PMA Drugs Express

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Author:
spy187
ID:
293209
Filename:
PMA Drugs Express
Updated:
2015-01-17 21:11:36
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ALSdrugs
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ALS Trade Name Dosage
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  1. lorazepam
    • Ativan
    • Seizure
    •  0.5-2mg IV
    •  1-4mg IM
  2. diazepam
    • Valium
    • Seizure
    •   5-10mg IV/IM q 5-15 min
    • Procedural Sedation
    •   5-15mg IV q 5-15 min
    • Anxiety
    •  2-5mg IM
  3. midazolam
    • Versed
    • Seizure
    • 1-2.5 mg SIVP q 2-3 min
    • RSI (ACLS)
    •   0.1-0.3mg/kg q 2-5 min
    •   max 10mg single dose
  4. flumazenil
    • Anexate
    • benzodiazepine antagonist
    • 0.2mg q 1 min to max 1mg
  5. phenobarbital
    • Phenobarb
    • Sedation
    •   LD 100-250mg SIVP
    •   MD 10-20mg/kg q 20 min
    •   Max 1-2 g
  6. phenytoin
    • Dilantin
    • Seizures
    • 10-15mg/kg IV
    • infuse <50mg/min
  7. methylprednisolone
    • Solu-Medrol
    • Respiratory Distress
    • 125-250mg IV/IM
    • Spinal Cord Injury
    • 30mg/kg IV over 15 min
    • 45 min later
    • 5.4mg/kg/hr
  8. aminophylline
    • Theophylline
    • Bronchospasm
    •   5-6mg/kg infusion
    • Pulmonary Edema
    •   2-5mg/kg infusion

    • Peds
    •   6mg/kg slow infusion over 20-30 min
    •   Max 12mg/kg/24hr
  9. atropine sulfate
    • Atropine
    • Sympotmatic Bradycardia
    •   0.5mg q 3-5 min
    •   max 3mg [0.04mg/kg]

    • Bronchospasm
    •   0.5-1mg in 2-3ml NS NEB

    • Failed RSI
    •   0.1mg/kg
    •   Min 0.5mg / Max 0.04mg/kg
  10. halperidol
    • Haldol
    • Sedation
    •   2-5mg IM q 60 min
    •   consider 10mg with violent pts
  11. droperiol
    • Inapsine
    • Sedation
    •   2.5-5mg IM q 30min
  12. chlorpromazine
    • Largctil
    • Sedative
    • 25-100mg IM
  13. dimenhydrinate
    • Gravol
    • Nausea/Vomiting
    • Motion sickness
    • Prophylactic narcotic Admin
    •   12.5-50mg SIVP q 4 hrs
    •   50-100mg IM/PO
  14. metoclopromide
    • Maxeran
    • Nausea/vomiting
    •   5-10mg IV
  15. morphine sulfate
    MS Contin

    • Moderate to Severe Pain
    •   2-10mg SIVP
    •   in 2.5mg increments q 2-3 min
    •   5-15mg IM
  16. nalbuphine hydrochloride
    • Nubain
    • Moderate to severe pain
    •   5-10mg IV
    •   2mg increments q 5-10 min
  17. meperidine hydrocholoride
    • Demerol
    • Moderate to severe pain
    •   25-50mg IV
    •   Diluted & SIVP over 2-3 min

      50-100 mg IM q 3-4 hrs
  18. fentanyl citrate
    • Sublimaze
    • Moderate to severe pain
    •   25-100mcg

    • RSI
    •   1-3mcg/kg
  19. naloxone
    • Narcan
    • Opiod Overdose
    •   0.4-2mg IV/IM q 2-3 min
    •   in 0.4 mg increments
  20. ketamine
    • Ketelar
    • Dis-associative agent
    • 1-1.5mg IV
    • repeat
    • 0.5mg/kg IV

    • ketorolac tromethamine
    • Toradol
    • Moderate to severe pain
    •   10-30mg IV/IM q 4-6hrs
    •   10mg PO
    •   Max 120mg
  21. succinylcholine chloride
    • Quelicin, Anectine
    • Muscular Depolarizing Paralytic
    •   1-1.5mg/kg
    • Repeat
    •  1mg/kg
  22. pancuronium bromide
    • Pavulon
    • Non-muscular depolarizing paralytic
    •   0.06-0.1 mg/kg
    • Redose
    •   0.01-0.02 mg/kg q 20-40 min
  23. vecuronium
    • Norcuron
    • RSI
    •   0.08-0.1mg/kg SIVP
    • Redose
    •   0.01-0.015mg/kg q 25-40 min
    • Infusion
    •   0.6-1.8mcg/kg/min
  24. rocuronium
    • Zemuron
    • Short action non-muscular depolarizing Paralytic
    •   0.6-1.2mg/kg
    • Repeat
    •   0.5mg q 10min
  25. neostigmine
    Prostigmin

