Medic12Drugs

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Medic12Drugs
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  1. Activated Charcoal
    (Name/Class)
    Actidose / Absorbent
  2. Activated Charcoal
    (Description)
    Is a specially prepared charcoal that will adsorb and bind toxins from the gastrointestinal tract.
  3. Activated Charcoal
    (Indications)
    Acute ingested poisoning
  4. Activated Charcoal
    (Precautions)
    Administer only after emesis or in those cases where emsis is contraindicated
  5. Activated Charcoal
    (Dosage/Route)
    1G/Kg mixed with at least 6 to 8 oz of water, then PO or via an NG tube.
  6. Adenosine
    (Name/Class)
    Adenocard / Antidysrhythmic
  7. Adenosine
    (Description)
    Adenosine is a naturally occurring agent that can “chemically cardiovert” PSVT to a normal sinus rhythm. It has a half-life of 10 seconds and does not cause hypotension.
  8. Adenosine
    (Indications)
    Narrow, complex paroxysmal supraventricular tachycardia refractory to vagal maneuvers.
  9. Adenosine
    (Contraindications)
    Hypersensitivity, 2nd- and 3rd-degree heart block, sinus node disease, or asthma.
  10. Adenosine
    (Precautions)
    It may cause transient dysrhythmias especially asystole, COPD
  11. Adenosine
    (Dosage/Route)
    6 mg rapidly (over 1 to 2 sec) IV, then flush the line rapidly with saline. If ineffective, 12 mg in 1 to 2 min, may be repeated. Ped: 0.1 mg/kg (over 1 to 2 sec) IV followed by rapid saline flush, then 0.2 mg/kg in 1 to 2 min to max 12mg.
  12. Albuterol
    (Name/Class)
    Proventil, Ventolin / Sympathomimetic Bronchodilator
  13. Albuterol
    (Description)
    Albuterol is a synthetic Sympathomimetic that causes bronchodilatation with less cardiac effect than epinephrine and reduces mucus secretion, pulmonary capillary leaking, and edema in the lungs during allergic reactions.
  14. Albuterol
    (Indications)
    Bronchospasm and asthma in COPD.
  15. Albuterol
    (Contraindications)
    Hypersensitivity to the drug.
  16. Albuterol
    (Precautions)
    The patient may experience tachycardia, anxiety, nausea, cough, wheezing, and/or dizziness. Vital signs and breath sounds must be monitored; use caution with elderly, cardiac, or hypertensive patients.
  17. Albuterol
    (Dosage/Route)
    2.5 mg in 2.5 to 3 mL NS via nebulizer, repeat as needed. The duration of effect is 3 to 6 hours. Ped: 0.15 mg/kg in 2.5 to 3mL NS via nebulizer, repeat as needed.
  18. Alteplase Recombinant (tPA)
    (Name/Class)
    Activase / Thrombolytic
  19. Alteplase Recombinant (tPA)
    (Description)
    Recombinant DNA–derived form of human tPA promotes thrombolysis by forming plasmin. Plasmin,in turn, degrades fibrin and fibrinogen and, ultimately, the clot.
  20. Alteplase Recombinant (tPA)
    (Indications)
    To thrombolyse in acute myocardial infarction, acute ischemic stroke, and pulmonary embolism.
  21. Alteplase Recombinant (tPA)
    (Contraindications)
    Active internal bleeding, suspected aortic dissection, traumatic CPR, recent hemmorhagic stroke (6 mo), intracranial or intraspinal surgery or trauma (2mo), pregnancy, uncontrolled hypertension, or hypersensitivity to thrombolytics.
  22. Alteplase Recombinant (tPA)
    (Precautions)
    Recent major surgery, cerebral vascular disease, recent GI or GU bleeding, recent trauma, hypertension, patient > 75 years, current oral anticoagulants, or hemorrhagic ophthalmic conditions.
  23. AMINOPHYLLINE
    (Name/Class)
    Aminophylline, Somophyllin / Methylxanthine Bronchodilator
  24. AMINOPHYLLINE
    (Description)
    Aminophylline is a methylxanthine that prolongs bronchodilation and decreased mucus productionand has mild cardiac and CNS stimulating effects.
  25. AMINOPHYLLINE
    (Indications)
    Bronchospasm in asthma and COPD refractory to sympathomimetics and other bronchodilators andin CHF.
  26. AMINOPHYLLINE
    (Contraindications)
    uncontrolled cardiac dysrhythmias
  27. AMINOPHYLLINE
    (Precautions)
    Cardiovascular disease, hypertension, or taking theophylline, hepatic impairment, diabetes, hyperthyroidism, young children, glaucoma, peptic ulcers, acute influenza or influenzaimmunization, and the elderly. Watch for PVCs or tachycardia. May cause hypotension.
