MemoCard lernen mit System

HEPARIN SODIUM ContraInd

Hypersensitivity. Pt. on antiplatelet drugs (relative contraindication).

SUCCINYLCHOLINE (Anectine) class

Neuromuscular blocker, skeletal muscle relaxant.

GLUCAGON hyperglcemia INDICATION

Altered LOC when hypoglycemia is suspected.

VECURONIUM trade name

Norcuron

MIDAZOLAM (Versed) MOA

Increased production of GABA, an inhibitory neurotransmitter, causing procedural amnesia; anesthesia; skeletal muscle relaxation. Anxiolytic and sedative / hypnotic properties similar to other benzodiazepines.

MIDAZOLAM (Versed) class

Short-acting benzodiazepine CNS depressant.

ETOMIDATE (Amidate) MOA

Short acting hypnotic of the reticular activating system

SUCCINYLCHOLINE (Anectine) ContraInd

penetrating eye injuries; malignant hyperthermia; hyperkalemic states; acute injury after multi-system trauma, major burns, or extensive muscle injury that may result in hyperkalemia.

FENTANYL CITRATE (Sublimaze) INDICATION

short duration analgesic RSI premedication, induction and maintenance Narcotic analgesic supplement in general or regional anesthesia.

KETOROLAC (Toradol) dose adt

IM: 60 mg (for Pt. <65 YO);30 mg for Pt. >65 YO, have renal impairment, and/or weigh less than 50 kg IV: 30 mg over 1M ( <65 YO);15 mg for Pt. >65 years of age, have renal impairment, and/or weigh less than 50 kg

FLUMAZENIL (Romazicon) MOA

Flumazenil antagonizes benzodiazepines in CNS. reverse sedation, impairment of recall, and psychomotor impairment produced by benzodiazepines. Will not reverse hypoventilation or antagonize CNS effects of ethanol, barbiturates, or opioids.

PANCURONIUM (Pavulon) INDICATION

In emergency care, Pancuronium is used to optimize conditions for endotracheal intubation and assisted ventilations. Induction or maintenance of paralysis after intubation to assist ventilations.

SUCCINYLCHOLINE (Anectine) dose adt

1-2 mg/kg rapid IV. Repeat once if needed

ETOMIDATE (Amidate) INDICATION

Premedication for RSI

HYDROMORPHONE (Dilaudid) ContraInd

Asthma, GI obstruction, Hypersensitivity to narcotics, Respiratory depression,

DEXTROSE dose adt

12.5-25 gr slow IV; repeat as necessary

PROCAINAMIDE (Pronestyl) ContraInd

Second- and Third-Degree block, Torsades de Pointes, Lupus, Digitalis toxicity, Myasthenia gravis.

DOPAMINE (Inotropin) Andregic MOA

alpha 1 effects

DEXAMETHASONE (Decadron) ContraInd

Hypersensitivity to product.

KETAMINE (Ketalar) class

Sedative, analgesic dissociative anesthetic

ROCURONIUM trade name

Zemuron

NITROPASTE INDICATION

Angina pectoris and chest pain associated with acute MI, CHF/PE; Hypertension (HTN).

HYDROXOCOBALAMIN trade name

Vitamin B 12

TRANEXAMIC ACID (TXA, Cyklokapron) dose adt

1000 mg in 100mL of NS infused over 10 M

TRANEXAMIC ACID (TXA, Cyklokapron) MOA

Reduces plasminogen activation, mitigating conversion to plasmin.

FLUMAZENIL (Romazicon) dose adt

0.52mg IV over 15S, 0.3mg IV over 30S, 0.5 mg IV over 30S every 1M max dose of 3 mg

MEPERIDINE (Demerol) MOA

Synthetic opioid agonist that acts on opioid receptors to produce analgesia, euphoria, respiratory and physical depression; a schedule II drug with potential for physical dependency and abuse.

GLUCAGON beta blcker OD ContraInd

Hyperglycemia, hypersensitivity

ALBUTEROL (Proventil, Ventolin) dose adt

Administer 2.5 mg. Dilute 0.5 ml of 0.5% solution for inhalation with 2.5 ml normal saline in nebulizer and administer over 10-15 M.

SUCCINYLCHOLINE (Anectine) INDICATION

RSI

GLUCAGON beta blcker OD MOA

stabilize cardiac rhythm in beta-blocker overdose.

HALOPERIDOL (Haldol) MOA

strong antidopaminergic and weak anticholinergic. Acts on the CNS to depress subcortical areas, midbrain, and ascending reticular activating system in the brain.

VASOPRESSIN (Pitressin) class

Naturally occurring antidiuretic hormone

SODIUM BICARBONATE 8.4% ContraInd

Metabolic and respiratory alkalosis. Hypocalcemia and hypokalemia. Hypocloremia secondary to GI loss and V

MEPERIDINE (Demerol) dose adt

50-100 mg IM, SC or 25 - 50 mg slowly IV.

NOREPINEPHRINE (Levophed) class

Vasopressor

NITROGLYCERIN ContraInd

Hypotension, hypovolemia. Intracranial bleeding or head injury.

KETAMINE (Ketalar) pain ContraInd

conditions where hypertension could be dangerous to the Pt.’s

ACETAMINOPHEN (Tylenol, Ofrimev) dose adt

650-1000 mg IV/PO q4 4H max 3000Mg

ADENOSINE (Adenocard) INDICATION

Conversion PSVT to sinus ryth. May convert to WPW, not efective A-fib A-fluuter

VECURONIUM (Norcuron) ContraInd

Bromide hypersensitivity. Inability to control airway and/or support ventilations with oxygen and positive pressure. Bradycardias, dysrhythmias, hypotension, respiratory depression, muscular disease, malignant hyperthermia

DEXAMETHASONE (Decadron) class

Corticosteroid.

TETRACAINE INDICATION

Topically applied local anesthetic for eye examination

KETAMINE (Ketalar) delerium ContraInd

conditions where hypertension could be dangerous to the Pt.’s

FENTANYL CITRATE (Sublimaze) ContraInd

known intolerance to the drug

MANNITOL 20% MOA

Promotes the movement of fluid form the intracellular space to the extracellular space. Decreases cerebral edema and intracranial pressure. Promotes urinary excretion of toxins.

