Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.

Remove Ads
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards

Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how


P53 med list

General(Trade)MOA or PCOLOnset/durationIndicationsContraindicationsAdverse EffectsDoseNotes
Adenosine (Adenocard) Atypical AntiArrythmic/edogenous nucleoside/prevents or term reentry/dec. automaticity imm 10-30sec PSVT/WPW/WCTach KnownVtach/hypersens/Afib/Aflut/av blocks flush/metalic tst/hypotens/asystole/dizzi/cp rapid 6mg q2 repeat 12mg q2 12mg PED: 0.1-0.2mg/kg repeat double Methylxanthines antagonize actions of adenosine
Lidocaine (Xylocaine) Class1 antiarry/k+ channel block/neg dromo/dec auto/prev or term reentry/local anesthetic 30-90s/10-20m PVCs/Vfib/plvtach/vent_tach/wctach/prophyl Hypersens/adv_av_blk/brady/wpw Myocard depress/cns depres (seizure/tinni/drowsi) IV-vfib 1.5mg/kg q3 repeat half/other 1-1.5mg/kg repeat half q5-10 max 3mg/kg inf: 1g in 250cc at 2-4mg/min PED:1mg/kg inf:20-50mcg/kg/mn Beta blck increase effect/flush between drug lido changes pH
Procainamide (Pronestyl/Procard) Na+ channel block/works to depress excitability/neg dromo/ dec automaticity/inc fibrill thres 30-90s PVC/Vtach/Vfib/plvtach all refract lido/WPW/Afib/wctach hypersens/torsades/adv_av_blk/brady myocard depress/av blk/ekg change IVP 20-30mg/min until 17m or arryth gone or hypotension or widened qrs/ inf 1g in 250ml @1-4mg/min PED: IV 3-6mg/kg inf: 20-80 mcg/kg/min add to lido
Bretylium Tosylate (Bretylol) Class 3 antiarryth/inc fibr thres/ slight bp increase at first/prev or term reentry 2-3m for Anit Fib/20min for anti-arryth/last 6-24hr Vfib/plvtach/wctach refract to classI adv_av_blk/brady/digoxin toxicity/ hypotens/brady/bp & hr increase/N/volatile vomiting IVP 5mg/kg (very slow IVP 8 min) repeat 10mg/kg q5-15 MAX 30 infuse: 1-2mg/mn 1g in 100ml
Amiodarone (Cordarone) K+channelblock/antidisrythmic/relax vascular smooth muscle/alpha β blockade 5-15min/var Vfib/plvtach/Afib/unstableVtach Adv_av_blk/brady/hypotens/torsades/iodine or shellfish allergy/TCA use PEA/Hypotens/Brady/CHG/Naus/Abnormal Liver/Fever/Thrombocytopenia Vfib 300mg/Vtach 150-300mg over 5-10min/max 2.2g in 24hr/INF: 300mg in 250ml D5W @1mg/min for 6min Nabicarb precipitate/increase digoxin/enhance other antiarryth
Verapamil (Isoptin/Calan) Class 4 antiarry/Ca+channelblk/neg dromo/prev & end rentry/dec automat/decreas02/dilate coronary art/inhibit vasospasm 5-10m Stable PSVT/decrease ventricular rate n Afib or Aflutter CHF/Adv_av_blk/Hypotens/wctach/vtach/WPW/Brady Hypotens/brady/av_blk/dizzi/headach/OD:Ca+ 2.5-5mg (slow IV 2min)/repeat 5-10mg q15-30 MAX 20mg PED: 0.1-0.3mg/kg beta blck increase effect lower dose
Diltiazem (Cardizem/Lyoject) Ca+channelblk/prev vasospasm/dilate cor art/dec automat/neg dromo/dec O2 2-5m for 1-3hr PSVT/Afib/Aflut Hypersens/Adv_av_blk/Brady/Hypo/CHF/wctach Brady/Hypotens/CHF/AV_blk/dizzi/PVC OD:Ca+ 0.25mg/kg over 2m repeat 0.35mg/kg over 15min/ Inf: 125mg in 100ml @ 5-15mg/hr supplied 25or 50mg bottle Beta blockers increas effect
