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Mercy Pharm 1st names/2nd names/class/doses

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Drug
2nd name
class
Standard dosing
Indications
Activated Charcoal   Activated Charcoal   Adsorbant   1g/kg   Acute ingested poisoning  
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Adenosine   Adenocard   Antidysrythmic   6mg, 12mg, 12mg.   PSVT refractory to vagal manuevers  
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Albuterol   Ventolin,Proventil, Salbutamol   Sympatholmimetic (B2 selective)   2 inhalations (90mcg) via MDI 2.5mg in 2.5-3ml of NS   Bronchospasm and asthma in COPD  
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Aminophyllin   Theophyllin   Xanthine Bronchodilator   250 - 500 mg IV over 20-30 min.   Bronchospasm in asthma and COPD refractory to sympathomimetics and other bronchodilators and in CHF  
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Amiodarone   Cordarone,Pacerone   Antidysrythmic   150mg/100ml over 10 min, 1mg/min ovr next 6 hours   Life-threatening Ventricular and supraventricular dysrythmia, frequent A-Fib  
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Aspirin   ASA   Platelet inhibitor, anti-inflammatory   162-325 mg PO   In accordance with ACS protocol  
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Calcium Chloride   CaCl   Electrolyte   2-4 mg/kg IV (10% solution)/10 min, as needed   Hyperkalemia, hypocalcemia, hypermagnessemia, and Calcium chanel blocker toxicity  
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Cetacaine   Benzocaine,Tertracaine,Hurricaine, Pontocaine   Topical anesthetic   1-2 second spray   topical anesthesetic for all muscous membranes EXCEPT the eyes.  
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Dextrose 10%   D10   Carbohydrate   5g   hypoglycemia  
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Dextrose 25%   D25   Carbohydrate   12.5g   hypoglycemia  
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Dextrose 50%   D50   Carbohydrate   25g IV   hypoglycemia  
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Diltiazem   Cardizem   Calcium Channel Blocker   0.25mg/kg IV over 2 min, may rpeat with 0.35mg mg/kg followed by a drip of 5-10mg/hr not to exceed 15mg/hr over 24 hours   Supraventricular Tachydysrythmias (A-Fib, A-flutter, PSVT refractory to adenosine) and to increase coronary artery perfusion in angina  
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Dimenhydrinate   Dramamine,Gravol   Antihistamine   12.5-25mg IV; 50mg IM/4hrs PRN   to relieve N/V with motion sickness or narcotic use  
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Diphenhydramine   Benedryl   Antihistamine   25-50mg IV/IM   Anaphalaxis, allergic reactons and dystonic reactions  
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Dopamine   Intropin   Sympathomimetic   2-5 mcg/kg/min, titrated to effect.   Nonhypovelmic hypotension (70-100 mmHg) and cardiogenic shock  
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Epinephrine 1:1000   Adrenalin   Sympathomimetic   Arrest:1mg of 1:10000 IV/3-5min (ET 2.0-2.5 mg 1:1000) Allergic reaction: 0.3-0.5 mg of 1:1000 SC/5-15 min prn or 0.5-1mg of 1:10000IV if SC dose is inefective or severe reaction   To restore cardiac rythym in cardiac arrest and severe allergic reactions  
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Epinephrine 1:10000   Adrenalin   Sympathomimetic   Arrest:1mg of 1:10000 IV/3-5min (ET 2.0-2.5 mg 1:1000) Allergic reaction: 0.3-0.5 mg of 1:1000 SC/5-15 min prn or 0.5-1mg of 1:10000IV if SC dose is inefective or severe reaction   To restore cardiac rythym and severe analphalaxis  
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Furosemide   Lasix   Loop diuretic   40-120mg mg slow IV   CHF and pulmonary edema  
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Glucagon   Glucagon   Hormone, Antihypoglycemic   Hypoglycemia: 1mg IM/SC q 5-20 min Beta Blocker OD: 50-150mg/kg IV over 1 min   Hypoglycemia without IV access and to reverse Beta Blocker OD  
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Abciximab   Epptifibitide   Glycoprotein IIb/IIIa inhibitor   (blank)   (blank)  
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Hydralazine   Apresoline   Antihypertensive (potent vasodilator)   20 -40 mg IV/IM repeated 4-6 hours   HTN crisis and pre-eclampsia  
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Hydrocortisone Na Succinate   Solu-Cortef   Steroid   40 - 250 mg IV/IM   Inflammation during allergic reactions, severe analphalaxis, asthma, and COPD  
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Hydroxyzine   Atarax, Vistaril   Antihistamine   Anxiety:50-100 mg Deep IM N/V:25-50 mg Deep IM   Acute anxiety, N/V  
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Ipatropium Bromide   Atrovent   Anticholinergic   500mcg in 2.5 - 3ml NS SVN, or 2 puffs MDI   Bronchospasm associated with asthma, COPD, and inhaled irritants  