IPRATROPIUM BROMIDE trade name

Atrovent

MIDAZOLAM (Versed) INDICATION

Status Seizure Sedation, Anxiolysis prior to oral or nasal intubation; Synchronized cardioversion

VECURONIUM (Norcuron) MOA

Vecuronium is an intermediate-acting, non-depolarizing, neuromuscular blocking agent. Non-depolarizing agents produce skeletal muscle paralysis by blockade at the myoneural junction. Unlike depolarizing agents, vecuronium has little agonist activity, with no depolarizing effect at the motor endplate.

MANNITOL 20% dose adt

0.50g - 2 g / kg IV infusion over 15-30 M; may repeat after 5 M if no effect.

ONDANSETRON (Zofran) class

Antiemetic

EPINEPHRINE allergic INDICATION

Severe bronchospasm, asthma, bronchiolitis. Anaphylaxis, acute allergic reactions.

NITROGLYCERIN MOA

Smooth muscle relaxant with dilation of arterioles and veins in the periphery, reduces preload and afterload, decreases the workload of the heart and, thereby, myocardial oxygen demand.

FENTANYL CITRATE trade name

Sublimaze

DEXTROSE class

Carbohydrate, hypertonic solution.

EPINEPHRINE cardiac INDICATION

CA, asystole, PEA, VF unresponsive to initial defib.

HALOPERIDOL (Haldol) ContraInd

depressed mental status and agitation secondary to shock and hypoxia, Parkinson’s Disease.

NOREPINEPHRINE (Levophed) ContraInd

Hypotensive Pt. with hypovolemia, pregnancy (relative).

HYDROXOCOBALAMIN (Vitamin B 12) INDICATION

I treatment of known or suspected cyanide poisoning

METOPROLOL (Lopressor) ContraInd

Hypersensitivity to metoprolol or any component of the formulation; sinus bradycardia; heart block greater than first degree (except in Pt. with a functioning artificial pacemaker); cardiogenic shock; uncompensated cardiac failure; pregnancy (2nd and 3rd trimesters)

DIAZEPAM (Valium) seizure INDICATION

Status Seizure, Acute anxiety, Analgesia for medical procedures, Delirium tremens.

NITROGLYCERIN class

Class Vasodilator

DILTIAZEM HCL (Cardizem) ContraInd

Wide-complex tachyc Sick sinus syndrome Cardiogenic shock.

PANCURONIUM (Pavulon) dose adt

0.04-0.1 mg/kg slow IV; repeat q 30-60 min prn

VERAPAMIL (Isoptin) dose adt

Adt: Initial dose: 2.5-5 mg slow IV bolus over 2 min (over 3 min in older Pt.). Repeat dose: 5-10mg bolus in 15-30 min after initial dose if needed; or 5 mg bolus every 15 min until a desired response is achieved (max dose 30 mg)

DEXAMETHASONE (Decadron) MOA

surpress inflammation, immunosuppressive

DIPHENHYDRAMINE (Benadryl) MOA

Blocks H receptors; decreases vasodilatation Reverses extrapyramidal reactions.

AMIODARONE (Cordarone) ContraInd

-Allergy to Iodine -Medication-induced Ventricular dysrhythmias. -Torsades de Pointes.

LIDOCAINE HCL (2%) INDICATION

Suppression of ventricular dysrhythmias (V-tach, VF, PVCs). Prophylaxis against recurrence after conversion from V-tach, VF.

PROCAINAMIDE (Pronestyl) MOA

Suppresses phase IV depolarization in normal ventricular muscle and Purkinje fibers, reducing automaticity of ectopic pacemakers; suppresses reentry dysrhythmias by slowing intraventricular conduction.

METOPROLOL trade name

Lopressor

KETAMINE (Ketalar) RSI INDICATION

procedural sedation

HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) INDICATION

Asthma, anaphylaxis, croup, Adrenal insufficiency

VERAPAMIL (Isoptin) MOA

Verapamil inhibits the movement of calcium ions across cell membranes. The slow calcium ion current blocked by verapamil is more important for the activity of the sinoatrial node and atrioventricular node than for many other tissues in the heart. Verapamil decreases atrial automaticity, reduces atrioventricular conduction velocity, and prolongs the atrioventricular nodal refractory period. In addition, verapamil depresses myocardial contractility, reduces vascular smooth muscle tone, and dilates coronary arteries and arterioles in normal and ischemic tissues.

PANCURONIUM trade name

Pavulon

MORPHINE SULFATE MOA

Alleviates pain through CNS actions Suppresses fear and anxiety centers in brain. Depresses brain stem respiratory centers. Decreases preload and afterload, decreasing myocardial oxygen demand.

ASPIRIN ContraInd

Hypersensitivity. GI bleeding. Signs of recent cerebrovascular accident.

ASPIRIN MOA

Prostaglandin inhibition Blocks Thromboxane A2 via COX 1. Vaso-Dil via the COX 2 pathway.

NALOXONE (Narcan) ContraInd

Use with caution in narcotic-dependent Pt.. Use with caution in neonates of narcotic-addicted mothers.

KETAMINE trade name

Ketalar

THIAMINE trade name

Vitamin B1

DEXTROSE MOA

Rapidly increases serum glucose l

NITROGLYCERIN INDICATION

Acute angina pectoris. Ischemic chest pain. CHF, pulmonary edema.

ETOMIDATE trade name

Amidate

ONDANSETRON trade name

Zofran

CALCIUM CHLORIDE / CALCIUM GLUCONATE class

Electrolyte.

FUROSEMIDE (Lasix) dose adt

0.5-1.0 mg/kg injected slowly IV

IPRATROPIUM BROMIDE (Atrovent) INDICATION

bronchospasm associated with COPD, and emphysema

ACETAMINOPHEN (Tylenol, Ofrimev) MOA

analgesics and antipyretics.

DIAZEPAM (Valium) seizure MOA

Potentates inhibitory neurotransmitters. Raises seizure threshold.Induces amnesia and sedation.

