Emergency care in the streets Drug cards
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show | Absorbent
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show | Absorbs toxic substances from the GI tract. Onset of action is immediate
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Activated Charcoal Indications? | show 🗑
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show | PO administration to Altered mental PTAfter ingestion of Corrosives, caustics, or petrolium based products (ineffective, May induce vomiting) Simultaneous administration with other PO meds.
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Activated Charcoal supplied? | show 🗑
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show | Adult/Peds: 1-2 g/Kg PO or NGT
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show | May induce N/V. Constipation. Black stool
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show | AKA AdenocardEndogenous nucleotide
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Adenosine MOA? | show 🗑
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Adenosine Indications? | show 🗑
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Adenosine Contraindications? | show 🗑
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show | Facial flushing, SOB, CP, HA, paresthesia, Palpitations, Hypotension, Nausea, Metallic taste.
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Adenosine supplied? | show 🗑
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show | Adult: 6mg over 1-3 sec, imediate 20ml saline flush, Elevate extremity. Second dose 12 mg over 1-3 sec with immedate saline flush. Max of 30mg.Peds: 0.1-0.2 mg/Kg rapid IVP; Max single dose 12 mg
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Albuterol Class? | show 🗑
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show | Selective Beta-2 Agonist that stimulates adrenergic receptorsof the sympathetic NS resulting in smooth muscle relaxation in the bronchial tree and peripheral vasulature.
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show | Bronchiospasms in Pt's with reversable COPD/Asthma, prevention of exercised induced Bronchiospasm.
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show | Hypersensitivity, Tach arrhythmias,arrythmias caused by Digitalis, Synergistic with other Sympathomimetics.
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show | 5 mg/mL Prefilled 2.5mg/3mL
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show | Adult: 2.5mg diluted 0.5mL of 0.5% solution with 2.5mL normal saline
Pedi:0.05 - 0.15 mg/Kg/dose diluted in 2 mL of normal saline.
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Amiodarone Class | show 🗑
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show | Blocks Sodium channels and myocardial potassium channels
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Amiodarone Indications? | show 🗑
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Amiodarone Contraindications? | show 🗑
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show | Dose related includes restlessness, tremors, dizziness, palpitations, tachycardia, nervousness, periphial vasodialation, N/V, Hyperglycmia, HTN, and paradoxical bronchospasms
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Amiodarone Adverse Reations? | show 🗑
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Amiodarone Supplied? | show 🗑
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show | Adult: V-fib/pulseless V-tach unresponsive to CPR, D-fib, & Vasopressors: 300 mg IVP/IOP Recomended Dilute in 20-30 ml D5W) Can be repeated in 3-5 min @ 150 mg IVP/IOPPedi: 5mg/kg IV/IO bolus. Can repeat 5mg/kg IV/IO bolus to a maximum dose 15mg/kg
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Aspirin Class? | show 🗑
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show | Postaglandin inhibition
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Aspirin Indications? | show 🗑
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show | Hypersensitivity, Active ulcers or asthma
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show | Heartburn, GI bleeding, prolonged bleeding, N/V, Wheezing in allergic PT's
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Aspirin Supplied? | show 🗑
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Aspirin Dosage? | show 🗑
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Atropine Sulfate Class? | show 🗑
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show | Parasympatholytic: inhibits action of ACH at postgangliotic parasympathetic neuroeffector sites. Increases HR Chromotopic in lifethreating bradyarrhythmias.
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show | Hemodynamically unstable bradycardia, Asytole, Bradycardic PEA, Organophosphate poisoning, bronchospastic pulomary disorders.
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Atropine Sulfate Contraindiactions? | show 🗑
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show | HA,dizziness, Palpitations, N/V, tachycardia, arrhythmias, anticholinergic effects, Paradoxical bradycardia when pushed slowly or at low doses, Flushed, hot, dry skin.
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Atropine Sulfate Supplied? | show 🗑
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Atropine Sulfate Dosage? | show 🗑
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show | (AKA Hurricane)Topical Anesthetic
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show | Stabilizes neuronal membrane
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show | Lubricant and topical Anesthetic to faccilitate passage of diagnostic and treatment devices.Suppresses the pharyngeal & tracheal gag reflex.
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show | Hypersensitivity to Benocaine.
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Benocaine spray Adverse Reactions? | show 🗑
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show | Multi-dose aerosol can. 20% benzocaine
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show | Adult: 0.5 - 1.0 sec spray, repeat as needed.Pedi: 0.25 - 0.5 sec spray, repeat as needed.
