Drug File

Card Set Information

Author:
medic11
ID:
27532
Filename:
Drug File
Updated:
2010-07-21 09:31:44
Tags:
Medic11 Drug Cards
Folders:

Description:
Medic11 drugs updated 7/21/10
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user medic11 on FreezingBlue Flashcards. What would you like to do?


  1. Albuterol C & T
    • Sympathomimetic Bronchodilator
    • Proventil, Ventolin
  2. Albuterol description
    Bronchodilator causing reduced mucus secretion, pulmonary capillary leaking & edema in lungs
  3. Albuterol indications (2)
    • Bronchospasm
    • Asthma in COPD
  4. Contraindications for Albuterol
    none
  5. Precautions for Albuterol (6)
    • Tachycardia
    • Anxiety
    • Nausea
    • Cough
    • Wheezing
    • Dizziness
  6. Albuterol dosage
    2.5-3 mg in 2.5 mL NS via Neb
  7. Fentanyl C & T
    • Narcotic Analgesic
    • Sublimaze
  8. Fentanyl Description
    • Synthetic Narcotic Analgesic
    • Rapid onset, short acting
  9. Fentanyl Indication (1)
    Sedation for intubation
  10. Fentanyl Contraindication (2)
    • MAO inhibitors
    • Myasthenia Gravis
  11. Fentanyl Precautions (6)
    • ^ ICP
    • Elderly
    • Debilitated pts
    • COPD
    • Resp Probs
    • Hepatic & Renal Insufficiency
  12. Fentanyl Dosages
    25-100 mcg over 2-3 mins IV
  13. Ipratropium C & T
    • Anticholinergic
    • Atrovent
  14. Ipratropium Description
    Bronchodilator that dries resp tract secretions by blocking ACH receptors
  15. Ipratropium Indications (3)
    • Asthma
    • COPD
    • Inhaled Irritants
  16. Ipratropium Contraindications (2)
    • Hypersensativity to atropine or its derivatives
    • As primary treatment
  17. Ipratropium Precautions (3)
    • Elderly
    • Cardiovascular Disease
    • HTN
  18. Ipratropium Dosages
    500 mcg in 2.5-3 mL NS via Neb
  19. Morphine C & T
    • Narcotic Analgesic, PROTOTYPE OPIATE
    • Morphine
  20. Morphine Description
    Analgesic & sedative causing some vasodilation, reducing venous return, reduced myocardial O2 demand
  21. Morphine Indications (3)
    • Pain
    • MI
    • Reduce venous return in pulmonary edema
  22. Morphine Contraindications (6)
    • Head or Abd inj
    • Hypotension/volume depletion
    • Acute Bronchial Asthma
    • COPD
    • Resp Depression
    • Pulmonary edema fr chem inhal
  23. Morphine precautions (4)
    • Elderly
    • Children
    • Debilitated
    • Keep Narcan available
  24. Morphine Dosage
    • Pain 2.5-15 mg IV: 5-20 mg IM/Sub Q
    • AMI or PE 1-2 mg/ 6-10 mins to response
  25. Nalaxone C & T
    • Narcotic Antagonist
    • Narcan
  26. Nalaxone Description
    • Narcotic antagonist
    • Blocks Natl & Syn Narcotics
    • May reverse resp depression
  27. Nalaxone Indications (2)
    • Narcotic OD
    • Resp depression of unknown origin
  28. Nalaxone Contraindications (1)
    Non Narc induced resp depression
  29. Nalaxone Precautions (2)
    • Dependancy
    • Short half life so OD state may return
  30. Nalaxone Dosage
    0.4-2 mg IV/IM repeated 2-3 mins as needed up to 10mg
  31. Diazepam C & T
    • Banzodiazapine
    • Valium
  32. Diazepam Description
    Sedative, skeletal muscle relaxant
  33. Diazepam Indications (5)
    • Motor Seizures
    • Status Epilepticus
    • Premed for painful procedures
    • Muscle tremors fr inj
    • Acute anxiety
  34. Diazepam Contraindications (6)
    • Shock
    • Coma
    • Acute Alcoholism
    • Depressed vital signs
    • OB pts
    • Neonates
  35. Diazepam Precautions (4)
    • Psychosis
    • Depression
    • Myasthenia Gravis
    • Short Half life causing seizure to return
  36. Diazepam Dosages
    • Seizure-- 5-10 mg IV/IM
    • Anxiety-- 2-5 mg IV/IM
    • Premed-- 5-15 mg IV
  37. Etomidate C & T
    • Hypnotic
    • Amidate
  38. Etomidte Description
    Ultra short acting nonbarbituate hypnotic
  39. Etomidate Indications (1)
    Sedation for RSI
  40. Etomidate Contraindications
    None