IPRATROPIUM BROMIDE (Atrovent) MOA

Blocks acetylcholine at the parasympathetic sites in bronchial smooth muscle causing bronchodilation.

LIDOCAINE HCL (2%) class

Antidysrhythmic.

NITROPASTE ContraInd

Hypotension, hypovolemia, Intracranial bleeding or head injury.

SODIUM BICARBONATE 8.4% class

Buffer, alkalinizer.

ETOMIDATE (Amidate) ContraInd

labor/delivery, or septic shock

ALBUTEROL (Proventil, Ventolin) class

Sympathomimetic, bronchodilator.

HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) dose adt

Hydrocortisone: 2 mg./kg. IV bolus to maximum of 100 mg.. Methylprednisolone: 2 mg./kg/ IV bolus to maximum of 125 mg.; 125 mg.

HYDROMORPHONE trade name

Dilaudid

OXYGEN ContraInd

Certain Pt. with COPD, emphysema who will not tolerate Oxygen concentrations over 35%. Hyperventilation.

ROCURONIUM (Zemuron) MOA

Rocuronium produces complete muscular relaxation by binding to the receptor for acetylcholine at the neuromuscular junction, without initiating depolarization of the muscle membrane. As the concentration of acetylcholine rises in the neuromuscular junction, Pancuronium is displaced and muscle tone is regained.

VERAPAMIL (Isoptin) class

Calcium channel blocker (Class IV antidysrhythmic)

NITROGLYCERIN dose adt

Tablets: 0.4 mg SL; may repeat in 3-5 M to maximum of 3 doses. NTG spray: 0.4 mg under the tongue; for APE with HTN 1-2 sprays, may repeat in 3-5 M IV infusion with no prior NTG and SBP >160: 400 mcg bolus then infusion at 100 mcg/min; titrate infusion by 25 mcg/min q 3-5 min to dyspnea resolution IV infusion with prior NTG and SBP >160: 100 mcg/min infusion; titrate infusion by 25 mcg/min q 3-5 min to dyspnea resolution

ATROPINE SULFATE dose adt

Brady-C- 1mg IV 3-5 M as needed to a max total dose of 3mg

HYDROXOCOBALAMIN (Vitamin B 12) ContraInd

None

MAGNESIUM SULFATE class

Electrolyte.

HYDROXOCOBALAMIN (Vitamin B 12) MOA

hydroxocobalamin binds cyanide ions to form cyanocobalamin

NALOXONE trade name

Narcan

HYDROMORPHONE (Dilaudid) class

Analgesic; opiate agonist

HALOPERIDOL (Haldol) dose adt

5mg IM

METOPROLOL (Lopressor) dose adt

5 mg over 1- 2 M slow IVP (Medical Control Option) May repeat every 5 M to a maximum of 15mg

DIPHENHYDRAMINE (Benadryl) ContraInd

Asthma, glaucoma, pregnancy, hypertension, infants

ATROPINE SULFATE MOA

inhibits action of acetylcholine at postganglionic parasympathetic neuroeffector sites.

SODIUM BICARBONATE 8.4% dose adt

1 mEq / kg IV; may repeat with 0.5 mEq / kg every 10 M.

PROCAINAMIDE trade name

Pronestyl

MORPHINE SULFATE ContraInd

Head injury, exacerbated COPD, depressed respiratory drive, hypotension undiagnosed abdominal pain, decreased level of consciousness. Suspected hypovolemia.

ADENOSINE (Adenocard) ContraInd

2nd or 3rd block sick sinus,A-fib, A-flutter,V-tach, hypersenstaitvty to Adenosine.

DOPAMINE (Inotropin) dopaminergic INDICATION

Cardiogenic dysryth, septic or spinal shock, HTN w/ low cardiac output states. Distributive shock.

ACTIVATED CHARCOAL MOA

Adsorbs toxic GI

DIAZEPAM (Valium)cardio ContraInd

Hypersensitivity, glaucoma. coma, shock, substance abuse, head injury

AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) INDICATION

Ind: Cyanide or hydrocyanic acid poisoning.

MIDAZOLAM (Versed) ContraInd

Glaucoma, shock, coma, alcohol intoxication, overdose Pt.. Depressed vital signs. Concomitant use with other CNS depressants, barbiturates, alcohol, narcotics.

FENTANYL CITRATE (Sublimaze) MOA

narcotic analgesic

OXYGEN dose adt

Cardiac arrest and Carbon Monoxide poisoning: 100%. Hypoxemia: 10-15 L/ min. vía non-rebreather. COPD: 0-2 L/ min. via nasal cannula or 28-35% venturi mask. Be prepared to provide ventilatory support if higher concentrations of oxygen needed.

ACTIVATED CHARCOAL ContraInd

Not comatose Pt. Not corrosives, caustics, petroleum distillates, simultaneous administration with other oral drugs.

ADENOSINE trade name

Adenocard

ATROPINE SULFATE ContraInd

Tachy-C. Hypersensitivity. Unstable cardiovascular status in acute hemorrhage and myocardial ischemia.

AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) dose adt

Amyl Nitrate breath 30S out of every M IV per antidote kit directions.

DILTIAZEM HCL (Cardizem) INDICATION

A-flutter,A-fib with rapid ventricular rates.

HALOPERIDOL (Haldol) class

Tranquilizer, antipsychotic

DOPAMINE (Inotropin) Beta-andregenic INDICATION

Cardiogenic dysryth, septic or spinal shock, HTN w/ low cardiac output states. Distributive shock.

GLUCAGON hyperglcemia ContraInd

Hyperglycemia, hypersensitivity

DIAZEPAM trade name

Valium

LORAZEPAM (Ativan) dose adt

2-4 mg slow IV at 2 mg / M or IM; may repeat in 15-20 M to max of 8 mg. sedation: 0.05 mg/kg up to 4 mg IM.