Nifedipine (Procardia/Adalat) Ca+channelblk/prev vasospasm/decr after and preload/decr platelet aggr/dec O2/no effect on conduction 15-30m fro 6-8h Hypotensive Emerg/Angina Hypersens/Hypotension Hypotens/Flush/dizzi/Hedache OD:Ca+ 10-20mg capsule puncture and squeeze under tng/bite capsule swallow NOPEDI Beta blockers increas effect/ CNS depress increas eff
Calcium Chloride (CaCl) Electrolyte/pos inotropic/import blood and nerve and muscle funct 5-15min/var Hyperkalemia/Hypocalcemia/Ca+channelblk OD/MagSulf OD Vfig/suspect digoxin toxicity (bradycardia/halo effect vision) metal tst/hypotension/tissue necrosis on infiltration 2-4mg/kg q10 PED: 20mg/kg Sodium Bicarb precipit
Atropine Sulfate (Atropine) Anticholergenic (comp blk of Ach)/+ chrono/+drom/+ automat/+ elect act/+afterload/inc O2 demand Immidiate for 3-5min Symptomatic Brady/some AV_blk/Asystole/PEA/Organophosphate poison none in cardiac arrest/tachycardia decrease bodily fluid/inc O2 demand/tachycardia/blurred vision/OD: Cholergenic (physostigmine) dead 1mg q3 MAX 3mg/Brady: 0.5-1mg q3 titrate to HR>60/Organic: 2-5mg IV or IM or both q5-15 PEDI 0.02mg/kg q3 Max 0.5mg none
Magnesium Sulfate Electrolyte/cofactor of enzyme/cns depressant/block neuromuscular/periph & coron dilation/bronchodilation/dec plate agr/dec fatal MI Immediate Eclamptic toxemia/Refract Vfib/plvtach/torsades/mi/asthma AV Block OD: can kill due to Hypovol Brady/Hypotens/flush/cns depress/sweating/ OD:Ca+ Toxemia 1-4mg over 3min (watch BP)/Other: 1-2mg in 10-100mls over 1to2 min CNS Depress increas effect
Isoproterenol (Isuprel) Synth catecholamine/sympathomimetic/beta agonist (b1 most)/inc chrono ino dromo/bronchodil/periph dilation/significant O2 increase Immediate Symptomatic Brady/some AV_blk/Torsades refract other Hypersens/tachycardia/cardiac arrest/vtach rapid massive incr O2 demand/sweats/flush/tachycardia OD: beta blockers Infusion only 1mg in 250ml @2-10mcg/min titrate to HR>60 or PVC occur Beta blockers decrease effect/ Bretylium inc effect/TCA incr effect
Epinephrine (Adrenaline) Alpha & Beta catecholamine/beta1 +inotropic and beta2 bronchodilation/alpha makes vasoconstriction afterload inc/inc elect act Immediate (1-2min CPR)/5-10min SC lasts 3-10min Vfib/plvtach/asystole/pea/anaphalaxys or severe allergenic/asthma or severe croup/symptomatic bradycardia none in cardiac arrest or anaphylaxis/hypersens to sulfite/unresolved hypovolemia/angina/hypertension/CHF Increase O2 dem/Hypertension/Tremors/ OD: alpha and beta blok/sulfites Standard 1mg q3/Intermediate 2-5mg q3/Escalating 1-3-5mg q3/Severe Croup 5mg 1:1000 in 5ml NS via nebulizer every 30min/Other 0.1-0.5mg 1:1000 SC or 0.1-1mg (1:10000)IVP/Inf: 1mg of 1:1000 in 250ml Bretylium and TCA increase/Beta block decrease
Dopamine (Intropin) Sympathomimetic/catecholamine/vassopressor/stimulates release of NE/Alpha beta dopaminergic effects/ mod dose: most beta +inotropic some alpha/high dose 10-20mcg/kg more alpha +vasoconstr <5m for 5-10min Cardiogenic shock/neurogenic shock/hemodynamic signifi hypotension w/o hypovolemia Hypersens/tachycardia/unresolved hypovolemia/phenochromocytoma (adrenal gland tumor) Tachycardia/Palpation/Hypertension/Increase O2/Tissue necrosis Infusion only 400mg in 250ml @2-20mcg/min titrate to HR>90 PEDI 2-20mcg/kg/min titrate to bp90 Beta blockers decrease effect/Bretylium increases
