ASA, NITRO, LIDO, O2, BENADRYL
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| Nitroglycerin GENERIC NAME | Nitroglycerin
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| Nitroglycerin BRAND NAME | Nitrostat
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| Nitroglycerin CLASS | Vasodilator
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| Nitroglycerin MECHANISM OF ACTION | Relaxes vascular smooth muscles, dilating peripheral arteries and veins
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| Nitroglycerin INDICATIONS | Angina, Myocardial ischemia associated with cocaine intoxication.
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| Nitroglycerin CONTRAINDICATIONS | Hypotension, severe bradycardia or tachycardia, any ED drugs,
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| Nitroglycerin ADVERSE REACTIONS | HA, Hypotension, Bradycardia, lightheadedness, flushing
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| Nitroglycerin INCOMPATABILITIES/DRUG INTERACTIONS | Incompatible with other IV drugs.
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| Nitroglycerin ADULT DOSE/ROUTE | 1 Tablet (0.3-0.4mg) or 1 Spray (0.4mg) sublingual every 5 minutes, up to 3 doses.
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| Nitroglycerin PEDS DOSE/ROUTE | Not recommended
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| Nitroglycerin ONSET OF ACTION | 3 minutes
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| Nitroglycerin PEAK EFFECTS | 10 minutes
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| Nitroglycerin DURATION OF ACTION | 30 minutes
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| Nitroglycerin AZ DRUG BOX SUPPLY RANGE | 1 bottle tablets, 1 bottle spray
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| Oxygen GENERIC NAME | None
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| Oxygen BRAND NAME | Oxygen
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| Oxygen CLASS | Naturally occurring atmospheric gas
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| Oxygen MECHANISM OF ACTION | Reverses Hypoxemia
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| Oxygen INDICATIONS | hypoxemia, CP, respiratory insufficiency, carbon monoxide poisoning, decreased tissue oxygenation, decreased LOC.
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| Oxygen CONTRAINDICATIONS | Hyperventilation.
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| Oxygen ADVERSE REACTIONS | Retrolental fibroplasia if given in high concentrations to premature infants (maintain 30-40%)
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| Oxygen NOTES ON ADMINISTRATION | Never with hold
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| Oxygen INCOMPATABILITIES/DRUG INTERACTIONS | None.
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| Oxygen DOSE/ROUTE Adult and Pediatric | 10-15L via NRB, or 2-6L via NC.
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| Oxygen ONSET OF ACTION | Immediate
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| Oxygen PEAK EFFECTS | N/A
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| Oxygen DURATION OF ACTION | 2 minutes
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| Oxygen AZ DRUG BOX SUPPLY RANGE | 13 cubic feet
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| Diphenhydramine GENERIC NAME | Diphenhydramine
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| Diphenhydramine BRAND NAME | Benadryl
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| Diphenhydramine CLASS | Antihistamine; anticholinergic
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| Diphenhydramine MECHANISM OF ACTION | Blocks cellular histamine receptors; decreases vasodilation; decreases motion sickness.
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| Diphenhydramine INDICATIONS | allergic reactions, anaphylaxis, acute dystonic reactions (phenothiazines).
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| Diphenhydramine CONTRAINDICATIONS | Asthma, pregnancy, htn, narrow angle glaucoma, (MAOIs)
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| Diphenhydramine ADVERSE REACTIONS | Sedation. Hypotension, sz’s, vomiting, palpitations, arrhythmias. NOTES ON ADMINISTRATION
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| Diphenhydramine DOSE/ROUTE Adult | 25-50mg IV, IM, or PO.
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| Diphenhydramine Pediatric DOSE/ROUTE | 1-2 mg/kg IV. IO slowly, or IM. If given PO
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| Diphenhydramine ONSET OF ACTION | 30 minutes
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| Diphenhydramine PEAK EFFECTS | 1 hour
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| Diphenhydramine DURATION OF ACTION | 3-12 hours.
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| Diphenhydramine AZ DRUG BOX SUPPLY RANGE | 50 mg.
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| Lidocaine GENERIC NAME | Lidocaine Hydrochloride
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| Lidocaine BRAND NAME | Xylocaine
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| Lidocaine CLASS | Antiarrhythmic
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| Lidocaine MECHANISM OF ACTION | Decreases automaticity by slowing the rate of phase 4 depolarization
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| Lidocaine INDICATIONS | Alternative to amiodarone in cardiac arrest from V-fib/Pulseless V-tach, stable monomorphic V-tach, stable polymorphic V-tach with normal baseline QT interval.
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| Lidocaine CONTRAINDICATIONS | av blocks, bleeding, thrombocytopenia.
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| Lidocaine ADVERSE REACTIONS | Slurred speech, seizures, Bradycardia, hypotension, cardiac arrest, and arrhythmias.
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| Lidocaine NOTES ON ADMINISTRATION | Exceedingly high doses can result in coma or death.
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| Lidocaine INCOMPATABILITIES/DRUG INTERACTIONS | Metabolic clearance is decreased in patients with liver disease or in patients taking beta blockers.
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| Lidocaine DOSE/ROUTE Adult cardiac arrest from V-Fib/Pulseless V-tach, Initial dose | 1-1.5 mg/kg IV/IO.
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| Lidocaine DOSE/ROUTE Adult maintenance infusion | 1-4 mg/min. Can be diluted in D5W or NS
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| Lidocaine DOSE/ROUTE Pediatric IV/IO dose | 1 mg/kg rapid IV/IO push. Max 100 mg
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| Lidocaine ONSET OF ACTION | 3 minutes
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| Lidocaine PEAK EFFECTS | 10 minutes
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| Lidocaine DURATION OF ACTION | 2 hours
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| Lidocaine AZ DRUG BOX SUPPLY RANGE | 3 prefilled syringes, total of 300 mg , 1g vials or premixed infusion, total of 2g
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| ASA GENERIC NAME | ASA
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| ASA BRAND NAME | Aspirin
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| ASA CLASS | Platelet inhibitor, anti-inflammatory agent
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| ASA MECHANISM OF ACTION | Prostaglandin inhibition
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| ASA INDICATIONS | Any symptom suggestive of a MI, Fever, inflammation.
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| ASA CONTRAINDICATIONS | Hypersensitivity, gi bleed, active ulcer bleed.
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| ASA ADVERSE REACTIONS | Angioedema, bronchospasm, bleeding, N/V
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| ASA NOTES ON ADMINISTRATION | Not recommended for peds
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| ASA INCOMPATABILITIES/DRUG INTERACTIONS | Use with caution in patients allergic to NSAID’s
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| ASA ADULT DOSE/ROUTE | 325mg
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| ASA ONSET OF ACTION | 45 minutes
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| ASA PEAK EFFECTS | Variable
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| ASA DURATION OF ACTION | Variable
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| ASA AZ DRUG BOX SUPPLY RANGE | 324mg.
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| Benadryl NOTES ON ADMINISTRATION | Not used in infants or in pregnancy
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| Benadryl INCOMPATABILITIES/DRUG INTERACTIONS | Potentiates effects of alcohol
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Created by:
klindley
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