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Calcium Chloride Class? | show 🗑
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show | Increases cardiac contractillity (Inotropic effect). May enhance ventricular automaticity.
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Calcium Chloride Indications? | show 🗑
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show | Hypercalcemia, V-Fib, Dig toxicity
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Calcium Chloride Adverse Reactions? | show 🗑
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show | Prefilled syringes 10% solution in 10mL(100mg/mL)
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show | Adult: 500mg to 1000mg IVP/IOP, for HYperkalemia & Calcium Channel Blocker OD's. Repeat as needed.Ped: 20mg/kg slow IVP/IOP, Max 1G dose may repeat in 10 min.
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Dextrose Class? | show 🗑
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Dextrose MOA? | show 🗑
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Dextrose Indications? | show 🗑
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Dextrose Contraindications? | show 🗑
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show | Tissue Necrosis in extravasculor, Warmth, Pn, Burning, Thrombophlebitis, rhabdomyolysis, Hyperglycemia.
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Dextrose Supplied? | show 🗑
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show | Adult: 12.5 - 25g slow IVP, repeat as necessary.Ped: 0.5 - 1G/kg IVP repeat as necessary.
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show | AKA ValiumBenzodiazepine, Sedative-hypnotic, Anticonvulsant
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show | Potentiates effects of inhibitory neurotranmitters, Raises seizure threshold, Induces Amnesia & Sedation
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Diazepam Indications? | show 🗑
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Diazepam Contraindications? | show 🗑
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Diazepam Adverse Reactions? | show 🗑
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show | 10mg/5mL prefilled Syringe, Vials, Ampules, and Tubex
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Diazepam Dosages? | show 🗑
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Digoxin Class? | show 🗑
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show | Rapid-acting cardiac glycoside with direct & indirect effects that increase force of Myocardial Contractions, Increase Refractoy period of AV node, and increase total peripheral resistance.
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show | CHF, re-entry SVT, A-fib/Flutter
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show | V-fib, V-tach, Dig toxicity, Hypersensitivity
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Digoxin Adverse Reactions? | show 🗑
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show | 0.5mg/2ml ampules, also tablets, caplsules, & elixirs
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show | Adult: 10- 15mcg/kgPed: not recommended
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show | AKA Cardizem, Lyo-jectCalcium Channel Blocker
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Diltiazem Hydrochloride MOA? | show 🗑
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Diltiazem Hydrochloride Indications? | show 🗑
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show | Hypotension, SSS, 2nd or 3rd Degree AV Block, Cardiogenic Shock, Wide-complex tachycardias, poison/drug-induced tachycardia.
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Diltiazem Hydrochloride Adverse Reactions? | show 🗑
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show | 25mg/5mL; 50mg/10mL vials. Nonrefridgerated: Lyo-ject syringe
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Diltiazem Hydrochloride Dosages? | show 🗑
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Diphenhydramine Class? | show 🗑
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Diphenhydramine MOA? | show 🗑
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Diphenhydramine Indications? | show 🗑
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Diphenhydramine Contraindications? | show 🗑
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Diphenhydramine Adverse Reactions? | show 🗑
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Diphenhydramine Supplied? | show 🗑
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show | Adult: 25-50mg IM/IVP/IOP or PO, Ped: 1-2mg/kg slow IVP/IOP/IM/PO; PO dose 5mg/kg/24hrs
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Dobutamine Class? | show 🗑
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show | Synthetic catecholamine, Increases myocardial contractility & stroke volume, Increases cardia output, Minimal Chronotropic activity, Increased renal blood flow
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Dobutamine Indications? | show 🗑
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show | Tachyarrhythmias, IHSS, Severe Hypotension
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Dobutamine Adverse Reactions? | show 🗑
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Dobutamine Supplied? | show 🗑
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Dobutamine Dosages? | show 🗑
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show | AKA IntropinSympathomimetic, Inotropic Agent
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show | Immediate metabolic precursor to norepinepherine. Increases systemic vascular resistance, dilates renal & splanchnic vasculature. Increases myocardial contractility & stroke volume.
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show | Cardiogenic, Septic, or Spinal Shock, Hypotension with low cardic output states, Distributive Shock.
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show | Hypovolemic Shock, Pheochromocytoma, Tachyarrhythmias, V-fib.
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Dopamine Adverse Reactions? | show 🗑
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Dopamine Supplied? | show 🗑
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Dopamine Dosages? | show 🗑
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show | AKA AdrenalinClass: Sympathomimetic
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show | Direct acting Alpha and Beta agonist. Alpha - VasoconstrictionBeta 1- Positive Inotropic, Chronotropic, & Dromotropic effectsBeta 2- Bronchial smooth muscle relation & dilation of skeletal vasculature.