Dobutamine (Dobutrex) Sympathomimetic/synth catecholamine/vassopressor/Alpha beta effects/ inotropic/some renal dilation/minimal impact on HR/increase cardiac output coronary blood flow 1-2m 2-10m peak cardiogenic shock/hypotension after return of spontaneous circulation/hemodynamic signifi hypotension w/o hypovolemia/left heart failure Hypersens/unresolved hypovolemia/tachydisrythmia Hypotens/Tachycardia (dose related) Infusion only 250mg in 250cc @2-20mcg/kg/min titrate to 90bpm PEDI: 2-20mcg/kg/min titrate to BP Beta blockers decrease effect
Norepinephrine (Levophed) Sympathomimetic/Catecholamine/vassopressor/mostly Alpha with beta effects/vaso renal constriction/increase O2/ +chrono +ino immediate Cardiogenic shock/neurogenic shock/hemodynamic signifi hypotension w/o hypovolemia Hypersens/unresolved hypovolemia Hypertension/reflex brady/inc 02/tissue necrosis Infusion only 4mg in 250cc @0.5-30mcg titrate to BP 90 Beta blockers decrease effect/ Bretylium inc effect
Nitroglycerin (nitrostat/nitroliqual spray) vasodilator/relax smooth muscle(vaso)/inc coron blood flow/stop vasospam/dec pulm vasc res/dec pre & afterload/decrease O2 dem/inhibit platelet aggr/decrease bp SL-1-3m/TD 15-30m/IV immed lasts SL-30/TD 2-12h Ischemic Hrt Fail/Left Hrt Fail/MI/?hypertens? Hypersens/Hypotension/Head trauma (ICP increase) hedach/flush/hypotens/dizzi/reflex tachycardia/postural syncope SL:0.3mg /0.4mg/0.6mg q5 x 3/ TD 1/2 to 2in (15mg/in)/Infusion: 5mcg/min and increas 5-10mcg q5 titrate for effect CNS Depress increas effect
Amyl Nitrate Same as Nitro/causes oxidation of hemoglobin for methemoglobin/Methemoglobin reacts with cyanide and creates a molecule with less affinity than oxygen lowering toxicity 30s for 3-20m Cyanide poisoning none hedach/hypertension/dizzi crush 3ml ampule breath in for 30sec of each minute/ repeat as needed none
Aspirin (Acetacylic Acid ACA) Platelet inhibitor/decrease inflamation/inhibit prostaglandins 30-45m lasts 4hr New onset CP or AMI no signs or symptons of CVA GI Bleeding/Hypersensitive to Aspirin not coating GI Bleed/nausea/Increase PT & PTT Oral only chew 2-4 (81mg each) tablets 324mg/ use 2 if patient already on anticoagualants Increased effects with other anti-coagualants
Heparin Sodium anti-coagulant/prevents conversion of fibrogen into clot/affect active clotting process IX/XI/XII immediate Acute Myocardial infarction (Integrillin the super aspirin) Hypersens/Active bleed/recent surgery bleeding/chills/fever/backpain due to allergic reaction IV: loading 70u/kg ma 14-17u/kg/hr/ PEDI: 50u/kg then 7.5u/kg/hr can be used IV/Infursion/SC Beta blockers increas effect
Morphine Sulfate Schedule 2 narcotic opiod/analgesic/decrease pulmon edema via pooling/vasodilation/decr pre & afterload/anti-anxiety/decr O2/depress resp center immediate for 10-60m ischemic Chest Pain/Lft Hrt fail/?maybe single system trauma (anxiety) Hypersens/hypotens/resp depr/alter LOC/asthma/COPD/abd pain/head inj/hypovolemia resp Depr/NV/Altered LOC/CNS Depr/Flushin/Hypotens/OD: Naloxone IVP/IM/SC/IO/ 1-3mg q5 (give over 2min) PEDI: 0.1mg/kg increased effect wih other CNS depress