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Isoetherine   Bronkosol, Bronkometer   Sympathomimetic (B2 selective)   0.5ml in 2-3ml saline via SVN, 1-2 puffs MDI   Bronchospasm in asthma and COPD  
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Isoproterenol   Isuprel   Sympathomimetic   Bradycardia: 2-10 mcg/min titrateed to cardiac rate Status asthmaticus: 1-2 puffs MDI   Bradycardia refractory to atropine when pacing is not available and for severe asthmaticus  
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Ketorolac Tromethamine   Toradol   NSAID   30mg IV/IM (15 mg >65 y/o or weight <50kg)   Mild or loderate pain  
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Labetalol   Trandate, Normodyne   Sympathetic Blocker (B blocker)   20 mg slow IV, then 40 -80mg/10min prn up to 300 mg. OR IVPB 2mg/min up to 300 mg   Acute HTN crisis  
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Lidocaine   Xylocaine   Antidysrythmic   Arrest: 1-1.5mg/kg IV q 3-5 min up tp 3mg/kg, follow conversion with IVPB up to 2-4mg/min VTACH:(w/pulse)1-1.5mg slow IV, may repeat @ half dose q 5-10 min until conversion up to 3mg/kg. follow conversion with IVPB 2-4mg/min   Pulsless Vtach, Vfib, VTACH w/pulse  
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Lorazepam   Ativan   Benzodiazepine (tranquilizer)   Sedation: 2-4 mg IM, 0.5-2mg IV Status Epilepticus: 2mg slow IV/PR (2mg/min)   Sedation for cardioversion and status epilepticus  
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Magnesium Sulfate   MgSO4   Anticonvulsant, antidysrythmic   VFIb or Tachycardia: 1-2g IV over 2 min Torsades de pointes: 1-2g IV followed by infusion og 0.5-1g/hr IV AMI:1-2g/kg IV over 5-30 min Eclampsia: 2-4g IV/IM   Refractory VFib and pulseless Vtach (esp Torsades de pointes), AMI, Eclamptic seizures  
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Meperidene   Demerol   Narcotic analgesic   25-50mg IV, 50-100mg IM   Moderate to severe pain  
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Metaproterenol   Alupent   Sympathomometic (B2 selective)   0.65mg via MDI (2 puffs);0.2-0.3 ml in 2.5-3.0ml NS via SVN   Bronchospasm, as in asthma or COPD  
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Methylprednisone   Solu-Medrol   Steroid (cortico)   Asthma/COPD/Anaphalaxis:125-250mg IV/IM Spinal Cord injury:30mg/kg IV over 15 min, after 45 minutes an IVPB of 5.4mg/kg/hr   Spinal cord injury, asthma, severe analphylaxis, COPD  
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Metoclopramide   Reglan   Phenothiazine Antiemetic   10-20mg IM; 10mg slow IVP(over 1-2 min)   N/V  
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Metoprolol   Lopressor, Toprol XL   Sympathetic Blocker (B2 selective) Beta Blocker   5 mg slow IV/5 min up to 3 times   AMI  
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Midazolam   Versed   Benzodiazapine (tranquilizer)   1-2.5mg slow IVP; 0.07-0.08mg/kg IM (usually 5mg)   To induce sedation prior to cardioversion or intubation  
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Morphine Sulfate   Astramorph   Narcotic Analgesic   Pain: 2.5-15mgIV; 5-20mg IM/SC AMI or PE: 1-2mg/6-10 miutes to response   Moderate to severe pain and in MI and to reduce venous return in pulmonary edema  
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Nalbuphine   Nubaine   Synthetic Analgesic   5mg IV/IM/SC, repeat as 2mg doses up to 20mg   Moderate to severe pain  
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Neosynephrine   Phenylephrine HCL   Sympathomimetic   (blank)   (blank)  
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Nitroglycerine Tablet   Nitrostat   Antianginal, Nitrate   0.4mg SL repeatr up to 3 q 3-5 min   CP associated with AMI, Angina, PE  
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Nitroglycerine Paste   Nitro-Bid   Antianginal, Nitrate   1/2in-1in topical.   CP associated with AMI, Angina, PE  
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Nitroglycerine Spray   Nitro-Lingual   Antianginal,Nitrate   0.4mg SL(one spray)up to three aprays in 25 min   CP associated with AMI, Angina, PE  
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Oxygen   O2   Gas   2-25 lpm via any means of oxygenation   any and or all pt's  
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Oxytocin   Pitocin   Hormone   3-10 units IM after delivery of placenta; 10-20 units in 1000ml of D5W or NS IVP titrated   Severe Postpartum hemmorage  
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Pancuronium Bromide   Pavulon   Non depolarizing neuromuscular blocker   0.04-0.1mg/kg IV   To facilitate endotrachael intubation  
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Phenobarbital   Luminal   Barbituate   100-300mg slow IV/IM   Seizures, status epilepticus, and acute anxiety  
