-
Acetaminophen (Tylenol) Adverse effects
nausea, vomiting, abdominal pain, GI Bleeding
-
Acetaminophen (Tylenol) Class
Analgesic, anti-pyretic, anti-inflammatory
-
Acetaminophen (Tylenol) Action
inhibits prostaglandin
-
Acetaminophen (Tylenol) Indications
mild fever and pain
-
Acetaminophen (Tylenol) Contraindications
Known sensitivity, chronic alcoholism, liver/renal disease, pregnancy, anemia
-
Acetaminophen (Tylenol) Dose adults
650-1000mg PO
-
Acetaminophen (Tylenol) Dose peds
10-15mg/kg max 75mg/kg PO
-
Aspirin Adverse effects
Stomach irritation, nausea, vomiting, anaphylactic reaction
-
Aspirin Class
Analgesic, anti-pyretic, anti-inflammatory, anti-platelet
-
Aspirin Action
Prevents the chemical thromboxane A2,
-
Aspirin Indications
Chest pain that maybe cardiac origin
-
Aspirin Contraindications
Known sensitivity, GI bleeds, bleeding disorders, hemorrhagic stroke, peptic ulcers, children with flu like symptoms, children under 12 years old,
-
-
Lorazepam (Ativan) Adverse effects
Dizziness, drowsiness, orthostatic hypotension, blurred vision,
-
Lorazepam (Ativan) Class
short acting benzodiazepine
-
Lorazepam (Ativan) Action
Potentiates the actions of GABA
-
Lorazepam (Ativan) Indications
sedation, anxiety, status epilepticus
-
Lorazepam (Ativan) Contraindications
Known sensitivity to benzodiazepines and benzyl alcohol, pregnancy, closed angle glaucoma, COPD, sleep apnea
-
Lorazepam (Ativan) Dose adults
1-4mg over 2-5 minutes IV, IO
-
Lorazepam (Ativan) Dose peds
neonate 0.05mg/kg IV; children 0.1mg/kg max 4 mg IV, IO
-
Ipratropium bromide (Atrovent) Adverse effects
Anxiety, dizziness, headache, palpitations, nausea, vomiting, dry mouth, blurred vision
-
Ipratropium bromide (Atrovent) Class
Anti-cholinergic, bronchodilator
-
Ipratropium bromide (Atrovent) Action
Inhibits interaction of acetylcholine receptors on the bronchial smooth muscles causing bronchodilation.
-
Ipratropium bromide (Atrovent) Indications
breathing difficulty, COPD
-
Ipratropium bromide (Atrovent) Contraindications
Known sensitivity to atropine, bromide, soybean or peanuts
-
Ipratropium bromide (Atrovent) Dose adults
0.5mg nebulizer
-
Albuterol (Proventil, ventolin) Adverse effects
Tremors, anxiety, restlessness, tachycardia
-
Ipratropium bromide (Atrovent) Dose peds
5-14 years 0.25-0.5mg every 20 min. Max.3 doses nebulizer
-
Albuterol (Proventil, ventolin) Class
Sympathomimetic, bronchodilator, beta 2 agonist
-
Albuterol(Proventil, ventolin) Action
binds to the beta 2 receptors which relaxes smooth muscles causing bronchodilation
-
Albuterol (Proventil, ventolin) Indications
asthma, acute bronchospasm, bronchitis, emphysema
-
Albuterol (Proventil, ventolin) Contraindications
Known sensitivity, severe cardiac disease, heart block, tachycardia dysrhythmias
-
Albuterol (Proventil, ventolin) Dose adults
2.5mg max 3 doses Nebulizer
-
Adenosine (Adenocard) Adverse effects
lightheadedness, dizziness, tingling, numbness, chest pressure or pain, hypotension, headache
-
Albuterol (Proventil, ventolin) Dose peds
older than 12: 0.5mg/kg/hr Younger than 12: 0.15mg/kg or 0.5mg/kg/hr Nebulizer
-
Adenosine (Adenocard) Class
Antidysrhythmic
-
Adenosine (Adenocard) Action
