Medications
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| Sodium Bicarbonate Class | Electrolyte replacement
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| Sodium Bicarbonate Action | Countneracts existing acidosis.
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| Sodium Bicarbonate Indications | Acidosis, drug intoxications (e.g., barbiturates, salicylates, methyl alcohol).
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| Sodium Bicarbonate Adverse Effects | Metabolic alkalosis, hypernatremia, injection site reaction, sodium and fluid retention, peripheral edema.
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| Sodium Bicarbonate Contraindications | Metabolic alkalosis.
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| Sodium Bicarbonate Dosage: Metabolic Acidosis during Cardiac Arrest: Adult: | 1mEq/kg slow IV, IO; may repeat at 0.5mEq/kg in 10 minutes.
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| Sodium Bicarbonate Dosage: Metabolic Acidosis during Cardiac Arrest: Pedi: | Same as adult dosing.
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| Sodium Bicarbonate Dosage: Metabolic Acidosis Not Associated with Cardiac Arrest: Adult: | Dosage should be individualized.
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| Sodium Bicarbonate Dosage: Metabolic Acidosis Not Associated with Cardiac Arrest: Pedi: | Dosage should be individualized.
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| Sodium Bicarbonate Special Considerations: | Don’t administer into an IV, IO line in which an other medication is being given. *Because of high concentration of sodium w/in each ampule of sodium bicarb, use w/ caution in patients w/ CHF and renal disease. *Pregnancy class C.
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| Mark I Nerve Agent Kit, also known as | No other name for drug/kit.
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| Mark I Nerve Agent Kit Class | Antidote... Auto-injectable Atropine Sulfate (Parasympatholytic); Auto-injectable-Pralidoxime Chloride (Cholinesterase reactivator)
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| Mark I Nerve Agent Kit Action | Same as Atropine. Pralidoxime – Inhibits the cholinesterase and breaks the agent-enzyme bond to restore the normal activity of the enzyme
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| Mark I Nerve Agent Kit Indications | Suspected Nerve Agent exposure with signs and symptoms to in clude salivation, lacrimation, rhinorrhea, urination, defecation, vomiting, cardiac dysrhythmias, resp depress, seizures, paralysis.
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| Mark I Nerve Agent Kit Adverse Effects | Tachycardia; dry mouth may occur w/in 5-10 min and indicates the antidote is working; CNS excitement.
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| Mark I Nerve Agent Kit Contraindications | None.
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| Mark I Nerve Agent Kit Dosage: Adult: | Administer 1 kit. Max dose of 3 kits.
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| Mark I Nerve Agent Kit Dosage: Pedi: | Call for medical direction.
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| Mark I Nerve Agent Kit Special Considerations | None.
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| Dextrose, also known as | Dextrose 50%, 25%, 10%
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| Dextrose Class | Antihypoglycemic
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| Dextrose Action | Increases blood glucose concentrations.
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| Dextrose Indications | Hypoglycemia, hyperkalemia
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| Dextrose Adverse Effects | Hyperglycemia, warmth, burning from IV infusion. Concentrated solutions may cause pain and thrombosis of the peripheral veins.
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| Dextrose Contraindications | Intracranial and intraspinal hemorrhage, delirium tremors, solution is not lear, seals are not intact.
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| Dextrose Dosage: Adult w/ hyperkalemia: | 25g dextrose 50% IV, IO.
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| Dextrose Dosage: Pedi w/ Hyperkalemia: | 0.5-1g/kg IV, IO.
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| Dextrose Dosage: Adult w/ hypoglycemia: | 10-25g of dextrose 50% IV (20-50ml of dextrose solution).
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| Dextrose Dosage: Pedi w/ hypoglycemia: | Older than 2 yrs: 2ml/kg of dextrose 50%. Younger than 2 yrs: 2-4ml/kg of dextrose 10%.
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| Dextrose Special Considerations | Pregnancy class C.
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| Glucagon, also known as | GlucaGen
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| Glucagon Class | Hormone
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| Glucagon Action | Converts glycogen to glucose.
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| Glucagon Indications | Hypoglycemia, beta blocker overdose.
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| Glucagon Adverse Effects | Nausea/vomiting, rebound hyperglycemia, hypotension, sinus tachycardia.
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| Glucagon Contraindications | Phechromocytoma, insulinoma, known sensitivity.
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| Glucagon Dosage | None listed.
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| Glucagon Special Considerations | None listed.
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| Naxolone, also known as | Narcan
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| Naxolone Class | Opiod Antagonist
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| Naxolonen Action | Binds the opioid receptor and blocks the effect of narcotics.
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| Naxolone Indications | Narcotic overdoses, reversal of narcotics used for procedure-related anesthesia
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| Naxolone Adverse Effects | Nausea/vomiting, restlessness, diaphoresis, tachycardia, hypertension, tremulousness, seizures, cardiac arrest, narcotic withdrawl
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| Naxolone Contrindications | Known sensitivity to naloxaone, nalmefene, or naltrexone.
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| Naxolone Dosage; Adult: | 0.4-2mg IV, IO, IM, ET, sub Q. alternatively 2mg may be given internasally.
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| Naxolone Dosage: Pedis 5 yrs or older or weight >20kg: | 2mg IV, IO, IV< IM or subQ
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| Naxolone Dosage: Pedis 5 yrs or younger or weight <20kg: | 0.1mg/kg IV, IO ET, IM or sub!. May repeat every 2-3min.
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| Naxolone Special Considerations | Pregnancy Class C.
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| Tetracaine Hydrochloride, also known as | No drug name listed.
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| Tetracaine Hydrochloride Class | Opthalmic Anesthetic
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| Tetracaine Hydrochloride Action | An ester-type of local anesthetic that causes reversible blockade of nerve conduction by decreasing nerve membrane permeability to sodium. This lowers rate of membrane depolarization and increasing the threshold for electrical excitability.
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| Tetracaine Hydrochloride Indications | Opthalmic anesthesia prior to eye irrigation.
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| Tetracaine Hydrochloride Adverse Effects | Dizziness, drowsiness, twitching, tremors, nervousness, restlessness, lethargy, burning, nausea/vomiting.
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| Tetracaine Hydrochloride Contraindications | Hypersensitivity to ester-type anesthetics; global lacerations or rupture injuries.
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| Tetracaine Hydrochloride Dosage: Adult: | 2 drops in affected eye.
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| Tetracaine Hydrochloride Dosage: Pedi: | Physician advisor directed.
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| Tetracaine Hydrochloride Special Considerations | Do not rub or wipe the eye until the anesthetic has worn off to prevent accidental injury. *Vagal effects and res piratory depression induced by opiate agonists may be Increased.
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