medications

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Author:
johnnyo62
ID:
256471
Filename:
medications
Updated:
2014-01-30 13:44:42
Tags:
paramedic
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Description:
Class and generic names
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  1. Adenosine: Class
    & Other names
    Class: Antidysrhythmic.

    Other names: Adenocard
  2. Lidocaine Hydrochloride: Class & Other names
    • Class: Antidysrhythmic
    • Other names: Xylocaine
  3. Amiodarone: Class & Other names
    • Class: Antidysrhythmic
    • Other names: Cordarone, Pacerone
  4. Procainamide Hydrochloride: Class
    & Other names
    • Class: Antidysrhythmic
    • Other names: Pronestyl
  5. Diltiazem: Class
    & Other names
    Class: Calcium channel blocker, antidysrhythmic

    Other names: Cardizem
  6. Verapamil Hydrochloride: Class & Other names
    Class: Calcium channel blocker

    Other names: Isoptin, Calan
  7. Calcium Chloride: Class & Other names
    Class: Electrolyte (anion).

    Other names: N/A
  8. Calcium Gluconate: Class & Other names
    • Class: Electrolyte.
    • Other Name: N/A
  9. Magnesium sulfate: Class
    & Other names
    Class: Electrolyte, anti-inflammatory
  10. Atropine Sulfate: Class
    & Other names
    Class: Anticholinergic agent
  11. Digoxin: Class & Other names
    Class: Inotropic agent, cardiac glycoside.

    Other names: Lanoxin
  12. Midazolam Class & Other names
    Class:

    ·     Benzodiazepine

    ·     fast acting Schedule 4 drug

     

    Other names: Versed
  13. Dopamine HCl: Class & Other names
    • Class:  
    • -Sympathomimetic,
    • -vasopressor,
    • -inotropic agent.

    Other names: Intropin
  14. Nifedipine:Class & Other names
    Class: Calcium channel blocker.

    • Other names:
    • -Procardia,
    • -Adalat
  15. Metaprolol Tartrate: Class & Other names
    Class:

    ·     Beta blocker,

    ·     beta-1 selective;antihypertensive,

    ·     antidysrhythmic

    •  
    • Other names: Lopressor
  16. Labetalol: Class & Other names
    • Class:
    • -Selective alpha 
    • -nonselective beta-adrenergic blocker,
    • -antihypertensive. 

    • Other names:
    • -Normodyne,
    • -Trandate
  17. Atenolol:Class & Other names
    Class:

    ·     Beta blocker (beta-1 selective)

    ·     antidysrhythmic

    Other names: Tenormin
  18. Dobutamine: Class & Other names
    Class:

    ·     Sympathomimetic,

    ·     inotropic agent.

    •  
    • Other names: Dobutrex
  19. Norepinepherine Bitartrate: Class & Other names
    Class:

    ·     Sympathomimetic,

    ·     vasopressor 

     Other names: Levophed
  20. Propranolol HCl: Class & Other names
    Class: Beta-adrenergic blocker

    Other names: Inderal
  21. Epinephrine Class & Other names
    Class: Sympathomimetic

    Other names: Adrenaline
  22. Amiodarone: Indications
    -V-fib

    -pulseless v-tach

    -unstable v-tach in patients refractory to other therapy
  23. Amiodarone: Contraindications
    -hypersensitivity to amiodarone or iodine,

    -cardiogenic shock,

    -sinus bradycardia,

    -2nd or 3rd- degree AV block (if no pacemaker is present),

    -severe sinus node dysfunction.
  24. Amiodarone: Dosage and Admin
    • V-fib/pulseless ventricular tachycardia unresponsive to CPR, defib, and vasopressors:
    • 300 mg IV/IO push.
  25. Atropine Sulfate: Indications
    -Hemodynamically unstable bradycardia

    -organophosphate poisoning,

    -nerve agent exposure,

    -RSI in pediatrics,

    -calcium channel or beta blocker overdose.
  26. Atropine Sulfate: Contraindications
    -Tachycardia,

