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NPFR MEDICATIONS

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Created by: Lucas0393968

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Review Words Vocabulary

CHS Root Words 10

CHS Root Words 02

Question	Answer
Adenosine Action	Depresses AV nodal conduction
Adenosine Indications	Stable PSVT
Adenosine Contraindications	A) second degree AV block B) complete heart block
Adenosine Side effects (4)	1. Transient flushing 2. Dyspnea 3. Chest pain 4. Dysrhythmia
Adenosine Dosage	Adult: 6 mg 12 mg Pediatric: 0.1 mg/kg 0.2 mg/kg 0.2 mg/kg
Albuterol Action	Beta-adrenergic bronchodilator
Albuterol Indications	A) asthma B) COPD
Albuterol Contraindications	None
Albuterol Side effects (6)	Tremor, palpitations, tachycardia, HTN, anxiety, headache
Albuterol Dosage	Adults: 2.5mg nebulized Repeat twice PRN Pediatric: 2.5 mg nebulized
Amiodarone Action	Antidysrthmic with complex mechanism of action
Amiodarone Indications	Vfib, Vtach
Amiodarone Contraindications	None in cardiac arrest
Amiodarone Side effects	None in cardiac arrest
Amiodarone Dosage Adult	Cardiac arrest: 300mg Stable Vtach: 150mg over 10 min Infusion: 1mg/min
Amiodarone Dosage Pediatric	Cardiac arrest: 5mg/kg max 15 mg/kg Stable Vtach: 5mg/kg over 10 min
Aspirin Action	Inhibits platelet aggregation
Aspirin Indication	ACS
Aspirin Contraindications (4)	Hypersensitivity, stroke, peptic ulcer, asthma
Aspirin Side effects (2)	Upset stomach, gastritis
Aspirin Dosage	324 mg
Atropine Action	Blocks parasympathetic nerve activity
Atropine Indications	Symtomatic bradycardia
Atropine Contraindications	High degree blocks
Atropine side effects (3)	Tachycardia, dilated pupils, dry mouth
Atropine Dosage	Adult: 0.5 mg 3-5 min max 3 Pediatric: 0.02 mg/kg 3-5 min max 1
Dextrose Action	Directly elevates serum glucose
Dextrose Indications	Hypoglycemia
Dextrose Contraindications	None
Dextrose Side effects	Soft tissue damage in blown IV, may worsen neurological injury in stroke
Dextrose Dosage	Adult: 25-50 ml Pediatric: 0.5g/kg
Diltiazem Action	Calcium channel blocker which slows AV nodal conduction
Diltiazem Indications	AFIB/flirted with sustained ventricular response over 120/min
Diltiazem Contraindications (3)	Broad-complex tach, 2nd or 3rd degree block, WPW
Diltiazem Side effects (2)	Hypotension, bradycardia
Diltiazem Dosage	0.25 mg/kg over 2 min May repeat in 10 min 0.35 mg/kg over 2 min
Diphenhydramine Action	Antihistamine
Diphenhydramine Indications	Allergic reactions
Diphenhydramine Contraindications (2)	Glaucoma, Newborn infants
Diphenhydramine Side effects (4)	Dryness of mucous membranes, thickening of bronchial secretions, sedation, blurred vision
Diphenhydramine Dosage	Adults: 25-50 Pediatrics: 1mg/kg
Dopamine Action	Catecholamine precursor which stimulates dopaminergic, beta adrenergic and alpha adrenergic receptors
Dopamine Indications (4)	1)cardiogenic shock 2)Hypotension w/ no HV 3) S Brady refractory to TCP 4) hypotension w Bradycardia
Dopamine Contraindications	Known hypovolemia
Dopamine Side effects (3)	1)Tachycardia 2)ventricular ectopy 3) increased myocardial oxygen demand
Dopamine Dosage	5mcg/kg/min
Epi 1:10,000 Action (7)	Alpha and beta adrenergic, systemic vascular resistance, HR, BP, strength of myocardial contraction, coronary and cerebral blood flow and automaticity.
Epi 1:10,000 Indications (2)	Adults: cardiac arrest Pediatrics: symptomatic bradycardia
Epi 1:10,000 Contraindications	None
Epi 1:10,000 Side effects	None
Epi 1:10,000 Dosage	Adults: 1mg 3-5 min Pediatrics: 0.01 mg/kg 3-5 min
Epi 1:1,000 Actions	Catecholamine used in treatment of allergic reactions
Epi 1:1,000 Indications	1) allergic reactions 2) Asthma/COPD
Epi 1:1,000 Contraindications	Adults > 45 years of age (OLMC)
Epi 1:1,000 Side effects (5)	1)palpitations 2)arrhythmias 3)HTN 4)anxiety 5)tremulousness
Epi 1:1,000 Dosage	Adults: 0.3mg Pediatrics: 0.01mg/kg max 0.3
Etomidate Action	Short-acting hypnotic agent used for induction of general anesthesia
Etomidate Indications (3)	1) cardioversion 2)RSI 3)Unstable Vtach,PSVT, AFIB/flutter
Etomidate Contraindications	None
Etomidate Side effects (4)	1)apnea 2)hypotension 3)vomiting 4)adrenocortical suppression
Etomidate Dosage	Adults: 0.3mg/kg max 30 Pediatrics: 0.3mg/kg max 10.8
Furosemide Actions	Diuresis
Furosemide Indications	CHF
Furosemide Contraindications	None
Furosemide Side effects	None
Furosemide Dosage	1mg/kg max100
Glucagon Action	Increases serum glucose by conversion of hepatic glycogen