slows the impulses at the AV node
-
Adenosine (Adenocard) Indications
SVT
-
Adenosine (Adenocard) Contraindications
Known sensitivity, sick sinus syndrome, second and third degree heart block,
-
Adenosine (Adenocard) Dose adults
6mg repeat 12 mg IV followed by 10cc rapid flush
-
Adenosine (Adenocard) Dose peds
above 50kg use adult; under 50kg 0.1mg/kg repeat 0.2 mg/kg IV followed by 10cc rapid flush
-
Atropine Sulfate Adverse effects
Dry mouth, hot skin temperature, facial flushing, dilated pupils, photophobia, restlessness, tachycardia, paradoxical bradycardia
-
Atropine Sulfate Class
Anti- cholinergic parasympatholytic, anti-muscarinic, Antidysrhythmic
-
Atropine Sulfate Action
Blocks acetylcholine at the muscarinic receptors sites (blocks the vagal stimulation)
-
Atropine Sulfate Indications
Symptomatic bradycardia, organophosphate poisoning
-
Atropine Sulfate Contraindications
Known sensitivity to belladonna alkaloids, closed angle glaucoma, Acute MI, myasthenia gravis, GI obstruction
-
Atropine Sulfate Dose adults Brady:
0.5mg 3-5 minutes max 3 mg poisoning: 2-6 mg IV, IO
-
Atropine Sulfate Dose peds
- Adol: 0.02 mg/kg min.0.1 mg/kg max.1mg/dose total 2mg
- Peds: 0.02 mg/kg min.0.1 mg/kg max. 0.5 mg/dose total 1 mg IV, IO
- Poisoning 0.05 mg/kg every 10 min. IV, IO
-
Activated Charcoal Adverse effects
Nausea, vomiting, diarrhea, constipation
-
Activated Charcoal Class
Absorbent
-
Activated Charcoal Action
Absorbs certain toxins
-
Activated Charcoal Indications
Toxic ingestion
-
Activated Charcoal Contraindications
Coma, GI obstruction, ingestions of acids, bases, Cyanide, lithium, Methanol, Ethanol,
-
Activated Charcoal Dose:
1 g/kg PO
-
Amiodarone (Cordarone) Adverse
Headache, dizziness, tremors, hypotension, bradycardia, nausea, vomiting.
-
Amiodarone (Cordarone) Class
Antidysrhythmic
-
Amiodarone (Cordarone) Action
Prolongs duration of action potential and effective refractory period
-
Amiodarone (Cordarone) Indications
Ventricular arrhythmias, second line agent for atrial arrhythmias
-
Amiodarone (Cordarone) Contraindications
Known sensitivity, pregnancy, neonates, infants, cardiogenic shock.
-
Amiodarone (Cordarone) Dose adults
Pulseless: 300mg repeat 3-5 min 150mg; Pulse: 150 in 100 mL over 10 minutes IV, IO
-
Amiodarone Dose peds Pulseless
5 mg/kg (max. 300mg) R 3-5mins max 15 mg/kg Pulse: 5 mg/kg (max.300mg) repeat 10-60 min. max 15 mg/kg IV, IO
-
Diphenhydramine Hydrochloride (Benadryl) Adverse effects
dizziness, drowsiness, hypotension, palpations, nausea, increased thick secretions, wheezing, chest tightness, blurred vision.
-
Diphenhydramine Hydrochloride (Benadryl) Class
Antihistamine
-
Diphenhydramine Hydrochloride (Benadryl) Action
H1 receptor antagonist
-
Diphenhydramine Hydrochloride (Benadryl) Indications
allergic reactions
-
Diphenhydramine Hydrochloride (Benadryl) Contraindications
Known sensitivity, acute asthma attack, lower respiratory tract disease, neonates.
-
Diphenhydramine Hydrochloride (Benadryl) Dose adults
older than 12 years 25-50mg IV, IO, IM
-
Diphenhydramine Hydrochloride (Benadryl) Dose peds
1-1.25 mg/kg IV, IO, IM
-
Calcium Chloride Adverse effects
hypotension, bradycardia, nausea, vomiting, constipation.