    -hypersensitivity,

    -unstable cardiovascular status in acute hemorrhage with myocardial ischemia,

    -narrow-angle glaucoma,

    -hypothermic bradycardia
  27. Atropine Sulfate: Dosage and Admin
    • Unstable bradycardia: 0.5 mg IV/IO every 3–5 minutes as needed. Not to exceed total dose
    • of 0.04 mg/kg (max. 3 mg total).
  28. Diltiazem: Indications
    -Controls rapid ventricular rates due to a-fib,

    -atrial flutter,

    -re-entry supraventricular tachycardia
  29. Diltiazem: Contraindications
    -Hypotension,

    • -sick sinus syndrome (w/o functioning pacemaker present),
    •     
    • -2nd- or 3rd-degree AV block (w/o functioning pacemaker present),

    -cardiogenic shock,

    -wide-complex tachycardia (v-tach may lead to hemodynamic deterioration and v-fib),

    -poison- or drug-induced tachycardia.
  30. Diltiazem: Dosage and Admin
    • 0.25 mg/kg (15–20 mg for the average patient) IV over 2 minutes. If inadequate response, may re-bolus in 15 min. 2ndary dose: 0.35 mg/kg (20–25 mg for the average
    • patient) IV over 2 minutes. Maintenance infusion of 5–15 mg/h titrated to
    • physiologically appropriate heart rate.
  31. Epinephrine Indications
    -Cardiac Arrest

    -Symptomatic bradycardia as alternative to dopamine

    • -Severe hypotension w/ bradycardia when atropine & transcutaneous pacing are
    • unsuccessful

    -Allergic reaction/ anaphylaxis

    -Asthma
  32. Epinephrine Contraindications
    -Hypovolemic shock

    -Hypertension

    -Hypothermia

    -Pulmonary edema

    -Myocardial ischemia
  33. Epinephrine Dosage and Admin
    • Asthma & Mild Allerg. Reaction: 0.3-0.5mg/
    • 0.3-0.5mL 1:1000 (SC)

    Anaphylax: 0.1 mg/mL 1:10000 (IV,IO) over 5 min

    • Cardiac Arr: 0.1 mg/mL 1:10000(IV,IO) over 3-5 min, during resuscitation (each dose
    • followed by flush, raise arm for 10-20 sec after dose)

    • Cont. infusion: +1mg/ml 1:1000 to 250mL
    • normal Saline or D5W (4mcg/min)

    ET dose: 2-2.5mg diluted w/ 10mL normal saline

    Bradycardia or hypotension: 2mcg/min titrate to effect

    Higher doses for beta or calcium channel blocker OD: 0.2mg/kg
  34. Dopamine HCl: Indications
    ·     Cardiogenic and septic shock,

    ·     hypotension with low cardiac output states,

    ·     distributive shock,

    ·     second-line drug for symptomatic bradycardia
  35. Dopamine HCl: Contraindications
    ·     Hypovolemic shock,

    ·     pheochromocytoma,


    ·     tachydysrhythmias,


    ·     v-fib.
  36. Dopamine HCl: Dosage and Admin
    Adult: IV/IO infusion at 2–20 μg/kg/ min, slowly titrated to patient response.
  37. Adenosine: Indications
    ·     Conversion of PSVT to sinus rhythm. May convert re-entry SVT due to Wolff-Parkinson-White syndrome.

    ·     Not effective in converting atrial fibrillation/flutter or V-tach. Most forms of stable narrow-complex SVT
  38. Adenosine: Contraindications
    ·     2nd or 3rd-degree AV block (if no pacemaker is present),

    ·     sick sinus syndrome (if no pacemaker present),

    ·     bronchoconstrictive or bronchospastic lung disease (asthma, COPD),

    ·     poison- or drug-induced tachycardia
  39. Adenosine: Dosage and admin
    • 6-mg rapid IV bolus
    • over 1–3 seconds, followed by a 20-mL saline flush and elevate extremity. If no
    • response after 1–2 minutes, administer second dose of 12–mg rapid IV bolus over
    • 1–3 seconds

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