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Acetaminophen (tylenol) classification:
Acetaminophen (tylenol) action:
Inhibits prostiglandin in CNS to reduce fever, blocks pain impulses,
Acetaminophen (tylenol) indications:
Acetaminophen (tylenol) contraindications
Acetaminophen (tylenol) Cautions:
Anemia, liver disease, Renal disease
Acetaminophen (tylenol) onset/duration:
- Onset 10-30 minutes
- Duration 3-4 hours
Acetaminophen (tylenol) adverse reactions:
Acetaminophen (tylenol) Dosage, administration:
15mg/kg orally or by rectal suppository
Activated charcoal classification:
gastric decontaminant, absorbent
Activated charcoal action:
Adheres to many meds and chemicals, inhibiting absorption from the GI tract
Activated charcoal onset / duration:
Immediate onset, unknown duration
Activated charcoal indications:
poisoning, overdose, consider poison control contact prior to admin
Activated charcoal contraindications:
- decreased loc / unconcious
- ingestion of substance that may cause abrupt decreased loc
Activated charcoal cautions:
- renders ipecac inactive
- do not give ipecac after charcoal
- ingestion of corrosive agents
- fluid / electrolyte abnormalities
- fecal impaction
- if gastric lavage is considered
Activated charcoal dosage / administration:
1 gm/kg orally
Activated charcoal adverse reactions:
N/V, black stools, excessive diarrhea, cramping, bloating, constipation
Adenosine (Adenocard) classification:
Adenosine (Adenocard) action:
Slows conduction through AV node. May inhibit reentry pathways.
Adenosine (Adenocard) onset / duration:
Onset immediate, duration less than one minute.
Adenosine (Adenocard) indications:
PSVT, WPW with narrow QRS
Adenosine (Adenocard) contraindications:
- 2nd and 3rd degree heart blocks, sick sinus syndrome without pacemaker.
Adenosine (Adenocard) cautions:
- May produce transient heart block or asystole (10-15s)
- Pause may be longer on pt w/ Tegretol or Persantine
- Pt's on theophyllines or caffeine may require higher doses
- May cause bronchoconstriction (asthma)
- May be used w/ wide complex svt (with base station contact)
Adenosine (Adenocard) dosage and admin:
- 6mg RAPID iv push
- If no response within 1-2 minutes, repeat with 12mg dose.
- Follow with 20ml saline flush / elevate extremity.
- Place in AC with min 18g catheter for best results.
Adenosine (Adenocard) adverse reactions:
Asystole, bradycardia, hypotension, c/p, flushing, dyspnea, apprehension, back/neck pain, blurred vision, burning sensation, dizziness, n/t in arms, sweating, palpitations, nausea.
oxymetazoline (Afrin) classification:
oxymetazoline (Afrin) Action:
Causes vasoconstriction of smaller arterioles in the nasal passages.
oxymetazoline (Afrin) onset / duration:
- Onset less than 5 minutes.
- Duration less than 12 hours.
oxymetazoline (Afrin) indications:
- Control of epistaxis
- Preparation for nasotracheal intubation
oxymetazoline (Afrin) contraindications:
oxymetazoline (Afrin) cautions:
Not recommended for children under six.
oxymetazoline (Afrin) Dosage and Admin:
2-3 sprays in each nostril.
oxymetazoline (Afrin) adverse reactions:
- H/A, drowsiness, insomnia, palpitations, hypertension, rebound congestion or irritation
- Burning, stinging, or sneezing if dosage is exceeded
Albuterol (ventolin) classification:
- Beta 2 selective sympathetic agonist
Albuterol (ventolin) action:
- Relaxes bronchial and uterine smooth muscle
- Causes potassium influx into the cell
Albuterol (ventolin) onset / duration:
- Onset 5-15 minutes.
- Duration 3-6 hours.
Albuterol (ventolin) Indications:
- Wheezing, allergic reactions, asthma, COPD
- Suspected hyperkalemia
- Crush injury syndrome
Albuterol (ventolin) contraindications:
Albuterol (ventolin) cautions:
- Cardiovascular disease
- Pt's taking tricyclics
- Elderly pt's reduce dose
- Watch heart rate
- Listen to lungs before and after treatment
- Beta blockers may blunt effect
Albuterol (ventolin) dosage and administration:
- 2.5 mg in 3ml NS continuously via nebulizer.
- Instruct pt in use (clear nasal passages and throat, breathe deep / expel as much air as possible)
Albuterol (ventolin) adverse reactions:
Tremor, nervousness, dizziness, H/A, tachycardia, palpitations, hypertension, N/V, ventricular arrhythmias
Amiodarone (Cordarone) classification:
Amiodarone (Cordarone) action:
Amiodarone (Cordarone) onset / duration:
- Onset immediate
- Duration up to 40 days
Amiodarone (Cordarone) indications:
- Pulseless vtach / vfib unresponsive to defibrillation
- Polymorphic vtach / wide complex tachycardia of uncertain origin
- Stable vtach when cardioversion has failed
- Ectopic or multifocal atrial tachycardia with preserved LV function.
- Afib, aflutter when other therapies have failed.
Amiodarone (Cordarone) contraindications:
- Cardiogenic shock
- Sinus bradycardia
- 2nd or 3rd degree HB without pacemaker
Amiodarone (Cordarone) cautions:
- May produce vasodilation / hypotension
- May reduce contractility and prolong QT interval
- Renal failure (40 day half life)
Amiodarone (Cordarone) dosage / admin:
- Cardiac arrest: 300mg IV push, 150mg in 3-5 mins 2nd dose.
- Max dose 2.2gm / 24 hours.
- Wide complex tachycardia: 150mg / 10 minutes, may repeat as needed.
Amiodarone (Cordarone) adverse reactions:
Non steroidal anti-inflammatory (NSAID)
Aspirin onset / duration:
- Onset 5-30 minutes
- Duration 7 days
Suspected ischemic chest pain.
- Active ulcer disease
- Pt's with asthma
- Possible hemorrhagic stroke
Pt's on anti-coagulants
Aspirin dosage / admin:
- 324mg chewable, 162 if already taking daily ASA.
- Non enteric coated.
Aspirin adverse reaction:
Anticholinergic (parasympathetic blocker)
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