  41. Etomidate Precautions (3)
    • Hypotension
    • Asthma
    • Cardiovascular Disease
  42. Etomidate Dosage
    0.1-0.3 mg/kg IV over 15-30 secs
  43. Flumazenil C & T
    • Benzo Antagonist
    • Romazicon
  44. Flumazenil Description
    Reverses sedative, recall & psychomotor effects of benzos
  45. Flumazenil Indications
    Resp Depress secondary to benzos
  46. Flumazenil Contraindications (3)
    • Pts currently taking for seizures or status epilepticus
    • Seizure prone pts during labor & delivery
    • Tricyclic antidepressant OD
  47. Flumazenil Precautions (7)
    • Hepatic Impairment
    • Elderly
    • Pregnancy
    • Nursing Mothers
    • Head inj
    • Alcohol/drug dependancy
    • Phys Dependancy on Benzos
  48. Flumazenil Dosage
    0.2mg IV over 30-60 secs to 1 mg
  49. Midazolam C & T
    • Benzodiazepine/ sedative
    • Versed
  50. Midazolam Description
    Short-acting benzo w/ CNS depressant, muscle relaxant, anticonvulsant, anterograde amnestic effects
  51. Midazolam Indications
    Sedation b/f cardioversion or intubation
  52. Midazolam Contraindications (4)
    • Narrow angle glaucoma
    • Shock
    • Coma
    • Alcohol Intoxication
  53. Midazolam Precautions (4)
    • COPD
    • Renal Impairment
    • CHF
    • Elderly
  54. Midazolam Dosages
    • 1-2mg slow IV
    • 0.07-0.08 mg/kg IM
  55. Succinylcholine C & T
    • Depolarizing Neuromuscular Blocker
    • Anectine
  56. Succinylcholine Description
    Short acting depolarizing muscular blocker
  57. Succinylcholine Indications
    ET intubation
  58. Succinylcholine Contraindications (3)
    • Hx of malignant hyperthermia
    • Penetrating eye inj
    • Narrow angle glaucoma
  59. Succinylcholine Precautions (2)
    • Burn or Crush inj
    • Spinal cord inj
  60. Succinylcholine Dosage
    1-1.5 mg/kg IV/IM
  61. Adenosine C & T
    • Antidysrhythmic
    • Adenocard
  62. Adenosine Description
    • Chemical cardioverter PSVT --> Normal Sinus
    • Half life of 10 sec
    • Doesnt cause hypotension
  63. Adenosine Indications
    SVT refractory to vagal maneuvers
  64. Adenosine Contraindications (3)
    • 2nd & 3rd degree heart block
    • Sinus node disease
    • Asthma
  65. Adenosine Precautions (2)
    • May cause transient dysrhythmias especially in asystole
    • COPD
  66. Adenosine Dosage
    • 1. 6 mg rapidly IV w/ NS flush
    • 2. 12 mg in 1-2 min, may be repeated
  67. Atropine C & T
    • Parasympatholytic
    • Atropine
  68. Atropine Description
    • Blocks vagal effects on HR
    • ^ myocardial O2 demand
    • Decrease airway secretions
  69. Atropine Indications
    • Hemodynamically significant Bradycardia
    • Bradyasystolic Arrest
    • Organophosphate Poisoning
  70. Atropine Contraindications
    None in EMS setting
  71. Atropine Precautions (2)
    • AMI
    • Glaucoma
  72. Atropine Dosages
    • Symptomatic Bradycardia--0.5mg IV/1mg ET 3-5 mins to 3 mg
    • Asystole--1mg IV/ 2mg ET 3-5 min to 3 mg
    • Poisoning--2-5 mg IV/IM/IO to 15 min
  73. Epinephrine C & T
    • Sympathomimetic
    • Adrenalin
  74. Epinephrine Description
    • Catecholamine
    • ^ tropic properties, systemic vascular resistance, systolic BP, vital capacity, tidal vol
    • May reduce pulmonary congestion
    • Decreases airway resistance & automaticity
  75. Epi Indications (2)
    • Cardiac arrest
    • Severe allergic reactions
  76. Epi contraindications (3)
    • Narrow Angle Glaucoma
    • Hemmoragic, Traumatic or Cardiac shock
    • Labor
  77. Epi Precautions
    none
  78. Epi Dosages
    • Arrest-- 1mg 1:10 IV 3-5 mins (ET 2-2.5 1:1) NO MAX
    • Allergy-- 0.3-0.5 mg 1:1 sub q 5-15 min as needed 0.5-1 1:10 IV if sub q ineffective
  79. Vasopressin C & T
    • Hormone/Vasopressor
    • Pitressin
  80. Vasopressin Description
    Hormone w/ strong vasopressive & antidiuretic properties but that may precipitate angina or AMI
  81. Indications for vasopressin (2)
    • ^ peripheral resistance in arrest