  28. AMINOPHYLLINE
    (Dosage/Route)
    250 to 500 mg IV over 20 to 30 min. Ped: 6 mg/kg over 20 to 30 min. Max 12 mg/kg/day.
  29. AMIODARONE
    (Name/Class)
    Cordarone, Pacerone / Antidysrhythmic
  30. AMIODARONE
    (Description)
    Amiodarone is an Antidysrhythmic that prolongs the duration of the action potential and refractory period and relaxes smooth muscles, reducing peripheral vascular resistance and increasing coronary blood flow.
  31. AMIODARONE
    (Indications)
    Life-threatening ventricular and supraventricular dysrhythmias, frequently atrial fibrillation.
  32. AMIODARONE
    (Contraindications)
    cardiogenic shock, severe sinus bradycardia, or advanced heart block.
  33. AMIODARONE
    (Dosage/Route)
    150 to 300 mg IV over 10 min, then 1 mg/min over next 6 hours. Ped: 5 mg/kg IV/IO, then 1.5 mg/kg/day.
  34. Aspirin (Acetylsalicylic Acid)
    (Name/Class)
    Alka-Seltzer, Bayer, Empirin, St. Joseph Children's /Analgesic, Antipyretic, Platelet Inhibitor, Antiinflammatory
  35. Aspirin (Acetylsalicylic Acid)
    (Description)
    • Aspirin inhibits agents that cause the production of
    • inflammation, pain, and fever. It relieves mild to moderate pain by acting on the peripheral nervous system, lowers body temperature in fever, and powerfully inhibits platelet aggregation.
  36. Aspirin (Acetylsalicylic Acid)
    (Indications)
    Chest pain suggestive of an MI.
  37. Aspirin (Acetylsalicylic Acid)
    (Contraindications)
    Hypersensitivity to salicylates, active ulcer disease, asthma.
  38. Aspirin (Acetylsalicylic Acid)
    (Precautions)
    Bleeding disorders
  39. Aspirin (Acetylsalicylic Acid)
    (Dosage/Route)
    160 to 325 mg PO (chewable).
  40. Atropine
    (Class)
    Parasympatholytic
  41. Atropine
    (Description)
    Atropine blocks the parasympathetic nervous system, specifically the vagal effects on heart rate. May increase myocardial oxygen demand. Decreases airway secretions.
  42. Atropine
    (Indications)
    Hemodynamically significant bradycardia, bradyasystolic arrest, and organophosphate poisoning.
  43. Atropine
    (Contraindications)
    None in the emergency setting. 2nd degree type 2 and above heart blocks are class 2B (not recommended)
  44. Atropine
    (Precautions)
    AMI, glaucoma
  45. Atropine
    (Dosage/Route)
    • Symptomatic bradycardia: 0.5 mg IV/1 mg ET. Repeat 3 to 5 min to 3 mg. Ped: 0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5 min up to 1 mg. Asystole: 1 mg IV or 2 mg ET, may repeat 3
    • to 5 min up to 3 mg
    • Organophosphate poisoning: 2 to 5 mg IV/IM/IO/10 to 15 min. Ped: 0.05 mg/kg IV/IM/IO/ 10 to 15 min.
  46. Ipratropium
    (Name/Class)
    Atrovent / Anticholinergic
  47. Ipratropium
    (Description)
    Ipratropium is a bronchodilator used in the treatment of respiratory emergencies that causes bronchial dilation and dries respiratory tract secretions by blocking acetylcholine receptors.
  48. Ipratropium
    (Indications)
    Bronchospasm associated with asthma, COPD, and inhaled irritants.
  49. Ipratropium
    (Contraindications)
    Hypersensitivity to atropine or its derivatives, or as a primary treatment for acute bronchospasm. Nut Allergy
  50. Ipratropium
    (Precautions)
    Elderly, cardiovascular disease, or hypertension.
  51. Ipratropium
    (Dosage/Route)
    500 mcg in 2.5 to 3 mL NS via nebulizer or 2 sprays from a metered dose inhaler. Ped: 125 to 250 mcg in 2.5 to 3 mL NS via nebulizer, or 1 or 2 sprays of a metered dose inhaler.
  52. Bretylium
    (Name/Class)
    Bretylol / Antidysrhythmic
  53. Bretylium
    (Description)
    Bretylium suppresses ventricular tachydysrhythmias including vfib with reentry mechanisms.
  54. Bretylium
    (Indications)
    Ventricular fibrillation and ventricular tachycardia refractory to lidocaine
  55. Bretylium
    (Precautions)
    Digitalized patients, digitalis-induced dysrhythmias
  56. Bretylium
    (Dosage/Route)
    5 mg/kg IV, then 10 mg/kg/15 to 30 min, to a max 30 mg/kg
  57. Butorphanol
    (Name/Class)
    Stadol / Synthetic Narcotic Analgesic
  58. Butorphanol
    (Description)
    Butorphanol is a centrally acting synthetic narcotic analgesic about 5 times more potent than morphine. A schedule IV narcotic.
