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Mercy Pharm

Mercy Pharm 1st names/2nd names/class/doses

Drug2nd nameclassStandard dosingIndications
Activated Charcoal Activated Charcoal Adsorbant 1g/kg Acute ingested poisoning
Adenosine Adenocard Antidysrythmic 6mg, 12mg, 12mg. PSVT refractory to vagal manuevers
Albuterol Ventolin,Proventil, Salbutamol Sympatholmimetic (B2 selective) 2 inhalations (90mcg) via MDI 2.5mg in 2.5-3ml of NS Bronchospasm and asthma in COPD
Aminophyllin Theophyllin Xanthine Bronchodilator 250 - 500 mg IV over 20-30 min. Bronchospasm in asthma and COPD refractory to sympathomimetics and other bronchodilators and in CHF
Amiodarone Cordarone,Pacerone Antidysrythmic 150mg/100ml over 10 min, 1mg/min ovr next 6 hours Life-threatening Ventricular and supraventricular dysrythmia, frequent A-Fib
Aspirin ASA Platelet inhibitor, anti-inflammatory 162-325 mg PO In accordance with ACS protocol
Calcium Chloride CaCl Electrolyte 2-4 mg/kg IV (10% solution)/10 min, as needed Hyperkalemia, hypocalcemia, hypermagnessemia, and Calcium chanel blocker toxicity
Cetacaine Benzocaine,Tertracaine,Hurricaine, Pontocaine Topical anesthetic 1-2 second spray topical anesthesetic for all muscous membranes EXCEPT the eyes.
Dextrose 10% D10 Carbohydrate 5g hypoglycemia
Dextrose 25% D25 Carbohydrate 12.5g hypoglycemia
Dextrose 50% D50 Carbohydrate 25g IV hypoglycemia
Diltiazem Cardizem Calcium Channel Blocker 0.25mg/kg IV over 2 min, may rpeat with 0.35mg mg/kg followed by a drip of 5-10mg/hr not to exceed 15mg/hr over 24 hours Supraventricular Tachydysrythmias (A-Fib, A-flutter, PSVT refractory to adenosine) and to increase coronary artery perfusion in angina
Dimenhydrinate Dramamine,Gravol Antihistamine 12.5-25mg IV; 50mg IM/4hrs PRN to relieve N/V with motion sickness or narcotic use
Diphenhydramine Benedryl Antihistamine 25-50mg IV/IM Anaphalaxis, allergic reactons and dystonic reactions
Dopamine Intropin Sympathomimetic 2-5 mcg/kg/min, titrated to effect. Nonhypovelmic hypotension (70-100 mmHg) and cardiogenic shock
Epinephrine 1:1000 Adrenalin Sympathomimetic Arrest:1mg of 1:10000 IV/3-5min (ET 2.0-2.5 mg 1:1000) Allergic reaction: 0.3-0.5 mg of 1:1000 SC/5-15 min prn or 0.5-1mg of 1:10000IV if SC dose is inefective or severe reaction To restore cardiac rythym in cardiac arrest and severe allergic reactions
Epinephrine 1:10000 Adrenalin Sympathomimetic Arrest:1mg of 1:10000 IV/3-5min (ET 2.0-2.5 mg 1:1000) Allergic reaction: 0.3-0.5 mg of 1:1000 SC/5-15 min prn or 0.5-1mg of 1:10000IV if SC dose is inefective or severe reaction To restore cardiac rythym and severe analphalaxis
Furosemide Lasix Loop diuretic 40-120mg mg slow IV CHF and pulmonary edema
Glucagon Glucagon Hormone, Antihypoglycemic Hypoglycemia: 1mg IM/SC q 5-20 min Beta Blocker OD: 50-150mg/kg IV over 1 min Hypoglycemia without IV access and to reverse Beta Blocker OD
Abciximab Epptifibitide Glycoprotein IIb/IIIa inhibitor (blank) (blank)
Hydralazine Apresoline Antihypertensive (potent vasodilator) 20 -40 mg IV/IM repeated 4-6 hours HTN crisis and pre-eclampsia
Hydrocortisone Na Succinate Solu-Cortef Steroid 40 - 250 mg IV/IM Inflammation during allergic reactions, severe analphalaxis, asthma, and COPD
Hydroxyzine Atarax, Vistaril Antihistamine Anxiety:50-100 mg Deep IM N/V:25-50 mg Deep IM Acute anxiety, N/V
Ipatropium Bromide Atrovent Anticholinergic 500mcg in 2.5 - 3ml NS SVN, or 2 puffs MDI Bronchospasm associated with asthma, COPD, and inhaled irritants
