Question | Answer |
MAG SULFATE
1-2G/10ml
antidysrhythmic | MA: calcuim channel blocker for cardiac dysrythmias & insufficiency
IND: pulseless vent. tachycardia, post MI
CONT: Shock, severe hypertension, dialysis or decreased calcium levels.
DOSE: 1-2g/10ml D5W push 1-2 min.
onset=immed. IV, 1hr IM
SIDE EFFEC |
DOPAMINE HCL (INTROPIN)
800mg
Sympathetic agonist | MA: peripheral vasoconstriction
IND: hemodynamically stable w/ significant hypotension, not resulting in hypovolemia
CONTRA: hypovolemic shock, unless rapid fluid replacement
DOSE: 800mg/500ml D5W, 400mg/250ml D5W infuse 2-5mg/kg/min until increase in |
Epinephrine
0.3-0.5 SC
Sympathetic Agonist | MA: Increase HR & BP and Cardiac Contractile Force
Ind: Bronch. Asthma, COPD, Anaphylaxis
Contra: underlying Cardio Vasc. Disease, Shock & already high BP
Dose: 0.3-0.5mg SC, Onset 3-10 sc
Side Effects: palp., anxiety, HA, dizziness |
Atrovent
500 ug NEB
Anticholinergic | MA: Bronchodilation & helps dry resp.secretions
IND: Bronch Asthma, Bronch-spasms
CONTRA: Hypersensitive, or rapid response is required.
DOSE: 500 ug NEB or MDI, 1/2= 1 1/2 hrs
SIDE EFFECTS: Palp, Anxiety, Dizzy, HA, Rash |
Oxygen | MA: Breakdown of gulcose for usable energy.
IND:hypoxia, cp, resp. diff.
CONTRA: NONE
DOSE: 1-6 NC, 6-10 NRB, 10-15BVM
SIDE EFFECTS: drying of mucous membranes, poss. nosebleeds |
Albuterol
2.5
symathetic agonist | MA: broncho-dilation
IND: broncho-asthma, chronic bronchitis, emphysema
CONTRA: hypersensitivity
DOSE: 2 sprays MDI, 2.5mg Neb, w/6lpm O2
Onset 5-15 inhaled, 1/2= 3 hrs
SIDE EFFECTS: palp., anxiety, dizzy, cp, nervousness |
Tertubaine
0.25mg SC
Sympathetic B2 agonist | MA: immed. bronchodilation w/min cardiac effects
Ind: Bronch-Asthma, chronic bronch,Emphysema
Contra: Hypersensitivity
Dose: 0.25mg sc,5-15 min, 2-inhalations MDI, Onset:5-30min (inh) 1/2= 3-4 hrs
Side Effects: tremors, nv, cp, anxiety |
Solu-Medrol
125-250 mg iv/im
anti-inflammatory | MA: management of allergic reactions
Ind: anaphylaxis, asthma, copd
Contra: no major
Side Effects: CHF, hiccups, fluid retention, vertigo
Dose: 125-250mg iv/im,
1/2 life=3-5hrs |
ALPRAZOLAM (XANAX) | MA: acts on CNS to relieve anxiety
IND: anxiety, panic attacks
SIDE EFFECTS: dizzy, drowsiness,lethargy |
METFORMIN (GLUCOPHAGE) | MA: decrease glucose production
IND: management of type II DM |
AMIODARONE HCL (CORDARONE)
300
ANTIDYSRHYTHMIC | MA: prolongs action potential of cardiac tissues
IND: v-tach, v-fib
CONTRA: breast feeding, severe sinus node dysfunction, 2nd or 3rd degree AV Block
DOSE: CA- 300mg IV followed by 150mg 3-5 mins if needed. Vent-dysrhythmias= 150mg over 10min (15mg/ |
ADENOSINE (ADENOCARD)
6mg
ANTIDYSRHYTHMIC | MA: decreases conduction of electrical impluse through the AV node
IND: PSVT common in vagal maneuvers
CONTRA: 2nd & 3rd degree heartblock, sick sinus syndrome
DOSE: 6mg iv 1-2 sec. followed by immediate saline flush. Initial dose No Conversion w/in |
DIGOXIN (LANOXIN)
0.25-0.5mg
Cardiac glycoside | IND:treatment of CHF & rapid atrial arrhythmias. ie= A-FLUTTER & A-FIB |