Term
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Definition
Class: Antidysrhythmic Indications: Paroxysmal Supraventricular Tachycardia (PSVT) Contraindications:2nd & 3rd degree Heart Block Side Effects: SOB,Nausea,Dizziness Dosage:6mg given rapidly repeat dose of 12mg in 1-2 mins. if needed |
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Term
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Definition
Class: Antidysrhythmic Indications: V-Tach / V-Fib Contraindications: Heart Blocks & Bradycardia Side Effects: Hypotension, Bradycardia Dosage: V-Fib 300mg IVP, then 150mg V-Tach w/pulse 150mg over 10 mins. Route: IVP or IV infusion |
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Term
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Definition
Class: Antidysrhythmic Indications: Ventricular Ectopic Activity / V-Fib Contraindications: High Degree AV Blocks Side Effects: Convulsions,Dizziness,Nausea,Vomitting Dosage: 1-1.5mg/kg up to 3mg/kg in V-Fib Route: IV push / IV infusion |
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Term
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Definition
Class: Antidysrhythmic / Anticonvulsant Indications: Eclampsia / Refractory V-Fib Contraindications: Shock, Heart Block Side Effects: Respiratory Depression, Drowsiness Dosage: 1-4 grams Route: IV / IM |
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Term
| Procainamide HCl / Pronestyl |
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Definition
Class: Antidysrhythmic Indications: Persistent V-Fib Contraindications: Blocks,Bradycardia,PVCs Side Effects: Seizures,widening of QRS complex Dosage: 20mg/min until dysrhythmia is gone,hypotension develops,or the QRS widens by 50% OR 17mg/kg has been given Route: IV Bolus, IV dose is 1-4mg/min |
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Term
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Definition
Class: Platelet Aggregate Inhibitor Indications: New CP, supected MI Contraindications: Hypersensitivity,active ulcers Side Effects: Heartburn, GI Bleed Dosage: 160-324mg Route: PO (oral) |
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Term
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Definition
Class: Parasympathetic Blocker / Anticholinergic Indications: Symptomatic Bradycardia,consider in 2nd degree blocks, and asystole Contraindications: NONE Side Effects: Blurred vision,dry mouth,tachycardia Dosage: .5mg to a total of 3mg in bradycardia / 1mg to 3mg in asystole and PEA (Pulseless Electrical Activity) Route: IVP |
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Term
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Definition
Class: Calcium Channel Blocker Indications: SVT refractory to Adenosine Contraindications: Severe hypotension,Cardiogenic Shock Side Effects: Nausea,vomitting,bradycardia Dosage: 2.5-5mg initially;up to 10mg total over 30 mins Route: IVP |
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Term
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Definition
Class: Sympathomimetic Indications: Cardiac Arrest,Severe Anaphylaxis Contraindications: None in arrest situations Side Effects: Palpitations,anxiety Dosage: 1mg every 3-5 mins in arrest /.3-.5mg in severe anaphylaxis Route: IVP |
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Term
| Nitroglycerin (sublingual) |
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Definition
Class: Smooth Muscle Relaxer / Antianginal Indications: Angina,CP from MI Contraindications: Hypotension Side Effects: Hypotension,headache Dosage: 1 Tablet .3-.4mg repeat every 5 mins Route: Sublingual |
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Term
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Definition
Class: Sympathetic Blocker/Beta Blocker Indications: Tachydysrhythmias Contraindications: Asthma,COPD,CHF Side Effects: Bradycardia,Heart Blocks,CHF,Bronchospasms Dosage: 1-3mg diluted in 30ml slow IV Bolus Route: IV Bolus |
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Term
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Definition
Class: Mineral/Alkalinizing Agent Indications: Late in mgmt. of Cardiac Arrest,Tricyclic OD,Acidosis uncorrectable with hyperventilation Contraindications: Alkalotic States Side Effects: Alkalosis Dosage: 1 Meq/kg followed by .5 Meq/kg every 10 mins Route: IVP |
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Term
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Definition
Class: Hormone / Vasoconstrictor Indications: Cardiac Arrest Contraindications: NONE Side Effects: NONE Dosage: 40 units 1 time ONLY to replace 1st or 2nd dose of Epinephrine Route: IVP |
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Term
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Definition
Class: Sympathetic Agonist (Beta 2 specific) Indications: COPD,Bronchospasms Contraindications: Hypersensitivity Side Effects: Palpitations,anxiety,HTN Dosage: 2.5mg in 3ml Route: Nebulizer |
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Term
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Definition
Class: Sympathetic Agonist Indications: Croup (Laryngotracheobronchitis) Contraindications: Epiglottitis Side Effects: Tachycardia Dosage: .25-.75ml diluted with 2ml saline Route: Nebulizer |
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Term
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Definition
Class: Sympathomimetic Indications: Bronchoconstriction due to asthma or anaphylaxis Contraindications: Cardiovascular disease,tachydysrhythmias Side Effects: Palpitations,tachycardia .3-.5mg SQ (CFD protocol is given IM) Route: SQ injection |
