lasix, d50, amiodarone, versed, succs
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| D50 GENERIC NAME | D50
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| D50 BRAND NAME | Dextrose 50%,
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| D50 CLASS | Carbohydrate, hyperglycemic
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| D50 MECHANISM OF ACTION | Increases blood glucose concentrations
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| D50 INDICATIONS | hypoglycemia, Hyperkalemia, ALOC of unknown etiology
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| D50 CONTRAINDICATIONS | DT’S, Intracranial and intraspinal hemorrhage, and solution not clear.
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| D50 ADVERSE REACTIONS | Hyperglycemia, Warmth, burning, or pain of the peripheral veins.
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| D50 INCOMPATABILITIES/DRUG INTERACTIONS | Diazepam will precipitate if given concurrently without flushing
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| D50 ADULT DOSE/ROUTE Hypoglycemia, ALOC of unknown etiology | 10-25g, IV
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| D50 ADULT DOSE/ROUTE Hyperkalemia | 25g IV
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| D50 ADULT DOSE/ROUTE Pediatric Dosage >2 years | 2ml/kg of dextrose 50%
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| D50 ADULT DOSE/ROUTE Pediatric Dosage <2 years | 2-4ml/kg of 10%
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| D50 ONSET OF ACTION | Seconds
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| D50 PEAK EFFECTS | Variable
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| D50 DURATION OF ACTION | Variable
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| D50 AZ DRUG BOX SUPPLY RANGE | 2 - 4 prefilled syringe
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| Lasix GENERIC NAME | Furosemide
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| Lasix BRAND NAME | Lasix
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| Lasix CLASS | Loop diuretic
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| Lasix MECHANISM OF ACTION | Inhibits electrolyte reabsorption and promotes excretion of sodium, potassium, chloride.
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| Lasix INDICATIONS | CHF, Pulmonary edema, hypertensive crisis.
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| Lasix CONTRAINDICATIONS | Hypovolemia, hypersensitivity to sulfonamides.
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| Lasix ADVERSE REACTIONS | orthostatic hypotension, Hypokalemia, ECG changes, vertigo, weakness
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| Lasix NOTES ON ADMINISTRATION | Ototoxicity and deafness can occur with rapid administration.
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| Lasix INCOMPATABILITIES/DRUG INTERACTIONS | Lithium toxicity may be potentiated by sodium depletion. Digitalis toxicity may be potentiated by potassium depletion.
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| Lasix Adult DOSE/ROUTE | 0.5-1.0 mg/kg injected IV over 1-2 minutes. If no response dose at 2 mg/kg over 2 minutes.
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| Lasix Pediatric DOSE/ROUTE | 1 mg/kg/dose IV, IO
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| Lasix ONSET OF ACTION | 5 minutes
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| Lasix PEAK EFFECTS | 60 minutes
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| Lasix DURATION OF ACTION | 6 hours
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| Lasix AZ DRUG BOX SUPPLY RANGE | 100 mg
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| Succinylcholine GENERIC NAME | Succinylcholine
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| Succinylcholine BRAND NAME | Anectine
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| Succinylcholine CLASS | Depolarizing paralyzing agent
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| Succinylcholine MECHANISM OF ACTION | Binds to the receptors for acetylcholine, resulting in muscle paralysis
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| Succinylcholine INDICATIONS | To facilitate intubation.
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| Succinylcholine CONTRAINDICATIONS | Malignant hypothermia, burns, truama
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| Succinylcholine ADVERSE REACTIONS | Apnea, Malignant Hyperthermia, arrhythmias, hypertension, hypotension,
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| Succinylcholine INCOMPATABILITIES/DRUG INTERACTIONS | Effects potentiated by oxytocin, beta blockers, and organophosphates. Diazepam may reduce the duration of action.
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| Succinylcholine ADULT DOSE/ROUTE | 1-2mg/kg rapid IV. Repeat once if needed.
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| Succinylcholine PEDIATRIC DOSE/ROUTE | 1-1.5 mg/kg rapid IV/IO. Repeat once if needed.
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| Succinylcholine ONSET OF ACTION | 1 minute
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| Succinylcholine PEAK EFFECTS | 1-3 minutes
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| Succinylcholine DURATION OF ACTION | 5 minutes
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| Succinylcholine AZ DRUG BOX SUPPLY RANGE | 400mg.
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| Versed GENERIC NAME | Midazolam
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| Versed BRAND NAME | Versed
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| Versed CLASS | Short-acting benzodiazepine CNS depressant
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| Versed MECHANISM OF ACTION | Anxiolytic and sedative properties similar to other benzodiazepines, memory impairment
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| Versed INDICATIONS | Sedation, anxiety, skeletal muscle relaxation
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| Versed CONTRAINDICATIONS | Narrow angle glaucoma,Pregnant women
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| Versed ADVERSE REACTIONS | Respiratory depression/arrest, Hypotension, N/V, Headache, Cardiac arrest
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| Versed INCOMPATABILITIES/DRUG INTERACTIONS | Should not be used in patients who have taken a CNS depressant
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| Versed ADULT DOSE/ROUTE | 2-2.5 mg over 2 minutes. May repeat in 2 min.
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| Versed Peds DOSE/ROUTE >12 | same as adult
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| Versed Peds DOSE/ROUTE >6 AND <12 | 0.05mg/kg up to .4 mg/kg
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| Versed ONSET OF ACTION | 3 minutes
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| Versed PEAK EFFECTS | variable
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| Versed DURATION OF ACTION | 6 hours
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| Versed AZ DRUG BOX SUPPLY RANGE | 10mg optional
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| AMIODARONE GENERIC NAME | AMIODARONE
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| AMIODARONE BRAND NAME | CORDARONE
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| AMIODARONE CLASS | ANTIARRHYTHMIC
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| AMIODARONE MECHANISM OF ACTION | Blocks myocardial sodium, and potassium channels
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| AMIODARONE INDICATIONS | Ventricular arrhythmias, second line agent for atrial arrhythmias.
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| AMIODARONE CONTRAINDICATIONS | S.S.S., 2nd and 3rd degree heart block, cardiogenic shock
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| AMIODARONE ADVERSE REACTIONS | Hypotension, bradycardia
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| AMIODARONE INCOMPATABILITIES/DRUG INTERACTIONS | Beta blockers, and calcium channel blockers may potentiate Bradycardia, sinus arrest and av heart blocks.
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| AMIODARONE ADULT DOSE/ROUTE for V-fib and pulseless V-Tach | 300mg IV/IO. May repeat at 150mg in 3-5 minutes
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| AMIODARONE PEDS DOSE/ROUTE for V-fib and pulseless V-Tach | 5mg/kg (max dose 300mg) may repeat up to 2 times.
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| AMIODARONE ADULT DOSE/ROUTE for relatively stable pt’s with arrhythmias like PVC’s or wide complex tachycardia with a strong pulse | 150mg in 100ml of D5W over 10 min.
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| AMIODARONE PEDS DOSE/ROUTE for relatively stable pt’s with arrhythmias like PVC’s or wide complex tachycardia with a strong pulse | 5mg/kg over 20 min.
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| AMIODARONE ONSET OF ACTION | Immediate
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| AMIODARONE PEAK EFFECTS | 15 min.
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| AMIODARONE DURATION OF ACTION | 45 min.
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| AMIODARONE AZ DRUG BOX SUPPLY RANGE | 300mg optional
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Created by:
klindley
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