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Emergency care in the streets Drug cards

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Question
Answer
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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