Glucagon Indications	Hypoglycemia if IV unsuccessful
Glucagon Contraindications	None
Glucagon Side effects	None
Glucagon Dosage	Adult: 1mg Pediatrics: 0.5mg 3-18kg. 1mg 19-36kg
Haloperidol Action	Major tranquilizer as adjunct to physical restraint in behavioral emergencies
Haloperidol Indications	Behavioral emergencies
Haloperidol Contraindications (4)	1)Hypotension, 2)tachycardia, (3)dysrhythmia, (4)known seizure disorder
Haloperidol Side effects (4)	1)hypotension, 2)tachycardia, 3)dystonia, 4)lowered seizure threshold
Haloperidol Dosage	5mg, 2.5mg, 2.5mg
Hydroxocobalamine Indications	Treatment of known or suspected cyanide poisoning
Hydroxocobalamine Contraindications	None
Hydroxocobalamine Side effects	Increased blood pressure, allergic reactions
Hydroxocobalamine Dosage	Manufacturer's guidelines
Hydromorphone HCL Action	Narcotic analgesic which relieves pain and anxiety and dilates blood vessels
Hydromorphone HCL Indications	Adult pain management, including burns, ACS and pacing. Pediatric pain management for > 1 year of age only.
Hydromorphone Contraindications	Any indications other than pain management
Hydromorphone HCL Side effects (5)	1)respiratory depression, 2)hypoxia, 3)hypotension, 4)nausea, 5)vomiting
Hydromorphone HCL Dosage	Adult: 0.5-2mg increments of 0.5 Pediatrics: 0.015mg/kg max0.5
Ipratropium Action	Bronchodilator
Ipratropium Indications (2)	1) adult obstructive pulmonary disease 2) pediatric respiratory distress(asthma)
Ipratropium Contraindications	None
Ipratropium Side effects (6)	1)tremor, 2)palpitations, 3)tachycardia, 4)HTN, 5)anxiety, 6)headache
Ipratropium Dosage	Adult: 0.5mg Pediatric: 0.25mg
Lidocaine Action	Local anesthetic action
Lidocaine Indications	Optional pain management for IO infusion, always follow with NS flush.
Lidocaine Contraindications	Known history of hypersensitivity to drug
Lidocaine Side effects (3)	1)allergic reactions, 2)drowsiness, 3)lightheaded
Lidocaine Dosage	Adult: 20-40mg
Methylprednisolone Action	Corticosteroid which stabilizes membranes and decreases inflammation
Methylprednisolone Indications (3)	1)allergic reactions 2)COPD 3)pediatric asthma
Methylprednisolone Contraindications	None
Methylprednisolone Side effects	None
Methylprednisolone Dosage	Adult: 125mg Pediatrics: 2mg/kg
Midazolam Action '	Benzodiazepine sedative, useful for terminating status elipticus
Midazolam Indications (4)	1)seizures, 2)status elipticus, 3)sedation following RSI, 4)behavioral restraint after administration of rocuronium and for discomfort associated with cardiac pacing.
Midazolam Contraindications	None
Midazolam Side effects (2)	1)respiratory depression, 2)hypotension
Midazolam Dosage	Adult: 5mg, 2.5, 2.5 Pediatric: 0.05 mg/kg max 1.8
Naxalone Actions	Narcotic antagonist
Naloxone Indications	Known or suspected opioid OD, especially with respiratory depression.
Naloxone Contraindications	None
Naloxone Side effects	Acute withdrawal syndrome in opioid addicts
Naloxone Dosage	Adult: 0.4-2mg Pediatrics: 0.1mg/kg
Nitroglycerin action (3)	Dilates coronary arteries by relaxing vascular smooth muscle. Increases myocardial blood flow and decreases myocardial work.
Nitroglycerin Indications (2)	A) chest pain B) CHF
Nitroglycerin Contraindications (2)	A) Hypotension B) ED drugs within preceding 48 hours
Nitroglycerin Side effects (3)	1)headaches, 2)hypotension, 3)syncope
Nitroglycerin Dosage	Adult: 0.4mg repeat 5min prn Pump: 5mcg/min
Ondansetron Action	Antiemetic agent
Ondansetron Indications	Nausea and vomiting
Ondansetron Contraindications	None
Ondansetron Side effects	None
Ondansetron Dosage	Adult: 4mg Pediatric: 0.15mg/kg max 4mg may repeat in 20 minutes
Rocuronium Action	Non-depolirizing neuromuscular blocking agent
Rocuronium Indications (2)	1)post-intubation agitation 2)induced hypothermia following ROSC
Rocuronium Contraindications	Pregnancy
Rocuronium Side effects	Occasional allergic reaction
Rocuronium Dosage	Adult: 0.6mg/kg max 60mg Pediatric: 0.6mg/kg max 21.6mg
Succinylcholine Action	Ultra short acting depolirizing type skeletal muscle relaxant
Succinylcholine Indications	RSI
Succinylcholine contraindications (4)	1)massive burns 2)massif crush injuries 3)penetrating eye injury 4)organophosphate poisoning
Succinylcholine Side effects (5)	1)rhabdomyolysis 2)hyperkalemia 3)ventricular arrhythmia 4)malignant hyperthermia 5)prolonged respiratory depression
Succinylcholine Dosage	Adult: 1.5 mg/kg max 120 Pediatric: 2mg/kg max 72