  59. Butorphanol
    (Indications)
    Moderate to severe pain
  60. Butorphanol
    (Contraindications)
    Hypersensitivity, head injury, or undiagnosed abdominal pain
  61. Calcium Chloride
    (Name/Class)
    Calcium Chloride / Electrolyte
  62. Calcium Chloride
    (Description)
    Calcium chloride increases myocardial contractile force and increases ventricular automaticity.
  63. Calcium Chloride
    (Indications)
    Hyperkalemia, hypocalcemia, hypermagnesemia, and calcium channel blocker toxicity.
  64. Calcium Chloride
    (Contraindications)
    Ventricular fibrillation, hypercalcemia, and possible digitalis toxicity.
  65. Calcium Chloride
    (Precautions)
    It may precipitate toxicity in patients taking digoxin. Ensure the IV line is in a large vein and flushed before using and after calcium.
  66. Calcium Chloride
    (Dosage/Route)
    5-10cc of (10% solution / 1Gram –10cc)/10 min, as needed or 2-4mg/Kg . Ped: 20 mg/kg IV (10% solution) repeat at 10 min, as needed.
  67. Chlordiazepoxide
    (Name/Class)
    Librium / Sedative, Hypotic
  68. Chlordiazepoxide
    (Description)
    Chlordiazepoxide is a benzodiazepine derivative that produces mild sedation and anticonvulsant, skeletal muscle relaxant, and prolonged hypnotic effects.
  69. Chlordiazepoxide
    (Indications)
    Severe anxiety and tension, acute alcohol withdrawal symptoms (DTs).
  70. Chlordiazepoxide
    (Contraindications)
    Hypersen to benzodiazepines, pregnant and nursing mothers, children under 6.
  71. Chlordiazepoxide
    (Precautions)
    Primary depressive disorders or psychoses, acute alcohol intoxication.
  72. Chlordiazepoxide
    (Dosage/Route)
    50 to 100 mg IV/IM
  73. Dexamethasone
    (Name/Class)
    Dexamethasone is a long-acting synthetic adrenocorticoid with intense anti-inflammatoryactivity. It prevents the accumulation of inflammation generating cells at the sites of infection or injury.
  74. Dexamethasone
    (Indications)
    Anaphylaxis, asthma, COPD, spinal cord edema.
  75. Dexamethasone
    (Relative Contraindications)
    systemic fungal infections, acute infections, tuberculosis, varicella, or vaccinia or live virus vaccinations.
  76. Dexamethasone
    (Precautions)
    Herpes simplex, keratitis, myasthenia gravis, hepatic or renal impairment, diabetes, CHF, seizures, psychic disorders, hypothyroidism, and GI ulceration
  77. Dexamethasone
    (Dosage/Route)
    4 to 24 mg IV/IM Ped: 0.5 to 1 mg/kg.
  78. Diphenhydramine
    (Name/Class)
    Benadryl / Anyihistamine
  79. Diphenhydramine
    (Description)
    blocks histamine release, thereby reducing bronchoconstriction, vasodilatation,and edema.
  80. Diphenhydramine
    (Indications)
    Anaphylaxis, allergic reactions, and dystonic reactions.
  81. Diphenhydramine
    (Contraindications)
    Asthma and other lower respiratory diseases.
  82. Diphenhydramine
    (Precautions)
    May induce hypotension, headache, palpitations, tachycardia, sedation, drowsiness, and/or disturbed coordination.
  83. Diphenhydramine
    (Dosage/Route)
    25 to 50 mg IV/IM
  84. Dobutamine
    (Name/Class)
    Dobutrex / Sympathomimetic
  85. Dobutamine
    (Description)
    Dobutamine is a synthetic catecholamine and beta agent that increases the strength of cardiac contraction without appreciably increasing rate.
  86. Dobutamine
    (Indications)
    To increase cardiac output in congestive heart failure/cardiogenic shock
  87. Dobutamine
    (Contraindications)
    Hypersensitivity to Sympathomimetic amines, ventricular tachycardia, and hypovolemia withoutfluid resuscitation
  88. Dobutamine
    (Precautions)
    Atrial fibrillation or preexisting hypertension.
  89. Dobutamine
    (Dosage/Route)
    2 to 20 mcg/kg/min IV. Ped: same
  90. Dextrose 50% In Water
    (Name/Class)
    D50W / Carbohydrate
  91. Dextrose 50% In Water
    (Description)
    Dextrose is a simple sugar that the body can rapidly metabolize to create energy.
  92. Dextrose 50% In Water
    (Indications)
    Hypoglycemia
  93. Dextrose 50% In Water
    (Precautions)
    Increased ICP. Determine blood glucose level beforeadministration. Ensure good venous access.