Naxolone (Narcan/Vitamin N) Narcotic antagonist/comp inhibition of opiod rec/prevents some opiod effect/no effect if opiod not present 1-2m IVP/3-5m IM or SC last 30-60m IV or 3-6hrs IM/SC Narcotics OD/coma of unknown origin/?use in alcohol coma? Hypersensitive NV/Acute Abstinence Syndrome/sweats/arrythmia IVP/IM/SC/ET/IO 0.4 - 2mg q5 titrated to response/ Pedi <5yr 0.1mg/kg q5 titrate Beta blockers increas effect
Furosemide (Lasix) Loop Diuretic/inhibits reabsorb of fluid in loop of Henley/peripheral vasodilation 5m vaso 10-20 diuretic for 2-4hrs Lft Hrt Fail/Cerebral Edema/?hypertensive crisis? Hypersens/Hypovolemia/Dehydration/Hypotensive NVD/Tinnitus/Hypotension/ loss of electrolytes OD: Fluids IVP/IM/IO 20-100mg over 2m/ PEDI : 1mg/kg increased effect wih other CNS depress
Diazepam (Valium) Sched 4 controlled/CNSdepressant/anticonvulsant(block spread)/sedative effects/muscle relax/induce retrograde amnesia/anti-anxiety imm(IV)/ 5-15(IM) for 15-60m Status Epilectipus/seizure/pre-cardiovert/pre-transcutaneous pacing/induction agents Hypersensitive/Hypotension/Respiratory Depress/Altered LOC CNS Depression/Hypotension OD: Romazicon (awaken RSI patient) /IV IM IO ET Rectal/2-10mg q 5-10m MAX 30mg PEDI: 0.25mg/kg (IV) 0.5mg/kg (PR) CNS Depress increas effect
Lorazepam (Ativan) Sched 4 controlled/CNSdepressant/anticonvulsant(block spread)/sedative effects/muscle relax/induce retrograde amnesia/anti-anxiety 1-5m Status Epilectipus/seizure/pre-cardiovert/pre-transcutaneous pacing/induction agents Hypersensitive/Hypotension/Respiratory Depress/Altered LOC CNS Depression/Hypotension OD: Romazicon (awaken RSI patient) IVB IM IO Rectal/2-4mg q15 to MAX 8mg PEDI: 0.05mg/kg - 0.2mg/kg q15m MAX 0.2mg/kg CNS Depress increas effect
Midazolam (Versed) Sched 4 controlled/CNSdepressant/anticonvulsant(block spread)/sedative effects/muscle relax/induce retrograde amnesia/anti-anxiety 1-3m for 2-6hr Status Epilectipus/seizure/pre-cardiovert/pre-transcutaneous pacing/induction agents Hypersensitive/Hypotension/Respiratory Depress/Altered LOC CNS Depression/Hypotension OD: Romazicon (awaken RSI patient) 2-2.5mg slowly may repeat to MAX 0.1mg/kg (IV only) CNS Depress increas effect
Diphenhydramine (Benadryl) Antihistamine/comp antagaonist fo hist/ block rec not release/prevent initiation and tranof sensory nerve impulse/sedative/antichlinergic/antiemetic immediate(IV) 5-10m(IM) for 1-2hrs Allergic reaction/anaphylaxis/phentothiazine OD Hypersens/Asthma/Alterd LOC/Cardiac History Drowsi/Dizzi/Hedache/Excitable(child)/wheez/thick secretion bronchial/chest tight/palpation/hypotens/blurred vision/dry mout/NVD IVP IO IM/ 10-100mg or 1mg/kg PEDI(2-12) 1-1.25mg/kg Beta blockers increas effect
Dexamethasone Sodium Phosphate (Decadron) Adrenal Corticosteroid (glucocoticoid type)/ Decreases Inflammation by decreasing leukocyte concetration (leukocyte fight infect) 4-8hrs Allergic Reaction/Anaphylaxis/Asthma (inc. status)/ Spinal cord inj/cerebral edema/?use in shock? Hypertension/ None in single dose Hypertension IVP/IM/IO 10-100mg or 1mg/kg PEDI: 0.25 - 1 mg/kg not
