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Drug names, dosages, memorizing
| Question | Answer |
|---|---|
| GENERIC NAME for Ventolin | Albuterol |
| GENERIC NAME for Proventil | Albuterol |
| BRAND NAME for Albuterol | Proventil, ventolin |
| Albuterol CLASS | Sympathomimetic, bronchodilator |
| Albuterol MECHANISM OF ACTION | Selective beta 2 agonist that stimulates adrenergic receptors of the Sympathomimetic nervous system resulting in smooth muscle relaxation in the bronchial tree and peripheral vasculature. |
| Albuterol DOSE/ROUTE Adult | 2.5mg. Over 10-15 minutes. MDI 1-2 inhalations with 5 minutes in between. |
| Albuterol DOSE/ROUTE Pediatric | administer solution of 0.05-0.15 mg/kg/dose. May repeat every 20 min. up to 3 doses. |
| GENERIC NAME for Atropine | None |
| BRAND NAME for Atropine | Atropine |
| Atropine CLASS | Anticholinergic agent |
| Atropine MECHANISM OF ACTION | Parasympatholytic, Inhibits action of acetylcholine at postganglionic parasympathetic neuroeffector sites. Increases HR in life threatening bradyarrhythmias. |
| Atropine DOSE/ROUTE ADULT Asystole and Bradycardic PEA | 1mg IV/IO push may repeat every 3-5 minutes up to 3 doses. |
| Atropine DOSE/ROUTE Adult Unstable Bradycardia | 0.5 mg IV/IO every 3-5 minutes not to exceed 3mg total. |
| Atropine DOSE/ROUTE Adult Organophosphate Poisoning | Extremely large doses (2-4mg or higher) |
| Atropine DOSE/ROUTE PEDEATRIC | 0.02 mg/kg IV/IO push. May double for second dose. Minimum single dose is 0.1 mg. |
| Atropine DOSE/ROUTE Maximum single dose in child | 0.5mg. |
| Atropine DOSE/ROUTE Child total dose | 1mg. |
| Atropine DOSE/ROUTE Adolescent single dose | 1mg and |
| Atropine DOSE/ROUTE Adolescent total dose | 2mg. |
| GENERIC NAME for Benadryl | Diphenhydramine |
| BRAND NAME for Diphenhydramine | Benadryl |
| Diphenhydramine CLASS | Antihistamine |
| Diphenhydramine MECHANISM OF ACTION | Blocks cellular histamine receptors |
| Diphenhydramine DOSE/ROUTE Adult | 25-50mg IV, IM, or PO. |
| Diphenhydramine DOSE/ROUTE Pediatric | 1-2 mg/kg IV. IO slowly, or IM. If given PO |
| GENERIC NAME for Calcium Chloride | None |
| BRAND NAME for Calcium Chloride | Calcium Chloride |
| Calcium Chloride CLASS | Electrolyte |
| Calcium Chloride MECHANISM OF ACTION | Increases cardiac contractile state (positive inotropic effect), May enhance ventricular automaticity |
| Calcium Chloride DOSE/ROUTE Adult | 500-1000mg (5-10 ml of a 10% solution) IV/IO push for Hyperkalemia and calcium channel blocker overdose. May be repeated as needed. |
| Calcium Chloride DOSE/ROUTE Pediatric | 20mg/kg (.2 ml/kg) slow IV/IO push. Maximum 1 gram dose. May be repeated in 10 minutes. |
| GENERIC NAME for Activated charcoal | None |
| BRAND NAME for Activated charcoal | Activated charcoal |
| Activated charcoal CLASS | Adsorbent |
| Activated charcoal MECHANISM OF ACTION | Adsorbs toxic substances from the GI tract. |