ROCURONIUM (Zemuron) INDICATION

In emergency care, Rocuronium is used to optimize conditions for endotracheal intubation and assisted ventilations. Induction or maintenance of paralysis after intubation to assist ventilations

SUCCINYLCHOLINE trade name

Anectine

ASPIRIN class

Platelet inhibitor, anti-inflam. Sm. vasodilator

CALCIUM CHLORIDE / CALCIUM GLUCONATE INDICATION

Hyperkalemia, Magnesium sulfate OD/ Ca channel blocker toxicity/ Crush syndrome

RACEMIC EPINEPHRINE MOA

Stimulates alpha-1 receptors reducing subglottic edema in croup by mucosal vascular bed vasoconstriction. Stimulates beta-2 receptors in the smaller airways in lungs causing bronchodilation with relaxation of bronchial smooth muscles. Reduces airway resistance. Useful in treating laryngeal edema; inhibits histamine release.

FLUMAZENIL (Romazicon) class

Benzodiazepine antagonist/antidote

VASOPRESSIN (Pitressin) dose adt

Adt: Ventricular fibrillation/cardiac arrest: 40 units IV/IO push; may replace either first or second dose of epinephrine Vasodilatory shock: Continuous infusion of 0.02-0.04 unit/min

GLUCAGON beta blcker OD dose adt

1-5mg IM/IN/IO titrated to effect

KETAMINE (Ketalar) delerium INDICATION

Excited delirium,

ASPIRIN dose adt

162-324mg PO

KETAMINE (Ketalar) RSI MOA

Blocks pain receptors and minimizes spinal cord activity, between the thalamus and the limbic system.

AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) ContraInd

N/A

EPINEPHRINE cardiac dose adt

1mg IV push 1:10,000 every 3-5M

DOPAMINE (Inotropin) Beta-andregenic ContraInd

Hypovol shock, pheochromocytoma, tachydysrhyth, VF.

EPINEPHRINE allergic MOA

bronchial smooth muscle relaxation and dilation of skeletal vasculature Blocks histamine release.

EPINEPHRINE allergic ContraInd

Hypertension, hypothermia, pulmonary edema, coronary insufficiency, hypovolemic shock.

DEXAMETHASONE trade name

Decadron

MAGNESIUM SULFATE dose adt

Seizures of eclampsia: 2-4 gm IV over 5 M. Torsades de Pointes, Refractory VF/VT: 2-4 grams IV over 5 M. Known hypomagnesemia 2-4 grams IV over 5 M. For Bronchospasm: 2-4 gm IV in 100ml of NS over 20 M

GLUCOSE -ORAL ContraInd

Decreased LOC N&V

EPINEPHRINE cardiac ContraInd

Hypertension, hypothermia, pulmonary edema, coronary insufficiency, hypovolemic shock.

IPRATROPIUM BROMIDE (Atrovent) dose adt

0.5mg via Neb, mixed neb solution with 2.5mg Albuterol

VERAPAMIL (Isoptin) INDICATION

Give only to narrow-complex reentry supraventricular tachycardias or known supraventricular dysrhythmias. Atrial flutter with a rapid ventricular response, atrial fibrillation with a rapid ventricular response, Multifocal atrial tachycardia, Vasospastic and unstable angina

ACTIVATED CHARCOAL INDICATION

oral poisoning/medication overdose

CALCIUM CHLORIDE / CALCIUM GLUCONATE MOA

inotrope May enhance vent automaticity. Helps stabilize the cell membrane

HYDROCORTISONE trade name

Solu-Cortef

MORPHINE SULFATE dose adt

0.1 mg/kg to a maximum of 10 mg IV/IM/SC

VASOPRESSIN (Pitressin) MOA

Vasopressin acts by direct stimulation of smooth muscle receptors. When given in extremely high doses, it acts as a noradrenergic peripheral vasoconstrictor.

FLUMAZENIL (Romazicon) ContraInd

Hypersensitivity to flumazenil or to benzodiazepines, Tricyclic antidepressant overdose, Chronic benzodiazepine users or alcoholics, Cocaine or other stimulant intoxication. Known seizure disorder (relative)

HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) ContraInd

Hypersensitivity

PRALIDOXIME CHLORIDE (2-PAM, Protopam) MOA

Reactivation of cholinesterase to effectively act as an antidote to organophosphate pesticide poisoning. This action allows for destruction of accumulated acetylcholine at the neuromuscular junction.

PROMETHAZINE (Phenergan) ContraInd

Hypersensitivity, Comatose states, central nervous system depression from alcohol, barbiturates, or narcotics.

DILTIAZEM HCL trade name

Cardizem

FUROSEMIDE (Lasix) class

Loop diuretic.

DOPAMINE trade name

Inotropin

ROCURONIUM (Zemuron) class

Neuromuscular blocker (non-depolarizing)

TRANEXAMIC ACID (TXA, Cyklokapron) ContraInd

Hypersensitivity; subarachnoid hemorrhage; history of PE, DVT, or other thromboembolic event; mechanism of injury greater than 3 H

AMIODARONE (Cordarone) dose adt VF/PVT

VF/PVT 300 mg IV Push, diluted in 14 ml NS/RPT150mg in 7ml NS

DIAZEPAM (Valium) seizure ContraInd

Hypersensitivity, glaucoma. coma, shock, substance abuse, head injury

TRANEXAMIC ACID (TXA, Cyklokapron) INDICATION

Blunt or penetrating trauma less than 3 H from MOI, with hemodynamic compromise, bleeding.

PANCURONIUM (Pavulon) class

Neuromuscular blocker (non-depolarizing)

VERAPAMIL trade name

Isoptin

DIAZEPAM (Valium)cardio INDICATION

Status Seizure, Acute anxiety, Analgesia for medical procedures, Delirium tremens.

KETAMINE (Ketalar) delerium MOA

Blocks pain receptors and minimizes spinal cord activity, between the thalamus and the limbic system.

HYDROMORPHONE (Dilaudid) dose adt

1-2 mg SC/IM or slow IV every 6 H. titrate to pain relief

NOREPINEPHRINE (Levophed) dose adt

0.1-0.5 mcg/kg/min titrating to a BP of 90 systolic.

