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  1. Acetaminophen (tylenol) classification:
    Anti-pyretic, Analgesic
  2. Acetaminophen (tylenol) action:
    Inhibits prostiglandin in CNS to reduce fever, blocks pain impulses,
  3. Acetaminophen (tylenol) indications:
  4. Acetaminophen (tylenol) contraindications
  5. Acetaminophen (tylenol) Cautions:
    Anemia, liver disease, Renal disease
  6. Acetaminophen (tylenol) onset/duration:
    • Onset 10-30 minutes
    • Duration 3-4 hours
  7. Acetaminophen (tylenol) adverse reactions:
    N/V, rash
  8. Acetaminophen (tylenol) Dosage, administration:
    15mg/kg orally or by rectal suppository
  9. Activated charcoal classification:
    gastric decontaminant, absorbent
  10. Activated charcoal action:
    Adheres to many meds and chemicals, inhibiting absorption from the GI tract
  11. Activated charcoal onset / duration:
    Immediate onset, unknown duration
  12. Activated charcoal indications:
    poisoning, overdose, consider poison control contact prior to admin
  13. Activated charcoal contraindications:
    • decreased loc / unconcious
    • ingestion of substance that may cause abrupt decreased loc
  14. 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
  15. Activated charcoal dosage / administration:
    1 gm/kg orally
  16. Activated charcoal adverse reactions:
    N/V, black stools, excessive diarrhea, cramping, bloating, constipation
  17. Adenosine (Adenocard) classification:
  18. Adenosine (Adenocard) action:
    Slows conduction through AV node.  May inhibit reentry pathways.
  19. Adenosine (Adenocard) onset / duration:
    Onset immediate, duration less than one minute.
  20. Adenosine (Adenocard) indications:
    PSVT, WPW with narrow QRS
  21. Adenosine (Adenocard) contraindications:
    • 2nd and 3rd degree heart blocks, sick sinus syndrome without pacemaker.
    • hypersensitivity
  22. 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)
  23. 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.
  24. 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.
  25. oxymetazoline (Afrin) classification:
    Andrenergic sympathomimetic
  26. oxymetazoline (Afrin) Action:
    Causes vasoconstriction of smaller arterioles in the nasal passages.
  27. oxymetazoline (Afrin) onset / duration:
    • Onset less than 5 minutes.
    • Duration less than 12 hours.
  28. oxymetazoline (Afrin) indications:
    • Control of epistaxis
    • Preparation for nasotracheal intubation
  29. oxymetazoline (Afrin) contraindications:
  30. oxymetazoline (Afrin) cautions:
    Not recommended for children under six.
  31. oxymetazoline (Afrin) Dosage and Admin:
    2-3 sprays in each nostril.
  32. oxymetazoline (Afrin) adverse reactions:
    • H/A, drowsiness, insomnia, palpitations, hypertension, rebound congestion or irritation
    • Burning, stinging, or sneezing if dosage is exceeded
  33. Albuterol (ventolin) classification:
    • Bronchodilator
    • Beta 2 selective sympathetic agonist
  34. Albuterol (ventolin) action:
    • Relaxes bronchial and uterine smooth muscle
    • Causes potassium influx into the cell
  35. Albuterol (ventolin) onset / duration:
    • Onset 5-15 minutes.
    • Duration 3-6 hours.
  36. Albuterol (ventolin) Indications:
    • Wheezing, allergic reactions, asthma, COPD
    • Suspected hyperkalemia
    • Crush injury syndrome
  37. Albuterol (ventolin) contraindications:
  38. 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
  39. 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)
  40. Albuterol (ventolin) adverse reactions:
    Tremor, nervousness, dizziness, H/A, tachycardia, palpitations, hypertension, N/V, ventricular arrhythmias
  41. Amiodarone (Cordarone) classification:
  42. Amiodarone (Cordarone) action:
    Rate control
  43. Amiodarone (Cordarone) onset / duration:
    • Onset immediate
    • Duration up to 40 days
  44. 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.
  45. Amiodarone (Cordarone) contraindications:
    • Hypersensitivity
    • Cardiogenic shock
    • Sinus bradycardia
    • 2nd or 3rd degree HB without pacemaker
  46. Amiodarone (Cordarone) cautions:
    • May produce vasodilation / hypotension
    • May reduce contractility and prolong QT interval
    • Renal failure (40 day half life)
  47. 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.
  48. Amiodarone (Cordarone) adverse reactions:
    • Vasodilation
    • Hypotension
    • Bradycardia
  49. Aspirin classification:
    Non steroidal anti-inflammatory (NSAID)
  50. Aspirin action:
    Platelet inhibitor
  51. Aspirin onset / duration:
    • Onset 5-30 minutes
    • Duration 7 days
  52. Aspirin indications:
    Suspected ischemic chest pain.
  53. Aspirin contraindications:
    • Allergy
    • Active ulcer disease
    • Pt's with asthma
    • Possible hemorrhagic stroke
  54. Aspirin cautions:
    Pt's on anti-coagulants
  55. Aspirin dosage / admin:
    • 324mg chewable, 162 if already taking daily ASA.
    • Non enteric coated.
  56. Aspirin adverse reaction:
  57. Atropine classification:
    Anticholinergic (parasympathetic blocker)
  58. Atropine action:
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