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Alupent (metaproterenol)
- Classification:Beta 2 Selective sympathomimetic
- Mech of Action:Bronchodilation
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Alupent (metaproterenol)
indication/contra
- Indications:•Bronchoconstriction •Asthma
- Contraindications:Tachycardias or significant dysrhythmias
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Alupent (metaproterenol)
side effects
- Side Effects:•Palpitations Anxiety, Headache, n/V, dizzy, tremors
- some increase in HR
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Alupent (metaproterenol)
dosage
- Adult Dose:0.2 to 0.3 mL nebulized
- Ped Dose:0.05-0.3mL in 4mL soln nebulized
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Atropine
- Classification:Parasympatholytic (anticholinergic)
- Mech of Action:Blocks parasymp tone
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Atropine
contra/indications
- Indications:Bradycardia •Hypoten due to HR •Bronchoconstriction •Organophosphates
- Contraindications:•None
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Atropine
Side Effects
- Side Effects:•Tachycardia •Headache, Dizzy •Anxiety, dry mouth, Pupillary dilation
- Notes:Vitals must be monitored
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Atropine
dosage
- Adult Dose:0.5 mg (max 0.04mg/kg) 2-5 mg in OGPh
- Ped Dose:0.02 mg/kg w/ 0.1 mg minimum
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Atrovent (Ipratropium)
- Classification:Parasympatholytic (anticholinergic)
- Mech of Action:Blocks parasymp tone
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Atrovent (Ipratropium)
contra/indications
- Contraindications:None
- Indications:•Broncoconstriction
-
Atrovent (Ipratropium)
side effects
Side Effects:•Tachycardia •Headache, Dizzy •Anxiety, dry mouth, Pupillary dilation
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Atrovent (Ipratropium)
dose
Adult Dose:500 mcg nebulized
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Dobutamine (Dobutrex)
- Classification:Sympathomimetic
- Mech of Action:Increase cardiac contractility
-
Dobutamine (Dobutrex)
contra/indications
- Contraindications:Pt. without adequate heart rate
- Indications:•Short term Mgt of CHF
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Dobutamine (Dobutrex)
side effects
Side Effects:•Headache •HTN •Palpitations
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Dobutamine (Dobutrex)
dose
- Ped Dose:2-20 mcg/kg/min
- Adult Dose:2.5-20 mcg/kg/min
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Dopamine (Intropin)
- Classification:Sympathomimetic
- Mech of Action:Increase vasoconstriction
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Dopamine (Intropin)
contra/indications
- Contraindications:Hypovolemia
- Indications:•Cardiogenic or Vasogenic Shock
-
Dopamine (Intropin)
side effects
Side Effects:•Arrythmias •HTN •Palpitations
-
Dopamine (Intropin)
Dose
- Adult Dose:2-20 mcg/kg/min
- Ped Dose:2-20 mcg/kg/min
Notes:2-5 mcg mesenteric 5-10 mcg cardiac 10-20 mcg vasogenic
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Drug: Epinephrine 1:1000
- Classification:Sympathomimetic
- Mech of Action:Bronchodilation
-
Epinephrine 1:1000
contra/indications
- Indications::•Bronchial asthma •Allergic Rxn •Exacerbation of COPD
- Contraindications: Pt. w/ underlying cardio disease
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Epinephrine 1:1000
side effects
- Side Effects:•Palpitations,
- •anxiousness •Tremor
-
Epinephrine 1:1000
dose
- Adult Dose:0.3-0.5mg Sub Q
- Ped Dose: 0.01 mg/kg up to 0.3 mg
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Epinephrine 1:10,000
- Classification:Sympathomimetic
- Mech of Action:HR, B/P, automaticity
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Epinephrine 1:10,000
contra/indications
- Indications:Cardiac Arrest Anaphylaxis
- no contra
-
Epinephrine 1:10,000
dose
- Adult Dose:Arrest: 0.5-1 mg IVP 0.3-0,5 mg
- peds: na
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Epinephrine 1:10,000
side effects
Side Effects:Palpitations, anxiousness Tremor
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Isoproternol (Isuprel)
- Classification:Mech of Action:Sympathomimetic
- Mech of Action: HR, B/P, automaticity
-
Isoproternol (Isuprel)
contra/indications
- Indications:Bradycardias secondary to atropine Asthma
- Contraindications: Not for cardiogenic shock
-
Isoproternol (Isuprel)
dose
- Adult Dose:2-10 mcg/min
- Ped Dose: 0.1 mcg/kg/min
-
Isoproternol (Isuprel)
side effects
Side Effects:Palpitations, anxiousness Tremor
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Racemic Epinephrine (microNEFRIN)
- Classification:Sympathomimetic
- Mech of Action: HR, B/P, automaticity
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Racemic Epinephrine (microNEFRIN)
contra/indications
- Indications:Croup
- Contraindications:Epiglottitis
-
Racemic Epinephrine (microNEFRIN)
dosage
- Ped Dose:0.25-0.75 mL of 2.24 soln in 2.0 ns Inhaled
- adult na
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Racemic Epinephrine (microNEFRIN)
side effects
Side Effects:Palpitations, anxiousness Tremor
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