  94. Dextrose 50% In Water
    (Dosage/Route)
    25g D50W (50 mL) IV. Ped: 2 mL/kg of a 25% solution IV.
  95. Dopamine
    (Name/Class)
    Intropin / Sympathomimetic
  96. Dopamine
    (Description)
    Dopamine is a naturally occurring catecholamine that increases cardiac output without appreciably increasing myocardial oxygen consumption. It maintains renal and mesenteric blood flow while inducing vasoconstriction and increasing systolic blood pressure
  97. Dopamine
    (Indications)
    Nonhypovolemic hypotension (70 to 100 mmHg) and cardiogenic shock.
  98. Dopamine
    (Contraindications)
    Hypovolemic hypotension without aggressive fluid resuscitation, tachydysrhythmias, ventricular fibrillation, and pheochromocytoma.
  99. Dopamine
    (Precautions)
    Ensure adequate fluid resuscitation of the hypovolemic patient.
  100. Dopamine
    (Dosage/Route)
    2 to 5 mcg/kg/min up to 20 mcg/kg/min, titrated to effect. Ped: same as adult.
  101. Diltiazem
    (Name/Class)
    Cardizem / Calcium Channel Blocker
  102. Diltiazem
    (Description)
    Diltiazem is a slow calcium channel blocker similar to verapamil. It dilates coronary and peripheral arteries and arterioles, thus increasing circulation to the heart and reducing peripheral vascular resistance.
  103. Diltiazem
    (Indications)
    Supraventricular tachydysrhythmias (atrial fibrillation, atrial flutter, and PSVT refractory to adenosine) and to increase coronary artery perfusion in angina.
  104. Diltiazem
    (Contraindications)
    Hypersensitivity, sick sinus syndrome, 2nd- or 3rd-degree heart block, systolic BP < 90, diastolic BP < 60, wide-complex tachycardia and WPW.
  105. Diltiazem
    (Precautions)
    CHF (especially with beta blockers)
  106. Diltiazem
    (Dosage/Route)
    0.25 mg/kg IV over 2 min, may repeat as needed with 0.35 mg/kg followed by a drip of 5 to 10 mg/hr not to exceed 15 mg/hr over 24 hours.
  107. Diazepam
    (Name/Class)
    Valium / Antianxiety, Hypnotic, Anticonvulsant, Sedative
  108. Diazepam
    (Description)
    Diazepam is a benzodiazepine sedative and skeletal muscle relaxant that reduces tremors,induces amnesia, and reduces the incidence and recurrence of seizures. It relaxes muscle spasms in orthopedic injuries and produces amnesia for painful procedures (cardioversion).
  109. Diazepam
    (Indications)
    Major motor seizures, status epilepticus, premedication before cardioversion, muscletremors due to injury, and acute anxiety.
  110. Diazepam
    (Contraindications)
    coma, acute alcoholism, depressed vital signs, obstetric patients, neonates.
  111. Diazepam
    (Precautions)
    Psychoses, depression, myasthenia gravis. Dueto a short half-life of the drug, seizure activity may recur.
  112. Diazepam
    (Dosage/Route)
    Seizures: 5 to 10 mg IV/IM. Ped: 0.5 to 2 mg IV/IM.

    Acute anxiety: 2 to 5 mg IV/IM. Ped: 0.5 to 2 mgIM.

    Premedication: 5 to 15 mg IV. Ped: 0.2 to 0.5 mg/kgIV.
  113. Epinephrine
    (Name/Class)
    Adrenaline / Sympathomimetic
  114. Epinephrine
    (Description)
    Epinephrine is a naturally occurring catecholamine that increases heart rate, cardiac contractile force myocardial electrical activity, systemic vascular resistance, and systolic blood pressure and decreases overall airway resistance and automaticity. It also, through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volumeand vital capacity.
  115. Epinephrine
    (Indications)
    cardiac arrest and severe allergic reactions.
  116. Epinephrine
    (Contraindications)
    narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock
  117. Epinephrine
    (Dosage/Route)
    • Arrest: 1 mg of 1:10,000 IV/3 to 5 min (ET: 2 to 2.5 mg 1:1,000). Ped: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000). All subsequent doses
    • 0.1 mg/kg IV/IO. No max.

    • Allergic reactions: 0.3 to 0.5 mg of 1:1,000
    • subcutaneously/5 to 15 min as needed or 0.5 to 1 mg of 1:10,000 IV if subcutaneous dose ineffective or severe reaction. Ped: 0.01 mg/kg of 1:1,000 subcutaneously/10 to 15 min or 0.01 mg/kg of 1:10,000 IV if subcutaneous dose
    • ineffective or severe.
  118. Etomidate
    (Name/Class)
    Amidate / Hypnotic
  119. Etomidate
    (Description)
    Etomidate is an ultra–short-acting nonbarbiturate hypnotic with no analgesic effects and limited cardiovascular and respiratory effects..
