Ativan,Atropine,Activated charcoal, Dopamine, Oxytocin
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| Activated charcoal GENERIC NAME | None
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| Activated charcoal BRAND NAME | Activated charcoal
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| Activated charcoal CLASS | Adsorbent
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| Activated charcoal MECHANISM OF ACTION | Adsorbs toxic substances from the GI tract.
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| Activated charcoal INDICATIONS | Most oral poisonings and medication overdoses.
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| Activated charcoal CONTRAINDICATIONS | AMS, ingestion of corrosives, caustics, or petroleum distillates.
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| Activated charcoal ADVERSE REACTIONS | May induce N/V.
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| Activated charcoal NOTES ON ADMINISTRATION | Will not adsorb cyanide, lithium, iron, lead, or arsenic.
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| Activated charcoal INCOMPATABILITIES/DRUG INTERACTIONS | Bonds with and generally inactivates anything it is administered with.
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| Activated charcoal DOSE/ROUTE Adult and peds | 1-2g/kg PO or NGT.
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| Activated charcoal ONSET OF ACTION | Variable
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| Activated charcoal PEAK EFFECTS | n/a
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| Activated charcoal DURATION OF ACTION | Variable
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| Activated charcoal AZ DRUG BOX SUPPLY RANGE | 50g
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| Atropine GENERIC NAME | None
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| Atropine BRAND NAME | Atropine
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| Atropine CLASS | Anticholinergic agent
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| Atropine MECHANISM OF ACTION | Parasympatholytic. Increases HR in life threatening bradyarrhythmias.
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| Atropine INDICATIONS | Hemodynamically unstable Bradycardia, Asystole, Bradycardic PEA, Organophosphate poisoning.
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| Atropine CONTRAINDICATIONS | Tachycardia, Hypersensitivity, MI, narrow-angle glaucoma.
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| Atropine ADVERSE REACTIONS | HA, dizziness, Palpitations, Tachycardia, arrhythmias, paradoxical Bradycardia when pushed slowly or at low doses, flushed, hot, dry skin, N/V.
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| Atropine NOTES ON ADMINISTRATION | Moderate doses may cause pupil dilation.
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| Atropine INCOMPATABILITIES/DRUG INTERACTIONS | Potential adverse effects when administered with digoxin, cholinergics, physostigmine.
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| Atropine DOSE/ROUTE ADULT Asystole and Bradycardic PEA | 1mg IV/IO push may repeat every 3-5 minutes up to 3 doses.
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| Atropine DOSE/ROUTE ADULT Unstable Bradycardia | 0.5 mg IV/IO every 3-5 minutes not to exceed 3mg total.
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| Atropine DOSE/ROUTE ADULT Organophosphate Poisoning | Extremely large doses (2-4mg or higher)
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| Atropine DOSE/ROUTE PEDEATRIC | 0.02 mg/kg IV/IO push. May double for second dose. Minimum single dose is 0.1 mg. Maximum single dose in child is 0.5mg. Child total dose, 1mg.
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| Atropine ONSET OF ACTION | Immediate
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| Atropine PEAK EFFECTS | Rapid to 1-2 minutes
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| Atropine DURATION OF ACTION | 6 hours
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| Atropine AZ DRUG BOX SUPPLY RANGE | (4) prefilled 1mg syringes. Total 4mg. (1) 8mg Multidose vial.
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| Oxytocin GENERIC NAME | Oxytocin
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| Oxytocin BRAND NAME | Pitocin
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| Oxytocin CLASS | Hormone
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| Oxytocin MECHANISM OF ACTION | Increases uterine contractions
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| Oxytocin INDICATIONS | Postpartum hemorrhage after infant and placental delivery.
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| Oxytocin CONTRAINDICATIONS | Presence of 2nd fetus. Unfavorable fetal position, hypersensitivity.
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| Oxytocin ADVERSE REACTIONS | Hypotension, hypertension, tachycardia, arrhythmias, angina, anxiety, sz, N/V, uterine rupture.
