  43. Aspirin
    Route
    Oral
  44. Aspirin
    Ped dosage
    10-15 mg/kg/dose
  45. Activated charcoal
    Class
    Adsorbent
  46. Activated charcoal
    Action
    Adsorbs toxic substances from the GI tract
  47. Activated charcoal
    Indication
    • Most oral poisonings & medication overdoses
    • can be used after evacuation of poisons
  48. Activated charcoal
    Contraindication
    • Oral admin to comatose PT 
    • after ingestion of corrosive, caustics, petroleum distillates (ineffective my induce vomiting)
    • Simultaneous admin with other oral drugs
    • Use caution in pt experiencing abdomen pain or know GI obstruction
  49. Activated charcoal
    Side effects
    If aspirated can induce a fatal form of pneumonia
  50. Ipicac
    Class
    Emetic
  51. Ipicac
    Actions
    Irritates the enteric tract
  52. Ipicac
    Indication
    Poisoning in conscious PT
  53. Ipicac
    Contraindication
    • Vomiting should not be induced in any PT with impaired consciousness
    • Anti-emetic poisonings
    • Especially os the phenothiazine type
  54. Ipicac
    Precautions
    • Monitor & ensure PT airway 
    • the risk of aspiration is increased when using
  55. Ipicac
    Side effects
    rare
  56. Ipicac
    route
    oral
  57. Ipicac
    Dosage
    30 ml (1oz) followed by 15 ml/kg of warm water
  58. Ipicac
    Ped dose
    • <1 year: 10 ml
    • 1-12 years: 15 ml
    • >12 years: 30 ml
  59. D50water
    Class
    carbohydrate
  60. D50water
    Action
    Elevates blood glucose level rapidly
  61. D50water
    Indication
    Hypoglycemia
  62. D50water
    Contraindications
    None in the emergency setting
  63. D50water
    Precaution
    A blood sample should be drawn before administering
  64. D50water
    Side effects
    Local venous irritation
  65. D50water
    Dosage
    25g (50 ml)
  66. D50water
    Route
    IV
  67. D50water
    Ped dosage
    • 0.5g/kg slow iv
    • Should be diluted 1:1 with sterile water to form a 25% solution
  68. Glucagon
    Class
    Hormone (antinypolyglycemic agent)
  69. Glucagon
    Actions
    • Causes breakdown of glycogen to glucose
    • Inhibits glycogen systhesis
    • Elevates blood glucose level
    • Increase cardiac contractile force
    • Increases heart rate
  70. Glucagon
    Indication
    • Hypoglycemia
    • Beta-blocker overdose
  71. Glucagon
    Contraindications
    Hypersensitivity to the medication
  72. Glucagon
    Precaution
    • effective only if there are sufficient stores of glycogen within the liver
    •  Draw blood for glucose test before administering
  73. Glucagon
    Side effects
    Few in the emergency situation
  74. Glucagon
    Dosage
    • IV: 0.25 - 0.5 units
    • IM: 1mg
  75. Glucagon
    Ped dosage
    .03 mg/kg
  76. Albuterol (Proventil)
    Class
    Sympathomimetic (B2 selective)
  77. Albuterol (Proventil)
    Action
    Bronchodilation
  78. Albuterol (Proventil)
    Indications
    • Asthma
    • Reversible bronchospasm associated with copd
  79. Albuterol (Proventil)
    Contraindications
    • Known hypersensitivity to the med
    • Symptomatic tychycardia
  80. Albuterol (Proventil)
    Precaution
    • Blood pressure, pulse & ecg should be monitored
    • Use caution in pt with known heart disease
  81. Albuterol (Proventil)
    Side effects
    • Palpitations
    • Anxiety
    • Headache
    • Dizziness
    • Sweating
  82. Albuterol (Proventil)
    Dosage
    • Meter dose inhaler: one to two sprays (90mcg per spray)
    • Small volume nebulizer: 0.5 ml (2.5-5.0 mg) in 2.5 ml nss over 5-15 min
    • Rotoinhaler: one 200 mcg roto cap should be placed in the inhaler and breathed by the pt
  83. Albuterol (Proventil)
    Route
    Inhalation
  84. Albuterol (Proventil)
    Pediatric dosage
    • < 1 year: 0.05-0.15 mg/kg dose
    • 1-5 years: 1.25-2.5 every 4 to 6 hr
    • 5-12 years: 2.5 mg dose every 4 to 6 hr
    • >12 years: 2.5-5.0 mg dose every 6 hours
  85. Nitrous oxide
    Class
    Gas
  86. Nitrous oxide