-
Calcium Chloride Class
Electrolyte
-
Calcium Chloride Action
needed for maintenance of nervous, muscular, skeletal function, cardiac contractility, and blood coagulation.
-
Calcium Chloride Indications
Hypocalcemia, hypomagnesaemia, calcium blocker overdose
-
Calcium Chloride Contraindications
Hypercalcemia, digoxin toxicity, ventricular fibrillation.
-
Calcium Chloride Dose adults
500-1000mg over 10-15min. IV, IO
-
Calcium Chloride Dose peds
10-20 mg/kg IV, IO
-
Dextrose Adverse effects
Hyperglycemia, hypertension, nausea, necrosis at injection site
-
Dextrose Class
Carbohydrate
-
Dextrose Action
Increases the blood glucose levels
-
Dextrose Indications
Hypoglycemia
-
Dextrose Contraindications
Hyperglycemia, delirium tremens, intracranial and intraspinal hemorrhage
-
Dextrose Dose adults
10-25g IV, IO
-
Dextrose Dose peds
above 2 years 2mL/kg D50; less 2 years 2-4mL D10 IV, IO
-
Dopamine (Intropin) Adverse effects
headache, anxiety, palpations, tachycardia, hypertension, soft tissue necrosis, angina,
-
Dopamine (Intropin) Class
Adrenergic
-
Dopamine(Intropin) Action
Act on beta 1 and alpha receptors causing increased cardiac output and vasoconstriction
-
Dopamine (Intropin) Indications
Hypotension after ROSC, Hypotension with the heart rate does not need to be increased, Symptomatic bradycardia when atropine has no effect
-
Dopamine (Intropin) Contraindications
Ventricular fibrillation, tachydysrhythmias, pheochromocytoma, hypovolemia.
-
Dopamine (Intropin) Dose
Cardiac; 5-10mcg/kg/min IV, IO Vasopressor; 10-20mcg/kg/min IV, IO
-
Epinephrine 1:1,000 Adverse effects
Tremors, anxiety, headache, palpations, tachycardia, hypertension, dysrhythmias, nausea, vomiting.
-
Epinephrine 1:1,000 Class
sympathomimetic
-
Epinephrine 1:1,000 Action
Stimulates the sympathic nervous system causing an increase heart rate, blood pressure, and bronchodilation.
-
Epinephrine 1:1,000 Indications
Anaphylaxis, Bradycardia, acute bronchospasm
-
Epinephrine 1:1,000 Contraindications
Closed angle glaucoma, nonanaphylactic shock, but none in an emergency
-
Epinephrine 1:1,000 Dose adults
0.3-0.5 mg IM/Sub Q Brady; 1mcg/min IV infusion
-
Epinephrine 1:1,000 Dose peds
0.01mg/kg max 0.5mg IM/Sub Q Brady; 1mcg/min IV infusion
-
Epinephrine 1:10,000 Adverse effects
Tremors, anxiety, headache, palpations, tachycardia, hypertension, dysrhythmias, nausea, vomiting.
-
Epinephrine 1:10,000 Class
sympathomimetic
-
Epinephrine 1:10,000 Action
Stimulates the sympathic nervous system causing an increase heart rate, blood pressure, and bronchodilation
-
Epinephrine 1:10,000 Indications
Cardiac arrest
-
Epinephrine 1:10,000 Contraindications
none in an emergency
-
Epinephrine 1:10,000 Dose adults
Arrest; 1mg repeat every 3-5min. IV, IO
-
Epinephrine 1:10,000 Dose peds
Arrest 0.01mg/kg repeat 3-5 minutes 0.01mg/kg repeat 3-5min IV, IO
-
Etomidate (Amidate) Adverse effects
Bradycardia, hypotension, nausea, vomiting, abdominal cramping, injection site reaction, cough, hiccups, apnea. laryngospasm.