    • Paralytic antagonist
    •   0.5-2mg
    •   with .6-1.2mg atropine
    • Myasthenia Gravis
    •   1mg q 1 hr prn
  26. nitroglycerin
    • Nitrostat, Nitrodur,Nitrol
    • chest pain/pulmonary Edema
    •   0.3-0.4 mg SL spray
    •   max 3 sprays
    • IV infusion:
    •   Unstable angina
    •   CHF associated with MI
    •   10-20mcg/min,
    •   + 5-10mcg/min q 3-5min
    •    titrate to desired clinical response
    •    max 200mcg/min
  27. lidocaine
    • Xylocard, Xylocaine
    •  VF/pulseless VT
    •    1-1.5mg/kg q 5-10 min
    •    [max 3mg/kg]
    • VT with pulse/ significant PVCs/ wide complex tachycardia(symptomatic)
    •   1-1.5mg/kg q 5-10 min
    •   0.5-0.75 mg/kg PRN
    •   to max 3mg/kg
    • ROSC/Tarhycardia conversion
    •   drip 1-4 mg/min
    •   rate:
    •   gave< 1mg/kg -> 1mg/min
    •   gave 1mg/kg -> 2mg/min
    •   gave 1.5-2mg/kg -> 3mg/min
    •   gave 2-3mg/kg -> 4mg/min
  28. procainamide
    • Pronestyl
    • lidocaine contraindicated
    • Wide Complex tachycardia not distinguishable from VT
    • Suppress recurrent VF not controlled by lidocaine
    • refractory pulseless VT/VF

    •  20-30mg/min IV bolus
    •  infusion 1-4 mg/min
    •  max 17/mg/kg

    • Discontinue if:
    •  - arrhythmia suppressed
    •  - Hypotension occurs
    •  - QRS lengthens by 50%
    •  - reach max dose of 17mg/kg
  29. atenolol
    • Tenormin
    • Atrial tachycardia
    • Consider in SVT
    • Hypertensive crisis
    • Decrease VF in post MI pts who did not get thrombolytics
    • Decrease non-fatal infarction and ischema 4hrs post throbolytics
    •   5-10mg IV over 5 min
    •   repeat 5mg after 10 min if arrhythmia returns
  30. metoprolol tartate
    • Lopressor
    • Atrial tachycardia
    • Consider in SVT
    • Hypertensive crisis
    • Decrease VF in post MI pts who did not get thrombolytics
    • Decrease non-fatal infarction and ischema 4hrs post throbolytics
    •   5-10mg SIVP q 5min
    •   max 15mg
  31. propanolol
    • Inderal
    • Atrial tachycardia
    • Consider in SVT
    • Hypertensive crisis
    • Decrease VF in post MI pts who did not get thrombolytics
    • Decrease non-fatal infarction and ischema 4hrs post throbolytics
    • 0.1mg/kg SIVP
    • divide into 3 doses &
    • give @ 2-3 min intervals
  32. esmolol
    • Brevibloc
    • Atrial tachycardia
    • Consider in SVT
    • Hypertensive crisis
    • Decrease VF in post MI pts who did not get thrombolytics
    • Decrease non-fatal infarction and ischema 4hrs post throbolytics
    •   LD 500mcg/kg over 1 min
    •   MD 50mg/kg/min over 4 min
  33. isoproterenol
    • Isuprel
    • Refractory torsades de pointes
    • Refractory symptomatic bradycardia
    •   2-10mcg/min
    •   titrated to desired response
    •   HR 60bpm
  34. verapamil
    • Isoptin
    • Narrow Complex SVT
    • Atrail Fibrilation with RVR
    • Wide Complex tachyarrythmia with know Super Ventricular origin
    •   2.5-5mg over 2 min
    •   if no response
    •   5-10mg q 15-30 min
    •   max 20mg
  35. diltiazem
    • Cardizem
    • Multifocal Atrial Tachycardia
    • Atrial Fibrillation
    •   0.25mg/kg (15-20mg) IV over 2 min
    •   15 min later
    •   0.35mg/kg (20-25mg) IV over 2 min