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Physotigmine   Antilirium   Cholinesterase inhibitor, parasympathomimetic   0.5-3mg IV no faster than 1 min. repeat as needed   Tricyclic antidepressants (CNS and Cardiac efects) and anticholinergic OD  
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Phenytoin   Dilantin   Anticonvulsant, antidysrythmic   Seizures: 10-15 mg/kg Slow IV Dysrythmias:100 mg slow IV (over 5 min) to max of 1000mg   Seizures, status epilepticus, cardiac dysrythmias secondary to digitalis toxicity  
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Pralidoxime   2-pam/protopam   cholinesterese reactivator   1-2g in 250-500ml NS IVPB over 15-30 min; or 1-2g IM/SC if no IV access   Organophosphate poisoning  
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Promethazine   Phenergan   Phenothiazine Antihistamine   12.5-25mg IV/IM/PR   N/V, Motion sickness, induce sedation, and to enhance the effects of sedation  
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Propranolol   Inderal   Sympathetic Blocker (B Blocker)   1-3 mg slow IV (2-5 min) not to exceed 1mg/min, may repeat/2min to 0.1mg/kg   Vfib, Pulseless VTACH rerfractory to lidocaine and bretylium and selected SVT's  
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Salbutamol   Albuterol,Ventolin,Proventil   Sympathomimetic (B2 selective)   2 inhalations (90mcg) via MDI 2.5mg in 2.5-3ml of NS   Asthma,COPD  
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Sodium Bicarbonate   NaHCO3   Alkalinizing agent   1 mEq/kg IV, then 0.5mEq/kg/10min   Tricyclic antidepressant and barbituate OD, refractory acidosis, or hyperkalemia  
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Thiamine   Vitamin B1   Vitamin   50-100mg IV/IM   Coma of unknown origin, chronic alcoholism with associated coma, and delirium tremors  
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Vecuronium   Norcuron   Non depolarizing neuromuscular blocker   0.08-0.1mg/kg IV   Facilitated endotracheal intubation  
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Amyl Nitrate   Amyl Nitrate   Nitrate   Inhalent broken and inhaled for duration of transport   Cyanide poisoning  
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Atropine   Atropine   parasympatholitic (anticholinergic)   Arrest: 1mg IV, 2-2.5mg ETT Bradycardia: 0.5mg q 3-5 min to max of 0.04mg/kg Organophosphate poisoning: 2-5mg   Asystole, significant bradycardia, hypotension secondary to bradycardia, organophosphate poisoning  
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Flumazenil   Romazicon   Benzodiazepine antagonist   0.2mg IV over 30 sec up to max of 1.0mg   Reverse CNS depression from Benzodiazepines  
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Mannitol   Osmotrol   Diuretic (osmotic)   1.5-2g/kg IV   Aute cerebral edema, Blood transfusion reactions  
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Norepinephrine   Levaphed/levarternol   Sympathomimetic   0.5-30mcg/min (8mg in 500ml D5W, with concentration of 16mcg/ml)   Hypotension (systolic <70mmHg refractory to other sympathomimetics), Neurogenic shock,  
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tPA   Tissue plasminogen activator, Activase   Fibronolytic   100mg IV/IM   AMI  
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Vasopressin   ADH   Hormone, Vasoconstrictor   40 units IV (single dose only)   Cardiac arrest  
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Succinylcholine   Anectine   Neuromuscular blocker (depolarizing)   1-1.5mg/kg (40-100mg adult)   Facilitate endotracheal intubation  
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Streptokinase   Strepase   Fibronolytic   1.5million units over 1 hour   AMI  
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Naloxone   Narcan   Narcotic Analgesic   1-2mg IV/IM/ETT(2-2.5 times the dose), Atomizer   Reverse effects of narcotics  
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Procainamide   Pronestyl   Antidysrythmic   Initial: 20mg/min, maintainance 1-4mg/min   Cardiac arrest dur to persistant Vfib refractory to lidocaine, PVC's refractory to lidocaine  
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Terbutaline   Brethine   Sympathomimetic   MDI ( 2 puffs), SQ 0.25mg   Asthma, COPD, Preterm Labor  
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Bretylium   Bretylol   Antidysrythmic   5mg/kg, then 10mg/kg 15-30 min, to a max 30mg/kg. Following conversion:1-2mg/min drip.   Vfib and Vtach refractory to lidocaine  
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Verapamil   Isoptin, Calin   Calcium Channel Blocker   2.5=5 mg IVP over 2-3 min, then 5-10 mg after 15-30 min to a max of30mg in 30 min.   PSVT refractory to adenosine, atrial flutter, and Afib with rapid ventricular response  
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