-
Etomidate (Amidate) Class
anesthetic
-
Etomidate (Amidate) Action
unknown
-
Etomidate (Amidate) Indications
Induction of general anesthesia
-
Etomidate (Amidate) Contraindications
Known sensitivity, labor/delivery
-
Etomidate (Amidate) Dose
above 10 years 0.2-0.6 mg/kg slowly IV
-
Fentanyl Citrate (Sublimaze) Adverse effects
Dizziness, delirium, sedation, hypo or hypertension, nausea, vomiting, respiratory depression or arrest, muscle rigidity
-
Fentanyl Citrate (Sublimaze) Class
Opioid analgesic
-
Fentanyl Citrate (Sublimaze) Action
Binds the opioid receptors
-
Fentanyl Citrate (Sublimaze) Indications
Pain
-
Fentanyl Citrate (Sublimaze) Contraindications
Known sensitivity to opioids, myasthenia gravis,
-
Fentanyl Citrate (Sublimaze) Dose adults
older than 12 years 0.5-1 mcg/kg/dose IM or slow IV, IO
-
Fentanyl Citrate (Sublimaze) Dose peds
under 12 years 1-2 mcg/kg/dose IM or slow IV, IO
-
Furosemide (Lasix) Adverse effects
Orthostatic hypotension, polyuria, vertigo, cramps
-
Furosemide (Lasix) Class
loop diuretic
-
Furosemide (Lasix) Action
Inhibits the reabsorption of sodium and chloride at the distal and proximal tubule and in the loop of henle.
-
Furosemide (Lasix) Indications
Hypertension emergencies, Pulmonary Edema, CHF
-
Furosemide (Lasix) Contraindications
Known sensitivity, hypovolemia, renal impairment
-
Furosemide (Lasix) Dose adults
40-80mg IV, IO
-
Furosemide (Lasix) Dose peds
1 mg/kg IV, IO, IM
-
Glucagon Adverse effects
Nausea, vomiting, hypotension, rebound hyperglycemia, sinus tachycardia
-
Glucagon Class
Pancreatic hormone
-
Glucagon Action
converts glycogen into glucose
-
Glucagon Indications
Hypoglycemia, beta blocker over dose
-
Glucagon Contraindications
Known sensitivity, insulinoma, pheochromocytoma
-
Glucagon Dose adult
Hypoglycemia; 1mg IV, IO, IM, SubQ Beta blocker OD 2-5mg IV, IO over 1 minute
-
Glucagon Dose peds
under 20kg 0.5mg IV, IO, IM, SubQ
-
Haloperidol (Haldol) Adverse effects
Tardive dyskinesia, drowsiness, headache, orthostatic hypotension, dry mouth, nausea, vomiting,
-
Haloperidol (Haldol) Class
Anti-psychotic
-
Haloperidol (Haldol) Action
Blocks postsynaptic dopamine receptors
-
Haloperidol (Haldol) Indications
psychotic episodes, agitation
-
Haloperidol (Haldol) Contraindications
Known sensitivity, depressed mental status, Parkinsons disease
-
Haloperidol (Haldol) Dose adults
mild 0.5-2mg, Mod. 5-10 mg, severe 10mg OP/IM
-
Hydroxocobalamin Adverse effects
Hypertension, anaphylaxis, headache, red colored urine, nausea, injections site reaction, photophobia.
-
Hydroxocobalamin Class
Vitamin/Antidote
-
Hydroxocobalamin Indications
cyanide poisoning
-
Hydroxocobalamin Contraindications
Known sensitivity
-
Hydroxocobalamin Dose adults
5g over 10 min max 10 g IV, IO
-
Hydroxocobalamin Dose peds
70 mg/kg IV, IO
-
Lidocaine (Xylocaine) Adverse effects
Headache, dizziness, seizures, hypotension, bradycardia
-
Lidocaine (Xylocaine) Class
Antidysrhythmic
-
Lidocaine (Xylocaine) Action
blocks the sodium channels and increases the action potential
-
Lidocaine (Xylocaine) Indications
Ventricular arrhythmias when Amiodarone is not available
-
Lidocaine (Xylocaine) Contraindications
Known sensitivity to amides, heart block, supraventricular dysrhythmias, Adam-stokes syndrome, Wolf-Parkinson-white syndrome.
