Etomidate, Glucagon, Midazolam, Ondensetron, Oxytocin, Succinocholine
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| Glucagon | Pancreatic hormone | 1mg with 1mL vial of diluting solution | 2 mg | Converts liver glycogen into glucose.Counteracts the effects of insulin | reverses hypoglycemia | hypoglycemia when IV access is delayed; Beta blocker overdose | 1mg IM (preferred) IV, SC q 20 min PEDS: 0.5mg IM or dose equivalent to 20-30 ug/kg q 20 min | tachycardia, hypertension, decreased peristalsis
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| Midazolam HCl (Versed) | benzodiazepine | 1mg/mL; 5mg vials | Optional, 4 vials of 5mg/mL | Enhances the effect of GABA | Capable of producing all levels of CNS depression from mild sedition to coma | Anti-convulsant, sedition, agitation. | 14-60 yo-2-5mg IM, 1-5mg slow IVP, titrate, max 2.5mg over 2 min. >60 yo -1-3mg IM, 1-3.5 mg slow IVP, titrate,max 1.5mg over 2 min. Intubation 0.1 mg/kg up to 0.3 mg/kg max of 20mg. Seizures-0.2 mg/kg IM. Peds-0.05-0.1 mg/kg SIVP. Seizure-0.2 mg/kg IM | Hypertension, apnea, nausea, vomiting
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| Ondansetron (Zofran) | Antiemetic | 4mg/2mL | Optional, 4 mg | Selectively blocks seritonin 5-HT3 receptors located in the CNS at the chemoreceptor trigger zone and in the peripheral nervous system on nerve terminals of the vagus nerve | Blocks seritonin to reduce nausea and vomiting | Nausea and vomiting | 4-8 mg slow IVP over 2-5 min. Peds >40kg 4mg slow IVP over 2-5 min <40kg 0.1mg/kg slow IVP over 2-5 min | Chest pain, arrhythmia
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| Oxytocin | Pituitary hormone | 10 USP units/1mL | Optional, 10 units | Binds to oxytocin receptor sites on surface of uterine smooth muscles | Increase force and frequency of uterine contraction | Postpartum hemorrhage due to uterine atony | 10 USP units/1mL | Tachycardia, anaphylaxis, nausea, vomiting
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| Succinylcholine | Depolarizing paralytic | 200mg/10mL | Optional, 400 mg | Continuous depolarization of muscle tissue | Paralysis. Releases potassium from cells | Drug assisted intubation | 1.5 mg/kg IVP q 2-3 min | Hyperkalemia, bradycardia,
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| Eomidate | Sedative | 40mg/20mL | Optional, 80 mg | Produces hypnosis rapidly causing CNS depression and anesthesia | Causes CNS depression but has no analgesic effect | Anesthesia for drug assisted intubation | 0.3 mg/kg IV over 30-60 seconds | apnea, transient muscle movements
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whitefire70
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