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