    • Esophageal Varices
  82. Contraindications for Vasopressin
    • PVCs
    • 1st stage of labor
  83. Vasopressin precautions (8)
    • Epilepsy
    • Migraine
    • Heart failure
    • Angina
    • Vascular Disease
    • Hepatic impairment
    • Elderly
    • Children
  84. Vasopressin Dosage
    • Arrest-- 40 units IV
    • Varices-- 0.2-0.4 units/min drip
  85. Aspirin C & T
    • Acetylsalicylic Acid-- analgesic, antipyretic, Platelet Inhibitor, Antiinflammatory
    • Alka-saltzer, Bayer, Empirin, St Joseph's Childrens
  86. Aspirin Description
    • Inhibits agents that cause inflammation, pain & fever
    • Relieves pain by acting on the PNS
    • Lowers body Temp
    • Powerfully inhibits platelet aggregation
  87. Aspirin Indications
    Chest pain suggestive of MI
  88. Aspirin Contraindications (2)
    • Active Ulcer Disease
    • Asthma
  89. Aspirin Precautions (1)
    Bleeding disorders
  90. Aspirin Dosages
    160-325 mg PO
  91. Dextrose 50% in H20 C & T
    • Carbohydrate
    • D50W
  92. Dextrose description
    Simple sugar body can rapidly metabolize
  93. Dextrose Indication
    Hypoglycemia
  94. Dextrose Contraindication
    None in hypoglycemia
  95. Dextrose precautions (3)
    • ^ ICP
    • Chk sugar b/f administering
    • Ensure good IV
  96. Dextrose Dosage
    25g in 50mL IV
  97. Furosemide C & T
    • Diuretic
    • Lasix
  98. Furosemide Description
    • Rapid acting potent diuretic & antihypertensive
    • Inhibits Na reabsorption by kidneys
    • Reduces venous return & cardiac workload
  99. Furosemide Indications (2)
    • CHF
    • Pulmonary Edema
  100. Furosemide Contraindications (3)
    • Fluid & electrolyte depleted states
    • Hepatic coma
    • Pregnancy
  101. Furosemide Precautions (8)
    • Infants
    • Elderly
    • Hepatic Impairment
    • Nephrotic Syndrome
    • Cardiogenic Shock assoc w/ MI
    • Gout
    • Pts receiving digitalis
    • K depleting steroids
  102. Furosemide Dosage
    40-120 mg slow IV
  103. Nitroglycerin C & T
    • Nitrate
    • Nitrostat
  104. Nitro Description
    • Rapid smooth muscle relaxant
    • Reduces peripheral vascular resistance, BP, Venous Return, Cardiac Workload
  105. Nitro Indications (2)
    • Chest Pain assoc w/ angina or AMI
    • Acute pulmonary edema
  106. Nitro Contraindications (8)
    • Tolerance to nitrates
    • Severe Anemia
    • Head trauma
    • Hypotension
    • ^ ICP
    • Pts taking sildenafil
    • Glaucoma
    • Shock
  107. Nitro Precautions (2)
    • May cause headache
    • Light sensitive losing potency
  108. Nitro Dosage
    • 0.4mg SL 3-5 mins up to 3
    • 1/2" topical ointment
    • 0.4 mg spray SL
  109. Dobutamine C & T
    • Sympathomimetic
    • Dobutrex
  110. Dobutamine description
    Catecholamine / Beta agent that ^ inotropy w/o affecting chronotropy
  111. Dobutamine Indications
    ^ cardiac output in CHF/cardiogenic shock
  112. Dobutamine Contraindications (2)
    • V-Tach
    • Hypovolemia w/o fluid resuscitation
  113. Dobutamine Precautions (2)
    • A-Fib
    • Preexisting HTN
  114. Dobutamine Dosages
    2-20 mcg/kg/min IV
  115. Dopamine C & T
    • Sympathomimetic
    • Inotropin
  116. Dopamine Description
    • Natl catecholamine ^ cardiac output w/o ^ myocardial O2 consumption
    • Maintains renal & mesenteric blood flow while inducing vasoconstriction & ^ systolic BP
  117. Dopamine Indications (2)
    • Nonhypovolemic hypotension
    • Cardiogenic shock
  118. Dopamine Contraindications (3)
    • Tachydysrhythmias
    • V-Fib
    • Pheochromocytoma
  119. Dopamine Precautions
    Ensure adequate fluid resuscitation of the hypovolemic pt
  120. Dopamine dosages
    2-5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect
  121. Isoproterenol C & T
    • Sympathomimetic
    • Isuprel
  122. Isoproterenol Description
    Synthetic sympathomimetic resulting in ^ cardiac output by increasing inotropy & chronotropy