-
Lidocaine (Xylocaine) Dose
1 mg/kg max 3 mg/kg IV, IO
-
Lidocaine (Xylocaine) Infusion adult
1-4mg/min IV, IO
-
Lidocaine (Xylocaine) Infusion peds
20-50mcg/kg/min IV, IO
-
Magnesium Sulfate Adverse effects
Nausea, vomiting, cramps
-
Magnesium Sulfate Class
Electrolyte/ anticonvulsant
-
Magnesium Sulfate Action
Blocks peripheral neuromuscular transmission and a peripheral vasodilator
-
Magnesium Sulfate Indications
Torsades de pointes, preeclampsia, eclampsia, status asthmaticus
-
Magnesium Sulfate Contraindications
AV block, GI obstruction
-
Magnesium Sulfate Dose adults
torsade or arrhythmias 1-2g in 50-100mL DW5 over 5-60 min. IV,IO
-
Magnesium Sulfate Dose peds
25-50mg/kg over 10-20 min IV,IO
-
Meperidine (Demerol) Adverse effects
Drowsiness, dizziness, headache, sedation, respiratory depression
-
Meperidine (Demerol) Class
Opioid analgesic
-
Meperidine (Demerol) Action
Binds to the opioid receptors
-
Meperidine (Demerol) Indications
Pain
-
Meperidine (Demerol) Contraindications
Known sensitivity to opioids
-
Meperidine (Demerol) Dose adults
50-150mg slowly PO/IM/Sub Q
-
Meperidine (Demerol) Dose peds
1-2mg/kg slowly PO/IM/Sub Q
-
Morphine Sulfate Adverse effects
Drowsiness, dizziness, headache, sedation, respiratory depression
-
Morphine Sulfate Class
Opioid analgesic
-
Morphine Sulfate Action
Binds to the opioid receptors
-
Morphine Sulfate Indications
Pain
-
Morphine Sulfate Contraindications
Known sensitivity to opioids, shock, hypovolemia, head trauma
-
Morphine Sulfate Dose adults
2-15mg IV, IO, IM, SubQ
-
Morphine Sulfate Dose peds
0.2mg/kg IV, IO, IM, SubQ
-
Midazolam (Versed) Adverse effects
Hypotension, tachycardia, nausea, vomiting, respiratory depression hiccups, laryngospasm.
-
Midazolam (Versed) Class
short acting benzodiazepine
-
Midazolam (Versed) Action
Binds to benzodiazepine receptors producing GABA effects
-
Midazolam (Versed) Indications
seizures, sedation, anxiety
-
Midazolam (Versed) Contraindications
Known sensitivity
-
Midazolam (Versed) Dose adults
1-2mg max 5mg, elderly or chronically ill 1-1.5mg max 3.5 IV, IO
-
Midazolam (Versed) Dose peds
above two months 0.15mg/kg IV, IO
-
Naloxone (Narcan) Adverse effects
Narcotic withdraw, combativeness, tachycardia, nausea, vomiting, seizures
-
Naloxone (Narcan) Class
Opioid agonist
-
Naloxone (Narcan) Action
Binds and blocks the opioid receptors
-
Naloxone (Narcan) Indications
Narcotic overdose
-
Naloxone (Narcan) Contraindications
Known sensitivity
-
Naloxone (Narcan) Dose adults
0.4-2mg may repeat 1/3-2/3 original dose IV, IO, intranasally
-
Naloxone (Narcan) Dose peds
under 5 or 20kg 0.1mg/kg IV, IO, intranasally
-
Nitroglycerin Adverse effects
Headache, hypotension, dizziness, flushing, cardio vascular collapse
-
Nitroglycerin Class
Nitrate/Vasodilator
-
Nitroglycerin Action
Causes the vascular smooth muscles to dilate
-
Nitroglycerin Indications
Angina, hypertension emergency, CHF, Acute MI
-
Nitroglycerin Contraindications
Known sensitivity, increased intracranial pressure, erectile dysfunction medications.