Isoetherine Bronkosol, Bronkometer Sympathomimetic (B2 selective) 0.5ml in 2-3ml saline via SVN, 1-2 puffs MDI Bronchospasm in asthma and COPD
Isoproterenol Isuprel Sympathomimetic Bradycardia: 2-10 mcg/min titrateed to cardiac rate Status asthmaticus: 1-2 puffs MDI Bradycardia refractory to atropine when pacing is not available and for severe asthmaticus
Ketorolac Tromethamine Toradol NSAID 30mg IV/IM (15 mg >65 y/o or weight <50kg) Mild or loderate pain
Labetalol Trandate, Normodyne Sympathetic Blocker (B blocker) 20 mg slow IV, then 40 -80mg/10min prn up to 300 mg. OR IVPB 2mg/min up to 300 mg Acute HTN crisis
Lidocaine Xylocaine Antidysrythmic Arrest: 1-1.5mg/kg IV q 3-5 min up tp 3mg/kg, follow conversion with IVPB up to 2-4mg/min VTACH:(w/pulse)1-1.5mg slow IV, may repeat @ half dose q 5-10 min until conversion up to 3mg/kg. follow conversion with IVPB 2-4mg/min Pulsless Vtach, Vfib, VTACH w/pulse
Lorazepam Ativan Benzodiazepine (tranquilizer) Sedation: 2-4 mg IM, 0.5-2mg IV Status Epilepticus: 2mg slow IV/PR (2mg/min) Sedation for cardioversion and status epilepticus
Magnesium Sulfate MgSO4 Anticonvulsant, antidysrythmic VFIb or Tachycardia: 1-2g IV over 2 min Torsades de pointes: 1-2g IV followed by infusion og 0.5-1g/hr IV AMI:1-2g/kg IV over 5-30 min Eclampsia: 2-4g IV/IM Refractory VFib and pulseless Vtach (esp Torsades de pointes), AMI, Eclamptic seizures
Meperidene Demerol Narcotic analgesic 25-50mg IV, 50-100mg IM Moderate to severe pain
Metaproterenol Alupent Sympathomometic (B2 selective) 0.65mg via MDI (2 puffs);0.2-0.3 ml in 2.5-3.0ml NS via SVN Bronchospasm, as in asthma or COPD
Methylprednisone Solu-Medrol Steroid (cortico) Asthma/COPD/Anaphalaxis:125-250mg IV/IM Spinal Cord injury:30mg/kg IV over 15 min, after 45 minutes an IVPB of 5.4mg/kg/hr Spinal cord injury, asthma, severe analphylaxis, COPD
Metoclopramide Reglan Phenothiazine Antiemetic 10-20mg IM; 10mg slow IVP(over 1-2 min) N/V
Metoprolol Lopressor, Toprol XL Sympathetic Blocker (B2 selective) Beta Blocker 5 mg slow IV/5 min up to 3 times AMI
Midazolam Versed Benzodiazapine (tranquilizer) 1-2.5mg slow IVP; 0.07-0.08mg/kg IM (usually 5mg) To induce sedation prior to cardioversion or intubation
Morphine Sulfate Astramorph Narcotic Analgesic Pain: 2.5-15mgIV; 5-20mg IM/SC AMI or PE: 1-2mg/6-10 miutes to response Moderate to severe pain and in MI and to reduce venous return in pulmonary edema
Nalbuphine Nubaine Synthetic Analgesic 5mg IV/IM/SC, repeat as 2mg doses up to 20mg Moderate to severe pain
Neosynephrine Phenylephrine HCL Sympathomimetic (blank) (blank)
Nitroglycerine Tablet Nitrostat Antianginal, Nitrate 0.4mg SL repeatr up to 3 q 3-5 min CP associated with AMI, Angina, PE
Nitroglycerine Paste Nitro-Bid Antianginal, Nitrate 1/2in-1in topical. CP associated with AMI, Angina, PE
Nitroglycerine Spray Nitro-Lingual Antianginal,Nitrate 0.4mg SL(one spray)up to three aprays in 25 min CP associated with AMI, Angina, PE
Oxygen O2 Gas 2-25 lpm via any means of oxygenation any and or all pt's
Oxytocin Pitocin Hormone 3-10 units IM after delivery of placenta; 10-20 units in 1000ml of D5W or NS IVP titrated Severe Postpartum hemmorage
Pancuronium Bromide Pavulon Non depolarizing neuromuscular blocker 0.04-0.1mg/kg IV To facilitate endotrachael intubation
Phenobarbital Luminal Barbituate 100-300mg slow IV/IM Seizures, status epilepticus, and acute anxiety