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show | V-fib/pulsless V-tach, Asystole, PEA, Symptomatic Bradycardia as Alternative to Dopamine, Allergic reactions, Anaphalaxis, Asthma, Severe Hypotension secondary to bradycardia when atropine and Trans Pacing are unsuccessful.
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Epinephrine Contraindication? | show 🗑
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show | Hypertension, Tachycardia, Arrhythmias, Pulmonary Edema, Anxiety, Restlessness, Psychomotor Agitation, N/V, HA, Angina
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show | 1: 1,000 1mg/mL Vials, Ampules1: 10,000 1mg/10mL Prefilled Syringes,Epi Pen. 0.5 mg/mL (1:2000)
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Epinephrine Dosages? | show 🗑
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show | AKA LasixLoop Diuretic
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Furosemide MOA? | show 🗑
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show | CHF, Pulmonary Edema, Hypertensive Crisis
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Furosemide Contraindications? | show 🗑
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show | May exacerbate hypovolemia, hypokalemia, ECG changes, dry mouth, hypochloremia, hyperglycemia (due to hemoconcentration)
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Furosemide Supplied? | show 🗑
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Furosemide Dosages? | show 🗑
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show | AKA XylocaineAntiarrhythmic
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show | Decreases automaticity by slowing the rate of phase 4 depolarization.
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Lidocaine Hydrochloride Indications? | show 🗑
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show | Hypersensitivity, 2nd/3rd degree blocks without pacemakers, Stokes Adams Syndrome, Prophylactic use in AMI, Wide-complex Ventricular escape beats with Bradycardia.
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Lidocaine Hydrochloride Adverse Reactions? | show 🗑
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show | 100mg/5mL Prefilled Syringes, Vials (20mg/mL), 1G & 2G vials in 30mL of Solution.
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show | Adult: V-fib/pulseless V-tach: 1-1.5mg/kg, followed by 0.5-0.75mg/kg every 5-10min, Max of 3mg/kg. Stable V-tach wide complex Unk origin, significant ectopy 0.5-0.75 mg/kg up to 1-1.5mg/kg max 3mg/kg. Maintenance drip: 1-4mg/min (20-50mcg/kg/min)
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Lidocaine Hydrochloride Dosages Pedi? | show 🗑
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Nitroglycerin Calss? | show 🗑
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Nitroglycerin MOA? | show 🗑
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Nitroglycerin Indications? | show 🗑
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show | Hypotension, Hypovolemia, Intracranial Bleeding, Head Trauma, Use of a ED vasodialtor within the last 24 hrs
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show | HA, Hypotension, Syncope, Reflex Tachicardia, Flushing, N/V, Diaphoresis, Muscle Twitching.
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show | 0.15mg, 0.3mg, 0.4mg, 0.6mg Tablets. 0.4mg-0.8mg NGT Spry SL.
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Nitroglycerin Dosages? | show 🗑
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Vasopressin Class? | show 🗑
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show | Stimulation of V1 smooth Muscle receptors, Potenet vasocontrictor in high dosaes.
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show | Alternative to 1st or 2nd dose of EPI in Cardiac Arrest, May be usful in cases of Vasodilatory Shock (Septic Shock)
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show | Responsive PT's CAD
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show | Bronchoconstriction, Ischemic CP, N/V, ABD Pain.
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Vasopressin Supplied? | show 🗑
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show | Adult: 40 unit one time dose IVP/IOP, to replace EPI 1st or 2nd dose in Cardiac Arrest. Pedi not Recommended
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show | Depolarizing neuromuscular blocker, paralyzing agent.
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show | Bind to the receptors for acetycholine
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show | To facilitate intubation, to terminate laryngospasm, to promote muscle relaxation, to facilitate electroconvuulsive shock thearpy
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Succinycholine Contraindications? | show 🗑
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show | Apnea, maliugnant hyperthermia, arrhythmias, bradycardia, hypertension, hypotension, cardiac arrest, hyperkalemia, increased intraocular pressure, fasciculations, exacerbation of hyperkalemia in trauma patients
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show | 40mg in 2 ml ampule (20mg/ml) 100 mg in 5 ml ampule (20 mg/ml) multidose vial.
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show | Adult: 1-2 mg/kg rapid IV; repeat once if needed Pedi: 1-1.5 mg/kg rapid IV , IO repeat once if needed
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