    Action
    Cns depressant
  87. Nitrous oxide
    Indication
    • Pain of musculoskeletal origin particularly fractures & burns
    • Suspected ischemic chest pain
    • States if severe anxiety including hypervilation
  88. Nitrous oxide
    Contraindications
    • Pt who cannotcomprehend verbal instructions
    • Pt intoxicated with alcohol or medication
    • Head injury
    • Pt who exhibits an altered mental status
    • Copd
    • Increased Oxygen con may cause resp depression
    • Thoracic injury suspicous of pheumothorx 
    • Abdominal pain and distension suggestive of bowel obstruction
  89. Nitrous oxide
    Precaution
    • Use only in well ventilated area 
    • Gas scavenging system is recommended
    • May not operate properly in low temperature
  90. Nitrous oxide
    Side effects
    • Headache
    • Dizziness
    • Giddiness
    • Nausea
    • Vomiting
  91. Nitrous oxide
    Dosage
    Self administered only using 50% Nitrous oxide & 50% oxygen blender
  92. Nitrous oxide 
    Route
    Inhalation only
  93. Nitrous oxide
    Ped dosage
    Self administered only
  94. Isoetharine (bronkosol)
    Class
    Sympathomimetic (b2 selective)
  95. Isoetharine (bronkosol)
    Actions
    • Bronchodilation
    • Increases heart rate
  96. Isoetharine (bronkosol)
    Indications
    • Asthma
    • Reversible bronchospasm associated with chronic bronchitis & emphysema
  97. Isoetharine (bronkosol)
    Contraindications
    Pt with history of hypersensitivity to medication
  98. Isoetharine (bronkosol)
    Precaution
    Blood pressure, pulse &ecg must be constantly monitored
  99. Isoetharine (bronkosol)
    Side effects
    • Palpitations
    • Tachycardia
    • Anxiety
    • Tremors
    • Headache
  100. Isoetharine (bronkosol)
    Dosage
    • Hand nebulizer: four inhalations
    • Small volume nebulizer: 0.5 ml(1:3 with saline)
  101. Isoetharine (bronkosol)
    Route
    Inhalation only
  102. Isoetharine (bronkosol)
    Ped dosage
    0.25-0.5 ml diluted with normal saline
  103. Ipratropium (atrovent)
    Class
    Anticholinergic
  104. Ipratropium (atrovent)
    Actions
    • Causes Bronchodilation
    • Dries respiratory tract secretions
  105. Ipratropium (atrovent)
    Indications
    • Bronchial Asthma 
    • reversible broncospasm associated with chronic bronchitis & emphysema
  106. Ipratropium (atrovent)
    Contraindications
    • Hypersensitivity to the meds
    • should not be used as primary acute treatment of brohchospasm
  107. Ipratropium (atrovent)
    Precaution
    Monitor vital signs
  108. Ipratropium (atrovent)
    Side effects
    • Palpitations
    • Dizziness
    • Anxiety
    • Headache
    • Nervousness
  109. Ipratropium (atrovent)
    Dosage
    • 500 mcg Placed in a small volume nebulizer 
    • (typically administered with a B-agonist)
  110. Ipratropium (atrovent)
    Route
    Inhaled
  111. Ipratropium (atrovent)
    Ped dose
    350-500 mcg/dose
  112. Aminophylline
    Class
    Xanthine bronchodilator
  113. Aminophylline
    Action
    • Smooth muscle Relaxant
    • Causes bronchodilation
    • Has mild diuretic properties
    • Increases heart rate
  114. Aminophylline
    Indications
    • Bronchial Asthma
    • Reversible bronchospasm associated with chronic bronchitis & emphysema
    • CHF
    • Pulmonary edema
  115. Aminophylline
    Contraindication
    • Hypersensitivity to the med
    • Hypotension
    • Pt with peptic ulcer disease
  116. Aminophylline
    Precautions
    • Monitor for arrhythmias
    • Monitor BP
    • Do not administer to Pt on chronic theophylline preparations until the Theophyiline blood level has been determaned
  117. Aminophylline
    Side effects
    • Convulsions
    • Tremor
    • Anxiety
    • Dizziness
    • Vomiting
    • Palpitations
    • PVC
    • Tachycardia
  118. Aminophylline
    Dosages
    Method #1: 250-500 in 90 or 80 ml of D5W infused over 20-30 min (Approximatly 5-10 mg/kg/hr)

    Method #2: 250-500 mg (5-7mg/kg) in 20ml D5W infused over 20-30 min
