-
Diphenhydramine
trade name
Benadryl
-
Benadryl
class
Antihistamine
-
Benadryl
Description
Histamine receptor blocker
-
Benadryl
Indications
- Moderate to severe allergic reaction
- Anaphylaxis
- Acute extrapryamidal reactions
-
Benadryl
Contraindications
- Taking MAOI's
- Hypersensitivy
- Narrow angle glaucoma
- Newborn and nursing mothers
-
Benadryl
Adverse Reactions
- Drowsiness
- Hypotension
- Palpations
- Disturbed coordination
- Brady/Tachy cardia
- Dry mouth
-
Benadryl
Onset
Max effects 1-3 hr
-
Benadral
Duration
6-12 hr
-
Benadryl
Dosage-Adult
10-50 mg IM, Slow IV q 6-8 hr
-
Benadryl
Dosage: Peds
> 10 kg: 1.25 mg/kg/dose q 6 hr
-
Benadryl
Special Considerations
- Pregnancy safety: Cat C
- Use cation w CNS depression or lower resp disease such as asthma
-
Morphine Sulfate
Trade name
Astramorph
-
Morphine
Class
Opioid analgesic
-
Morphine
Description
Analgesic
-
Morphine
Indications
- Chest pain with MI
- Pulmonary edema
- Moderate to severe, acute pain
- Chronic pain
-
Morphine
Contraindications
- Hypotension
- Hypovolemia
- Hypotension
-
Morphine
Adverse Reactions
- Hypotension
- Tachycardia
- Syncope
- Resp depression
-
-
-
Morphine
Dosage
2-4 mg slow IV (up to 10 min)
-
Morphine
Special Considerations
Pregnancy safety: Cat B
-
Sodium Bicarb
Class
- Buffer
- Alkalinizing agent
- Electrolyte
-
Sodium Bicarb
Description
- Reacts with H+ to form H2O and CO2.
- Acts as a buffer to metabolic acidosis
-
Sodium Bicarb
Indications
- Diabetic Ketoacidosis
- Long arrest
- Tricyclic antidepressant OD
-
Sodium Bicarb
Contraindications
- Pulmonary edema
- Metabolic alkalosis
- Respiratory alkalosis
-
Sodium Bicarb
Adverse Reactions
- Metabolic alkalosis
- Hypoxia
- Seizures
- Electrolyte imbalance
-
Sodium Bicarb
Onset
2-10 min
-
Sodium Bicarb
Duration
30-60 min
-
Sodium Bicarb
Dosage
Adult: 1 mEq/kg IV; repeat w/ 0.5 mEq/kg q 10 min
-
Sodium Bicarb
Special Considerations
- Pregnancy Safety:Cat C
- Maintain adequate ventilation
-
Adenosine
Trade name
Adenocard
-
Adenosine
Class
Antidysrhythmic
-
Adenosine
Description
Decreases heart rate activity
-
Adenosine
Indications
1st drug for narrow complex PSVT in adults and peds
-
Adenosine
Contraindications
- 2nd or 3rd degree heart block
- Hypersensitivity
- A flutter
- Afib
-
Adenosine
Adverse Reactions
- Hypotension
- Chest pain
- Diaphoresis
- Palpitations
-
Adenosine
Onset
Immediate
-
Adenosine
Duration
10 sec
-
Adenosine
Dosage
Initial 6 mg rapid IV bolus followed by 20 ml saline flush
-
Adenosine
Special Considerations
- Pregnancy Safety: Cat C
- Brief period of asystole following conversion then to NSR is common
-
Furosemide
Trade Name
Lasix
-
Lasix
Class
Loop Diuretic
-
Lasix
Description
Inhibits reabsorption of Na+ & chloride
-
Lasix
Indications
Pulmonary edema w CHF, hepatic and renal disease
-
Lasix
Contraindications
- Anuria
- Hypovolemia
- Dehydration
- Hypersensitivity
-
Lasix
Adverse Reactions
- Hypotension
- ECG changes
- Dry mouth
- Hypochloremia
-
-
-
Lasix
Dosage
CHF: 20-40 mg slow IV (0.5-1 mg/kg)
-
Lasix
Dosage: Hyperkalemia
40-80 mg IV
-
Lasix
Special Considerations
- Pregnancy Safety: Cat C
- Known to cause fetal abnormalities
-
Epinephrine 1:10,000
Class
Sympathomimetic
-
Epi 1:10,000
Description
Naturally occurring catecholamine
-
Epi 1:10,000
Indications
- Cardiac arrest
- asystole
- Vfib
- pulseless Vtach
- PEA
- Severe anaphylaxis
-
Epi 1:10,000
Adverse reactions
- Palpitations
- Anxiety
- Dizziness
- Nausea/Vomiting
- Headache
- Tremulousness
-
Epi 1:10,000
Onset
< 2 min
-
Epi 1:10,000
Duration
5-10 min
-
Epi 1:10,000
Dosage: Arrest
1 mg IV q 3-5 min
-
Epi 1:10,000
Dosage: Peds
0.01 mg/kg
-
Epi 1:10,000
Special Considerations
Can be deactivated by sodium bicarb( IV line must be flushed between epi and alkaline solutions)
-
Vasopressin
Trade Name
Pitressin
-
Vasopressin
Class
Vasoconstrictor
-
Vasopressin
Description
Posses pressor and ADH properties
-
Vasopressin
Indications
Use to increase PVR during CPR, as an alternative to EPI
-
Vasopressin
Contraindicators
Don't use in patient with Chronic nephritis, Ischemic heart disease, PVCs advanced arteriosclerosis
-
Vasopressin
Adverse Reaction
- Blanching of skin
- Abdominal cramps
- Hypertension
- Bradycardia
- Minor dysrhythmias
-
Vasopressin
Dodage
- Adult: 40 U IVP
- Single use onlu
-
Vasopressin
Special Considerations:
- Use with caution:
- Epilepsy
- Migraines
- Asthma
- Heart Failure
- Angina
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