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NPFR MEDICATIONS
| Question | Answer |
|---|---|
| Adenosine Action | Depresses AV nodal conduction |
| Adenosine Indications | Stable PSVT |
| Adenosine Contraindications | A) second degree AV block B) complete heart block |
| Adenosine Side effects (4) | 1. Transient flushing 2. Dyspnea 3. Chest pain 4. Dysrhythmia |
| Adenosine Dosage | Adult: 6 mg 12 mg Pediatric: 0.1 mg/kg 0.2 mg/kg 0.2 mg/kg |
| Albuterol Action | Beta-adrenergic bronchodilator |
| Albuterol Indications | A) asthma B) COPD |
| Albuterol Contraindications | None |
| Albuterol Side effects (6) | Tremor, palpitations, tachycardia, HTN, anxiety, headache |
| Albuterol Dosage | Adults: 2.5mg nebulized Repeat twice PRN Pediatric: 2.5 mg nebulized |
| Amiodarone Action | Antidysrthmic with complex mechanism of action |
| Amiodarone Indications | Vfib, Vtach |
| Amiodarone Contraindications | None in cardiac arrest |
| Amiodarone Side effects | None in cardiac arrest |
| Amiodarone Dosage Adult | Cardiac arrest: 300mg Stable Vtach: 150mg over 10 min Infusion: 1mg/min |
| Amiodarone Dosage Pediatric | Cardiac arrest: 5mg/kg max 15 mg/kg Stable Vtach: 5mg/kg over 10 min |
| Aspirin Action | Inhibits platelet aggregation |
| Aspirin Indication | ACS |
| Aspirin Contraindications (4) | Hypersensitivity, stroke, peptic ulcer, asthma |
| Aspirin Side effects (2) | Upset stomach, gastritis |
| Aspirin Dosage | 324 mg |
| Atropine Action | Blocks parasympathetic nerve activity |
| Atropine Indications | Symtomatic bradycardia |
| Atropine Contraindications | High degree blocks |
| Atropine side effects (3) | Tachycardia, dilated pupils, dry mouth |
| Atropine Dosage | Adult: 0.5 mg 3-5 min max 3 Pediatric: 0.02 mg/kg 3-5 min max 1 |
| Dextrose Action | Directly elevates serum glucose |
| Dextrose Indications | Hypoglycemia |
| Dextrose Contraindications | None |
| Dextrose Side effects | Soft tissue damage in blown IV, may worsen neurological injury in stroke |
| Dextrose Dosage | Adult: 25-50 ml Pediatric: 0.5g/kg |
| Diltiazem Action | Calcium channel blocker which slows AV nodal conduction |
| Diltiazem Indications | AFIB/flirted with sustained ventricular response over 120/min |
| Diltiazem Contraindications (3) | Broad-complex tach, 2nd or 3rd degree block, WPW |
| Diltiazem Side effects (2) | Hypotension, bradycardia |
| Diltiazem Dosage | 0.25 mg/kg over 2 min May repeat in 10 min 0.35 mg/kg over 2 min |
| Diphenhydramine Action | Antihistamine |
| Diphenhydramine Indications | Allergic reactions |
| Diphenhydramine Contraindications (2) | Glaucoma, Newborn infants |
| Diphenhydramine Side effects (4) | Dryness of mucous membranes, thickening of bronchial secretions, sedation, blurred vision |
| Diphenhydramine Dosage | Adults: 25-50 Pediatrics: 1mg/kg |
| Dopamine Action | Catecholamine precursor which stimulates dopaminergic, beta adrenergic and alpha adrenergic receptors |
| Dopamine Indications (4) | 1)cardiogenic shock 2)Hypotension w/ no HV 3) S Brady refractory to TCP 4) hypotension w Bradycardia |
| Dopamine Contraindications | Known hypovolemia |
| Dopamine Side effects (3) | 1)Tachycardia 2)ventricular ectopy 3) increased myocardial oxygen demand |