-
Nitroglycerin Dose adults
0.4mg every 5 min. max of 3 doses Sublingual IV bolus: 12.5-25 mcg
-
Nitroglycerin Infusion:
5 mcg/min titrate to B/P
-
Nitroglycerin Infusion peds
0.25-0.5mcg/kg/min
-
Oxytocin (Pitocin) Adverse effects
Seizures, hypo or hypertension, bradycardia or tachycardia, dysrhythmias, nausea, vomiting
-
Oxytocin (Pitocin) Class
Pituitary hormone
-
Oxytocin (Pitocin) Action
Causes uterine smooth to contract
-
Oxytocin (Pitocin) Indications
Postpartum hemorrhage
-
Oxytocin (Pitocin) Contraindications
Known sensitivity, second fetus, hypertonic uterus,
-
Oxytocin (Pitocin) Dose
3-10 units IM after placenta delivery
-
Promethazine (Phenergan) Adverse effects
Sedation, dizziness, allergic reaction, drowsiness, nausea, vomiting, dysrhythmias
-
Promethazine (Phenergan) Class
anti-emetic/antihistamine
-
Promethazine (Phenergan) Action
Competes with H1 receptors
-
Promethazine (Phenergan) Indications
Nausea, vomiting, allergic reactions
-
Promethazine (Phenergan) Contraindications
Known sensitivity, breastfeeding, coma, jaundice, Reye`s syndrome, bone marrow suppression
-
Promethazine (Phenergan) Dose adults
12.5-25 mg IV
-
Phenylephrine (Neo-synephrine) Adverse effects
Headache, anxiety, tremors, dizziness, palpations, tachycardia, hypertension, angina, nausea, vomiting, tissue necrosis.
-
Phenylephrine (Neo-synephrine) Class
Adrenergic
-
Phenylephrine (Neo-synephrine) Action
Alpha 1 agonist causing vasoconstriction
-
Phenylephrine (Neo-synephrine) Indications
spinal and neurogenic shock, hypotension
-
Phenylephrine (Neo-synephrine) Contraindications
Known sensitivity, ventricular fibrillation, tachycardia dysrhythmias, pheochromocytoma, closed angle glaucoma, severe hypertension
-
Phenylephrine (Neo-synephrine) Dose adults
hypotension 2-5mg SubQ, IM 0.1-0.5mg IV shock: 100-180 mcg/min IV
-
Phenylephrine (Neo-synephrine) Dose peds
Hypotension: 0.1mg/kg/dose SubQ, IM shock: 5-20mcg/kg followed by 0.1-0.5 mcg/kg/min IV
-
Propofol (Diprivan) Adverse effects
Bradycardia, hypotension, nausea, vomiting, abdominal cramping, injection site reaction, cough, hiccups.
-
Propofol (Diprivan) Class
anesthetic
-
Propofol (Diprivan) Action
Produces GABA like effects
-
Propofol (Diprivan) Indications
Anesthesia
-
Propofol (Diprivan) Contraindications
Known sensitivity to Propofol, soybean oil, eggs, benzyl alcohol.
-
Propofol (Diprivan) Dose adults
40 mg over 10 seconds maintenance infusion: 100-200mcg/kg/min IV
-
Rocuronium (Zemuron) Adverse effects
Apena, respiratory depression, brady or tachycardia, nausea, vomiting, edema.
-
Propofol (Diprivan) Dose peds
2.5-3.5mg/kg over 30 seconds 125-300mcg/kg/min IV
-
Rocuronium (Zemuron) Class
Neuromuscular blocker
-
Rocuronium (Zemuron)Action
Inhibits transmission of nerve impulses by binding with cholinergic receptors sites
-
Rocuronium (Zemuron) Indications
Muscle relaxation, general anesthesia
-
Rocuronium (Zemuron) Contraindications
Known sensitivity
-
Rocuronium (Zemuron) Dose adults
0.6-1.2mg/kg IV
-
Rocuronium (Zemuron) Dose peds
older than 3 months 0.6mg/kg IV
-
Sodium Bicarbonate Adverse effects
Metabolic alkalosis, muscle twitching, headache, irregular pulse.