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| Oxytocin NOTES ON ADMINISTRATION | Monitor vital signs and uterine tone closely.
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| Oxytocin INCOMPATABILITIES/DRUG INTERACTIONS | Other vasopressors might potentiate hypertension.
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| Oxytocin DOSE/ROUTE After delivery of placenta IM | 3-10 units.
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| Oxytocin DOSE/ROUTE After delivery of placenta IV | Mix 10-40 units in 1000cc of NS.
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| Oxytocin ONSET OF ACTION | IM 5 minutes. IV immediate
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| Oxytocin PEAK EFFECTS | Variable
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| Oxytocin DURATION OF ACTION | IM 60 minutes, IV 20 minutes
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| Oxytocin AZ DRUG BOX SUPPLY RANGE | 10 units optional
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| Lorazepam GENERIC NAME | Lorazepam
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| Lorazepam BRAND NAME | Ativan
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| Lorazepam CLASS | Benzodiazepine, Anticonvulsive
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| Lorazepam MECHANISM OF ACTION | Anxiolytic, anticonvulsant, and sedative effects, by binding with benzodiazepine receptors and enhancing the effects of GABA.
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| Lorazepam INDICATIONS | Initial control of status epilepticus or severe recurrent seizures, severe anxiety, sedation.
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| Lorazepam CONTRAINDICATIONS | Acute narrow angle glaucoma. Coma, shock, or suspected drug abuse.
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| Lorazepam ADVERSE REACTIONS | apnea, drowsiness, sedation, ataxia, psychomotor impairment, confusion, restlessness, hypotension, Bradycardia.
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| Lorazepam NOTES ON ADMINISTRATION | Inadvertent arterial injection may result in vasospasm and gangrene.
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| Lorazepam INCOMPATABILITIES/DRUG INTERACTIONS | May precipitate CNS depression if patient already on CNS depressant medications.
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| Lorazepam DOSE/ROUTE Adult | 2-4mg slow IV or IM. May repeat in 15-20 minutes to a max of 8mg.
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| Lorazepam DOSE/ROUTE Pediatric | 0.05-0.20 mg/kg slow IV/IO over 2 minutes or IM. May repeat in 15-20 minutes to a max dose of 0.2 mg/kg
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| Lorazepam ONSET OF ACTION | 5 minutes
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| Lorazepam PEAK EFFECTS | Variable
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| Lorazepam DURATION OF ACTION | 8 hours
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| Lorazepam AZ DRUG BOX SUPPLY RANGE | 8mg optional
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| Dopamine GENERIC NAME | Dopamine
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| Dopamine BRAND NAME | Intropin
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| Dopamine CLASS | Sympathomimetic, inotropic agent
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| Dopamine MECHANISM OF ACTION | Stimulates alpha and beta adrenergic receptors. Increases myocardial contractility and stroke volume. Increases SVR.
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| Dopamine INDICATIONS | hypotension with low cardiac output states.
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| Dopamine CONTRAINDICATIONS | Hypovolemic shock, v-tach, v-fib
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| Dopamine ADVERSE REACTIONS | Tachycardia, arrhythmias, angina, dyspnea, ha, n/v, skin and soft tissue necrosis,
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| Dopamine NOTES ON ADMINISTRATION | Pregnancy safety not established.
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| Dopamine INCOMPATABILITIES/DRUG INTERACTIONS | MAOI’s will enhance effects. Beta blockers may antagonize effects.
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| Dopamine DOSE/ROUTE ADULT and PEDS | 2-20 mcg/kg/min titrated to patient response
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| Dopamine ONSET OF ACTION | 4 minutes
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| Dopamine PEAK EFFECTS | 10 minutes
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| Dopamine DURATION OF ACTION | Stops immediately after DC
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| Dopamine AZ DRUG BOX SUPPLY RANGE | 400mg
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Created by:
klindley