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Medic Drugs

QuestionAnswer
Albuterol other name(s): Ventolin, proventil
Albuterol class: Beta 2 Receptor Agonist
Albuterol actions: Dilates bronchioles
Albuterol dosages: Adult: 2.5mg Neb Ped: 1.25mg <20kg 2.5mg >20kg
Albuterol indications: Restrictive lower airway. COPD. Asthma. Pneumonia. Anaphylaxis.
Albuterol contraindications: Tachycardia. Dysthymias.
Atrovent other name: Ipratropium
Atrovent class: Bronchodilator. Parasympatholytic
Atrovent actions: Dilate bronchioles. Dries secretions. Blocks acetylcholine receptors.
Atrovent dose: Adult: 250-500mcg (0.25-0.5mg) in 2.5-3ml NS via Neb Ped: same
Atrovent indication: COPD, Asthma, Anaphylaxis
Atrovent contraindications: Can be used only once.
Cetacaine other name: Benzocaine. Hurricane spray.
Cetacaine class: Anesthetic.
Cetacaine actions: Blocks gag reflex by blocking neuronal membrane.
Cetacaine dose: Adult: 0.5-1sec spray to bavk of throat Ped: 0.25-0.5 sec spray to throat
Cetacaine indications: NPA insertion. Nasal intubation.
Cetacaine contraindications: Pt. will be unable to protect airway after administration.
Epinephrine 1:10,000 other name: Adrenalin
Epinephrine 1:10,000 class: Sympathomimitic
Epinephrine 1:10,000 actions: Cardiac stimulation. Vasopressor. Bronchodilation.
Epinephrine 1:10,000 dose: Adult: 1mg IV (2mg ET dose) q 3-5 min. Arrest: 0.1mg/kg IV/IO Ped: 0.01mg/kg IV/IO max dose 1mg
Epinephrine 1:10,000 indications: Cardiac arrest. Severe anaphylaxis.
Epinephrine 1:10,000 contraindications: No active labor. Hypertension. Hypothermia. PE. MI. Hypovolemic shock.
Epinephrine 1:1000 other name: Adrenalin
Epinephrine 1:1000 class: Sympathomimitic
Epinephrine 1:1000 actions: Cardiac stimulation. Vasopressor. Bronchodilator.
Epinephrine 1:1000 dose: Adult: Anaphylaxis/Resp: 0.3-0.5mg SQ Brady: 2-10mcg/min Ped: Anaphylaxis: 0.01mg/kg
Epinephrine 1:1000 indications: Anaphylaxis. Asthma. Bradycardia. Cardiac arrest. ET dose.
Epinephrine 1:1000 contraindications: Hypovolemic shock. MI. PE.
Furosemide other name: Lasix.
Furosemide class: Loop diuretic.
Furosemide actions: Blocks sodium and chloride absorption.
Furosemide dose: Adult: 0.5-1mg/kg IV/IO over 1-2min, then 2mg/kg over 1-2 min Ped: 1mg/kg IV/IO
Furosemide indications: CHF. Pulmonary edema. Hypertension.
Furosemide contraindications: Caution in pregnancy. Hypovolemia. Anuria. Electrolyte imbalance. Pneumonia. Fever.
Etomidate other name: Amidate
Etomidate class: Nonbarbituate hypnotic. Anesthetic.
Etomidate actions: Hypnosis induced by affecting the RAS.
Etomidate dose: Adult: 0.2-0.6 mg/kg IV over 30-60sec. Ped: 0.2-0.4 mg/kg IV/IO over 30-60 sec. (max dose 20mg)
Etomidate indications: Induction of RSI. Cardioversion.
Etomidate contraindications: Labor/delivery
Magnesium Sulfate other name: MAG.
Magnesium Sulfate class: Electrolyte. Anti-inflammatory.
Magnesium Sulfate actions: Calcium channel blocker. Depresses CNS. Anti-convulsant by reducing actylcholine release. Depress smooth, cardiac, and skeletal muscles. Bronchodilation.
Magnesium Sulfate dose: Adult: 1-2g over 1-2min (torsades, arrest). 1-4g IV/IM (preeclampsia). 1-2g IV/IO over 5-10min (bronchodilator) Ped: 25-50mg/kg IV/IO over 10-20 (Torsades). 25-50mg/kg IV/IO over 15-30min (seizure) max dose 2g.