  120. Etomidate
    (Indication)
    Induce sedation for rapid sequence intubation.
  121. Etomidate
    (Precautions)
    Marked hypotension, severe asthma, or severe cardiovascular disease.
  122. Etomidate
    (Dosage/Route)
    Dosage/Route: 0.1 to 0.3 mg/kg IV over 15 to 30 sec. Ped: children > 10 years, same as for adults
  123. Fentanyl
    (Name/Class)
    Sublimaze / Narcotic Analgesic
  124. Fentanyl
    (Description)
    Fentanyl is a potent synthetic narcotic analgesic similar to morphine and meperidine but with a more rapid and less-prolonged action.
  125. Fentanyl
    (Indications)
    Induce sedation for endotracheal intubation.
  126. Fentanyl
    (Contraindications)
    MAO inhibitors within 14 days, myasthenia gravis.
  127. Fentanyl
    (Precautions)
    Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency.
  128. Fentanyl
    (Dosage/Route)
    25 to 100 mcg slowly IV (2 to 3 min). Ped: 2 mcg/kg slow IV/IM.
  129. Flumazenil
    (Name/Class)
    Romazicon / Benzodiazepine Antagonist
  130. Flumazenil
    (Description)
    Flumazenil is a benzodiazepine antagonist used to reverse the sedative, recall, and psychomotor effects of diazepam, midazolam, and the other benzodiazepines.
  131. Flumazenil
    (Indications)
    Respiratory depression secondary to the benzodiazepines.
  132. Flumazenil
    (Contraindications)
    Hypersensitivity to flumazenil or benzodiazepines; those patients who take medication for status epilepticus or seizures; seizure-prone patients during labor and delivery; tricyclic antidepressant overdose.
  133. Flumazenil
    (Precautions)
    Hepatic impairment, elderly, pregnancy, nursing mothers, head injury, alcohol and drug dependency and physical dependence on benzodiazepines.
  134. Flumazenil
    (Dosage/Route)
    0.2 mg IV over 30 sec/min, up to 1 mg.
  135. Furosemide
    (Name/Class)
    Lasix / Diuretic
  136. Furosemide
    (Description)
    Furosemide is a rapid-acting, potent diuretic and antihypertensive that inhibits sodium reabsorption by the kidney. Its vasodilating effects reduce venous return and cardiac workload.
  137. Furosemide
    (Indications)
    Congestive heart failure and pulmonary edema.
  138. Furosemide
    (Contraindications)
    Hypotension
  139. Furosemide
    (Precautions)
    hepatic impairment, nephrotic syndrome, cardiogenic shock associated with acute MI, gout, or patients receiving digitalis or potassium-depleting steroids.
  140. Furosemide
    (Dosage/Route)
    40 to 120 mg slow IV. Ped: 1 mg/kg slow IV.
  141. Glucagon
    (Name/Class)
    GlucaGen / Hormone, Anti-hypoglycemic
  142. Glucagon
    (Description)
    Glucagon is a protein secreted by pancreatic cells that causes a breakdown of stored glycogen into glucose
  143. Glucagon
    (Indications)
    Hypoglycemia without IV access and to reverse beta-blocker overdose.
  144. Glucagon
    (Precautions)
    Effective only if there are sufficient stores of glycogen in the liver.
  145. Glucagon
    (Dosage/Route)
    Hypoglycemia: 1 mg IM/SC repeat/5 to 20 min. Ped: 0.1 mg/kg 1 m/SC/IV for child < 10 kg; 1 mg/kg 1 m/SC/IV for child > 10 kg.

    • Beta-blocker overdose / Calcium Channel
    • Blocker OD: 3mg IV over 1 min. Ped: 50 to 150 mcg/kg IV over 1 min.
  146. Haloperidol
    (Name/Class)
    Haldol / Antipsychotic
  147. Haloperidol
    (Description)
    Haloperidol is believed to block dopamine receptors in the brain associated with mood and behavior,is a potent antiemetic, and impairs temperature regulation.
  148. Haloperidol
    (Indications)
    Acute psychotic episodes.
  149. Haloperidol
    (Contraindications)
    Parkinson's disease, seizure disorders, coma, alcohol depression, CNS depression, and thyrotoxicosis, and with other sedatives.
  150. Haloperidol
    (Precautions)
    anticonvulsants, anticoagulants, or lithium therapy.
  151. Haloperidol
    (Dosage/Route)
    2 to 5 mg IM. Ped: Children > 3 years, 0.015 to 0.15 mg/kg/day PO in 2 or 3 divided doses.
  152. Heparin
    (Name/Class)
    Heparin / Anticoagulant
  153. Heparin
    (Description)
    Heparin is a rapid-onset anticoagulant, enhancing the effects of antithrombin III and blocking the conversion of prothrombin to thrombin and fibrinogen to fibrin.