  119. Aminophylline
    Route
    Slow IV
  120. Aminophylline
    Ped dose
    6 mg/kg loading dose to be infused over 20-30 min max dose not to exceed 12 mg/kg over 24 hours
  121. Salbutamol (ventolin)
    Class
    Sympathometic (B2 selective)
  122. Salbutamol (ventolin)
    Action
    Bronchodilation
  123. Salbutamol (ventolin)
    Indication
    • Asthma
    • Reversible bronchospasm associated with COPD
  124. Salbutamol (ventolin)
    Contraindication
    • Hypersensitivity to the med
    • Symptomatic tachycardia
  125. Salbutamol (ventolin)
    Precautions
    • Blood pressure 
    • Pulse &ecg should be monitored
    • use caution in patients with known heart disease
  126. Salbutamol (ventolin)
    side effects
    • Palpitations
    • Anxiety
    • Headache
    • dizziness
    • sweating
  127. Salbutamol (ventolin)
    doses
    • metered dose inhaler: One to two sprays ( 90 MCG pre spray )
    • small volume nebulizer: 0.5 ml (2.5mg) in 2.5 ml normal saline over 5 to 15 minutes
    • roto inhaler: one 200 MCG Radio cab should be placed an inhaler and breathe by patient
  128. Salbutamol (ventolin)
    Route
    Inhalation
  129. Salbutamol (ventolin)
    Ped dose
    0.15 mcg/kg (0.03 ml/kg) in 2.5 ml of normal saline
  130. Dimenhydrinate (Gravol, Dramamine)
    Class
    Antihistamine
  131. Dimenhydrinate (Gravol, Dramamine)
    Action
    Antiemetic
  132. Dimenhydrinate (Gravol, Dramamine)
    Indication
    • Nausea and vomiting
    • Motion sickness
    • to potentiate the effects of analgesics
  133. Dimenhydrinate (Gravol, Dramamine)
    Contraindication
    Comatose states

    Patients who have recevived a large amounts of depressants (including alcohol
  134. Dimenhydrinate (Gravol, Dramamine)
    Precautions
    use with caution in patients with sezure disorders 

    Asthma
  135. Dimenhydrinate (Gravol, Dramamine)
    side effects
    May impair mental and physical ability

    Drowsines
  136. Dimenhydrinate (Gravol, Dramamine)
    Dosage
    Slow Intravenous: 12.5-25.0 mg

    Intramuscular or oral: 50-100 mg
  137. Dimenhydrinate (Gravol, Dramamine)
    Routes
    • IV
    • IM
    • Oral
  138. Dimenhydrinate (Gravol, Dramamine)
    Ped dose
    Data Unavailable
  139. Racemic Epinephrin
    Class
    Sympathomimetic
  140. Racemic Epinephrin
    Actions
    • Bronchodilation
    • Increases heart rate
    • Increases cardiac contractile force
  141. Racemic Epinephrin
    indication
    Croup (laryngotracheobronchitis)
  142. Racemic Epinephrin
    Contraindication
    • Epiglottitis
    • Hypersensitivity to med
  143. Racemic Epinephrin
    Precaution
    • Vital signs should be constanly monitored
    • Should be used only once in the prehospital setting
  144. Racemic Epinephrin
    Side Effects
    • Palpitations
    • Anxiety
    • Headache
  145. Racemic Epinephrin
    Dosage
    0.25-0.75 ml of a 2.25% solution in 2.0 ml normal saline
  146. Racemic Epinephrin
    Route
    Inhalation only (small volume nebulizer)
  147. Racemic Epinephrin
    Ped dose
    0.25-0.75 ml of a 2.25% solution in 2.0 ml normal saline
  148. Epinephrine 1:1000
    Class
    Sympathomimetic
  149. Epinephrine 1:1000
    Action
    Bronchodilation
  150. Epinephrine 1:1000
    Indications
    • Bronchial asthma
    • Exacerbation of COPD
    • Allergic Reaction
    • Ped cardiac arrest ( after initial epi dosage)
  151. Epinephrine 1:1000
    contraindications
    • PT with underlying cardiovascular disease
    • Hypertension
    • Pregnancy
    • Pt with tachyrrhythmias
  152. Epinephrine 1:1000
    Precautions
    • Should be protected from light
    • Blood pressure, Pulse, and ecg should be monitored
  153. Epinephrine 1:1000
    Side effects
    • Palpatation and tachycardia
    • Anxiousness
    • Headache
    • Tremor
  154. Epinephrine 1:1000
    Dosage
    0.3-0.5 mg
  155. Epinephrine 1:1000
    Route
    IM
  156. Epinephrine 1:1000
    Ped Dosage
    0.01 mg/kg up to 0.3 mg
