Bumex, thiamine morphine, phenergan, valium
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| BUMETANIDE GENERIC NAME | BUMETANIDE
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| BUMETANIDE BRAND NAME | Bumex
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| BUMETANIDE CLASS | Loop diuretic
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| BUMETANIDE MECHANISM OF ACTION | Inhibits electrolyte reabsorption.
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| BUMETANIDE INDICATIONS | Pulmonary edema, CHF
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| BUMETANIDE CONTRAINDICATIONS | Hypersensitivity, Anuria, Electrolyte deficiencies, Hepatic coma.
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| BUMETANIDE ADVERSE REACTIONS | Dizziness , headache, Hypotension, ECG changes, N/V, ringing in the ears.
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| BUMETANIDE INCOMPATABILITIES/DRUG INTERACTIONS | Lithium toxicity may be potentiated by electrolyte depletion. Potentiates effects of various antihypertensive drugs
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| BUMETANIDE DOSE/ROUTE Adult | 0.5 to 1.0 mg IV slowly over 1 to 2 minutes, or IM
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| BUMETANIDE ONSET OF ACTION | IV Immediate
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| BUMETANIDE PEAK EFFECTS | IV 15-30 minutes
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| BUMETANIDE DURATION OF ACTION | 2-4 hours
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| BUMETANIDE AZ DRUG BOX SUPPLY RANGE | 4mg
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| Promethazine GENERIC NAME | Promethazine
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| Promethazine BRAND NAME | Phenergan,
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| Promethazine CLASS | Antiemetics, antihistamine, sedative/hypnotics
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| Promethazine MECHANISM OF ACTION | Decreases N/V by antagonizing H1 receptors
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| Promethazine INDICATIONS | Treatment and prevention of N/V
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| Promethazine CONTRAINDICATIONS | Narrow-angle glaucoma, children less then 2yr.
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| Promethazine ADVERSE REACTIONS | Confusion, disorientation, sedation, dizziness, nervousness. Blurred vision, diplopia.
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| Promethazine INCOMPATABILITIES/DRUG INTERACTIONS | Potentiates other CNS depressants, Potentiates other drugs possessing anticholinergic properties.
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| Promethazine DOSE/ROUTE Adult antihistamine IV | 25mg, may repeat in 2hr.
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| Promethazine DOSE/ROUTE Adult antiemetic IV | 25mg Q4hr PRN.
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| Promethazine DOSE/ROUTE Peds antihistamine IV | Not recommended
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| Promethazine DOSE/ROUTE Peds antiemetic IV | 0.25-0.5 mg/kg q 4-6 hours
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| Promethazine ONSET OF ACTION | IV 5 minutes
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| Promethazine PEAK EFFECTS | Unknown
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| Promethazine DURATION OF ACTION | 12 hours
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| Promethazine AZ DRUG BOX SUPPLY RANGE | Not carried
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| Thiamine GENERIC NAME | None
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| Thiamine BRAND NAME | Thiamine
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| Thiamine CLASS | Vitamin B1
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| Thiamine MECHANISM OF ACTION | Combines with ATP to form thiamine pyrophosphate coenzyme, a necessary component for carbohydrate metabolism. Thiamine INDICATIONS
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| Thiamine CONTRAINDICATIONS | None
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| Thiamine ADVERSE REACTIONS | Hypotension from to rapid of an injection or to high of a dose, diaphoresis, N/V.
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| Thiamine INCOMPATABILITIES/DRUG INTERACTIONS | Give thiamine before glucose under all circumstances.
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| Thiamine DOSE/ROUTE Adult | 100mg slow IV, or IM
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| Thiamine DOSE/ROUTE Pediatric | 25mg slow IV, or IM
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| Thiamine ONSET OF ACTION | Rapid
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| Thiamine PEAK EFFECTS | Variable
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| Thiamine DURATION OF ACTION | Variable
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| Thiamine AZ DRUG BOX SUPPLY RANGE | 100mg
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| Diazepam GENERIC NAME | Diazepam
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| Diazepam BRAND NAME | Valium
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| Diazepam CLASS | Benzodiazepine, sedative hypnotic, anticonvulsant
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| Diazepam MECHANISM OF ACTION | Potentiates effects of inhibitory neurotransmitters. Raises seizure threshold. Induces amnesia and sedation.
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| Diazepam INDICATIONS | anxiety, alcohol withdrawal, muscle relaxant, seizure activity, agitation. Analgesia for medical procedures.
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| Diazepam CONTRAINDICATIONS | glaucoma, coma, shock, substance abuse, head injury
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| Diazepam ADVERSE REACTIONS | Respiratory depression, hypotension. Drowsiness, nausea, confusion,
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| Diazepam INCOMPATABILITIES/DRUG INTERACTIONS | Incompatible with most drugs, fluids.
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| Diazepam DOSE/ROUTE Adult, seizure activity | 5-10mg IV q 10-15 minutes prn. Max dose 30mg.
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| Diazepam DOSE/ROUTE Adult, cardioversion sedation | 5-15mg IV over 5-10 minutes prior to cardioversion.
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| Diazepam DOSE/ROUTE Pediatric, seizure activity | 0.2-0.5mg slowly q 2-5 minutes up to 5mg. max dose 10mg/kg.
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| Diazepam DOSE/ROUTE Pediatric, rectally | 0.5 mg/kg via 2’’ rectal catheter and flush with 2-3ml of air after administration.
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| Diazepam ONSET OF ACTION | 5 minutes
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| Diazepam PEAK EFFECTS | minutes
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| Diazepam DURATION OF ACTION | 50 minutes
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| Diazepam AZ DRUG BOX SUPPLY RANGE | 20mg. Rectal 20mg (optional)
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| Morphine GENERIC NAME | Morphine Sulfate
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| Morphine BRAND NAME | Astramorph/pf
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| Morphine CLASS | Opioid analgesic (schedule II narcotic)
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| Morphine MECHANISM OF ACTION | Alleviates pain through CNS action, Suppresses fear and anxiety centers in brain
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| Morphine INDICATIONS | CHF, pulmonary edema, chest pain associated with acute MI, analgesia for pain
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| Morphine CONTRAINDICATIONS | depressed respiratory drive, hypotension, undiagnosed abdominal pain, decreased LOC, Shock,
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| Morphine ADVERSE REACTIONS | Respiratory depression, hypotension, decreased LOC, N/V, Bradycardia, tachycardia, syncope
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| Morphine INCOMPATABILITIES/DRUG INTERACTIONS | CNS depressant may potentiate effects of morphine. MAOIs may cause paradoxical excitation.
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| Morphine DOSE/ROUTE Adult Initial dose | 2-4 mg IV.
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| Morphine DOSE/ROUTE Repeat dose | 2-8 mg at 5-15 minute intervals.
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| Morphine DOSE/ROUTE Pediatric | .1-.2 mg/kg per dose via IV. IO. IM, or SC; Maximum dose of 5mg.
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| Morphine ONSET OF ACTION | Immediate
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| Morphine PEAK EFFECTS | 20 minutes
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| Morphine DURATION OF ACTION | 7 hours
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| Morphine AZ DRUG BOX SUPPLY RANGE | 20mg
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Created by:
klindley
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