Sodium BiCarb Electrolyte/ Increase free buffer to decrease acidosis/Increase pH/ Reverses metabolic acidosis onset : 5-10m durat: 30-60m metabolic acidosis/ Barbituate OD(helps eliminate drup faster in urine)/TCA OD/Hyperkalemia Alkalosis/Hypocalcemia/Hypokalemia Alkalosis/Hypokalemia/Hypoxemia/Tissue Necr/Tetany - cramps/conv/muscle twitch/joint flexion IVP IO 1meq/kg repeat 0.5meq/kg q10 PEDI: 1meq/kg
Thiamine Vitamin B1/water soluble vitamin/needed for conversion of glucose to energy/ required for metabolism coma of unk etiology/delerium tremens/beriberi- B1 vitamin def/wernicke's encephalopathy/korsakoff's syndrome Hypersensitivity Hypotension IVP IM 50-100mg PEDI: none none
Dextrose 50% Nutrient/Carbohydrate/Increases circulating available glucose Hypoglycemia/coma of unk etiology/status epilepticus/diabetic code relative in CVA/hyperglycemia Tissue Necrosis IVP 25-50g PEDI: <2yr: D25 125-250mg/kg
Glucagon HCL Hormone prodcd by alpha cells of pancreas/ insulin antagonist/inc liver glycogenolysis/Increase brkdwn of glycogen to glucose/inhbt glycogen synthetase/rlx smoth muscle of gi tract/may incr cardiac contratility onset : 5m Hypoglycemia/Beta Blocker OD Hypersense N/V OD: support IVP IM SC IO 0.5-1mg q15m PEDI same INT none
Activated Charcoal Absorbent/binds & adsorbs toxins present in gi tract/once bound toxin excreted thru bowel Ingested Poison Hypersensitivity N/V Abdominal cramping/Constipation ORAL NG tube: bottles of 25g & 50g INT Don't administer w/ Syrup of Ipecac / Don't adminster to Pt with Alt LOC (use NG tube inst)
Oxygen Facilitates cellular energy metabolism Hypoxia/Ischemic Chest Pain/Respiratory Dist/Suspect CO poison/Trauma/Shock Known paraquat Poisoning non but CO2 1- 6L low/15L high
Bronchodilators (broad for all bronchodilator) Beta2 Agonist/ Sympathomimetic/Bronchodilation/smooth muscle relax of bronchiole/inhibit histamine release/mild vasodilation on 5-15m dur: 3-4hr Asthma/COPD/Pulmonary Edema Hypersens/relative in tachycard or MI Tachycardia/Palpation/Tremors/N/V/Arrythmia OD: Beta Blockers/Supportive dependent on specific Increased effect wih TCA/ Decrease effect with Beta blocker
Albuterol Sulfate (Proventil/Ventulin) Beta2 Agonist/ Sympathomimetic/Bronchodilation/smooth muscle relax of bronchiole/inhibit histamine release/mild vasodilation on 5-15m dur: 3-4hr Asthma/COPD/Pulmonary Edema Hypersens/relative in tachycard or MI Tachycardia/Palpation/Tremors/N/V/Arrythmia OD: Beta Blockers/Supportive 2.5-5mg PEDI: 1.25-2.5mg
Metaproterenol Sulfate (Alupent) Beta2 Agonist/ Sympathomimetic/Bronchodilation/smooth muscle relax of bronchiole/inhibit histamine release/mild vasodilation on 5-15m dur: 3-4hr Asthma/COPD/Pulmonary Edema Hypersens/relative in tachycard or MI Tachycardia/Palpation/Tremors/N/V/Arrythmia OD: Beta Blockers/Supportive 15mg PEDI: 7.5mg
Terbutaline Sulfate (Brethine/Brethaire) Beta2 Agonist/ Sympathomimetic/Bronchodilation/smooth muscle relax of bronchiole/inhibit histamine release/mild vasodilation on 5m dur: 1-4hr Asthma/COPD/Pulmonary Edema Hypersense/relative in Tachy/ MI Tachycardia/Tremors/N/V/Palpitations/Arrythmia SC 0.25mg q15-30/Inhaler 0.2-0.4mg (1-2 sprays) Increased effects TCA/Decreased effect Beta Blocker