  154. Heparin
    (Indications)
    To prevent thrombus formation in acute MI.
  155. Heparin
    (Contraindications)
    Hypersensitivity; active bleeding or bleeding tendencies; recent eye, brain, or spinal surgery; shock.
  156. Heparin
    (Precautions)
    Alcoholism, elderly, allergies, indwelling catheters, elderly, menstruation, pregnancy, or cerebral embolism.
  157. Heparin
    (Dosage/Route)
    5,000 units IV, then 20,000 to 40,000 units over 24 hours.
  158. Isoproterenol
    (Name/Class)
    Isuprel / Sympathomimetic
  159. Isoproterenol
    (Indications)
    Bradycardia refractory to atropine when pacing is not available
  160. Isoproterenol
    (Contraindications)
    Cardiogenic shock.
  161. Isoproterenol
    (Precautions)
    Tachydysrhythmias and those associated with digitalis and acute myocardial infarction.
  162. Isoproterenol
    (Dosage/Route)
    Bradycardia: 2 to 10 mcg/min titrated to cardiac rate. Ped: 0.1 mcg/kg/min titrated to cardiac rate.
  163. Ketoralac
    (Name/Class)
    Toradol / Nonsteroidal Antiinflammatory Drug (NSAID)
  164. Ketoralac
    (Description)
    Ketorolac is an injectable NSAID that exhibits analgesic, antiinflammatory, and antipyretic properties without sedative effects.
  165. Ketoralac
    (Indications)
    Mild or moderate pain.
  166. Lidocaine
    (Name/Class)
    Xylocaine / Antidysrhythmic
  167. Lidocaine
    (Description)
    Lidocaine is an antidysrhythmic that suppresses automaticity and raises stimulation threshold of the ventricles. It also causes sedation, anticonvulsant, and analgesic effects.
  168. Lidocaine
    (Indications)
    Pulseless ventricular tachycardia, ventricular fibrillation, ventricular tachycardia (w/pulse).
  169. Lidocaine
    (Contraindications)
    Hypersensitivity to amide-type local anesthetics, supraventricular dysrhythmias, Stokes-Adams syndrome, 2nd- and 3rd-degree heart blocks, and bradycardias.
  170. Lidocaine
    (Precautions)
    Hepatic or renal impairment, CHF, hypoxia, respiratory depression, hypovolemia, myasthenia gravis, shock, elderly
  171. Lidocaine
    (Dosage/Route)
    Cardiac arrest: 1 to 1.5 mg/kg IV repeated every 3 to 5 min up to 3 mg/kg, follow conversion with a drip of 2 to 4 mg/min. Ped: 1 mg/kg IV, repeat/3 to 5 min up to 3 mg/kg, follow conversion with a drip of 20 to 50 mcg/kg/min.

    Ventricular tachycardia (w/pulse): 1 to 1.5 mg/kg slow IV. Consider lower dose for elderly. May repeat at one-half dose every 5 to 10 min until conversion up to 3 mg/kg. Follow conversion with an infusion of 2 to 4 mg/min. Ped: 1 mg/kg, followed by a drip at 20 to 50 mg/kg/min.
  172. Lorazepam
    (Name/Class)
    Ativan / Sedative
  173. Lorazepam
    (Description)
    Lorazepam is the most potent benzodiazepine available. It has strong antianxiety, sedative, hypnotic, and skeletal muscle relaxant properties, and a relatively short half-life.
  174. Lorazepam
    (Indications)
    Sedation for cardioversion and status epilepticus.
  175. Lorazepam
    (Contraindications)
    Sensitivity to benzodiazepines.
  176. Lorazepam
    (Precautions)
    Narrow-angle glaucoma, depression or psychosis, coma, shock, acute alcohol intoxication, renal or hepatic impairment, organic brain syndrome, myasthenia gravis, GI disorders, elderly, debilitated, limited pulmonary reserve.
  177. Lorazepam
    (Dosage/Route)
    Sedation: 2 to 4 mg IM, 0.5 to 2 mg IV. Ped: 0.03 to 0.5 mg/kg IV/IM/PR up to 4 mg.

    Status epilepticus: 2 mg slow IV/PR (2 mg/min). Ped: 0.1 mg/kg slow IV/PR (2 to 5 min).
  178. Magnesium Sulfate
    (Name/Class)
    Magnesium / Electrolyte
  179. Magnesium Sulfate
    (Description)
    Magnesium sulfate is an electrolyte that acts as a calcium channel blocker, acting as a CNS depressant and anticonvulsant. It also depresses the function of smooth, skeletal, and cardiac muscles.
  180. Magnesium Sulfate
    (Indications)
    Refractory ventricular fibrillation and pulseless ventricular tachycardia (especially torsade depointes), AMI, eclamptic seizures.
