Drugs

ACTION
binds and absorbs ingest toxins in gastrointestinal

INDICATIONS
posions and medication overdose after stomach has been emptied or without vomiting

CONTRAINDICATION
alc, unless admin by nasgastric tube and airway is protected by tube. cyanide, methanol, organophosphate toxicity

REACTIONS
nausea, vomiting, abdominal cramping, constipation with black stools

DOSAGES
adult=1g/kg mix with water
peds=1g/kg mix with water

ACTIONS
parasympathetic agent binds to receptors and diminishes actions of acetylcholine

INDICATIONS
unstable bradycardia, PEA, organophospastic disorders

CONTRAINDICATIONS
tachycardia, myocardial ischemia, narrow angle glaucoma

REACTIONS
flushing, pupil dilation, dry mouth, tachycardia, nausea, vomiting

DOSAGE
adult=.03mg/kg IV, repeat 5-10 mins
peds=.05mg/kg IV, repeat 5-10 mins
max 3mg/kg

ACTIONS
blocks cellular histamine receptors, decreases vasodilation

INDICATIONS
relief of allergies, allergic reactions, acute dystonia reactions, blood admin reactions

CONTRAINDICATIONS
asthma, glaucoma, prego, hypertension, infants, pt taking monomine oxides inhibiters

REACTIONS
sedation, hypotension, seizures, vomiting, urinary retention, palpitations, arrhythmias

DOSAGE
adult=25-50mg IM IV PO
peds= 1-2mg/kg IV IO IM
given PO= 5mg/kg24hours

ACTIONS
decrease conduction through AV node, slows HR

INDICATIONS
SVT, wolff-parkinson-white syndrome

CONTRAINDICATION
2nd and 3rd degree AV block, sick sinus syndrome, artail flutter, V-tach

REACTIONS
flushing, shortness of breathe, chest pain, headache, paresthsia, diaphoresis, palpitations, hypotension, metallic taste

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

ACTIONS
decrease vent automaticity and raises vent fib threshold

INDICATIONS
Vtach and Vfib

CONTRAINDICATION
2nd and 3rd degree AV block, morbitz II, stokes- adams syndrome, vent dysrhythmias associated with tricyclic antidepressant overdose

REACTIONS
slurred speech, seizures, AMS, confusion, lightheadedness, blurred vision, bradycardia

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

ACTIONS
reverse respiratory depression secondary to depressant drugs, inhibits effect of morphine

INDICATIONS
opiate overdose, coma, agonist for: morphine, heroin, methadone, meperidine, paregoric, fentanyl, oxycodone, codeine

CONTRAINDICATIONS
narcotic dependent pt, neonates of narcotic dependent mothers

REACTIONS
withdrawal symptoms, tachycardia, hypertension, arrhythmias, diaphoresis

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

ACTIONS
depresses CNS, produces sedation, relieves anxiety, causes lack of recall, relieves muscle spasms.

INDICATIONS
adjunct to seizure control
control violent pt

CONTRAINDICATIONS
narrow-angle glaucoma, coma, shock, suspected drug abuse

REACTIONS
respiratory depression, apnea, drowsiness, sedation, ataxia, psychomotor impairment, confusion, restlessness, hypotension, bradycardia

DOSAGES
adult=2-4mg slow IV at 2mg/min or IM, repeat 15-20 to max 8mg

ACTIONS
metabolic precursor to norepi. increase vascular resistance, dilate renal, increase myocardial contractility and stroke volume

INDICATIONS
cardiogenic, septic, spinal shock, hypotension, low cardiac output states. distributive shock

CONTRAINDICATIONS
hypovolemic shock, coma, tachyarrhythmias, V-fib

REACTIONS
arrhythmias, hypertension, increased myocardial oxygen demand, mar cause tissue necrosis

DOSAGES
adult=2-20mcg/kg/min max 20mcg

ACTIONS
blocks sodium channels and myocardial potassium channels, vasodilator

INDICATIONS
V-fib/pulseless V-tach, SVT, instable V-tach in pt refractory to other therapy

CONTRAINDICATIONS
cardiogenic shock, sinus bradycardia, 2nd or 3rd degree AV block

REACTIONS
hypotension, bradycardia, fever, CHF, V-tach, nausea, abnormal liver function

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

ACTIONS
inhibits CNS catecholamine receptors, strong antidopaminergic, weak anticholinergic, depresses subcurtical, mid brain, RAS

INDICATIONS
acute psychotic episodes

CONTRAINDICATIONS
agitation secondary to shock or hypoxia, parkinson, seizures disorders, coma, alcoholism, cocaine overdoses

REACTIONS
restlessness, spasms, parkinson like symptoms, drooling,dystonia, hypotension, blurred vision

DOSAGE
5-10mg IM every 30-60 mins.
peds not recommended

ACTIONS
prostaglandin inhibitor
blocks formation of thromboxane

INDICATIONS
AMI to prevent further clotting

CONTRAINDICATIONS
active GI ulcer or bleeding, hemophilia or bleeding disorders, prego, children younger than 2

REACTIONS
heartburn, GI bleeding, prolonged bleeding, nausea and vomiting, wheezing in allergic pt

DOSAGE
160mg(2 tablets)to 325 mg PO chewed if possible