| Activated charcoal DOSE/ROUTE Adult | 1-2g/kg PO or NGT. |
| Activated charcoal DOSE/ROUTE Pediatric | 1-2g/kg PO or NGT. |
| GENERIC NAME for D5W | 5% dextrose in water |
| BRAND NAME for 5% dextrose in water | D5W |
| D5W CLASS | Hypotonic dextrose-containing solution |
| D5W MECHANISM OF ACTION | D5W provides nutrients in the form of dextrose as well as free water. |
| D5W DOSE/ROUTE | D5W is usually administered through a minidrip (60 drops/ml) set at a rate of ?to keep open? (TKO) |
| GENERIC NAME Decadron | Dexamethasone sodium phosphate |
| GENERIC NAME Hexadrol | Dexamethasone sodium phosphate |
| BRAND NAME for Dexamethasone sodium phosphate | Decadron, Hexadrol |
| Decadron CLASS | Corticosteroid |
| Decadron MECHANISM OF ACTION | Suppresses acute and chronic inflammation. Immunosuppressive effects. |
| Decadron DOSE/ROUTE Adult | 10-100mg IV (1mg/kg slow IV bolus) |
| Decadron DOSE/ROUTE Pediatric | 0.25-1mg/kg/dose IV, IO, IM |
| GENERIC NAME for Dextrose 50% | Dextrose 50%, D50 |
| BRAND NAME for Dextrose 50% | Dextrose 50%, D50 |
| Dextrose 50% CLASS | Carbohydrate, hyperglycemic |
| Dextrose 50% MECHANISM OF ACTION | Aerobic metabolic substrate (ATP production). Reverses CNS effects of hypoglycemia by rapidly increasing serum glucose levels. Provides short-term osmotic diuresis. |
| Dextrose 50% DOSE/ROUTE ADULT Hypoglycemia | 25-100 ml of D50 (12.5-50 Gm, 2 to 2 amps) |
| Dextrose 50% DOSE/ROUTE ADULT altered level of consciousness | 25-100 ml of D50 (12.5-50 Gm, 2 to 2 amps) |
| Dextrose 50% DOSE/ROUTE ADULT seizures of unknown etiology | 25-100 ml of D50 (12.5-50 Gm, 2 to 2 amps) IV |
| Dextrose 50% DOSE/ROUTE ADULT Hyperkalemia | 50 Gm of Dextrose IV total may be given over 1 hour. |
| Dextrose 50% DOSE/ROUTE Pediatric | (14 yrs and below includes infant) Administer 0.5 - 1 Gm/kg of a dextrose 10% solution |
| GENERIC NAME for Valium | Diazepam |
| BRAND NAME for Diazepam | Valium |
| Valium CLASS | Benzodiazepine, sedative hypnotic, anticonvulsant |
| Valium MECHANISM OF ACTION | Potentiates effects of inhibitory neurotransmitters. Raises seizure threshold. Induces amnesia and sedation. |
| Valium DOSE/ROUTE Adult, seizure activity | 5-10mg IV q 10-15 minutes prn. Max dose 30mg. |
| Valium DOSE/ROUTE Pediatric, seizure activity | 0.2-0.5mg slowly q 2-5 minutes up to 5mg. max dose 10mg/kg. |
| Valium DOSE/ROUTE Pediatric, rectally | 0.5 mg/kg via 2?? rectal catheter and flush with 2-3ml of air after administration. |
| Valium DOSE/ROUTE Adult, cardioversion sedation | 5-15mg IV over 5-10 minutes prior to cardioversion. |
| GENERIC NAME for Cardizem | DILTIAZEM |
| BRAND NAME for DILTIAZEM | Cardizem |
| Cardizem CLASS | Calcium Channel Blocker, Calcium antagonist |
| Cardizem MECHANISM OF ACTION | slows SA and AV conduction and dilates coronary and peripheral arteries and arterioles. Slows the vent. rate associated with a-fib, a-flutter,& reduces coronary and peripheral vascular resistance. |
