Stack #11565

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drug name/class

pharmacology and actions

indications

contraindications

percautions

adult dosage

ped dosage

epinephrine 1:1000/catecholamine w/alpha and beta effects

cardiovascular responses, increased HR, myocardial contractile force, systemic vascular resistance, arterial bp, myocardial oxygen consumption, automaticity. Potent bronchodilator

systemic allergic reactions and anaphylactic shock

contraindiced in pts w/ hypertension, hyperthyroidism, ischemic heart disease or cerebrovascular insufficiency

when used for allergic reactions increased cardiac work can precipitate angina and or AMI in susceptible individuals

0.3mg(0.3ml of 1:1000 solution) or 2-3 ml of 1:10000 solution IV

0.01 mg/kg (0.01 of 1:1000 solution) or 1-2 ml of 1:10000 solution IV

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Atrophine sulfate/anticholinergic

parasympatholytic drug that reduces vagal tone. enhances the rate of discharge of the sinus node. Facilitates av conduction.

sinus brasdycardia accompanied by hemodynamic compromise, i.e. hypotension. or Asystole

use cautiosly in the presence of acute myocardial ischemia or infraction.

Monitor the pts vitals and LOC closely

w/o cardiac arrest 0.5 -1.0 mg every 5 min max 2-3 mg. cardiac arrest 1.0 mg every 3-5 min if asystole persists

.02 mg/kg w/ dose of 0.1 ng abd nas 1,0 evert 5 min max 1.0 child 2.0 adolescent

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epinephrine 1:10,000 for cardiac/ catecholamine

(blank)

cardiac arrest

trauma, hypothermia,

not administered in same IV as alkaline solutions

1.0 mg IV every 3-5 min during resuscitation

0.01 mg/kg IV every 5 min as needed

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Lidocaine/Antiarrhythmic

depresses automaticity of purkinje fibers

following min of 1 set of 3 unsucessful shocks/ followind a successful defib. conscious pt w/Pulse and VT

HR below 50. Bradycardia w premature beats. known allergy to lidocaine or local anesthetics.

do not exceed 3 mg/kg. reduce 1/2 in presence of decreased cardiac output, shock from whatever cause, pt older than 70

1mg/kg IV bolus followed by maintenance infusion of 1-2 Gm in 250-500 ml of D5W and run at 204 mg/mn cntrolled by flow meter.

1mg/kg IV bous or via ET tube

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sodium bicarbonate/alkalinizing agent

alkalotic solution which may neutraqlize acids found in the blood

cardiac arrest setting, after more proven interventions such as defib, cardiac compressions support ven and pharmacologic therapies have been employed.

alkalotic states. will inactivate catecholamines (epi) increase central venous acidosis.

increase cerebral acidosis, induces hyperosmolarity and hypernatremia

1mEq/kg approx two 50 ml amps

1mEq/kg

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Nitroglycerin/antianginal

reduce venous tone, decreased peripheral resistance, dialated coronary arteries

angina, chest, arm or neck pain, control of hypertension in angina or AMI and pulmonary edema

hypotension, dehydration children under 12

may cause profound hypotension and reflex tachycardia

.04 mg every 5 min total of 3 tablets

none

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Asprin

prevent blood clots from forming.

chest pain/unstable angina

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hypersensitivity

325mg given PO to be chewed

none

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Naloxone(Narcan)/narcotic Antagonist

binds to narcotic sites but which ehibits almost no pharmacologi activity of its own

reverse nasrcotic effects, coma to rule out narcotic depression, reversal of rep depression in neonate induce by narcotics

pts w/ history of hypersensitivity to the drug

ventilatory assistance should always precede the administration, violent withdraw, be ready to restrain pt.

0.4-2.0 mg repeated 2-3 min

0.01 mg/kg of neonatal solution repeated 2-3 min

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Dextrose/carbohydrate

used to regulate by insulin whych stimulates storage of excess glucose from teh bloodstream, and glucagon which mobilizes store glucose into the bloodstream

hypoglycemic states,

(blank)

preload syringe of 50% dextrose+25 grams in 50 ml of water

preload syringe of 25% Dextrose + 2.5 grams in 10ml of water

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Albuterol/proventil

relaxesbronchial smooth muscle, resuting in bronchodilation

teatment of bronchospasm from emphysema or asthma

synergistic w/other sympathominetics

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nebulizer .5 ml of .5% concentration and 2.5 ml of salline e

Nebulizer same dosage as for adults

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Morphine Sulfate

dilates peripheral vasculature. reduces repiratory rate and tidal volume and causes pupils to constrict.

chest pain, after admin of nitro. use in pain control for extrmity injuries and burn pts

hypotension, head or abdominal injuries, resp difficulties, major blood loss, pts who are on alcohol or antidepressants or MAO inhibitors

(blank)

1-3 mg slow IV repeated in 5-30 min as directed

.1-.2 mg/kg slow IV.

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Terbutaline

beta-2 agonist

moderate to sever asthma

pts w/ angina hypertension or cardiac dysrhythmias

(blank)

nebulizer .5 ml diluted w/ 3.0 normal saline max dosage is 1.0 mg

nebulizer .25-.5 ml diluted w/3.0 ml of NS. max dose of 1.0mg. not recommended for pts under 12

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Created by: emttas