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Drugs, Fred's way 06

Etomidate, Glucagon, Midazolam, Ondensetron, Oxytocin, Succinocholine

QuestionClassConcentrationAmt CarriedMOAEffectIndicationsDoseSide Effects
Glucagon Pancreatic hormone 1mg with 1mL vial of diluting solution 2 mg Converts liver glycogen into glucose.Counteracts the effects of insulin reverses hypoglycemia hypoglycemia when IV access is delayed; Beta blocker overdose 1mg IM (preferred) IV, SC q 20 min PEDS: 0.5mg IM or dose equivalent to 20-30 ug/kg q 20 min tachycardia, hypertension, decreased peristalsis
Midazolam HCl (Versed) benzodiazepine 1mg/mL; 5mg vials Optional, 4 vials of 5mg/mL Enhances the effect of GABA Capable of producing all levels of CNS depression from mild sedition to coma Anti-convulsant, sedition, agitation. 14-60 yo-2-5mg IM, 1-5mg slow IVP, titrate, max 2.5mg over 2 min. >60 yo -1-3mg IM, 1-3.5 mg slow IVP, titrate,max 1.5mg over 2 min. Intubation 0.1 mg/kg up to 0.3 mg/kg max of 20mg. Seizures-0.2 mg/kg IM. Peds-0.05-0.1 mg/kg SIVP. Seizure-0.2 mg/kg IM Hypertension, apnea, nausea, vomiting
Ondansetron (Zofran) Antiemetic 4mg/2mL Optional, 4 mg Selectively blocks seritonin 5-HT3 receptors located in the CNS at the chemoreceptor trigger zone and in the peripheral nervous system on nerve terminals of the vagus nerve Blocks seritonin to reduce nausea and vomiting Nausea and vomiting 4-8 mg slow IVP over 2-5 min. Peds >40kg 4mg slow IVP over 2-5 min <40kg 0.1mg/kg slow IVP over 2-5 min Chest pain, arrhythmia
Oxytocin Pituitary hormone 10 USP units/1mL Optional, 10 units Binds to oxytocin receptor sites on surface of uterine smooth muscles Increase force and frequency of uterine contraction Postpartum hemorrhage due to uterine atony 10 USP units/1mL Tachycardia, anaphylaxis, nausea, vomiting
Succinylcholine Depolarizing paralytic 200mg/10mL Optional, 400 mg Continuous depolarization of muscle tissue Paralysis. Releases potassium from cells Drug assisted intubation 1.5 mg/kg IVP q 2-3 min Hyperkalemia, bradycardia,
Eomidate Sedative 40mg/20mL Optional, 80 mg Produces hypnosis rapidly causing CNS depression and anesthesia Causes CNS depression but has no analgesic effect Anesthesia for drug assisted intubation 0.3 mg/kg IV over 30-60 seconds apnea, transient muscle movements
Created by: whitefire70