Methylpredisolone Sodium Succinate (Solu-Medrol) Corticosteroid-type Glucocorticoid/Decrease inflammation/Alters airway hyperactivity on 1-2hrs Anaphylaxis/Severe Allergic Reaction/Asthma/Spinal Cord Trauma/Cerebral Edema/?use in shock? NONE Hypertens/CHF OD: supportive 40-125mg Asthma: 1-2mg/kg Spinal Cord Inj: 30mg/kg over 30min PEDI: same Furosimide could increase K loss/
Ipratropium Bromide (Atrovent) Anticholergenic/Parasympatholytic/Dries respiratory tract secretions/Block Acetylcholine Receptors (inhibit parasympathetic) peak 1.5-2hr / duration: 4-6hrs Asthma/COPD Hypersense Palpitation/Anxiety/Dizzi/N/V/Headache 500mcg in 2.5ml saline usually deliver w/ Beta agonist
Hydrocortisone Short acting synth steroid/inhibits formation of histamine/increases response to circulating catecholamines on immediat/ peak 4-8hr dur 1-1.5 days Reduce Inflamation due to allergic reaction/severe anaphylaxis/asthma/COPD Cushings Synd/ Benzyl Alcohol sensitive Leukocytosis/hyperglycemia/incrased infection/decreased wound healing/Increase rat of death in sepsis Anaph shk: IV IO IM 100-500mg PEDI: 2-4mg/kg/day (MAX: 500mg)/Adrenal Insuff: same PEDI: 1-2mg/kg/ Asthma: same PEDI 1mg/kg
Fentanyl Citrate (Sublimaze) Narcotic analgesic/chemically unrelated to morphin but similar reaction/50 to 100 times more potent than Morphine/ less emetic effect/duration of action Immediate(IV) Peak 5-15m(IV) Duration: 30-60m halflife 6-8hr Pain Mgmt/RSI Adjunct/Maintenace of Analgesia Severe Hemorrhage/Shock/Hypersense CNS: sedation/euphoria/dizzi/diaphoresis/delirium CV: hypotension/bradycardia/circulatory depression/ Eyes: Miosis/blurrred 1mcg/kg MAX 150mcg slow IV 1m (2-3 better)/ same can be used nasaly can dilute with NS for easy administration PEDI: 1.7 - 3.3 mcg/kg 2-12yr
Ondansetron (Zofran) Antiememtic ON 30m for 3-6hr adult 2-3hr child Use to prevent nausea & vomiting (typically given to help with pain med) Hypersensitive >10% cardiovasc (malaise/ fatigue)/CNS: Headache Adult: 4mg IV/Child: <30kg 1mg/>30kg 2mg
Vassopressin (Pitressin) Hormone Vassopressor/polypeptide hormone extracted from posterior pituitary glands of animals/ Possess Pressor and anitdiuretic properties Onset: variable/peak: variable/duration: 30-60min/half: 10-20 Need for increase in peripheral vascular resistance during cpr non during CPR/chronic nephritis/ischemic Hrt dis/PVCs skin blanch/abdominal cramps/nausea/hypertension/bradycardia/minor disrythmia 40 units IV (replaces EPI during CPR 2nd) PEDI: same None in ACLS
METOPROLOL (Lopressor) Selective Beta Antagonist/Block both B1 and B2 but mostly B1 Onset Immediate - Peak 20m- Duration 13-19hr halflife 3-4hr Used in patients with MI/ or suspect MI that are hemodynamically stable HR<45bpm/SysBP<100/CHF/early or late signs of shock/advanced av block/ 1st block PR wave >0.24s Bradycardia/Hypotens/lethargy/CHF/Dyspnea/wheezing/weakness 5mg IVP slow if stable vitals still can give 5mg/ total 15mg MAX NOT to be given to a patient that has received Verapamil
Created by: rdslack