  123. Isoproterenol Indications
    Bradycardia refractory to atropine when pacing is not available
  124. Isoproterenol Contraindications
    Cardiogenic Shock
  125. Isoproterenol Precautions
    Tachydysrhythmias & those associated w/digitalis & AMI
  126. Isoproterenol Dosages
    Bradycardia-- 2-10 mcg/min titrated to cardiac rate
  127. Amiodarone C & T
    • Antidysrhythmic
    • Cordarone, Pacerone
  128. Amiodarone Description
    • Prolongs duration or action potential & refractory periods
    • Relaxes smooth muscles
    • Reduces peripheral vascular resistence
    • Increases coronary blood flow
  129. Amiodarone Indications
    • Life threatening ventricular & superventricular dysrhythmias
    • Frequently A-Fib
  130. Amiodarone Contraindications (3)
    • Cardiogenic Shock
    • Severe sinus bradycardia
    • Advanced heart block
  131. Amiodarone Precautions
    None
  132. Amiodarone Dosage
    150-300 mg IV over 10 mins then 1 mg/min for 6 hrs
  133. Bretylium C & T
    • Antidysrhythmic
    • Bretylol
  134. Bretylium Description
    Supresses V-tach dysrhythmias including V-Fib w/ reentry mechanisms
  135. Bretylium Indications
    V-Fib & V-Tach refractory to Lidocaine
  136. Bretylium Contraindications
    None
  137. Bretylium Precautions (2)
    • Digitalized Pts
    • Digitalis-induced dysrhythmias
  138. Bretylium Dosages
    5 mg/kg IV then 10 mg/kg / 15-30 mins to max of 30 mg/kg
  139. Lidocaine C & T
    • Antidysrhythmic
    • Xylocaine
  140. Lidocaine Description
    • Antidysrhythmic that suppresses automaticity & raises stimulation threshold of ventricles
    • Causes sedation, anticonvulsant & analgesic effects
  141. Lidocaine Indication (3)
    • Pulseless V-Tach
    • V-Fib
    • V-Tach w/pulse
  142. Lidocaine Contraindications (4)
    • Supraventricular Dysrhythmias
    • Stokes-Adams Syndrome
    • 2nd & 3rd degree heart block
    • Bradycardias
  143. Lidocaine Precautions (8)
    • Hepatic or renal Impairment
    • CHF
    • Hypoxia
    • Resp Depression
    • Hypovolemia
    • Myasthenia Gravis
    • Shock
    • Elderly
  144. Lidocaine Dosages
    • Cardiac Arrest-- 1-1.5 mg/kg IV repeated 3-5 mins up to 3 mg/kg. Follow w/ drip of 2-4 mg/min
    • V-Tach w/pulse-- 1-1.5mg/kg slow IV-> 1/2 dose 5-10 mins up to 3mg/kg till conversion -> infusion of 2-4 mg/min
  145. Procainamide C & T
    • Antiarrhythmic
    • Pronestyl
  146. Procainamide Description
    • Prolongs ventricular repolarization
    • Slows Dromotropy
    • Decreases myocardial excitability
  147. Procainamide Indications (2)
    • V-Fib
    • Pulseless V-Tach refractory to Lidocaine
  148. Procainamide Contraindications (2)
    • Myasthenia Gravis
    • 2nd or 3rd degree heart block
  149. Procainamide Precautions (7)
    • Hypotension
    • Cardiac Enlargement
    • CHF
    • AMI
    • Ventricular dysrhythmias fr digitalis
    • Hepatic or renal impairment
    • Bronchial Asthma
  150. Procainamide Dosage
    • 20-30 mg/min IV drip
    • Stop points-- (1) up to 17 mg/kg to effect -> 1-4 mg/min (2) Ectopy Resolves (3) QRS complex widens more than 50% then original (4) Hypotension ensues
  151. Diltiazem C & T
    • CCB
    • Cardizem
  152. Diltiazem Description
    • Dilates coronary & peripheral arteries & arterioles ^ circulation to the heart & reducing peripheral vascular resistance
    • CCB similar to Verapamil
  153. Diltiazem Indications (4)
    • A-fib
    • Atrial flutter
    • PSVT refrac to adenosine
    • ^ coronary artery perfusion in Angina
  154. Diltiazem Contraindications (5)
    • Sick Sinus Syndrome
    • 2nd & 3rd degree heart block
    • Systolic BP < 90
    • Diastolic BP < 60
    • Wide complex tachycardia
  155. Diltiazem Dosage
    0.25 mg/kg IV over 2 mins, repeat as needed w/0.35 mg/kg followed by drip of 5-10 mg/hr not exceeding 15 mg/hr over 24 hrs
  156. Diltiazem Precautions
    CHF w/ Beta blockers
  157. Tridil C & T
    • Vasodilator/Nitrate