Magnesium Sulfate indications: V-Fib. V-Tach. Torsades de pointes. Hypomagnesmia. AMI. Eclampsia. Respiratory.
Magnesium Sulfate contraindications: Heart block. Heart damage.
Morphine Sulfate other name: MSO4
Morphine Sulfate class: Narcotic analgesic
Morphine Sulfate actions: Potent analgesic that causes some vasodilation. Reducing venous return. Reduce myocardial oxygen demand.
Morphine Sulfate dose: Adult: 1-5mg IVP (pain). 2-4mg SIVP, repeat at 2-8mg every 5-15 min. Ped: 0.1-0.2mg/kg dose IV/IO/IM (max dose 5mg).
Morphine Sulfate indications: Pain. AMI. CHF. PE.
Morphine Sulfate contraindications: Undiagnosed head or abdominal injury. Hypotension. Altered mental status. Have Narcan ready for counteraction.
Succinycholine other name: Anectine.
Succinycholine class: Depolarizing. Neuromuscular blocker.
Succinycholine actions: Ultra short acting paralytic. Competitive binding with acethylcholine receptor.
Succinycholine dose: Adult: 1-1.5mg/kg IV/IM Ped: 1-1.5 mg/kg IV/IM Infants: 2mg/kg
Succinycholine indications: Facilitate RSI.
Succinycholine contraindications: Eye injury. Glaucoma. Hyperthermia. Caution: burns or crush. Any impairment. Dehydration.
Methylprednisolone other name: Solu-Medrol.
Methylprednisolone class: Corticosteroid. Anti-inflammatory.
Methylprednisolone actions: Synthetic adrenal steroid effective as an anti-inflammatory.
Methylprednisolone dose: Adult: 1-2mg/kg IV/IO. 30mg/kg IV over 15min Ped: same
Methylprednisolone indications: Asthma. COPD. Anaphylaxis. Spinal cord injury.
Methylprednisolone contraindications: Premature infants. Fungal infections. Caution: GI bleeding.
Nitroglycerin other name(s): Nitrostat. Nitro-bid. Tridil.
Nitroglycerin class: Nitrate. Vasodilator.
Nitroglycerin actions: Rapid smooth muscle relaxant. Reduces peripheral resistance. Reduces BP and cardiac workload.
Nitroglycerin dose: Adult: 1tab (0.4mg) SL q 3-5 min to 3 tab. 1/2” to 3/4” inch topical ointment. 0.4mg(1spray) SL to 3/25min Ped: not recommended.
Nitroglycerin indications: Pain associated with MI. Hypertension. Pulmonary edema. CHF.
Nitroglycerin contraindications: Head trauma. Hypotension. Hypovolemia. Erectile dysfunction drugs.
Vecuronium other name: Norcuron
Vecuronium class: Nondepolarizing skeletal muscle relaxant.
Vecuronium actions: Relaxes skeletal muscle.
Vecuronium dose: Adult: 0.1-0.2mg/kg IVP Ped: 0.1-0.3mg/kg IV/IO
Vecuronium indications: Facilitates RSI.
Vecuronium contraindications: Glaucoma. Eye injuries. Airways. Myasthenia gravis. Hepatic or renal failure.
Midazolam other name: Versed
Midazolam class: Sedative
Midazolam actions: Benzodiazepine- CNS depressant. Muscle relaxant. Anticonvulsant.
Midazolam dose: Adult: 2-2.5mg slow IV/IO Ped: 0.1-0.3mg/kg IV/IO
Midazolam indications: Induces sedation.
Midazolam contraindications: Shock. Coma. Intoxication. Glaucoma. OD.
Hydroxyzine other name: Vistaril
Hydroxyzine class: Antihistamine. Antiemetic. Anti-anxiety.
Hydroxyzine actions: Antihistamine with depressive, sedative, antiemetic, and bronchodilator properties. Potentiates analgesics.
Hydroxyzine dose: Adult: 25-100mg deep IM Ped: 0.5-1mg/kg deep IM
Hydroxyzine indications: Anxiety. Sedation. Nausea/vomiting.
Hydroxyzine contraindications: Early pregnancy. Caution in elderly.
Adenosine other name(s): Adenocard
Adenosine class: Anti-dysrythmic
Adenosine actions: Slows conduction through AV node.
