-
ACTION
binds and absorbs ingest toxins in gastrointestinal
activated charcoal
-
INDICATIONS
posions and medication overdose after stomach has been emptied or without vomiting
activated charcoal
-
CONTRAINDICATION
alc, unless admin by nasgastric tube and airway is protected by tube. cyanide, methanol, organophosphate toxicity
activated charcoal
-
REACTIONS
nausea, vomiting, abdominal cramping, constipation with black stools
activated charcoal
-
DOSAGES
adult=1g/kg mix with water
peds=1g/kg mix with water
activated charcoal
-
ACTIONS
parasympathetic agent binds to receptors and diminishes actions of acetylcholine
atropine
-
INDICATIONS
unstable bradycardia, PEA, organophospastic disorders
atropine
-
CONTRAINDICATIONS
tachycardia, myocardial ischemia, narrow angle glaucoma
atropine
-
REACTIONS
flushing, pupil dilation, dry mouth, tachycardia, nausea, vomiting
atropine
-
DOSAGE
adult=.03mg/kg IV, repeat 5-10 mins
peds=.05mg/kg IV, repeat 5-10 mins
max 3mg/kg
atropine
-
ACTIONS
blocks cellular histamine receptors, decreases vasodilation
benadryl
-
INDICATIONS
relief of allergies, allergic reactions, acute dystonia reactions, blood admin reactions
benadryl
-
CONTRAINDICATIONS
asthma, glaucoma, prego, hypertension, infants, pt taking monomine oxides inhibiters
benadryl
-
REACTIONS
sedation, hypotension, seizures, vomiting, urinary retention, palpitations, arrhythmias
benadryl
-
DOSAGE
adult=25-50mg IM IV PO
peds= 1-2mg/kg IV IO IM
given PO= 5mg/kg24hours
benadryl
-
ACTIONS
decrease conduction through AV node, slows HR
adenosine
-
INDICATIONS
SVT, wolff-parkinson-white syndrome
adenosine
-
CONTRAINDICATION
2nd and 3rd degree AV block, sick sinus syndrome, artail flutter, V-tach
adenosine
-
REACTIONS
flushing, shortness of breathe, chest pain, headache, paresthsia, diaphoresis, palpitations, hypotension, metallic taste
adenosine
-
DOSAGE
adult= 6ml rapid IV/followed by 20ml NS flush, repeat 2 mins, 12mg IV/20ml NS flush
peds=0.1-0.2mg/kg IV max= 12mg
adenosine
-
ACTIONS
decrease vent automaticity and raises vent fib threshold
lidocaine
-
INDICATIONS
Vtach and Vfib
lidocaine
-
CONTRAINDICATION
2nd and 3rd degree AV block, morbitz II, stokes- adams syndrome, vent dysrhythmias associated with tricyclic antidepressant overdose
lidocaine
-
REACTIONS
slurred speech, seizures, AMS, confusion, lightheadedness, blurred vision, bradycardia
lidocaine
-
DOSAGE
adult= 1-1.5mg/kg IV,repeat .5-.75mg/kg, 5-10 mins total of 3mg/kg. every 3mins for vent ectopy
peds=1mg/kg IV
lidocaine
-
ACTIONS
reverse respiratory depression secondary to depressant drugs, inhibits effect of morphine
narcan
-
INDICATIONS
opiate overdose, coma, agonist for: morphine, heroin, methadone, meperidine, paregoric, fentanyl, oxycodone, codeine
narcan
-
CONTRAINDICATIONS
narcotic dependent pt, neonates of narcotic dependent mothers
narcan
-
REACTIONS
withdrawal symptoms, tachycardia, hypertension, arrhythmias, diaphoresis
narcan
-
DOSAGE
adult= initial 2mg IV IM SC ET repeat 2-3mins, no response after 10mg its not a narcotic(fentanyl requires large does)
peds=.1mg/kg IV IM SC ET repeat .1mg/kg
narcan
-
ACTIONS
depresses CNS, produces sedation, relieves anxiety, causes lack of recall, relieves muscle spasms.
larazepam ativan
-
INDICATIONS
adjunct to seizure control
control violent pt
larazepam ativan
-
CONTRAINDICATIONS
narrow-angle glaucoma, coma, shock, suspected drug abuse
larazepam ativan
-
REACTIONS
respiratory depression, apnea, drowsiness, sedation, ataxia, psychomotor impairment, confusion, restlessness, hypotension, bradycardia
larazepam ativan
-
DOSAGES
adult=2-4mg slow IV at 2mg/min or IM, repeat 15-20 to max 8mg
larazepam ativan
-
ACTIONS
metabolic precursor to norepi. increase vascular resistance, dilate renal, increase myocardial contractility and stroke volume
dopamine
-
INDICATIONS
cardiogenic, septic, spinal shock, hypotension, low cardiac output states. distributive shock
dopamine
-
CONTRAINDICATIONS
hypovolemic shock, coma, tachyarrhythmias, V-fib
dopamine
-
REACTIONS
arrhythmias, hypertension, increased myocardial oxygen demand, mar cause tissue necrosis
dopamine
-
DOSAGES
adult=2-20mcg/kg/min max 20mcg
dopamine
-
ACTIONS
blocks sodium channels and myocardial potassium channels, vasodilator
amiodarone
-
INDICATIONS
V-fib/pulseless V-tach, SVT, instable V-tach in pt refractory to other therapy
amiodarone
-
CONTRAINDICATIONS
cardiogenic shock, sinus bradycardia, 2nd or 3rd degree AV block
amiodarone
-
REACTIONS
hypotension, bradycardia, fever, CHF, V-tach, nausea, abnormal liver function
amiodarone
-
DOSAGES
adult=VT/pulse and SVT:150mg IV in 50ml D5W over 10mins and repeat every 10mins.VF and pulseless VT:300mg IV
peds=VT/pulse and SVT:5mg/kg in 50 ml D5W IV over 20 mins. VF and pulseless VT: 5mg/kg IV
amiodarone
-
ACTIONS
inhibits CNS catecholamine receptors, strong antidopaminergic, weak anticholinergic, depresses subcurtical, mid brain, RAS
haldol
-
INDICATIONS
acute psychotic episodes
haldol
-
CONTRAINDICATIONS
agitation secondary to shock or hypoxia, parkinson, seizures disorders, coma, alcoholism, cocaine overdoses
haldol
-
REACTIONS
restlessness, spasms, parkinson like symptoms, drooling,dystonia, hypotension, blurred vision
haldol
-
DOSAGE
5-10mg IM every 30-60 mins.
peds not recommended
haldol
-
ACTIONS
prostaglandin inhibitor
blocks formation of thromboxane
aspirin
-
INDICATIONS
AMI to prevent further clotting
aspirin
-
CONTRAINDICATIONS
active GI ulcer or bleeding, hemophilia or bleeding disorders, prego, children younger than 2
aspirin
-
REACTIONS
heartburn, GI bleeding, prolonged bleeding, nausea and vomiting, wheezing in allergic pt
aspirin
-
DOSAGE
160mg(2 tablets)to 325 mg PO chewed if possible
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