    • Nitroglycerin Injection
  158. Tridil Description
    Relaxes blood vessels ^ blood & O2 supply to heart
  159. Tridil Indications (3)
    • Pain Associated w/ angina that doesnt respond to oral treatment
    • Ctrl BP
    • Help treat CHF
  160. Tridil Contraindications (5)
    • Hypotension
    • Uncorrected Hypovolemia
    • ^ ICP
    • Constrictive Pericarditis
    • Pericardial Tamponade
  161. Tridil Precautions (3)
    • Headache
    • Severe Hypotension
    • Reflex Tachycardia
  162. Tridil Dosage
    0.2-1.5 mcg/kg/min
  163. Verapamil C & T
    • CCB
    • Isoptin, Calan
  164. Verapamil description
    • CCB slowing AV conduction
    • Supresses reentry dysrhythmias
    • Slows ventricular responses to atrial tachydysrhythmias
    • Dilates coronary arteries & reduces myocardial O2
  165. Verapamil Indications (3)
    • PSVT refrac to adenosine
    • Atrial Flutter
    • A-Fib w/ rapid ventricular response
  166. Verapamil Contraindications (8)
    • Severe Hypotension
    • Cardiogenic Shock
    • 2nd & 3rd Degree Heart Block
    • CHF
    • Sinus Node Disease
    • WPW Disease
    • Should not be given to those on Beta Blockers
  167. Verapamil Precautions
    None
  168. Verapamil Dosages
    2.5-5mg IV bolus over 2-3 mins then 5-10mg aft 15-30 min max
  169. Calcium Chloride C & T
    • Electrolyte
    • Calcium Chloride
  170. Calcium Chloride Description
    Increases myocardial contractile force & automaticity
  171. Calcium Chloride Indications (4)
    • Hypercalemia
    • Hypercalcemia
    • Hypermagnesemia
    • CCB toxicity
  172. Calcium Chloride contraindications (3)
    • V-Fib
    • Hypercalcemia
    • Digitalis toxicity
  173. Calcium Chloride precautions
    • May precipitate toxicity in pts taking digoxin
    • Ensure IV is in lg vein & flushed b/f using & aft calcium
  174. Calcium Chloride Dosages
    2-4 mg/kg IV / 10 mins as needed
  175. Methylprednisolone C & T
    • Corticosteroid/ Antiiflammatory
    • Solu-medrol
  176. Methylprednisolone Description
    • Synthetic adrenal corticosteroid used for inflammation, mgmt of allergic reactions & in some cases shock
    • Sometimes used for treatment of spinal cord inj
  177. Methylprednisolone Indications (4)
    • Spinal Cord Inj
    • Asthma
    • Severe Anaphylaxis
    • COPD
  178. Methylprednisolone Contraindications
    None in emergency setting
  179. Methylprednisolone Precautions
    Only a single dose should be given in prehospital setting
  180. Methylprednisolone Dosages
    • Asthma/COPD/Anaphylaxis -- 125-250 mg IV/IM
    • Spinal Cord Inj -- 30 mg/kg IV over 15 min, aft 45min an infusion of 5.4 mg/kg/hr
  181. Magnesium Sulphate C & T
    • Electrolyte
    • Magnesium
  182. Magnesium Sulphate Description
    • Electrolyte acts as CCB, CNS depressant & anticonvulsant
    • Depresses function of smooth, skeletal & cardiac muscles
  183. Magnesium Sulphate Indications (3)
    • Refractory V-Fib & pulseless V-Tach
    • AMI
    • Eclamptic Seizures
  184. Magnesium Sulphate Contraindications (5)
    • Heartblock
    • Myocardial Damage
    • Shock
    • Persistent Hypertension
    • Hypocalcemia
  185. Magnesium Sulphate Precautions (2)
    • Other CNS depressants
    • Neuromuscular blocking agents
  186. Magnesium Sulphate Dosages
    • V-Fib/Tach -- 1-2 g IV over 2 mins
    • Torsade de pointes -- 1-2 g IV followed by infusion of 0.5-1 g/hr IV
    • AMI -- 1-2 g IV over 5-30 mins
    • Eclampsia -- 2-4g IV/IM
    • Asthma -- 1-2 g IV drip
  187. Phenytoin C & T
    • Anticonvulsant
    • Dilantin
  188. Phenytoin Description
    • Related to phenobarbital that reduces spread of elec discharges in motor cortex & inhibits seizures
    • Antidysrhythmic props counter effects of digitalis
  189. Phenytoin Indications (3)
    • Seizures
    • Status Epilepticus
    • Cardiac dysrhythmias secondary to digitalis toxicity
  190. Phenytoin Contraindications (3)
    • Sinus Bradycardia
