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NAME/CLASS: Decadron/steroid DES: long-acting synthetic adrenocorticoid w/ intense anti-inflammatory activity. prevents accumulation of inflammation generating cells at sites of infection or injury. IND: 1)anaphylaxis 2)asthma 3)COPD 4)spinal cord edema CI: none in the emergency setting PC: 1)herpes simplex 2)keratitis 3)myasthenia gravis 4)hepatic or renal impairment 5)diabetes 6)CHF 7)seizures 8)psychic disorders 9)hypothyroidism 10)GI ulceration DOSE: 4-24 mg IV/IM Ped: 0.5-1.0 mg/kg
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NAME/CLASS: Toradol/nonsteroidal antiinflammatory drug (NSAID) DES: injectable NSAID that exhibits analgesic, antiinflammatory, and antipyretic properties w/out sedative effects. IND: Mild or moderate pain. CI: n/a PC: n/a DOSE: n/a
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NAME/CLASS: Osmitrol/osmotic diuretic DES: osmotic diuretic that draws water into the intravascular space through its hypertonic effects, then causes diuresis. IND: Cerebral edema. CI: n/a PC: n/a DOSE: 1.5-2.0 g/kg slow IV Ped: 0.25-0.5 g/kg over 60 min
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NAME/CLASS: GlucaGen/hormone, anti-hypoglycemic DES: protein secreted by pancreatic cells that causes a breakdown of stored glycogen into glucose IND: hypoglycemia w/out IV access & to reverse beta-blocker overdose CI: n/a PC: effective only if there are sufficient stores of glycogen in the liver DOSE: hypoglycemia: 1 mg IM/SC repeat 5-20 min Ped: 0.1 mg/kg 1 m/SC/IV child < 10kg; 1 mg/kg 1 m/SC/IV for child > 10 kg Beta-blocker overdose / Calcium Channel Blocker OD: 3mg IV over 1 min Ped: 50-150 mcg/kg IV over 1 min
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