Physotigmine Antilirium Cholinesterase inhibitor, parasympathomimetic 0.5-3mg IV no faster than 1 min. repeat as needed Tricyclic antidepressants (CNS and Cardiac efects) and anticholinergic OD
Phenytoin Dilantin Anticonvulsant, antidysrythmic Seizures: 10-15 mg/kg Slow IV Dysrythmias:100 mg slow IV (over 5 min) to max of 1000mg Seizures, status epilepticus, cardiac dysrythmias secondary to digitalis toxicity
Pralidoxime 2-pam/protopam cholinesterese reactivator 1-2g in 250-500ml NS IVPB over 15-30 min; or 1-2g IM/SC if no IV access Organophosphate poisoning
Promethazine Phenergan Phenothiazine Antihistamine 12.5-25mg IV/IM/PR N/V, Motion sickness, induce sedation, and to enhance the effects of sedation
Propranolol Inderal Sympathetic Blocker (B Blocker) 1-3 mg slow IV (2-5 min) not to exceed 1mg/min, may repeat/2min to 0.1mg/kg Vfib, Pulseless VTACH rerfractory to lidocaine and bretylium and selected SVT's
Salbutamol Albuterol,Ventolin,Proventil Sympathomimetic (B2 selective) 2 inhalations (90mcg) via MDI 2.5mg in 2.5-3ml of NS Asthma,COPD
Sodium Bicarbonate NaHCO3 Alkalinizing agent 1 mEq/kg IV, then 0.5mEq/kg/10min Tricyclic antidepressant and barbituate OD, refractory acidosis, or hyperkalemia
Thiamine Vitamin B1 Vitamin 50-100mg IV/IM Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremors
Vecuronium Norcuron Non depolarizing neuromuscular blocker 0.08-0.1mg/kg IV Facilitated endotracheal intubation
Amyl Nitrate Amyl Nitrate Nitrate Inhalent broken and inhaled for duration of transport Cyanide poisoning
Atropine Atropine parasympatholitic (anticholinergic) Arrest: 1mg IV, 2-2.5mg ETT Bradycardia: 0.5mg q 3-5 min to max of 0.04mg/kg Organophosphate poisoning: 2-5mg Asystole, significant bradycardia, hypotension secondary to bradycardia, organophosphate poisoning
Flumazenil Romazicon Benzodiazepine antagonist 0.2mg IV over 30 sec up to max of 1.0mg Reverse CNS depression from Benzodiazepines
Mannitol Osmotrol Diuretic (osmotic) 1.5-2g/kg IV Aute cerebral edema, Blood transfusion reactions
Norepinephrine Levaphed/levarternol Sympathomimetic 0.5-30mcg/min (8mg in 500ml D5W, with concentration of 16mcg/ml) Hypotension (systolic <70mmHg refractory to other sympathomimetics), Neurogenic shock,
tPA Tissue plasminogen activator, Activase Fibronolytic 100mg IV/IM AMI
Vasopressin ADH Hormone, Vasoconstrictor 40 units IV (single dose only) Cardiac arrest
Succinylcholine Anectine Neuromuscular blocker (depolarizing) 1-1.5mg/kg (40-100mg adult) Facilitate endotracheal intubation
Streptokinase Strepase Fibronolytic 1.5million units over 1 hour AMI
Naloxone Narcan Narcotic Analgesic 1-2mg IV/IM/ETT(2-2.5 times the dose), Atomizer Reverse effects of narcotics
Procainamide Pronestyl Antidysrythmic Initial: 20mg/min, maintainance 1-4mg/min Cardiac arrest dur to persistant Vfib refractory to lidocaine, PVC's refractory to lidocaine
Terbutaline Brethine Sympathomimetic MDI ( 2 puffs), SQ 0.25mg Asthma, COPD, Preterm Labor
Bretylium Bretylol Antidysrythmic 5mg/kg, then 10mg/kg 15-30 min, to a max 30mg/kg. Following conversion:1-2mg/min drip. Vfib and Vtach refractory to lidocaine
Verapamil Isoptin, Calin Calcium Channel Blocker 2.5=5 mg IVP over 2-3 min, then 5-10 mg after 15-30 min to a max of30mg in 30 min. PSVT refractory to adenosine, atrial flutter, and Afib with rapid ventricular response
Created by: klprentiss1299



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