| Dopamine Dosage | 5mcg/kg/min |
| Epi 1:10,000 Action (7) | Alpha and beta adrenergic, systemic vascular resistance, HR, BP, strength of myocardial contraction, coronary and cerebral blood flow and automaticity. |
| Epi 1:10,000 Indications (2) | Adults: cardiac arrest Pediatrics: symptomatic bradycardia |
| Epi 1:10,000 Contraindications | None |
| Epi 1:10,000 Side effects | None |
| Epi 1:10,000 Dosage | Adults: 1mg 3-5 min Pediatrics: 0.01 mg/kg 3-5 min |
| Epi 1:1,000 Actions | Catecholamine used in treatment of allergic reactions |
| Epi 1:1,000 Indications | 1) allergic reactions 2) Asthma/COPD |
| Epi 1:1,000 Contraindications | Adults > 45 years of age (OLMC) |
| Epi 1:1,000 Side effects (5) | 1)palpitations 2)arrhythmias 3)HTN 4)anxiety 5)tremulousness |
| Epi 1:1,000 Dosage | Adults: 0.3mg Pediatrics: 0.01mg/kg max 0.3 |
| Etomidate Action | Short-acting hypnotic agent used for induction of general anesthesia |
| Etomidate Indications (3) | 1) cardioversion 2)RSI 3)Unstable Vtach,PSVT, AFIB/flutter |
| Etomidate Contraindications | None |
| Etomidate Side effects (4) | 1)apnea 2)hypotension 3)vomiting 4)adrenocortical suppression |
| Etomidate Dosage | Adults: 0.3mg/kg max 30 Pediatrics: 0.3mg/kg max 10.8 |
| Furosemide Actions | Diuresis |
| Furosemide Indications | CHF |
| Furosemide Contraindications | None |
| Furosemide Side effects | None |
| Furosemide Dosage | 1mg/kg max100 |
| Glucagon Action | Increases serum glucose by conversion of hepatic glycogen |
| Glucagon Indications | Hypoglycemia if IV unsuccessful |
| Glucagon Contraindications | None |
| Glucagon Side effects | None |
| Glucagon Dosage | Adult: 1mg Pediatrics: 0.5mg 3-18kg. 1mg 19-36kg |
| Haloperidol Action | Major tranquilizer as adjunct to physical restraint in behavioral emergencies |
| Haloperidol Indications | Behavioral emergencies |
| Haloperidol Contraindications (4) | 1)Hypotension, 2)tachycardia, (3)dysrhythmia, (4)known seizure disorder |
| Haloperidol Side effects (4) | 1)hypotension, 2)tachycardia, 3)dystonia, 4)lowered seizure threshold |
| Haloperidol Dosage | 5mg, 2.5mg, 2.5mg |
| Hydroxocobalamine Indications | Treatment of known or suspected cyanide poisoning |
| Hydroxocobalamine Contraindications | None |
| Hydroxocobalamine Side effects | Increased blood pressure, allergic reactions |
| Hydroxocobalamine Dosage | Manufacturer's guidelines |
| Hydromorphone HCL Action | Narcotic analgesic which relieves pain and anxiety and dilates blood vessels |
| Hydromorphone HCL Indications | Adult pain management, including burns, ACS and pacing. Pediatric pain management for > 1 year of age only. |
| Hydromorphone Contraindications | Any indications other than pain management |
| Hydromorphone HCL Side effects (5) | 1)respiratory depression, 2)hypoxia, 3)hypotension, 4)nausea, 5)vomiting |
| Hydromorphone HCL Dosage | Adult: 0.5-2mg increments of 0.5 Pediatrics: 0.015mg/kg max0.5 |
| Ipratropium Action | Bronchodilator |
| Ipratropium Indications (2) | 1) adult obstructive pulmonary disease 2) pediatric respiratory distress(asthma) |
| Ipratropium Contraindications | None |
| Ipratropium Side effects (6) | 1)tremor, 2)palpitations, 3)tachycardia, 4)HTN, 5)anxiety, 6)headache |