ETOMIDATE (Amidate) dose adt

0.2–0.6 mg/kg IV (typical adult dose is 20mg)

HEPARIN SODIUM INDICATION

Prophylaxis and treatment of venous thrombosis, pulmonary embolus, coronary occlusion, disseminated intravascular coagulation (DIC), post-operative thrombosis. To maintain patency of IV injection devices and indwelling catheters.

THIAMINE (Vitamin B1) dose adt

100 mg slow IV or IM

AMIODARONE (Cordarone) INDICATION

Suppression of V-fib/ PVTach, V-tach refractory to defibrillation -Suppression of V-Tach wi a pulse

ACTIVATED CHARCOAL class

Adsorbent

DIPHENHYDRAMINE trade name

Benadryl

DIPHENHYDRAMINE (Benadryl) INDICATION

allergic reactions/anaphylaxis/acute dystonic reactions (phenothiazines)/Blood product reactions

FLUMAZENIL (Romazicon) INDICATION

respiratory depression and sedation from benzodiazepine overdose

KETOROLAC (Toradol) class

NSAID

DOPAMINE (Inotropin) Beta-andregenic MOA

+ inotropy. +chronotropy.

LIDOCAINE HCL (2%) dose adt

CA/ VTw/wo pulse/ VF: 1-1.5 mg/kg IV push; repeat 0.50 - 0.75 mg/kg to max of 3 mg/kg. After conversion to NSR, maintenance infusion at 2-4 mg/min.

MEPERIDINE (Demerol) class

Opioid Analgesic

SODIUM BICARBONATE 8.4% MOA

Reacts with hydrogen ions to form water and carbon dioxide

DIAZEPAM (Valium) rectal dose adt

0.5 mg/kg via 2” rectal catheter and flush with 2-3 ml air after administration.

ONDANSETRON (Zofran) INDICATION

Treatment and prevention of N and vomiting

DOPAMINE (Inotropin) Andregic INDICATION

Cardiogenic dysryth, septic or spinal shock, HTN w/ low cardiac output states. Distributive shock.

MANNITOL 20% ContraInd

Hypotension, renal failure, electrolyte depletion, dehydration, intracranial bleeding. Severe CHF with pulmonary edema, hyponatremia.

GLUCAGON hyperglcemia class

Hyperglycemic agent, pancreatic hormone,

GLUCOSE -ORAL MOA

fast glucose

THIAMINE (Vitamin B1) INDICATION

Delirium tremens. Wernicke’s encephalopathy.

TETRACAINE MOA

Blocks the initiation and conduction of nerve impulses

HALOPERIDOL trade name

Haldol

DOPAMINE (Inotropin) dopaminergic dose adt

2-4 mcg / kg / M dialts kidney

ACETAMINOPHEN (Tylenol, Ofrimev) ContraInd

Severe liver disease.

DEXAMETHASONE (Decadron) dose adt

10-100 mg IV (1 mg/kg slow IV bolus) as per Medical Control

FLUMAZENIL trade name

Romazicon

AMIODARONE (Cordarone) INDICATION

Suppression of V-fib/ PVTach, V-tach refractory to defibrillation -Suppression of V-Tach wi a pulse

MORPHINE SULFATE INDICATION

Analgesia for moderate to severe acute and chronic pain (use with caution). Severe CHF, pulmonary edema. Chest pain associated with acute MI.

ACETAMINOPHEN trade name

Tylenol, Ofrimev

DILTIAZEM HCL (Cardizem) dose adt

0.25 mg/kg IV bolus over 2M. May rebolus at 15m .35mg/Kg over 2m

ONDANSETRON (Zofran) dose adt

4-8 mg IV or PO

TRANEXAMIC ACID trade name

TXA, Cyklokapron

DOPAMINE (Inotropin) Andregic ContraInd

Hypovol shock, pheochromocytoma, tachydysrhyth, VF.

KETOROLAC (Toradol) ContraInd

allergies to ASA or NSAIDS, Bleeding disorders, Renal failure, Active peptic ulcer disease

DIPHENHYDRAMINE (Benadryl) class

Antihistamine

ACETAMINOPHEN (Tylenol, Ofrimev) class

analgesic anti-pyretic.

NOREPINEPHRINE (Levophed) MOA

Potent alpha-agonist resulting in intense peripheral vasoconstriction, positive chronotropic and increased inotropic effect with increased cardiac output. Alpha adrenergic activity resulting in peripheral vasoconstriction and beta-adrenergic activity leading to inotropic stimulation of the heart and coronary artery vasodilation.

MAGNESIUM SULFATE ContraInd

Heart blocks. Renal diseases.

FUROSEMIDE (Lasix) MOA

Inhibits electrolyte reabsorption promotes excretion of sodium, potassium, chloride

RACEMIC EPINEPHRINE class

Sympathomimetic

DIAZEPAM (Valium) rectal INDICATION

Status Seizure, Acute anxiety, Analgesia for medical procedures, Delirium tremens.

NOREPINEPHRINE trade name

Levophed

METOPROLOL (Lopressor) class

Beta Blocker

NALOXONE (Narcan) class

Narcotic antagonist.

ROCURONIUM (Zemuron) ContraInd

Known hypersensitivity to bromides. Use with caution in pts with heart and liver disease. Inability to control airway and/or support ventilations with oxygen and positive pressure.

ADENOSINE (Adenocard) MOA

slows conduction AV node, interrupt re-entrant pathway neg. chronotrope acts onSA cells, 1st choice PSVT

ADENOSINE (Adenocard) dose adt

Adult: 6 mg over 1-3 seconds; If no response after 1-2 M, administer 12 mg over 1-3 seconds, Maximum total dose = 18 mgs.

NALOXONE (Narcan) INDICATION

Respiratory Depression Secondary to Opiate overdose Complete or partial reversal of CNS and respiratory depression induced by opioids Narcotic agonist Morphine, heroin, hydromorphone (Dilaudid), methadone. Meperidine (Demerol), Paregoric, Fentanyl (Sublimase). Oxycodone (Percodan), codeine, propoxyphene (Darvon). Narcotic agonist and antagonist Butorphanol (Stadol). Pentazocine (Talwin). Nalbuphine (Nubain).

