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Epinephrine (Respiratory)
Stimulates alpha 1, beta 1, and beta 2 adrenergic receptors in dose related fashion.
- Bronchial Asthma,
- Acute Allergic Reaction,
- Anaphylaxis
0.3-0.5 mg SQ
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Albuteral
Relaxes smooth muscles of the bronchial tree by stimulating adrenergic receptors of the sympathetic nervious system
2.5 mg Nebulized
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Ipratropium Bromide (Atrovent)
Inhibits interaction of acetylcholine at cholinergic receptors on bronchial smooth muscle in the lung
Relief of bronchospasm due to COPD & obstructive airway disease
0.5 mg Nebulized
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Diphenhydramine (Benadryl)
Prevents the actions of histamine by preventing histamines from reaching H1 receptor sites, and for reversing extrapyramidal reactions (EPS)
- Allergic Reactions,
- Anaphylaxis,
- Acute EPS
25-50 mg IVP, IM
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Methylprednisolone
Suppresses acute & chronic inflammation
- Anaphylaxis,
- Bronchodilator for unresponsive asthma
125 mg IVP
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Midazolam (Versed)
Binds to benzodiazepine receptors; enhances GABA effects.
To produce amnesia for RSI, Nasotracheal Intubation, & synchronized cardioversion
2.5 mg slow IVP over 2 minutes, may repeated every 2 minutes if necessary
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Etomidate
Creates an ultra-short-acting sedative/hypnotic effect
- RSI,
- Conscious sedation for cardioversion
0.1-0.3 mg/kg IV over 30-60 seconds
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Succinylcholine
Inhibits nerve impulse transmissions by binding the receptors for acetylcholine in the motor endplate. Depolarizing occurs which is evident with fasciculation.
To facilitate intubation of a live patient
1 mg/kg IVP over 10-30 seconds
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Vecuronium
Inhibits nerve impulse transmissions by binding the receptors for acetylcholine in the motor endplate
Induction or maintenance of paralysis after intubation to assist ventilations
- 0.1 mg/kg IV
- 0.01 mg/kg non-depolarizing dose
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Morphine Sulfate
Binds to opiod receptors, producing analgesia & sedation. Increases peripheral venous capacitance & decreases venous return. Decreases myocardial oxygen demand.
- Moderate to severe pain,
- Pulmonary edema
2-4 mg slow IVP
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Hydromorphone
Inhibits ascending pain pathways in CNS, increases pain threshold, alters pain perception.
Moderate to severe pain
1-2 mg IV given over 2-3 minutes
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Fentanyl
Inhibits ascending pain pathways in CNS, increases pain threshold, alters pain perception.
Moderate to severe pain
25-100 mcg IV
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Furosemide
Inhibits loop of Henle. Sodium resorption.
- Pulmonary edema,
- Congestive heart failure
40 mg slow IVP - 10 mg/minute
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Nitroglycerine
Dilation of arterioles and veins in the periphery. Decreases workload of the heart and lowers myocardial oxygen demand.
- Ischemic chest pain,
- Congestive heart failure
0.4 mg SL
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Aspirin
Inhibits platelet aggregation.
Chest pain associated with myocardial infarction
81-324 mg PO
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Vasopressin
Vasoconstriction and increase blood flow to the brain and heart during CPR.
Anytime CPR is being done
40 U IVP
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