click below
click below
Normal Size Small Size show me how
Medic Drugs
| Question | Answer |
|---|---|
| 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. 1/2â to 3/4â 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. |