MIDAZOLAM (Versed) dose adt

2-6 mg slow IV/IO/IM (may be repeated to total maximum: 0.1 mg/kg), 10mg IN,0.5 – 2 mg IV/IO/IM/IN max 0.1 mg/kg,0.05 mg/kg IV/IO max 5mg. Repeat in 5-10 at half original dose x 2. Max 10mg

HYDROMORPHONE (Dilaudid) MOA

synthetic analog morphine

MIDAZOLAM trade name

Versed

ASPIRIN INDICATION

Chest pain poss.AMI

DEXTROSE INDICATION

Altered mental 2ndary hypoglycemia

HEPARIN SODIUM dose adt

Loading dose: 80 units/kg IV; maintenance dose: 18 units/kg/H IV.

LIDOCAINE HCL (2%) ContraInd

2nd 3rd blocks in absence of pacemaker.

KETOROLAC (Toradol) MOA

anti-inflammatory acting non-narcotic analgesic activity by inhibiting prostaglandin synthesis.

PROCAINAMIDE (Pronestyl) dose adt

20-30 mg/min; maximum total dose is 17 mg/kg.

EPINEPHRINE allergic class

Sympathomimetic.

RACEMIC EPINEPHRINE INDICATION

Croup, laryngeal edema, bronchial asthma

FUROSEMIDE (Lasix) INDICATION

CHF; PE

OXYGEN INDICATION

Confirmed or expected hypoxemia. Ischemic chest pain. Respiratory insufficiency. Prophylactically during air transport. Confirmed or suspected carbon monoxide poisoning. All other causes of decreased tissue oxygenation. Decreased level of consciousness.

OXYGEN MOA

Reverses hypoxemia.

ALBUTEROL (Proventil, Ventolin) MOA

Selective b-2 agonist stimulates adrenergic receptors/smooth muscle relaxation, bronchdilator, peripheral vasodialtion.

HEPARIN SODIUM MOA

IX, XI, XII, plasmin. Does not lyse existing clots.

LORAZEPAM trade name

Ativan

AMIODARONE (Cordarone) ContraInd

-Allergy to Iodine -Medication-induced Ventricular dysrhythmias. -Torsades de Pointes.

NITROPASTE dose adt

For CHF/PE; HTN Paste: Apply 1 inch, cover with plastic wrap and secure with tape.

HEPARIN SODIUM class

Anticoagulant.

NITROPASTE class

Vasodilator

OXYGEN class

Naturally occurring atmospheric gas.

LORAZEPAM (Ativan) INDICATION

control of status epilepticus or severe recurrent seizures. Severe anxiety. Sedation.

PROMETHAZINE (Phenergan) MOA

H receptor antagonist that blocks the actions of histamines by competitive antagonism at the H receptor. In addition to antihistamine effects, promethazine also possesses sedative, anti-motion, antiemetic, and considerable anticholinergic activity.

ATROPINE SULFATE class

Anticholinergic

DOPAMINE (Inotropin) Andregic dose adt

10- 20 mcg / kg /M aplpha stimlunat

IPRATROPIUM BROMIDE (Atrovent) class

Bronchodilator

VECURONIUM (Norcuron) class

Nondepolarizing neuromuscular blocker

RACEMIC EPINEPHRINE ContraInd

Hypertension, underlying cardiovascular disease, epiglottitis

PROMETHAZINE trade name

Phenergan

ACTIVATED CHARCOAL dose adt

1-2 gm/kg PO or via NGT

GLUCOSE -ORAL class

hyperglycemic

LIDOCAINE HCL (2%) MOA

Decreases automaticity by slowing the rate of Phase 4 depolarization.

LORAZEPAM (Ativan) class

Benzodiazepine, sedative, anticonvulsant.

VASOPRESSIN (Pitressin) INDICATION

As an alternative pressor to epinephrine in adult cardiac arrest. Vasodilatory shock

MEPERIDINE (Demerol) ContraInd

Hypersensitivity to narcotic agents. Diarrhea caused by poisoning. Pt. taking MAOIs. During labor or delivery of a premature infant. Undiagnosed abdominal pain or head injury

MANNITOL 20% class

Osmotic diuretic

THIAMINE (Vitamin B1) MOA

Combines with ATP to form thiamine pyrophosphate coenzyme, a necessary component for carbohydrate metabolism. The brain is extremely sensitive to thiamine deficiency.

MEPERIDINE trade name

Demerol

DIPHENHYDRAMINE (Benadryl) dose adt

25 - 50 mg IM or IV or P.O.

THIAMINE (Vitamin B1) class

Vitamin (B1)

PRALIDOXIME CHLORIDE (2-PAM, Protopam) ContraInd

Use with caution in Pt. with reduced renal function. Pt. with myasthenia gravis and organophosphate poisoning.

EPINEPHRINE cardiac MOA

+chrono, +inno,+dromo + automaticity.

METOPROLOL (Lopressor) INDICATION

Atrial fibrillation, Atrial flutter

PRALIDOXIME CHLORIDE (2-PAM, Protopam) dose adt

Initial dose of 1-2 grams as an IV infusion with 100 ml saline over 15-30 M

HALOPERIDOL (Haldol) INDICATION

Acute psychotic episodes.

VECURONIUM (Norcuron) dose adt

Neuromuscular Blockade Adults, adolescents, and children >10 years: 80-100 mcg/kg IV; reconstitute by adding 10 or 20 mL of bacteriostatic water for injection to 10 or 20 mg, respectively, to give a parenteral solution containing 1 mg/ml Rapid Sequence Intubation Adults - 0.1-02 mg/kg IV/IO

HYDROXOCOBALAMIN (Vitamin B 12) dose adt

5G IV over 15M poss repeat

HYDROMORPHONE (Dilaudid) INDICATION

Moderate to severe pain Analgesia, Preoperative medication

PROMETHAZINE (Phenergan) class

Phenothiazine, antihistamine

HYDROXOCOBALAMIN (Vitamin B 12) class

Water soluble Vitamin

ONDANSETRON (Zofran) ContraInd

Hypersensitivity to ondansetron, other selective 5-HT3 antagonists, or any component of the formulation

GLUCAGON beta blcker OD INDICATION

beta blocker Ca channel blocker OD

AMIODARONE (Cordarone) class

Antidysrhythmic.