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Term
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Definition
Class: Loop Diuretic Indications: CHF,Pulmonary Edema Contraindications: Dehydration,Pneumonia Side Effects: NONE Dose: 40-80mg OR double the patients normal dose Route: IVP |
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Term
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Definition
Class: Antiemetic Indications: Nausea,vomitting Contraindications: Hypersensitivity Side Effects: Drowsiness,sedation Dosage: 12.5-25mg Route: IVP,IM |
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Term
| Prochlorperazine / Compazine |
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Definition
Class: Antiemetic Indications: Nausea,vomitting Contraindications: Hypersensitivity Side Effects: Drowsiness,sedation Dosage: 10-20mg Route: IVP,IM |
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Term
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Definition
Class: Indications: Hypoglycemia Contraindications: NONE Side Effects: Tissue necrosis at site Dosage: 25grams in 50ml Route: IV |
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Term
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Definition
Class: Antihypoglycemic Indications: Hypoglcemia,Beta blocker OD Contraindications: Hypersensitivity Side Effects: NONE Dosage: 1mg Route: IM |
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Term
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Definition
Class: Narcotic (Opiate) Indications: Severe Pain,MI,Pulmonary Edema Contraindications: Head inj,Hypovolemia,Undiagnosed Abdominal pain Side Effects: Altered LOC Dosage: 2-5mg up tp 10mg OR until pain is resolved Route: IVP,IM |
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Term
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Definition
Class: Sedative Indications: Rapid Sequence Intubation Contraindications: Hypersensitivity Side Effects: Apnea,Laryngospasms Dosage: .1-.3mg/kg over 15-30 seconds Route: IVP |
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Term
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Definition
Class: Benzodiazepine Indications: Seizures Contraindications: Hypersensitivity Side Effects: Respiratory Depression,hypotension Dosage: .5-2.0mg IV Route: IV,IM,rectally |
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Term
| Midazolam / Versed (10 X more powerful than Valium) |
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Definition
Class: Benzodiazepine/hypnotic sedative Indications: Anxiety,seizures,premedicate prior to cardioversion Contraindications: Shock Side Effects: Drowsiness,hypotension,amnesia Dosage: 2-8mg IV Route: IVP |
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Term
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Definition
Class: CNS Depressant Indications: Pain,Burns Contraindications: Intoxication,Altered LOC Side Effects: Headache,dizziness,nausea,vomitting Dosage: 50%Nitrous & 50%Oxygen Route: Inhaled SELF Administered ONLY |
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Term
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Definition
Class: Benzodiazepine / Anticonvulsive Indications: Seizures,anxiety Contraindications: Hypersensitivity Side Effects: Hypotension,amnesia,Respiratory depression Dosage: 2-10mg Route: IV,IM |
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Term
| Succinylcholine / Anectine |
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Definition
Class: Neromuscular Blocking Agent Indications: Paralysis to facilitate intubation Contraindications: Hypersensitivity Side Effects: Prolonged Paralysis,hypotension,bradycardia Dosage: 1-1.5mg/kg Route: IVP |
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Term
| Diphenhydramine / Benadryl |
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Definition
Class: Antihistamine (blocks H receptor site) Indications: Allergic reactions Contraindications: NONE Side Effects: NONE Dosage: 25-50mg Route: IV,IM |
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Term
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Definition
Class: Sympathomimetic Indications: Hypotension not resulting from Hypovolemia Contraindications: Hypovolemia Side Effects: Ventricular Dysrhythmias Dosage: 2-20 micrograms/kg/min Route: IV infusion |
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Term
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Definition
Class: Mineral Indications: Hyperkalemia,Hypocalcemia Contraindications: Side Effects: Bradycardia Dysrhythmia Dosage: 2-4mg/kg Route: IV |
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Term
| Thiamine HCl / Vitamin B1 |
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Definition
Class: Vitamin Indications: Allows breakdown of Glucose;Coma of unknown origin in alcoholics Contraindications: NONE Side Effects: NONE Dosage: 100mg Route: IVP |
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Term
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Definition
Class: Hormone Indications: Postpartum vaginal bleeding Contraindications: No use other than stated Dosage: 10-20 units in 500ml D5W Route: IV drip,IM |
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Term
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Definition
Class: Narcotic Antagonist Indications: Complete or partial reversal of Opioid depression Contraindications: Hypersensitivity Side Effects: Nausea,vomitting Dosage: .4-2mg IV up to 10mg Route: IV,IM,SQ |
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