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Pharms doses, indic. contra. SE. class. MOA

Albuterol ( Ventolin, Proventil) Classification Sympathomimetic bronchodilator, Beta adrenergic agonist ( B2 selective )
Albuterol ( Ventolin, Proventil) Indications 1.Bronchospasm ( asthma/ reactive airway) 2.Toxic Gas inhalations/ OD 3.Allergic reaction 4.COPD 5.Near drowning 6.Hyperkalemia ( crush injury)
Albuterol ( Ventolin, Proventil) Contraindications Known Hypersensitivity
Albuterol ( Ventolin, Proventil) Precautions 1.Use with caution in pts w/ myocardial ischemia 2.Paradoxical bronchospasms may occur in pts who receive this(drug), discontinue use. 3.beta-blocker medications and (med) inhibit each other.
Albuterol ( Ventolin, Proventil) Side Effects 1.Tachycardia 2.Palpitations/ Cardiac ectopy 3.Tremor 4.Headache 5.Nausea/vomiting 6.Coughing
Albuterol ( Ventolin, Proventil) Dosages Adult: 2.5mg in 3.0ml NS given via HHN over 3-5 minutes May repeat as needed Ped: 2.5mg in 3.0ml NS given via HHN over 3-5 minutes May repeat as needed
Asprin ( acetylsalicylic avid, ASA) Classification Analegesic, antupyretic, ,platelet aggregate inhibitor, non sterioidal anti inflammatory ( NSAID)
Asprin ( acetylsalicylic avid, ASA) Indications Chest pain/ discomfort Acute coronary syndrome/ STEMI/ NSTEMI Afib/A-flutter
Asprin ( acetylsalicylic avid, ASA) Contraindications Known hypersensitivity Environmental hyperthemia Peptic ulcer disease Pediatric or adolescent pt.
Asprin ( acetylsalicylic avid, ASA) Precautions ASA is contraindicated for peds and adolescents due to concern for Reye's syndrome ( can cause liver injury, CNS damage, and hypoglycemia.
Asprin ( acetylsalicylic avid, ASA) Doses Adult: 162mg - 325mg PO
Asprin ( acetylsalicylic avid, ASA) side effect gastritis. nausea . vomiting. upper G-I bleeding. increase beeding .
Amiodarone ( Cardarone, Nexterone) Classification Antiarrhythmic
Amiodarone ( Cardarone, Nexterone) Indication Ventricular tachycardia Vtach. Ventricular fibulation Vfib . wide complex tachycardia . symptomatic P.V.Cs.
Amiodarone ( Cardarone, Nexterone) Contraindictions Known hypersensitivity. iodine hypersensitivity. Bradycardia. AV block >1 degree in the absences of pacemaker.
Amiodarone ( Cardarone, Nexterone) precautions Due to its vasodilatory properties, the administation of amiodarone is cardiac arrest should be preceded by the administation of a vasopressor i.e epinephrine amiodarone should not be used in individuals with polumorphic VT assocaited with prolonged QT i
Amiodarone ( Cardarone, Nexterone) Side Effects Hypotension. bradycardia . AV block. Torsades de Pointes. C.ongestive heart failure. Phlebitis
Amiodarone ( Cardarone, Nexterone) Doses (ADULT) FULL ARREST:300 mg I.V.P / I.O followed by 10-20 ml NS flush 2nd: 150mg I.V.P/ I.O followed by 10-20 ml NS flush. WIDE COMPLEX TACHY/ SYMPTO PVC's:150mg slow I.V.B.P /I.O over 10 minutes ( max dose 450 mg)
Amiodarone ( Cardarone, Nexterone) Doses (Peds) Vtach/ Vfib Arrest: 5mg/kg I.V.P /I.O follwed by 10 ml push. ( Max dose: 15mg/kg Tachydysrhythmias : 5mg/kg I.V.P.B / I.O over 20-60 mins. ( Max dose: 15mg/kg)
Adenosine (adenocard) classification Antiarrhythmic . endogenous nucleoside.
Adenosine (adenocard) Indications Narrow complex tachycardia (SVT/PSVT), Wide complex tachycardia (Regular, monomorphic).
Adenosine (adenocard) Contraindications Known hypersensitivity. atrial fib associated with WPW syndrome. Hx of sick sinus syndrome.
Adenosine (adenocard) precaution If admin to pts with a-fib and wpw syndrom can resule into v-fib pts with hx of reactive airway disease. post cardiac transplant may have increased sensitivity. cannulate largest vein possible to facilitate rapid flush.
Adenosine (adenocard) Side effects Headache, chest pain, flushing, dyspnea/ bronchoconstriction, bradycardia, AV block, Sinus pause/ asytole.
Adenosine (adenocard) Dosages (adult) Adult: 6mg rapid IV push / IO followed by 10-20 ml flush. May repeat with 12mg twice after 1-2 min ea.
Adenosine (adenocard) Dosages (Peds) 0.1mg/kg rapid IV push/ IO followed by 10 ml flush. May repeat with 0.2mg/kg twice after 1-2 minutes.
Atropine Sulfate (Class) Anticholinergic. Parasympatholytic.
Atropine Sulfate (Indications) Bradycardia associated with inadequate perfusion. Organophosphate/ nerve agent toxicity. Prior to RSI pediatrics.
Atropine Sulfate (Contraindications) Known hypersensitivity. Glaucome ( relative contraindication to atropine administration in the setting of life threathening bradycardia)
Atropine Sulfate (Precautions) can worsen ischemia in the presences of mycardial ischemia and hypoxia. shouldnt be delayed implementation of external pacing for pt with poor perfusion. May not be effective in 2nd degree Type II Av block and 3rd degree. Donor hearts are not responsiv
Atropine Sulfate (side effects) Tachycardia. blurred vision. urinary retention. dry skin. confusion (high dose). glaucoma.
Atropine Sulfate (dose) Adult BRADYCARDIA: 0.5-1.0mg IVP/ IO May repeat ever 3-5 minutes to max of 3mg ( ACLS 0.4mg/kg max) ORGANICPHOSPHATE: 2mg IVP/IO/IM May repeat every 5 minutes or until pt present atropinzation.
Atropine Sulfate (doses) PEDS RSI: 0.01-0.02mg/kg IVP/IO max: 0.5mg CARDIAC: 0.02mg IVP/IO Max: 0.5mg ORGANIC: 0.02-0.05 mg/kg IVP/IO/IM <12YO (>12YO 1-2mg) every 30 minutes or until signs of atropinization.
Dextrose (class) carbohydrate
Dextrose (Indications) ALOC with documented or suspected hypoglycemia
Dextrose (contraindication) D5W ould b avoided in the setting of increased ICP.
Dextrose (precautions) can lead to tissue injury. check IV patency and function priod to push. check glucose after administation. For alcohol abuse or malnutrition, thiamine should be administered. Only D10 for neonates.
Dextrose (side effects) Local skin irritation. Thrombophlebitis. Extravasation with subsequent tissue necrosis. Hyperglycemia.
Dextrose (Dose) Adult 25gm (50ml solution preload is d50 or 250ml bag is d10) IVP/IO/IVPB One repeat in 5 min.
Dextrose (dose) PEDS Birth- 1M: 5-10ml/kg (0.5-1g/kg) slow IVP (D10) repeat once in 10 minutes >1m-2YO: 2ml/k (0.5-1g/kg) slow IVP (D25) repeat once in 5 minutes >2Yo: 1ml/kg (0.5-1g/kg) Iv/IO (D50) repeat once in 5 minutes
Created by: Jterfehr



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