    • Heart Block
    • Adams-Stokes syndrome
  191. Phenytoin Precautions
    None
  192. Phenytoin Dosages
    • Seizure/Status Epilepticus -- 10-15 mg/kg slow IV
    • Dysrhythmia -- 100 mg slow IV (over 5 min) to a max of 1000 mg
  193. Sodium Bicarbonate C & T
    • Alkalizing Agent
    • NaHCO3
  194. Sodium Bicarbonate Description
    • Provides vascular bicarbonate to assist buffer sys in reducing effects of metabolic acidosis
    • Treatment of some ODs
  195. Sodium Bicarbonate Indications (3)
    • Tricyclic Antidepressant & Barbituate OD
    • Refractory Acidosis
    • Hypercalemia
  196. Sodium Bicarbonate Contraindications
    None when used in severe hypoxia or late cardiac arrest
  197. Sodium Bicarbonate Precautions
    May precipitate w/ calcium chloride
  198. Sodium Bicarbonate Dosages
    1 mEq/kg IV, then 0.5 mEq/kg/10 min
  199. Diphenhydramine C & T
    • Antihistamine
    • Benadryl
  200. Diphenhydramine Description
    Blocks histamine release reducing bronchoconstriction, vasodilation & edema
  201. Diphenhydramine Indications (3)
    • Anaphylaxis
    • Allergic Reactions
    • Dystonic Reactions
  202. Diphenhydramine Contraindications (2)
    • Asthma
    • Lower resp disease
  203. Diphenhydramine Precautions (7)
    • Hypotension
    • Headache
    • Palpitations
    • Tachycardia
    • Sedation
    • Drowsiness
    • Disturbed Coordination
  204. Diphenhydramine Dosage
    25-50 mg IV/IM
  205. Activated Charcoal C & T
    • Adsorbent
    • Actidose
  206. Activated Charcoal Description
    Prepared charcoal that activates & binds toxin fr GI tract
  207. Activated Charcoal Indications
    Acute Ingested Poisoning
  208. Activated Charcoal Contraindications (8)
    • Compromised airway
    • cyanide ingestion
    • Mineral Acids
    • Caustic Alkalis
    • Organic Solvents
    • Iron
    • Ethanol
    • Methanol
  209. Activated Charcoal Precautions (5)
    • Hepatic Disease
    • Children under 12 w/ arthritic conds.
    • Alcoholism
    • Malnutrition
    • Thrombocytopenia
  210. Activated Charcoal Dosage
    • 325-650 mg PO/ 4-6 hrs
    • 650mg PR/4-6 hrs
  211. Lorazapam C & T
    • Sedative
    • Ativan
  212. Lorazapam Description
    • MOST POTENT BENZO AVAIL.
    • Strong antianxiety, sedative, hypnotic & skeletal muscle relaxant props
    • Relatively short half life
  213. Lorazapam Indications (2)
    • Sedation for cardioversion
    • Status Epilepticus
  214. Lorazapam Contraindications
    Sensitivity to benzos
  215. Lorazapam Precautions (12)
    • Narrow angle glaucoma
    • Depression or psychosis
    • Coma
    • Shock
    • Acute Alcohol Intox
    • Renal or Hepatic Impairment
    • Organic brain syndrome
    • Myasthenia Gravis
    • GI disorders
    • Elderly
    • Debilitated
    • Limited Pulmonary reserve
  216. Lorazapam Dosages
    • Sedation -- 2-4 mg IM, 0.5-2mg IV
    • Status Epilepticus -- 2 mg slow IV/PR (2 mg/min)
  217. Metoclopromide C & T
    • Antiemetic
    • Reglan
  218. Metoclopromide Description
    • Dopamine antagonist similar to procainamide but w/ few antidysrhythmic or anesthetic props
    • Antiemetic props fr gastric emptying & desensitization of vomiting reflex
  219. Metoclopromide Indications (2)
    • Nausea
    • Vomiting
  220. Metoclopromide Contraindications (6)
    • Allergy to sulfite agents
    • Seizure Disorders
    • Pheochromocytoma
    • Mechanical GI obstruction
    • Breast Cancer
  221. Metoclopromide Precautions (5)
    • CHF
    • Hypokalemia
    • Renel Impairment
    • GI hemorrhage
    • Intermittent porphyria
  222. Metoclopromide Dosage
    10-20 mg IM; 10 mg slow IV (over 1-2 mins)
  223. Zophran C & T
    • Antiemetic
    • Ondansetron
  224. Zophran Description
    Selective blocking agent of serotonin 5-HT3 receptor type
  225. Zophran Indication
    Nausea & intractible vomiting
  226. Zophran Contraindication
    None
  227. Zophran Precautions