AMIODARONE (Cordarone) dose adt V-TACH

V-TACH w/Pulse 150 mg in 100 ml NS over 10M

VECURONIUM (Norcuron) INDICATION

To facilitate intubation Muscle relaxation

GLUCAGON hyperglcemia MOA

Increases blood glucose by stimulating glycolysis.

KETOROLAC trade name

Toradol

SODIUM BICARBONATE 8.4% INDICATION

Ind:Hyperkalemia TCA overdose Phenobarbital overdose Known pre-existing bicarbonate-responsive acidosis. Upon return of spontaneous circulation after long arrest interval. Alkalinization for treatment of specific intoxications.

EPINEPHRINE allergic dose adt

0.3mg 1:1,000

KETAMINE (Ketalar) delerium dose adt

4mg/kg IM only

KETAMINE (Ketalar) pain INDICATION

pain management

ONDANSETRON (Zofran) MOA

Selective 5-HT receptor antagonist, blocking serotonin, both peripherally on vagal nerve terminals and centrally in the CNS chemoreceptor trigger zone

HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) MOA

Suppresses acute and chronic inflammation Replaces absent glucocorticoids Immunosuppressive

MORPHINE SULFATE class

Opioid analgesic. (Schedule II drug).

PROCAINAMIDE (Pronestyl) class

Antidysrhythmic Class Ia

THIAMINE (Vitamin B1) ContraInd

None

CALCIUM CHLORIDE / CALCIUM GLUCONATE dose adt

: 500-1000 mg of 10% solution slow IV over 5M; repeat in 10 M (max 1 gm dose)

PRALIDOXIME CHLORIDE (2-PAM, Protopam) INDICATION

As an antidote in the treatment of poisoning by organophosphate pesticides and chemicals. In the pre-hospital arena, is used when atropine is or has become ineffective in management of organophosphate poisoning.

GLUCOSE -ORAL INDICATION

conscious Pt. w/suspected hypoglycemia

KETAMINE (Ketalar) pain dose adt

0.3-0.5 mg/kg IV, may repeat IV dose once in 10 M or 1 mg/kg IM/IN, may repeat IM/IN dose once in 20 M.

PROCAINAMIDE (Pronestyl) INDICATION

Suppress PVCs refractory to Lidocaine. Suppress VT with a pulse refractory to Lidocaine. PSVTs with wide-complex tachycardia of unknown origin (drug of choice when associated with WP).

SUCCINYLCHOLINE (Anectine) MOA

Ultra short acting depolarizing skeletal relaxant that mimics acetylcholine as it binds with the cholinergic receptors on the motor end plate, producing a phase I block as manifested by fasciculations.

NOREPINEPHRINE (Levophed) INDICATION

Cardiogenic shock unresponsive to fluid resuscitation, significant hypotension (<70 mm/Hg) states, first line vasopressor in septic shock.

DILTIAZEM HCL (Cardizem) MOA

Block influx of calcium ions into cardiac muscle. Arterial and venous vasodilator. Reduces preload and afterload. Reduces myocardial oxygen demand.

MEPERIDINE (Demerol) INDICATION

Analgesia for moderate to severe pain

VASOPRESSIN (Pitressin) ContraInd

Responsive Pt. with coronary artery disease

DIAZEPAM (Valium) rectal ContraInd

Hypersensitivity, glaucoma. coma, shock, substance abuse, head injury

DOPAMINE (Inotropin) dopaminergic ContraInd

Hypovol shock, pheochromocytoma, tachydysrhyth, VF.

AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) MOA

produces thiocyanate, which is then excreted

LORAZEPAM (Ativan) ContraInd

Coma, shock or suspected drug abuse.

PROMETHAZINE (Phenergan) dose adt

12.5-25mg (undiluted) deep IM injection,IV: 6.25-25 mg slow IV (dilute in 9 mL of NaCl and give 25 mg or less over 10-15 min)

RACEMIC EPINEPHRINE dose adt

11.25 mg (0.5 ml) Dilute 0.5 ml solution for inhalation with 2.5 ml normal saline in nebulizer

TETRACAINE ContraInd

Hypersensitivity to ester anesthetics; Not to be applied in large amounts or to Infants of less than 1 year old.

FENTANYL CITRATE (Sublimaze) class

Narcotic Analgesic

IPRATROPIUM BROMIDE (Atrovent) ContraInd

Hypersensitivity to atropine or its derivatives

DIAZEPAM (Valium) seizure dose adt

seizure 5-10 mg IV q 10-15 M prn (5 mg over 5 min.) (max dose 30 mgs)

ALBUTEROL (Proventil, Ventolin) ContraInd

Tachycardia, dysrhythmias, especially those caused by digitalis. Synergistic with other sympathomimetics

DEXAMETHASONE (Decadron) INDICATION

Anaphylaxis, asthma, spinal cord injury, croup, elevated ICP (prevention and treatment) as an adjunct to treatment of shock.

LORAZEPAM (Ativan) MOA

Anxiolytic, anticonvulsant, sedative; suppresses seizure produced by foci in cortex, thalamus and limbic areas.

AMIODARONE (Cordarone) MOA

Class III K channel blocker. Prolongation of Action Potential; non-competitive A and B sympathetic blocker; Ca,Na channel blocking effects.

GLUCAGON hyperglcemia dose adt

1 mg IM/IN. Repeat 15 M if glucose remains <70 mg/dl 1-5mg IV/IO/IM titrated to effect

CALCIUM CHLORIDE / CALCIUM GLUCONATE ContraInd

Hypercalcemia, VF during cardiac resuscitation; digitalis toxicity.

DILTIAZEM HCL (Cardizem) class

Calcium channel blocker.

PRALIDOXIME CHLORIDE (2-PAM, Protopam) class

Cholinesterase reactivator.