  181. Magnesium Sulfate
    (Contraindications)
    Heart block, myocardial damage, shock, persistent hypertension, and hypocalcemia.
  182. Magnesium Sulfate
    (Precautions)
    CNS depressants, or neuromuscular blocking agents.
  183. Magnesium Sulfate
    (Dosage/Route)
    Ventricular fibrillation or tachycardia: 1 to 2 g IV over 2 min.

    Torsade de pointes: 1 to 2 g IV followed by infusion of 0.5 to 1 g/hr IV.

    Asthma /COPD: 1-2 Grams over 10 minutes

    Eclampsia: 2 to 6 g IV/IM over 15-30 mins
  184. Mannitol
    (Name/Class)
    Osmitrol / Osmotic Diuretic
  185. Mannitol
    (Description)
    Mannitol is an osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis.
  186. Mannitol
    (Indications)
    Cerebral edema.
  187. Mannitol
    (Dosage/Route)
    1.5 to 2 g/kg slow IV. Ped: 0.25 to 0.5 g/kg over 60 min.
  188. Meperidine
    (Name/Class)
    Demerol / Narcotic Analgesic
  189. Meperidine
    (Description)
    Meperidine is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects.
  190. Meperidine
    (Indications)
    Moderate to severe pain.
  191. Meperidine
    (Contraindications)
    seizure disorders, or acute abdomen prior to diagnosis.
  192. Meperidine
    (Precautions)
    Increased intracranial pressure, asthma or other respiratory conditions, supraventricular tachycardias, prostatic hypertrophy, urethral stricture, glaucoma, elderly or debilitated patients, renal or hepatic impairment, hypothyroidism, or Addison's disease.
  193. Meperidine
    (Dosage/Route)
    25 to 50 mg IV, 50 to 100 mg IM. Ped: 1 mg/kg IV/IM.
  194. Methylprednisolone
    (Name/Class)
    Solu-Medrol / Corticosteroid, Anti-inflammatory
  195. Methylprednisolone
    (Description)
    Methylprednisolone is a synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. It is sometimes used in the treatment of spinal cord injury.
  196. Methylprednisolone
    (Indications)
    Spinal cord injury, asthma, severe anaphylaxis, COPD.
  197. Methylprednisolone
    (Precautions)
    Only a single dose should be given in the prehospital setting.
  198. Methylprednisolone
    (Dosage/Route)
    Asthma/COPD/anaphylaxis: 125 to 250 mg IV/IM. Ped: 1 to 2 mg/kg/dose IV/IM.

    Spinal cord injury: 30 mg/kg IV over 15 min, after 45 min an infusion of 5.4 mg/kg/hr.
  199. Metoclopramide
    (Name/Class)
    Reglan / Antiemetic
  200. Metoclopramide
    (Description)
    Metoclopramide is a dopamine antagonist similar to procainamide but with few antidysrhythmic or anesthetic properties. Its antiemetic properties stem from rapid gastric emptying and desensitization of the vomiting reflex.
  201. Metoclopramide
    (Indications)
    Nausea and vomiting.
  202. Metoclopramide
    (Contraindications)
    Hypersensitivity, allergy to sulfite agents, seizure disorders, pheochromocytoma, mechanical GI obstruction or perforation, and breast cancer.
  203. Metoclopramide
    (Precautions)
    CHF, hypokalemia, renal impairment, GI hemorrhage, intermittent porphyria.
  204. Metoclopramide
    (Dosage/Route)
    10 to 20 mg IM; 10 mg slow IV (over 1 to 2 min). Ped: 1 to 2 mg/kg/dose.
  205. Metoprolol
    (Name/Class)
    Lopressor / Beta Blocker
  206. Metoprolol
    (Description)
    Metoprolol is a beta-adrenergic blocking agent that reduces heart rate, cardiac output, and BP
  207. Metoprolol
    (Indications)
    AMI
  208. Metoprolol
    (Contraindications)
    Cardiogenic shock, sinus bradycardia <45, 2nd-3rd degree HB, PR interval >0.24, asthma or COPD
  209. Metoprolol
    (Precautions)
    Hypersensitivity, hepatic or renal impairment, cardiomegaly, CHF controlled by digitalis and diuretics, AV conduction defects, thyrotoxicosis, diabetics, or Peripheral vascular disease.
  210. Metoprolol
    (Dosage/Route)
    5mg slow IVP q 5min up to 3 doses while watching HR and BP.
  211. Midozolam
    (Name/Class)
    Versed / Sedative
  212. Midozolam
    (Description)
    Midazolam is a short-acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant, and anterograde amnestic effects.
  213. Midozolam
    (Indications)
    To induce sedation before cardioversion or intubation.
