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Mercy Pharm

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

Drug	2nd name	class	Standard dosing	Indications
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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