VASOPRESSIN trade name

Pitressin

DIAZEPAM (Valium)cardio MOA

Potentates inhibitory neurotransmitters. Raises seizure threshold.Induces amnesia and sedation.

DEXTROSE ContraInd

Intracranial hemorrhage , DTs

NALOXONE (Narcan) dose adt

0.4 - 2.0 mg IV, IM, SC, Nasal via atomizer); min. recommended = 2.0 mg repeat at 5 M intervals to 10 mg maximum dose. (Medical Control may request higher amounts). Infusion: 2 mg in 500 ml of D5W (4 mcg/ml), infuse at 0.4 mg / hr. (100 ml/H).

ADENOSINE (Adenocard) class

endogenous nucleotide

PANCURONIUM (Pavulon) ContraInd

Known hypersensitivity to the drug. Inability to control airway and/or support ventilations with oxygen and positive pressure Neuromuscular disease (e.g., myasthenia gravis)

PROMETHAZINE (Phenergan) INDICATION

N and vomiting, Motion sickness, Preoperative and postoperative, obstetrical (during labor) sedation

FUROSEMIDE (Lasix) ContraInd

Hypovolemia, anuria, hypotension (relative contraindication); hypersensitivity, hepatic coma.

GLUCOSE -ORAL dose adt

1 tube 17 -25g

ALBUTEROL (Proventil, Ventolin) INDICATION

bronchosp in Pt. w/obstructive airway disease (COPD/asthma).

KETAMINE (Ketalar) pain MOA

Blocks pain receptors and minimizes spinal cord activity, between the thalamus and the limbic system.

ATROPINE SULFATE INDICATION

Hemodynamically sig brady-c. organophosphate poisoning.

AMIODARONE trade name

Cordarone

MAGNESIUM SULFATE MOA

Reduces striated muscle contractions and blocks peripheral neuromuscular transmission by reducing acetylcholinesterase release at the myoneural junction; manages seizures in toxemia of pregnancy; induces uterine relaxation; can cause bronchodilation after beta agonists and anticholinergics have been used.

AMYL NITRITE, SODIUM NITRITE, SODIUM THIOSULFATE (Cyanide Antidote Kit) class

Antidote

MAGNESIUM SULFATE INDICATION

Acute Asthma / Bronchospasm Seizures of eclampsia . Torsades de Pointes. Hypomagnesemia. TCA overdose-induced dysrhythmias. Digitalis-induced dysrhythmias.

HYDROCORTISONE/METHYLPREDNISOLONE (Solu-Cortef, Solu-Medrol) class

corticosteroid.

PANCURONIUM (Pavulon) MOA

Pancuronium produces complete muscular relaxation by binding to the receptor for acetylcholine at the neuromuscular junction, without initiating depolarization of the muscle membrane. As the concentration of acetylcholine rises in the neuromuscular junction, Pancuronium is displaced and muscle tone is regained.

DOPAMINE (Inotropin) dopaminergic MOA

dilate renal and splanchnic vasculature at low doses.

METOPROLOL (Lopressor) MOA

Selective inhibitor of beta1-adrenergic receptors; completely blocks beta1 receptors, with little or no effect on beta 2 receptors at doses <100 mg;

ALBUTEROL trade name

Proventil, Ventolin

KETAMINE (Ketalar) RSI ContraInd

conditions where hypertension could be dangerous to the Pt.’s

TETRACAINE dose adt

Ophthalmic Solution: Instill 1-2 drops

ACETAMINOPHEN (Tylenol, Ofrimev) INDICATION

fever and pain.

ETOMIDATE (Amidate) class

Nonbarbiturate hypnotic, anesthesia induction

METHYLPREDNISOLONE trade name

Solu-Medrol

FUROSEMIDE trade name

Lasix

NITROPASTE MOA

Smooth muscle relaxant acting on vascular, bronchial, uterine and intestinal smooth muscle. Dilation of arterioles and veins in the periphery reduces preload and afterload, decreases the workload of the heart and, thereby, myocardial oxygen demand.

ROCURONIUM (Zemuron) dose adt

0.6-1.2 mg/kg IV

PRALIDOXIME CHLORIDE trade name

2-PAM, Protopam

DOPAMINE (Inotropin) Beta-andregenic dose adt

4- 20 mcg / kg / M +chrno+inno

VERAPAMIL (Isoptin) ContraInd

Hypersensitivity, Sick sinus syndrome (unless the Pt. has a functioning pacemaker), Second- or third-degree heart block. Sinus bradycardia, Hypotension, Cardiogenic shock, Severe congestive heart failure, Wolff-Parkinson-White syndrome with atrial fibrillation or flutter. Pt. receiving IV beta blockers. Give with extreme caution to Pt. receiving oral beta blockers. Wide-complex tachycardias of uncertain origin (ventricular tachycardia can deteriorate into ventricular fibrillation when calcium channel blockers are given.)

MANNITOL 20% INDICATION

Cerebral edema. Reduce intracranial pressure for certain cause (space occupying lesions). Rhabdomyolysis (myoglobinuria). Blood transfusion reactions

KETAMINE (Ketalar) RSI dose adt

2mg/kg IV Analgesia and sedation for intubated Pt.: 1-2mg/kg IV every 30-45min

NALOXONE (Narcan) MOA

Competitive inhibition at narcotic receptor sites. Reverse respiratory depression secondary to depressant drugs. Completely inhibits the effect of morphine.

TETRACAINE class

Local Anesthetic

DOPAMINE (Inotropin) Andregic class

Sympathomimetic, inotropic agent.

TRANEXAMIC ACID (TXA, Cyklokapron) class

Hemostatic agent, antifibrinolytic, plasminogen inactivator

DIAZEPAM (Valium)cardio class

Benzodiazepine, anticonvulsant, sedative-hypnotic

DIAZEPAM (Valium)cardio dose adt

cardioversion: 5- 15 mg IV over 5-10 M prior to cardioversion.

KETOROLAC (Toradol) INDICATION

Short-term pain

FENTANYL CITRATE (Sublimaze) dose adt

Adult: 1 mcg/kg. max. 150 mcg. slow IV push.

Flashcard Info

NMDRUG2