  157. Epinephrine 1:10000
    Class
    Sympathomimetic
  158. Epinephrine 1:10000
    Action
    • Increases heart rate and automaticity
    • Increases cardiac contractile force
    • Increases Myocardial electrical activity
    • Increases Sys
    • Increases
  159. Epinephrine 1:10000
    indications
    • Cardiac arrest
    • Anaphylactic Shock
    • sever reactive airway disease
  160. Epinephrine 1:10000
    Contraindications
    • Epi 1:10000 is for IV or et use
    • Should not be used in pt who do not require resuscitative efforts
  161. Epinephrine 1:10000
    Precautions
    • Protect from light
    • Can be deactivatied by alkaline solutions
  162. Epinephrine 1:10000
    Side effects
    • Palpitaions
    • Anxiety
    • Tremulousness
  163. Epinephrine 1:10000Dosage
  164. Epinephrine 1:10000Routes
  165. Epinephrine 1:10000Ped Dose
  166. KetamineClass
  167. KetamineAction
  168. KetamineIndication
  169. KetamineContraindications
  170. KetaminePrecautions
  171. Ketamineside effects
  172. KetamineDosage
  173. KetamineRoutes
  174. KetaminePed dosage
  175. Meperidine (Demerol)Class
  176. Meperidine (Demerol)Actions
  177. Meperidine (Demerol)Indications
  178. Meperidine (Demerol)Contraindacations
  179. Meperidine (Demerol)Precautions
  180. Meperidine (Demerol)Dosage
  181. Meperidine (Demerol)Side Effects
  182. Meperidine (Demerol)Routes
  183. Meperidine (Demerol)
    Ped dose
  184. Midazolam (versed)Class
  185. Midazolam (versed)Actions
  186. Midazolam (versed)Indications
  187. Midazolam (versed)Contraindications
  188. Midazolam (versed)Precautions
  189. Midazolam (versed)Side Effects
  190. Midazolam (versed)Dosage
  191. Midazolam (versed)Routes
  192. Midazolam (versed)Ped Dose
  193. Pancuronium Bromide (pavulon)Class
  194. Pancuronium Bromide (pavulon)actions
  195. Pancuronium Bromide (pavulon)indication
  196. Pancuronium Bromide (pavulon)Contraindication
  197. Pancuronium Bromide (pavulon)precautions
  198. Pancuronium Bromide (pavulon)side effects
  199. Pancuronium Bromide (pavulon)dosage
  200. Pancuronium Bromide (pavulon)Route
  201. Pancuronium Bromide (pavulon)pediatric dosage
  202. Rocuronium bromide (Zemuron)class
  203. Rocuronium bromide (Zemuron)action
  204. Rocuronium bromide (Zemuron)indication
  205. Rocuronium bromide (Zemuron)Contraindication
  206. Rocuronium bromide (Zemuron)precaution
  207. Rocuronium bromide (Zemuron)side effects
  208. Rocuronium bromide (Zemuron)dosage
  209. Rocuronium bromide (Zemuron)Route
  210. Rocuronium bromide (Zemuron)pediatric dosage
  211. Succinylcholine (anectine)Class
  212. Succinylcholine (anectine)actions
  213. Succinylcholine (anectine)indication
  214. Succinylcholine (anectine)contraindications
  215. Succinylcholine (anectine)precautions
  216. Succinylcholine (anectine)side effects
  217. Succinylcholine (anectine)dosage
  218. Succinylcholine (anectine)Route
  219. Succinylcholine (anectine)RouteIV
  220. Succinylcholine (anectine)pediatric dose
  221. Vecuronium (Norcuron)class
  222. Vecuronium (Norcuron)action
  223. Vecuronium (Norcuron)indication
  224. Vecuronium (Norcuron)contraindications
  225. Vecuronium (Norcuron)precautions
  226. Vecuronium (Norcuron)side effects
  227. Vecuronium (Norcuron)dosage
  228. Vecuronium (Norcuron)Route
  229. Vecuronium (Norcuron)pediatric dosage
  230. Plasma Protein Fraction (Plasmanate)Class
  231. Plasma Protein Fraction (Plasmanate)Action
  232. Plasma Protein Fraction (Plasmanate)Indication
  233. Plasma Protein Fraction (Plasmanate)Contraindication
  234. Plasma Protein Fraction (Plasmanate)Precautions
  235. Plasma Protein Fraction (Plasmanate)Side effects
  236. Plasma Protein Fraction (Plasmanate)Dosage
  237. Plasma Protein Fraction (Plasmanate)Route
  238. Plasma Protein Fraction (Plasmanate)Pediatric Dosage
  239. DextranClass
  240. Dextranaction
  241. Dextranindication
  242. Dextrancontraindication
  243. Dextran
    precautions

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