    May mask progressive ileus &/or gastric distension
  228. Zophran Dosage
    Single 24 mg tab ODT, 4 mg undiluted over @ least 30 secs
  229. Chlordiazepoxide C & T
    • Sedative/ Hypnotic
    • Librium
  230. Chlordiazepoxide Description
    BENZO DERIVATIVE producing mild sedation & anticonvulsant, skeletal muscle relaxant, prolonged hypnotic effects
  231. Chlordiazepoxide Indications (2)
    • Severe anxiety & tension
    • Acute alcohol WD symptoms (DTs)
  232. Chlordiazepoxide Contraindications (2)
    • Pregnant & nursing Mothers
    • Children under 6
  233. Chlordiazepoxide Precautions
    • Primary depressive disorders or pyschosis
    • Acute alcohol intox
  234. Chlordiazepoxide Dosage
    50-100 mg IV/IM
  235. Butorphanol C & T
    • Snythetic Narcotic Analgesic
    • Stadol
  236. Butorphanol Description
    • Centrally acting synthetic narcotic analgesic
    • 5x more potent than morphine
    • Schedule IV Narc
  237. Butorphanol Indications
    Pain
  238. Butorphanol Contraindications (2)
    • Head Inj
    • Undiagnosed Abd pain
  239. Butorphanol Precautions
    none
  240. Butorphanol Dosage
    1 mg IV or 3-4 mg IM
  241. Meperidine C & T
    • Narcotic Analgesic
    • Demerol
  242. Meperidine Description
    Synthetic Narcotic w/ sedative & analgesic props comparable to morphine but w/o hemodynamic side effects
  243. Meperidine Indications
    Pain
  244. Meperidine Contraindications (2)
    • Seizure Disorders
    • Acute abd prior to diagnosis
  245. Meperidine Precautions (10)
    • ^ ICP
    • Asthma or resp conds
    • Superventricular Tachycardias
    • Prostatic Hypertrophy
    • Urethral Stricture
    • Glaucoma
    • Elderly or Debilitated pts
    • Renal or Hepatic Impairment
    • Hyperthyroidism
    • Addisons Disease
  246. Meperidine Dosages
    • 25-50mg IV
    • 50-100 mg IM
  247. Nalbuphine C & T
    • Narcotic Analgesic
    • Nubain
  248. Nalbuphine Description
    Equivalent to morphine w/o ^ resp depression w/ higher doses
  249. Nalbuphine Indications
    Pain
  250. Nalbuphine Contraindications
    Undiagnosed Head or abd inj
  251. Nalbuphine Precautions
    none
  252. Nalbuphine Dosages
    5 mg IV/IM/sub q repeat 2mg dose as needed to 20 mg
  253. Pancuronium C & T
    • Nondepolarizing Neuromuscular Blocker
    • Pavulon
  254. Pancuronium Description
    Nondepolarizing neuromuscular blocker causing paralysis w/o bronchospasm or hypotension
  255. Pancuronium Indications
    ET intubation
  256. Pancuronium Contraindications
    Tachycardia
  257. Pancuronium Precautions
    none
  258. Pancuronium Dosages
    0.04-0.1 mg/kg IV
  259. Vecuronium C & T
    • Nondepolarizing Skeletal Muscle Relaxant
    • Norcuron
  260. Vecuronium Description
    Nondepolarizing Neuromuscular blocker w/ minimal cardiovascular effects
  261. Vecuronium Indications
    ET intubation
  262. Vecuronium Contraindications
    none
  263. Vecuronium Precautions (2)
    • Severe obesity
    • Myasthenia Gravis
  264. Vecuronium Dosages
    0.08-0.1 mg/kg IV
  265. Chlorpromazine C & T
    • Tranquilizer/Antipsychotic
    • Thorazine
  266. Chlorpromazine Indications (3)
    • Acute Psychotic Episode
    • Intractable hiccups
    • Nausea/Vomiting
  267. Haloperidol C & T
    • Antipsychotic
    • Haldol
  268. Haloperidol Indications
    Acute Psychotic Episodes
  269. Haloperidol Contraindications (6)
    • Parkinson's
    • Seizure Disorders
    • Coma
    • Alcohol Depression
    • CNS depression
    • Thyrotoxicosis
  270. Haloperidol Precautions
    Anticonvulsant, Anticoagulant or Lithium Therapy
  271. Haloperidol Dosages
    2-5 mg IM
  272. Promethazine C & T
    • Antiemetic
    • Phenergan
  273. Promethazine Indications (4)
    • Nausea & Vomiting
    • Motion Sickness
    • Enhance effects of analgesics
    • Induce Sedation
  274. Aminophyline C & T
    • Methylxanthine Bronchodilator
    • Aminophyline/Somophyllin
  275. Aminophyline Indications (3)
