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Phenobarbitol (Luminal)
Class
Barbiturate
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Phenobarbitol (Luminal)
Action
- Supresses Spread of seizure activity through the motor cortex
- Central Nervous System Depressant
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Phenobarbitol (Luminal)
Indication
- Major motor seizures
- Status Epilepticus
- Acute Anxiety
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Phenobarbitol (Luminal)
Contraindication
Hypersensitivity to med
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Phenobarbitol (Luminal)
Precautions
- Respiratory depression
- Hypotension
- Can cause hyperactivity in children
- Extravasation may cause tissue necrosis
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Phenobarbitol (Luminal)
Side Effects
- Drowsiness
- Children may become hyperactive
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Phenobarbitol (Luminal)
Dosage
100-250 mg
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Phenobarbitol (Luminal)
Routes
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Phenobarbitol (Luminal)
Ped Dosage
10 mg/kg
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Dexamethasone (Decadron, Hexadrol)
Class
Steroid
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Dexamethasone (Decadron, Hexadrol)
Action
- Possibly Decreases cerebral edema
- Anti Inflammatory
- Suppresses immune response (especially in allergic reactions)
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Dexamethasone (Decadron, Hexadrol)
Indication
- Anaphylaxis (after epinephrine and diphenhydramine)
- Asthma
- COPD
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Dexamethasone (Decadron, Hexadrol)
Contraindication
None in emergency setting
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Dexamethasone (Decadron, Hexadrol)
Precautions
- Should be protected from the heat
- Onset of action may be 2-6 hours and thus should not be of use in the first critical first hour following an anaphylactic reaction
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Dexamethasone (Decadron, Hexadrol)
Side effects
- GI Bleeding
- Prolonged wound healing
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Dexamethasone (Decadron, Hexadrol)
Dosage
4-24 mg
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Dexamethasone (Decadron, Hexadrol)
Routes
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Dexamethasone (Decadron, Hexadrol)
Ped dose
0.2-0.5 mg /kg
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Hydrocortisone (Solu-Cortef)
Class
Steroid
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Hydrocortisone (Solu-Cortef)
Action
- Anti-inflammatory
- Suppresses immune response (especially in allergic and anaphylactic reaction
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Hydrocortisone (Solu-Cortef)
Indications
- Severe Anaphylaxis
- Asthma and chronic obstructive pulmonary disease
- Urticaria (hives)
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Hydrocortisone (Solu-Cortef)
Contraindications
None in the emergency setting
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Hydrocortisone (Solu-Cortef)
Precautions
- Must be reconstituted and used promptly
- Onset of action may be 2-6 hours and thus should not be of use in the first critical first hour following an anaphylactic reaction
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Hydrocortisone (Solu-Cortef)
side effects
- GI bleed
- prolonged wound healing
- suppression of natural steroids
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Hydrocortisone (Solu-Cortef)
Dosage
100-250 mg
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Hydrocortisone (Solu-Cortef)
route
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Hydrocortisone (Solu-Cortef)
ped dose
30 mg/kg
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