Adenosine dose: Adult: 6mg, 12mg IVFP q 1-2 min. Ped: 0.1mg/kg, max 6mg then 0.2mg/kg max 12mg.
Adenosine indications: SVT, Narrow complex tach of unknown origin.
Adenosine contraindications: Not for use in heart blocks, Asthma, COPD.
Amiodarone other name: Cordarone. Pacerone.
Amiodarone class: Anti-dysrythmic.
Amiodarone actions: Blocks sodium channels and myocardium potassium channels.
Amiodarone dose: Adult: 300mg IVP 150-300mg IVP over 10min. Ped: 5mg/kg IVP 5mg/kg over 20-60 min.
Amiodarone indications: Pulseless V-Fib/V-tach. V-tach.
Amiodarone contraindications: 1 time only. Do not shake! Do not use in severe Brady or heart blocks. Cardiogenic shock.
Aspirin other name(s): ASA.
Aspirin class: Anti-inflammatory. Anti-coagulant.
Aspirin actions: Prevents platelet clotting.
Aspirin dose: Adult: 160-325mg PO Ped: not recommended.
Aspirin indications: Chest pain of cardiac nature.
Aspirin contraindications: Asthma. Active ulcers. Caution: Coumadin, Pregnancy, Children.
Atropine Sulfate other name(s): Atropine
Atropine Sulfate class: Parasypatholytic. Anticholenergic.
Atropine Sulfate actions: Blocks vagal nerve stimulation. Decrease airway secretions.
Atropine Sulfate dose: Adult: Brady:0.5-1mg IVP, Max dose 0.04mg/kg. Organo: 2-5mg IV/IM/IO q 10-15min Ped: Brady: 0.02mg/kg IV/IO minimum 0.1 mg/kg. Max single child dose 0.5mg. Max single adolescent dose: 1.0mg. Max total dose child:1mg, adolescent: 3mg.
Atropine Sulfate indications; Significant brady. Organophosphate OD. Nerve agent. RSI for pediatrics. Beta blocker overdose. Calcium channel blocker overdose.
Atropine Sulfate contraindications: Tachycardia. Glaucoma. Hypothermic brady.
Adenosine other name(s): Adenocard. Pacerone.
Adenosine class: Anti-dysryhtmic.
Adenosine actions: Slows conduction through AV node.
Adenosine dose: Adult: 6mg-12mg IVFP q 1-2min Ped: 0.1mg/kg, max 6mg then 0.2mg/kg, max 12mg
Adenosine indications: SVT. Narrow complex tach of unknown origin.
Adenosine contraindications: Not for use in heart blocks. Asthma. COPD.
Amiodarone other name(s): Cordarone. Pacerone.
Amiodarone class: Anti-dysrhythmic.
Amiodarone actions: Blocks sodium channels and myocardium potassium channels.
Amiodarone dose: Adult: 300mg IVP 150-300 over 10 min. Ped: 5mg/kg IVP 5mg/kg over 20-60min
Amiodarone indications: Pulseless V-Fib/V-tach. V-tach.
Amiodarone contraindications: 1 time only. Do not shake. Do not use in severe Brady or heart blocks. Cardiogenic shock.
Aspirin other name(s): ASA
Aspirin class: Anti-inflammatory. Anti-coagulant.
Calcium Chloride other name(s): N/A
Calcium Chloride class: Electrolyte.
Calcium Chloride actions: Raise calcium and lowers potassium. Increases cardiac force. Ventricular automaticity.
Calcium Chloride dose: Adult: 500-1000mg IV/IO or 2-4mg/kg to a max 3g. C.C.B. OD 8-16mg/kg. Ped: 20mg/kg, max 1g.
Calcium Chloride indications: Hyperkalemia. Hypocalcemia. Hypermagnesmia. C.C.B overdose. B.B. overdose.
Calcium Chloride contraindications: Hypercalcemia. V-Fib. Digitalis toxicity.
Diltiazem other name(s): Cardizem.
Diltiazem class: Ant-anginal. Anti-HTN. Antiarrythmic. CCB.
Diltiazem actions: Dilates arteries. Slow SA/AV times. Reduces oxygen demand.
Diltiazem dose: Adult: 0.25mg/kg IV over 2 min the 0.35mg/kg. Ped: Not recommended.