| Ipratropium Dosage | Adult: 0.5mg Pediatric: 0.25mg |
| Lidocaine Action | Local anesthetic action |
| Lidocaine Indications | Optional pain management for IO infusion, always follow with NS flush. |
| Lidocaine Contraindications | Known history of hypersensitivity to drug |
| Lidocaine Side effects (3) | 1)allergic reactions, 2)drowsiness, 3)lightheaded |
| Lidocaine Dosage | Adult: 20-40mg |
| Methylprednisolone Action | Corticosteroid which stabilizes membranes and decreases inflammation |
| Methylprednisolone Indications (3) | 1)allergic reactions 2)COPD 3)pediatric asthma |
| Methylprednisolone Contraindications | None |
| Methylprednisolone Side effects | None |
| Methylprednisolone Dosage | Adult: 125mg Pediatrics: 2mg/kg |
| Midazolam Action ' | Benzodiazepine sedative, useful for terminating status elipticus |
| Midazolam Indications (4) | 1)seizures, 2)status elipticus, 3)sedation following RSI, 4)behavioral restraint after administration of rocuronium and for discomfort associated with cardiac pacing. |
| Midazolam Contraindications | None |
| Midazolam Side effects (2) | 1)respiratory depression, 2)hypotension |
| Midazolam Dosage | Adult: 5mg, 2.5, 2.5 Pediatric: 0.05 mg/kg max 1.8 |
| Naxalone Actions | Narcotic antagonist |
| Naloxone Indications | Known or suspected opioid OD, especially with respiratory depression. |
| Naloxone Contraindications | None |
| Naloxone Side effects | Acute withdrawal syndrome in opioid addicts |
| Naloxone Dosage | Adult: 0.4-2mg Pediatrics: 0.1mg/kg |
| Nitroglycerin action (3) | Dilates coronary arteries by relaxing vascular smooth muscle. Increases myocardial blood flow and decreases myocardial work. |
| Nitroglycerin Indications (2) | A) chest pain B) CHF |
| Nitroglycerin Contraindications (2) | A) Hypotension B) ED drugs within preceding 48 hours |
| Nitroglycerin Side effects (3) | 1)headaches, 2)hypotension, 3)syncope |
| Nitroglycerin Dosage | Adult: 0.4mg repeat 5min prn Pump: 5mcg/min |
| Ondansetron Action | Antiemetic agent |
| Ondansetron Indications | Nausea and vomiting |
| Ondansetron Contraindications | None |
| Ondansetron Side effects | None |
| Ondansetron Dosage | Adult: 4mg Pediatric: 0.15mg/kg max 4mg may repeat in 20 minutes |
| Rocuronium Action | Non-depolirizing neuromuscular blocking agent |
| Rocuronium Indications (2) | 1)post-intubation agitation 2)induced hypothermia following ROSC |
| Rocuronium Contraindications | Pregnancy |
| Rocuronium Side effects | Occasional allergic reaction |
| Rocuronium Dosage | Adult: 0.6mg/kg max 60mg Pediatric: 0.6mg/kg max 21.6mg |
| Succinylcholine Action | Ultra short acting depolirizing type skeletal muscle relaxant |
| Succinylcholine Indications | RSI |
| Succinylcholine contraindications (4) | 1)massive burns 2)massif crush injuries 3)penetrating eye injury 4)organophosphate poisoning |
| Succinylcholine Side effects (5) | 1)rhabdomyolysis 2)hyperkalemia 3)ventricular arrhythmia 4)malignant hyperthermia 5)prolonged respiratory depression |
| Succinylcholine Dosage | Adult: 1.5 mg/kg max 120 Pediatric: 2mg/kg max 72 |
Created by:
Lucas0393968
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