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Also known as Osmitrol. Mannitol
An osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis. Mannitol
Indicated for cerebral edema Mannitol
Contraindicated for pulmonary edema, CHF, organic CNS disease, intracranial bleeding, shock, renal failure, severe dehydration. Mannitol
Dosage of 0.5-1g/kg over 5-10min IV Mannitol
PED dosage of 50mcg/kg over 10-60min Mannitol
Also known as Demoral. Meperidine
Is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects. Meperidine
Indicated for moderate to severe pain. Meperidine
Contraindicated for seizure disoders, acute abdomen prior to diagnosis. Meperidine
Dosage of 25-100mg IV or 50-100mg IM Meperidine
PED dosage is 1mg/kg IV/IM Meperidine
A sympathomimetic Bronchodilator also known as Alupent. Metaproterenol
Is a synthetic sympathomimetic amine, similar to isoproterenol that causes smoot muscle relaxation of the bronchial tree, decreasing airway resistance, facilitating mucous drainage, and increasing vital capacity. Metaproterenol
Indicated for bronchospasm, as in asthma and COPD. Metaproterenol
Contraindicated for hypersensitivity to sympathomimetic agents, tachydysrhythmias, hyperthyroidism Metaproterenol
Dosage of 0.65mg via MDI (2sprays)or 0.2-0.3mL in 2.5-3mL NS via NEB. Metaproterenol
PED dosage of 0.1-0.2mL/kg (5% solution) in 2.5-3mL NS via NEB. Metaproterenol
A corticosteroid, Anti-inflammatory also known as Solu-Medrol. Methylprednisolone
A synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. Also may be used for treatment of spinal cord injury. Methylprednisolone
Indicated for spinal cord injury, asthma, severe anaphylaxis, COPD Methylprednisolone
No major contraindications in EM setting Methylprednisolone
Dosage for Asthma/COPD/Anaphylaxis is 125-250 mg IV/IM PED:1-2mg/kg IV/IM Methyprednisolone
Dosage for Spinal cord injury is 30mg/kg IV over 15min, after 45min infusion of 5.4mg/kg/hr Methylprednisolone
A beta blocker also known as Lopressor Metoprolol
Is a beta-adrenergic blocking agent that reduces HR, cardiac output, and BP. Metoprolol
Indicated for AMI Metoprolol
Contraindicated for cardiogenic shock, sinus brady <45, 2nd & 3rd degree HB, PR interval >.24, cor pulmonale, asthma, COPD Metoprolol
Dosage of mg slow IV/5min up to 3x Metoprolol
A sedative also known as Versed. Midazolam
Is a short acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant, and anterograde amnestic effects. Midazolam
Indicated to induce sedation before cardioversion or intubation. Midazolam
Contraindicated for narrow-angle glaucoma, shock, coma, acute alcohol intoxication. Midazolam
Doasage of 1-5mg slow IV, or .07-.08mg/kg IM (usually 5mg) Midazolam
Ped dosage of .05-.2mg/kg IV: IM: 3mg intranasal. Midazolam
A narcotic analgesic also known as Duramorph Morphine sulfate
Is a potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial O2 demand Morphine sulfate
Indicated for moderate to severe pain and in MI to reduce venous return in pulmonary edema. Morphine sulfate
Contraindicated for hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension or volume depletion. Morphine sulfate
Contraindicated for acute bronchial asthma, COPD, severe respiratory depression, pulmonary edema due to chemical inhalation. Morphine sulfate
Dosage for MI is 2-4mg IV/IO q 5-15min. Morphine sulfate
Dosage for Pain is 2-25mg IV; 5-20mg IM/SQ Morphine sulfate
PED dosage is .05-.1mg/kg IV or .1-.2mg/kg IM/SQ Morphine sulfate
Nubain is a narcotic analgesic also known as. Nalbuphine
Is a synthetic narcotic analgesic equivalent to morphine, though its respiratory depression does not increase w higher doses. Nalbuphine
Indicated for moderate to sever pain. Nalbuphine
Contraindicated for hypersensitivity, undiagnosed head or abdominal injury. Nalbuphine
Dosage is .4-2mg IV/IO/IM (2-2.5x dose for ET) repeat in 2-3min prn upto 10mg. Nalbuphine
PED dosage is .1-2mg/kg IV/IO Nalbuphine
Also known as Narcan and is a narcotic antagonist Naloxone
Is a pure narcotic antagonist that blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression. Naloxone
Indicated for narcotic and synthetic narcotic OD, coma of unknown origin. Naloxone
Contraindicated for hypersensitivity, non-narcotic-induced respiratory depression. Naloxone
Dosage of .4-2mg IV/IM (2-2.5x dose for ET)or .4-.8mg IM/SQ repeat q 2hrs prn upto 10mg. Naloxone
PED dosage is .1mg IV/IM (2-2.5x dose ET) repeat q 2min prn upto 2mg. Naloxone
Also known as Procardia or Adalat Nifedipine
Is a calcium channel blocker that reduces coronary artery spasm in angina. It also decreases peripheral vascular resistance, BP and cardiac workload. Nifedipine
Indicated for hypertension and angina Nifedipine
Contraindicated for hypersensitivity or hypotension. Nifedipine
Dosage is 1 capsule at 10-20mg SL/PO Nifedipine
Created by: pinky36



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