    • Bronchospasm in asthma
    • COPD refractory to sympathomimetics
    • CHF
  276. Aminophyline Contraindications
    Uncontrolled cardiac dysrhythmias
  277. Terbutaline C & T
    • Sympathetic agonist
    • Brethine/ Bricanyl
  278. Terbutaline Description
    Synthetic sympathomimetic causing bronchodilation w/ less cardiac effect than epi
  279. Terbutaline Indications (2)
    • Bronchial asthma
    • Bronchospasm in COPD
  280. Alteplase Recombinant C & T
    • Thrombolytic
    • Activase
  281. Alteplase Recombinant Indications (3)
    • AMI
    • Acute Ischemic Stroke
    • Pulmonary Embolism
  282. Alteplase Recombinant Contraindications
    • Internal Bleeding
    • Suspected Aortic Disection
    • Traumatic CPR
    • Hemmorhagic Stroke
    • Intercranial/Intraspinal Trauma
    • Pregnancy
    • Uncontrolled Hypertension
  283. Alteplase Recombinant Precautions
    • Recent Major Surgery
    • Cerebral Vascular Disease
    • Recent GI/GU Bleed
    • Recent Trauma
    • HTN
    • Pt >75
    • Hemmorhagic Opthalmic Cond
  284. Alteplase Recombinant Dosages
    • MI/Stroke--15 mg/IV ->0.75 mg/kg (up to 50) over 30 mins -> 0.5 mg/kg (up to 35 mg) over 60 mins
    • Pulmonary Embolism--100 mg IV over 2 hrs
  285. What is the C & T of Heparin?
    • Anticoagulant
    • Heparin
  286. What are indications for Heparin?
    Prevent thrombus formation in AMI
  287. Describe Heparin. . . . .
    • Rapid onset anticoagulant.
    • Enhances effects of Antithrombin III
    • Blocks conversion of Prothrombin -> Thrombin & Fibrinogen -> Fibrin
  288. What is the C of Timoptic?
    Beta Blocker
  289. Describe Timoptic. . .
    Non selective beta adrenergic receptor blocking agent
  290. What are the indications for Timoptic (3)?
    • HTN
    • MI
    • Elevated Ocular Pressure
  291. What are contraindications for Timoptic (5)?
    • Asthma
    • Severe COPD
    • Sinus Brady
    • 2nd & 3rd degree AV block
    • Cardiogenic Shock
  292. Timoptic Precautions
    Readily Absorbed
  293. Timoptic Dosages
    One drop/eye BID
  294. Norepinephrine C & T
    • Sympathomimetic Agent
    • Levophed
  295. Norepinephrine Description
    • Naturally occurring catecholamine
    • Causes vasoconstriction, cardiac stimulation, ^ BP, ^ myocardial O2 demand, ^ coronary blood flow
  296. Norepinephrine Indications are (2)?
    • Refractory Hypotension
    • Neurogenic Shock
  297. Norepinephrine Contraindications are?
    Hypotension due to uncorrected Hypovolemia
  298. Norepinephrine Precautions
    May cause Necrosis
  299. Dexamathasone C & T
    • Steroid
    • Decadron
  300. Dexamethasone Description
    Long-acting adrenocorticoid w/intense anti-inflammatory activity
  301. What are indications for Dexamethasone (4)?
    • Anaphylaxis
    • Asthma
    • COPD
    • Spinal Cord Edema
  302. Dexamethasone Contraindications
    None in emergency setting
  303. Ketorolac C & T
    • Nonsteroidal Anti-inflammatory (NSAID)
    • Torado
  304. Ketorlac description
    Injectable NSAID that exhibits analgesic, anti-inflammatory, & antipyretic properties w/o sedative effects
  305. Ketorlac indications
    Mild or moderate pain
  306. Mannitol C & T
    • Osmotic Diuretic
    • Osmitrol
  307. Mannitol description
    Osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis
  308. Mannitol Indications
    Cerebral edema
  309. Glucagon C & T
    • Hormone, Antihypoglycemic
    • GlucaGen
  310. Glucagon description
    Protein secreted by pancreatic cells that causes a breakdown of stored glycogen into glucose
  311. Glucagon Indications (2)
    • Hypoglycemia w/o IV access
    • Reverse beta blocker OD
  312. Glucagon Precautions
    Only effective if there is sufficient stores of glycogen in the liver
  313. Glucagon Dosages
    • Hypoglycemia = 1 mg IM/SC repeat 5-20 mins
    • Beta Blocker OD = 50-150 mcg/kg IV over 1 min

What would you like to do?

Home > Flashcards > Print Preview