Diltiazem Indications: Angina. HTN. PSVT. A-Fib. A-Flutter.
Diltiazem contraindications: Heart blocks. Hypotension. Shock.
Digoxin other name(s): Lanoxin.
Digoxin class: Antidysrhythmic. Cardiac glycoside.
Digoxin actions: Decreases SA/AV conductions and HR. Increases cardiac force.
Digoxin dose: Adult: 4-6mcg/kg SIVP over 5min. Second dose 2-3mcg/kg. Ped: Not recommended.
Digoxin indications: CHF. A-Fib/flutter. PSVT refractory to adenosine.
Digoxin contraindications: V-Tach. V-Fib. Digitalis toxicity.
Dopamine other name(s): Inatropin.
Dopamine class: Sympathomimitic. Vasopressor. Inotropic agent.
Dopamine actions: Positive inotrope. Dilates heart, brain, and kidneys. Increase of blood pressure, contractility, and stroke volume.
Dopamine dose: Adult: Renal- 2-5mcg/kg/min IV/IO. Cardiac- 5-10mcg/kg/min IV/IO. Ped: 2-20mcg/kg/min IV/IO, titrate to response IV/IO.
Dopamine indications: Cardiogenic, distributive, and septic shock. Hypovolemic after bolus fails. Bradycardia.
Dopamine contraindications: Hypovolemic shock. Pheochromocytoma. V-Fib. Tachydysrythmias.
Heparin other name(s): N/A.
Heparin class: Anticoagulant.
Heparin actions: Anticoagulant. Prevents fibrin formation.
Heparin dose: Adult: 60u/kg. Max dose: (4000u). Ped: Not recommended.
Heparin indications: To prevent thrombosis. AMI.
Heparin contraindications: Bleeding problems. Recent brain, spine, or eye surgery. Hypertension. Thrombocytopenia.
Calcium Chloride other name(s): N/A
Calcium Chloride class: Electrolyte.
Calcium Chloride actions: Raise Calcium and lowers Potassium. Increases cardiac force. Ventricular automaticity.
Calcium Chloride dose: Adult: 500-1000mg IV/IO or 2-4mg/kg, max 3g. C.C.B. O.D. 8-16mg/kg. Ped: 20mg/kg, max 1g.
Calcium Chloride indications: Hyperkalemia. Hypocalcemia. Hypermagnesmia. C.C.B. Overdose. B.B. Overdose.
Calcium Chloride contraindications: Hypercalcemia. V-Fib. Digitalis toxicity.
Diltiazem other name(s): Cardizem.
Diltiazem class: Anti-anginal. Anti-HTN. Antiarrythmic. CCB.
Diltiazem actions: Dilated arteries. Slows SA/AV times. Reduces oxygen demand.
Diltiazem dose: Adult: 0.25mg/kg IV over 2min then 0.35 mg/kg. Ped: Not recommended.
Diltiazem indications: Angina. HTN. PSVT. A-Fib. A-Flutter.
Diltiazem contraindications: Heart blocks. Hypotension. Shock.
Calcium Chloride other name(s): N/A
Calcium Chloride class: Electrolyte.
Calcium Chloride actions: Raise Calcium and lowers Potassium. Increases cardiac force. Ventricular automaticity.
Calcium Chloride dose: Adult: 500-1000mg IV/IO or 2-4mg/kg, max 3g. C.C.B. O.D. 8-16mg/kg. Ped: 20mg/kg, max 1g.
Calcium Chloride indications: Hyperkalemia. Hypocalcemia. Hypermagnesmia. C.C.B. Overdose. B.B. Overdose.
Calcium Chloride contraindications: Hypercalcemia. V-Fib. Digitalis toxicity.
Diltiazem other name(s): Cardizem.
Diltiazem class: Anti-anginal. Anti-HTN. Antiarrythmic. CCB.
Diltiazem actions: Dilated arteries. Slows SA/AV times. Reduces oxygen demand.
Diltiazem dose: Adult: 0.25mg/kg IV over 2min then 0.35 mg/kg. Ped: Not recommended.
Diltiazem indications: Angina. HTN. PSVT. A-Fib. A-Flutter.
Diltiazem contraindications: Heart blocks. Hypotension. Shock.
Created by: Katierg
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