-
Sodium Bicarbonate Class
alkalinizer
-
Sodium Bicarbonate Action
neutralizes acidosis
-
Sodium Bicarbonate Indications
Metabolic acidosis
-
Sodium Bicarbonate Contraindications
Metabolic alkalosis
-
Sodium Bicarbonate Dose
1 mEq/kg repeat 0.5 mEq/kg IV
-
Succinylcholine (Anectine) Adverse effects
Apena, respiratory depression, brady or tachycardia, nausea, vomiting, edema.
-
Succinylcholine (Anectine) Class
neuromuscular blocker
-
Succinylcholine (Anectine) Action
Inhibits transmission of nerve impulses by binding with cholinergic receptors sites
-
Succinylcholine (Anectine) Indications
Muscle relaxation, general anesthesia
-
Succinylcholine (Anectine) Contraindications
Known sensitivity, malignant hyperthermia, trauma
-
Succinylcholine (Anectine) Dose adults
0.3-1mg/kg max 150mg IV; maintenance 0.04-0.07mg/kg 5-10 minutes as needed
-
Succinylcholine (Anectine) Dose peds
1mg/kg small children/infants 2mg/kg max 150mg IV; maintenance not recommended
-
Alteplase (TPA) Adverse effects
irregular heart rate, bradycardia, tachycardia, blood in urine or stool, nose bleed, coughing up blood, bleeding around IV site
-
Alteplase (TPA) Class
Thrombolytic enzyme
-
Alteplase (TPA) Action
produces fibrin conversion of plasminogen to plasmin
-
Alteplase (TPA) Indications
Acute Myocardium infarction
-
Alteplase (TPA) Contraindications
Known sensitivity, active internal bleeding, history of CVA, known bleeding diathesis, severe uncontrolled hypertension, intracranial or intraspinal surgery or trauma within two months, intracranial neoplasm, ateriovenous malformation, or aneurysm
-
Alteplase (TPA) Dose under 60 kg
30 mg in 6 mL IV over five seconds
-
Alteplase (TPA) Dose 60-70 kg
35 mg in 7mL IV over five seconds
-
Alteplase (TPA) Dose 70-80 kg
40mg in 8 mL IV over five seconds
-
Alteplase (TPA) Dose80-90 kg
45 mg in 9 mL IV over five seconds
-
Alteplase (TPA) Dose Above 90 kg
50mg in 10 mL IV over five seconds
-
Vasopressin Adverse effects
Cardiac ischemia, angina
-
Vasopressin Class
hormone
-
Vasopressin Action
Causes vasoconstriction independent of the adrenergic
-
Vasopressin Indications
Asystole, PEA, adult shock refractory VF or pulseless VT, vasodilatory shock
-
Vasopressin Contraindications
Responsive patients with cardiac disease
-
Vasopressin Dose
40 units IV, IO.
-
Vecuronium (Norcuron) Adverse effects
Hypotension, apnea, tachycardia, flushing.
-
Vecuronium (Norcuron) Class
non depolarizing neuromuscular blocker
-
Vecuronium (Norcuron) Action
Inhibits transmission of nerve impulses by binding with cholinergic receptors sites
-
Vecuronium (Norcuron) Indications
Muscle relaxation, general anesthesia
-
Vecuronium (Norcuron) Contraindications
Known sensitivity
-
Vecuronium (Norcuron) Dose adults
.08-0.1mg/kg IV, IO
-
Vecuronium (Norcuron) Dose peds
Less than 1 years 0.1mg/kg
-
Ondansetron (Zofran) Adverse effects
Muscle pain, headache, dizziness, drowsiness
-
Ondansetron (Zofran) Class
anti-emetic
-
Ondansetron (Zofran) Action
Binds the serotonin receptors
-
Ondansetron (Zofran) Indications
Nausea
-
Ondansetron (Zofran) Contraindications
Known sensitivity, GI obstruction
-
Ondansetron (Zofran) Dose adults
4-8 mg max of 16 mg IV, IM, PO
-
Ondansetron (Zofran) Dose peds
2-12 years 0.1mg/kg IV, IM, PO
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