    • A. Fib with RVR 
    • infuse 5-15mg/hr
  36. adenosine
    • Adenocard
    • SVT
    •   6mg RIVP
    •   Repeat x2 @ 12mg RIVP

    • contraindicated:
    •   Carbamazepine/Tegretol
  37. magnesium sulphate
    • Magnesium Sulphate
    • Pulselss VT/VF
    •   2g in 10ml admin over 1-2 min

    • Acute MI, hypomagnesemia
    •   LD 1-2g mixed in 50-100ml
    •   admin over 45-60 min

    • Torsades de Pointes
    •   2g iv in 10 ml over 5 min

    • Bronchospasm
    •   2g in 50 ml infused over 10 min
  38. amiodarone hydochloride
    • Cordarone
    • Cardiac Arrest
    •   300mg IVP
    •   repeat 150mg q 3-5 min
    •   max 2.2g IV/24hr

    • Stable Wide Complex tachycarida
    • Rapid infusion
    •   150mg IV over 10 min (15mg/min)
    •   repeat q 10 min as needed

    • Slow infusion
    •   360mg IV over 6 hrs (1mg/min)

    • Maintenance infusion
    •   540mg over 18hrs (0.5mg/min)
  39. epinephrine
    • Adrenalin
    • Anaphylaxsis
    •   1:1000
    •   0.3-0.5mg IM q 10-15 min
    • Refractory Anaphylaxis/Bronchospasm
    •    1:10,000
    •    0.3-0.5mg IV
    •    in 0.1 mg increments
    • Peds
    •   1:1000
    •   0.01mg/kg IM
    •   Max 0.5mg
    • Laryngospasm
    •   1:100 (recemic epi)
    •   0.25-2.5ml of 2.25% solution NEB
    •   Repeat x1 after 5min
    •   Peds
    •   0.25-0.5ml of 2.25% solution NEB
    • Cardiac Arrest
    • 1:10,000
    •   1mg IV q 3-5 min
    • Profound Hypotension
    •   2-10mcg/min

    • ROSC + Hypotension
    •   0.1-0.5 mcg/kg/min
  40. norepinephrine
    • Levophed
    • Cardiogenic shock
    • Severe hypotension SBP<70mmHg
    •   0.5-30mcg/min
    •   titrate to effect

    • ROSC + hypotension SBP< 90mmHg
    •   0.1-0.5mcg/kg/min
  41. dopamine
    • Intropin
    • Symptomatic Bradycardia with Hypotension
    • Cardiogenic shock
    •   2-20mcg/kg/min
    •   titrate to pt response
    •   taper slowly

    • ROSC + hypotension SBP <90mmHg
    •   5-10mcg/kg/min
  42. dobutamine
    • Dobutrex
    • Refractory CHF SBP>100mmHg
    • Cardiogenic Shock
    •   2-20mcg/kg/min
  43. calcium choloride
    • Calcium Chloride
    • hyperkalemia
    • Hypocalcemia
    •   2-4mg/kg (500mg-1g) slow iv bolus
    •   repeat q 10 min prn

    • Calcium channel blocker toxicity
    •   4x regular dose
    •   8-16mg/kg
    •   in 2-4 mg increments
  44. digitalis
    • Lanoxin, Digoxin
    • Control A.Fib
    • CHF
    • SVT
    •   0.25mg SIVP every 2hrs
    •   up to of LD 1.5mg
  45. sodium nitroprusside
    • Nipride
    • Heart Failure
    • Hypertension
    •   0.1-5mcg/kg/min
    •   may need 10mcg/kg/min
  46. sodium bicarbonate
    • Sodium Bicarbonate
    • Hyperkalemia
    • Long arrest period
    •   1mEq/kg initially
    •   0.5mEq/kg q 10 min prn
  47. furosemide
    • Lasix
    • Acute Pulmonary Edema
    • Cerebral Edema post cardiac arrest
    • 0.5-1mg/kg
    •   - 20mg for pt not taking furosemide
    •   - 40mg for pt on oral Lasix

    if not effective in 20 min, double initial dose
  48. vasopressin
    • Vasopressin, Pitressin
    • Alternate to Epi 1st/2nd round Cardiac Arrest
    •   40 units IV single dose, 1 time only
  49. acetylsalicylic acid
    • Aspirin
    • ACS Chest Pain
    •   160-320mg PO chewed

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