| Cardizem DOSE/ROUTE Adult Initial | 0.25 mg/kg IVP (usually 20 mg) administered over 2 minutes |
| Cardizem DOSE/ROUTE Adult repeat | in 15 minutes 0.35 mg/kg IVP administered over 2 minutes |
| Cardizem DOSE/ROUTE Adult Maintenance infusion | 5.0 to 15 mg/hr |
| Cardizem DOSE/ROUTE Pediatric Dosage | The safety of this drug for use in children has not been established. |
| GENERIC NAME for Adrenalin | Epinephrine |
| BRAND NAME for Epinephrine | Adrenalin |
| Epinephrine CLASS | Sympathomimetic |
| Epinephrine MECHANISM OF ACTION | Direct acting alpha and beta-agonist. Alpha, Vasoconstriction. Beta-1, Positive inotropic, chronotropic, and dromtropic effects. Beta-2 bronchial smooth muscle relaxation and dilation of skeletal vasculature. |
| Epinephrine DOSE/ROUTE Adult Mild allergic reactions and asthma | 0.3-0.5 mg ?(0.3-0.5ml of 1:1000) SC. |
| Epinephrine DOSE/ROUTE Adult Anaphylaxis | 0.1mg (1ml of 1:10,000) IV/IO over 5 minutes. |
| Epinephrine DOSE/ROUTE Adult Cardiac arrest | IV/IO dose 1 mg (10ml of 1:10,000 solution) every 3-5 minutes during resuscitation. Follow each dose with 20 mL flush and elevate arm for 10-20 secs. |
| Epinephrine DOSE/ROUTE Pediatric Mild allergic reactions and asthma | 0.01 mg/kg of 1:1,000 solution SC. |
| Epinephrine DOSE/ROUTE Pediatric Cardiac arrest | IV/IO dose 0.01 mg/kg of 1:10,000 solution every 3-5 minutes during arrest. |
| GENERIC NAME for ETOMIDATE | ETOMIDATE |
| BRAND NAME for ETOMIDATE | none |
| ETOMIDATE CLASS | Sedative/hypnotic agent |
| ETOMIDATE MECHANISM OF ACTION | Produces hypnosis rapidly causing CNS depression and anesthesia. No analgesic effect |
| ETOMIDATE DOSE/ROUTE ADULT | 0.3 mg/kg IV over 30-60 seconds |
| GENERIC NAME for Glucagon | None |
| BRAND NAME for Glucagon | Glucagon |
| Glucagon CLASS | Hyperglycemic agent, pancreatic hormone, insulin antagonist |
| Glucagon MECHANISM OF ACTION | Increases blood glucose level by stimulating glycogenolysis. Unknown mechanism of stabilizing cardiac rhythm in beta blocker overdose. Minimal positive inotropic and chronotropic effect. Decreases GI motility and secretions. |
| Glucagon DOSE/ROUTE Adult, Hypoglycemia | 0.5-1mg IM. May repeat in 7-10 minutes. |
| Glucagon DOSE/ROUTE Adult, Calcium channel blocker or beta blocker overdose | 3mg initially, followed by an infusion at 3mg/hr as necessary. |
| Glucagon DOSE/ROUTE Pediatric, hypoglycemia | 0.5-1mg IM. |
| Glucagon DOSE/ROUTE Pediatric, calcium channel blocker and beta blocker overdose | Not recommended. |
| GENERIC NAME for Atrovent | IPRATROPIUM BROMIDE |
| BRAND NAME for IPRATROPIUM BROMIDE | Atrovent |
| Atrovent CLASS | anticholinergic, bronchodilator |
| Atrovent MECHANISM OF ACTION | Anticholinergic (parasympatholytic) agent appears to inhibit vagally-mediated reflexes by antagonizing the action of acetylcholine, the transmitter released from the vagal nerve. |
| Atrovent DOSE/ROUTE | Give 500 mcg in 2.5 ml normal saline (1 unit dose vial) |