  214. Midozolam
    (Contraindications)
    Hypersensitivity to benzodiazepines, narrow-angle glaucoma, shock, coma, or acute alcohol intoxication.
  215. Midozolam
    (Precautions)
    COPD, renal impairment, CHF, elderly.
  216. Midozolam
    (Dosage/Route)
    1 to 2.5 mg slow IV; 0.07 to 0.08 mg/kg IM (usually 5 mg). Ped: 0.05 to 0.2 mg/kg IV: 0.1 to 0.15 mg/kg IM; 3 mg intranasal.
  217. Milrinone
    (Name/Class)
    Primacor / Cardiac Inotrope, Vasodilator
  218. Milrinone
    (Description)
    Milrinone is related to amrinone and increases the strength of cardiac contraction without increasing rate, increasing cardiac output without increasing oxygen demand.
  219. Milrinone
    (Indications)
    CHF, or pediatric septic shock.
  220. Milrinone
    (Contraindications)
    Hypersensitivity
  221. Milrinone
    (Precautions)
    Elderly, pregnancy, and nursing mothers
  222. Morphine Sulfate
    (Name/Class)
    Morphine / Narcotic Analgesic
  223. Morphine Sulfate
    (Description)
    Morphine sulfate is a potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand.
  224. Morphine Sulfate
    (Indications)
    Moderate to severe pain and in MI and to reduce venous return in pulmonary edema.
  225. Morphine Sulfate
    (Contraindications)
    Hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension, or volume depletion, acute bronchial asthma, COPD, severe respiratory depression, or pulmonary edema due to chemical inhalation.
  226. Morphine Sulfate
    (Precautions)
    Elderly, children, or debilitated patients. Naloxone should be readily available to counteract the effects of morphine
  227. Morphine Sulfate
    (Dosage/Route)
    Pain: 2.5 to 15 mg IV; 5 to 20 mg IM/subcutaneous. Ped: 0.05 to 0.1 mg/kg IV; 0.1 to 0.2 mg/kg IM/subcutaneous

    AMI or PE: 1 to 2 mg 6 to 10 min to response.
  228. Naloxone
    (Name/Class)
    Narcan / Narcotic Antagonist
  229. Naloxone
    (Description)
    Naloxone is a pure narcotic antagonist that blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression.
  230. Naloxone
    (Indications)
    Narcotic and synthetic narcotic overdose, coma of unknown origin.
  231. Naloxone
    (Contraindications)
    Hypersensitivity to the drug, non–narcotic-induced respiratory depression.
  232. Naloxone
    (Precautions)
    Possible dependency (including newborns). It also has a half-life that is shorter than that of most narcotics; hence the patient may return to the overdose state.
  233. Naloxone
    (Dosage/Route0
    0.4 to 2 mg IV/IM/IN (2 to 2.5 times the dose ET), repeated/2 to 3 min as needed up to 10 mg. Ped: 0.01 mg IV/IM (2 to 2.5 times the dose ET) repeated/2 to 3 min as needed up to 10 mg.
  234. Nitroglycerine
    (Name/Class)
    Nitrostat / Nitrate
  235. Nitroglycerine
    (Description)
    Nitroglycerin is a rapid smooth muscle relaxant that reduces peripheral vascular resistance,blood pressure, venous return, and cardiac workload.
  236. Nitroglycerine
    (Indications)
    Chest pain associated with angina and acute myocardial infarction, and acute pulmonary edema.
  237. Nitroglycerine
    (Contraindications)
    Hypersensitivity, tolerance to nitrates, severe anemia, head trauma, hypotension, increased ICP, patients taking sildenafil, glaucoma, and shock.
  238. Nitroglycerine
    (Precautions)
    May induce headache that is sometimes severe. Nitroglycerin is light sensitive and will lose potency when exposed to the air.
  239. Nitroglycerine
    (Dosage/Route)
    1 tablet (0.4 mg) SL. May be repeated/3 to 5 min up to 3 tablets, or 1⁄2 inch of topical ointment, or 0.4 mg (one spray)SL up to 3 sprays/25 min.
  240. Nalbuphine
    (Name/Class)
    Nubain / Narcotic Analgesic
  241. Nalbuphine
    (Description)
    Nalbuphine is a synthetic narcotic analgesic equivalent to morphine, though its respiratory depression does not increase with higher doses.
  242. Nalbuphine
    (Indications)
    Moderate to severe pain.
  243. Nalbuphine
    (Contraindications)
    Hypersensitivity, undiagnosed head or abdominal injury.
  244. Nalbuphine
    (Precautions)
    Impaired respirations, narcotic dependency.
  245. Nalbuphine
    (Dosage/Route)
    5 mg IV/IM/subcutaneous, repeat as 2 mg doses as needed up to 20 mg. Ped: 0.1 to 0.15 mg/kg IV/IM/subcutaneous (rarely used)

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