Medication Drug Homework

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Medication Drug Homework
2013-12-11 13:25:59
Paramedic drug study aids

42 drugs from medication homework, indications and dosages
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  1. Adenosine
    Wide and narrow tachyarrhythmias

    6mg rapid IV; after 1-2 minutes w/ no cardioversion - 12mg rapid IV - repeat 12mg if necessary
  2. Albuterol
    asthma, bronchospasm assoc w/ COPD

    • MDI: 1-2 sprays
    • SVN: 2.5mg in 3.0mL saline
  3. Amiodarone
    Life-threatening cardiac arrhythmias (ventricular tachycardia/ ventricular fibrillation)

    • Vent. fib/pulseless Vent. tachycardia: 300mg - repeat 150mg
    • Recurrent/refractory narrow-complex tachycardia: 150mg over 10 min. repeat as necessary
  4. Aspirin
    New chest pain suggestive of acute MI; signs & symptoms of recent stroke

    324mg  PO
  5. Atropine Sulfate
    Hemodynamically significant bradycardia; organophosphate poisoning  IV

    • Bradycardia: 0.5mg every 3-5 minutes - max dose = 3.0mg
    • Organophosphate poisoning: 2-5mg or more IV
  6. Brethine
    Asthma, bronchospasm assoc w/ COPD

    • SQ: 0.25mg 
    • MDI: 2 inhalations 1 minute apart
  7. Bumetanide
    CHF; pulmonary edema

    0.5 - 1.0mg  IV  IM
  8. Calcium Chloride
    Hyperkalemia; hypocalcemia; calcium channel blocker OD; abdominal muscle spasm assoc w/ spider bite & Portugese Man-O-War sting

    2-4mg/kg of 10% solution - repeat in 10 minutes
  9. Activated Charcoal

    1g/kg mixed in glass of warm water
  10. Dexamethasone
    Anaphylaxis (after epi & dipenhydramine); asthma; COPD

    4-24mg  IV  IM
  11. Dextrose

    25g  IV
  12. Diazepam
    Major motor seizure; status epilepticus; premed before cardioversion; skeletal muscle relaxant; acute anxiety

    • Status epilepticus: 5-10mg IV
    • Anxiety: 2-5mg IV  IM
    • Premed: 5-15mg  IV
  13. Diphenhydramine
    Anaphylaxis; allergic reaction; dystonic reaction to phenothiazines

    25-50mg slow IV  deep IM
  14. Diltiazem
    Stable narrow-complex tachycardia uncontrolled by adenosine or vagal maneuvers or recurrent SVTs; control ventricular rate w/ Afib or atrial flutter

    0.25mg/kg (15-20mg) IV bolus over 2 min - additional 0.35mg/kg (20-25mg) in 15 minutes if needed
  15. Dobutamine
    CHF (short term management)

    2.5-20mcg/kg/min (250mg in 500mL D5W)
  16. Dopamine
    Hypotension (systolic below 70-100mmHg)not from hypovolemia; bradycardia refractory to atropine

    2-5mg/kg/min (800mg in 500mL D5W) increase as needed
  17. Epinephrine 1:1,000
    Asthma, COPD, allergic reaction

    0.3 - 0.5mg IM
  18. Epinephrine 1:10,000
    Cardiac arrest; anaphylactic shock; severe reactive airway disease

    • Cardiac arrest: 1mg repeat 3-5min 
    • Anaphylaxis: 0.05 - 0.1mg IV  IO
  19. Etomidate

    0.1 - 0.3mg/kg  IM
  20. Fentanyl
    Severe pain; RSI adjunct; analgesia maintenance

    25-100mcg  IV  IN
  21. Furosemide
    CHF; pulmonary edema

    40-80mg  IV
  22. Glucagon
    Hypoglycemia; beta blocker OD

    • 0.25 - 0.5 units IV
    • 1mg  IM
  23. Ipratropium Bromide
    asthma; reversible bronchospasm assoc w/ chronic bronchitis & emphysema

    500mcg  SVN
  24. Ketamine

    • IV: 1.0 - 4.5mg/kg
    • IM: 3 - 8mg/kg
  25. Lactated Ringers
    Hypovolemic shock (systolic less than 90mmHg)

    "wide open" until systolic BP =100mmHg, then 100mL/hr  IV
  26. Lidocaine
    Ventricular tachycardia & ventricular fibrillation refractory to amiodarone

    • Bolus: 1 - 1.5mg/kg - repeat dose @ 0.5-0.75mg/kg @ 5-10min intervals - max 3.0mg/kg
    • Maint: 2-4mg/min - reduce dose by 50% in Pt  over 70yrs old
  27. Magnesium Sulfate
    Torsades des pointes; eclampsia

    1-2g  IV  IM
  28. Methylprednisolone
    Anaphylaxis; asthma; COPD

    125-250mg  IV  IM
  29. Midazolam
    Premed for cardioversion; acute anxiety

    1.0 - 2.5mg  IV
  30. Morphine Sulfate
    Severe pain

    • IV: 2-5mg followed by 2mg every few minutes until pain relieved
    • IM: 5-15mg (weight based)
  31. Nalmefene
    Opiate OD; partial reversal of opiate effects

    0.5 - 1.0mg  IV
  32. Naloxone
    Narcotic (opiate) OD; rule out narcotic OD in coma of unknown origin

    1-2mg  IV  IM  IN
  33. Nitroglycerine Tablets
    Angina pectoris; chest pain assoc w/ MI

    1 tablet - repeat @ 3-5 min up to 3 doses  sublingual
  34. Nitropaste
    angina pectoris; chest pain assoc w/ MI

    1/2 - 1inch  topical
  35. Oxytocin
    Postpartum vaginal bleeding

    • IV: 10-20 units in 500mL D5W - administer according to uterine response
    • IM: 3-10 units
  36. Reglan
    Nausea & vomiting; gastroesophageal reflux

    • IM: 10-20mg
    • IV: 10mg slow IV push over 1-2 minutes
  37. Sodium Bicarbonate
    Tricyclic antidepressant OD; severe acidosis refractory to hyperventillation

    1mEq/kg followed by 0.5mEq/kg every 10 minutes
  38. Succinylcholine
    RSI; endotracheal intubation

    1-1.5mg/kg  IV
  39. Thiamine
    Coma of unknown origin; alocholism; delirium tremens

    100mg  IV  IM
  40. Verapamil
    Narrow-complex tachycardias (if rhythm uncontrolled/unconverted by adenosine or vagal maneuvers or recurrent SVTs); control ventricular rate in atrial fibrillation/flutter

    2.5 - 5.0mg - repeat @ 5-10mg after 15-30 min of PSVT not converted - max 30mg in 30 min
  41. Vecuronium
    RSI; skeletal muscle relaxer; paralyzes skeletal and respiratory muscles

    0.08 - 0.1 mg/kg   IV
  42. Zofran
    Nausea; vomiting

    4-8mg  IV  IM  PO