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each of the black spaces below before clicking
on it to display the answer.
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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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