Pharmacology
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| Also known as Osmitrol. | Mannitol
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| An osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis. | Mannitol
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| Indicated for cerebral edema | Mannitol
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| Contraindicated for pulmonary edema, CHF, organic CNS disease, intracranial bleeding, shock, renal failure, severe dehydration. | Mannitol
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| Dosage of 0.5-1g/kg over 5-10min IV | Mannitol
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| PED dosage of 50mcg/kg over 10-60min | Mannitol
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| Also known as Demoral. | Meperidine
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| Is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects. | Meperidine
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| Indicated for moderate to severe pain. | Meperidine
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| Contraindicated for seizure disoders, acute abdomen prior to diagnosis. | Meperidine
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| Dosage of 25-100mg IV or 50-100mg IM | Meperidine
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| PED dosage is 1mg/kg IV/IM | Meperidine
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| A sympathomimetic Bronchodilator also known as Alupent. | Metaproterenol
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| Is a synthetic sympathomimetic amine, similar to isoproterenol that causes smoot muscle relaxation of the bronchial tree, decreasing airway resistance, facilitating mucous drainage, and increasing vital capacity. | Metaproterenol
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| Indicated for bronchospasm, as in asthma and COPD. | Metaproterenol
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| Contraindicated for hypersensitivity to sympathomimetic agents, tachydysrhythmias, hyperthyroidism | Metaproterenol
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| Dosage of 0.65mg via MDI (2sprays)or 0.2-0.3mL in 2.5-3mL NS via NEB. | Metaproterenol
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| PED dosage of 0.1-0.2mL/kg (5% solution) in 2.5-3mL NS via NEB. | Metaproterenol
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| A corticosteroid, Anti-inflammatory also known as Solu-Medrol. | Methylprednisolone
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| A synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. Also may be used for treatment of spinal cord injury. | Methylprednisolone
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| Indicated for spinal cord injury, asthma, severe anaphylaxis, COPD | Methylprednisolone
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| No major contraindications in EM setting | Methylprednisolone
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| Dosage for Asthma/COPD/Anaphylaxis is 125-250 mg IV/IM PED:1-2mg/kg IV/IM | Methyprednisolone
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| Dosage for Spinal cord injury is 30mg/kg IV over 15min, after 45min infusion of 5.4mg/kg/hr | Methylprednisolone
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| A beta blocker also known as Lopressor | Metoprolol
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| Is a beta-adrenergic blocking agent that reduces HR, cardiac output, and BP. | Metoprolol
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| Indicated for AMI | Metoprolol
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| Contraindicated for cardiogenic shock, sinus brady <45, 2nd & 3rd degree HB, PR interval >.24, cor pulmonale, asthma, COPD | Metoprolol
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| Dosage of mg slow IV/5min up to 3x | Metoprolol
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| A sedative also known as Versed. | Midazolam
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| Is a short acting benzodiazepine with CNS depressant, muscle relaxant, anticonvulsant, and anterograde amnestic effects. | Midazolam
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| Indicated to induce sedation before cardioversion or intubation. | Midazolam
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| Contraindicated for narrow-angle glaucoma, shock, coma, acute alcohol intoxication. | Midazolam
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| Doasage of 1-5mg slow IV, or .07-.08mg/kg IM (usually 5mg) | Midazolam
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| Ped dosage of .05-.2mg/kg IV: .1-.15mg.kg IM: 3mg intranasal. | Midazolam
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| A narcotic analgesic also known as Duramorph | Morphine sulfate
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| Is a potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial O2 demand | Morphine sulfate
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| Indicated for moderate to severe pain and in MI to reduce venous return in pulmonary edema. | Morphine sulfate
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| Contraindicated for hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension or volume depletion. | Morphine sulfate
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| Contraindicated for acute bronchial asthma, COPD, severe respiratory depression, pulmonary edema due to chemical inhalation. | Morphine sulfate
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| Dosage for MI is 2-4mg IV/IO q 5-15min. | Morphine sulfate
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| Dosage for Pain is 2-25mg IV; 5-20mg IM/SQ | Morphine sulfate
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| PED dosage is .05-.1mg/kg IV or .1-.2mg/kg IM/SQ | Morphine sulfate
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| Nubain is a narcotic analgesic also known as. | Nalbuphine
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| Is a synthetic narcotic analgesic equivalent to morphine, though its respiratory depression does not increase w higher doses. | Nalbuphine
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| Indicated for moderate to sever pain. | Nalbuphine
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| Contraindicated for hypersensitivity, undiagnosed head or abdominal injury. | Nalbuphine
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| Dosage is .4-2mg IV/IO/IM (2-2.5x dose for ET) repeat in 2-3min prn upto 10mg. | Nalbuphine
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| PED dosage is .1-2mg/kg IV/IO | Nalbuphine
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| Also known as Narcan and is a narcotic antagonist | Naloxone
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| Is a pure narcotic antagonist that blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression. | Naloxone
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| Indicated for narcotic and synthetic narcotic OD, coma of unknown origin. | Naloxone
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| Contraindicated for hypersensitivity, non-narcotic-induced respiratory depression. | Naloxone
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| Dosage of .4-2mg IV/IM (2-2.5x dose for ET)or .4-.8mg IM/SQ repeat q 2hrs prn upto 10mg. | Naloxone
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| PED dosage is .1mg IV/IM (2-2.5x dose ET) repeat q 2min prn upto 2mg. | Naloxone
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| Also known as Procardia or Adalat | Nifedipine
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| Is a calcium channel blocker that reduces coronary artery spasm in angina. It also decreases peripheral vascular resistance, BP and cardiac workload. | Nifedipine
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| Indicated for hypertension and angina | Nifedipine
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| Contraindicated for hypersensitivity or hypotension. | Nifedipine
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| Dosage is 1 capsule at 10-20mg SL/PO | Nifedipine
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