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BUTORPHANOL
- NAME/CLASS: Stadol/Narcotic Analgesic (synthetic)
- DES: centrally acting synthetic narcotic analgesic 5X more postent than morphine. (Schedule IV Narcodic)
- IND: moderate to, severe pain
- CI: 1)hypersensitivity 2)head injury 3)undiagnosed abdominal pain
- PC: n/a
- DOSE: n/a
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MEPERIDINE
- NAME/CLASS: Demerol/Narcotic Analgesic (synthetic)
- DES: synthetic narcotic w/ sedative and analgesic properties comparable to morphine but w/out the hemodynamic side effects
- IND: moderate to severe pain
- CI: 1)seizure disorders 2)acute abdomen prior to diagnosis
- PC: 1)increased intracranial pressure 2)asthma or other respiratory conditions 3)SPVTs 4)prostatic hypertrophy 5)urethral stricture 6)glaucoma 7)elderly/debilitated 8)renal/hepatic impairment 9)hypothyroidism 10)Addison's disease
- DOSE: 25-50mg IV 50-100mg IM Ped: 1mg/kg IV/IM
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NALBUPHINE
- NAME/CLASS: Nubain/Narcotic Analgesic (synthetic)
- DES: synthetic narcotic analgesic equivalent to morphine, though its respiratory depression does not increase with higher doses
- IND: moderate to severe pain
- CI: 1)hypersensitivity 2)undiagnosed head or abdominal injury
- PC: impaired respiration's
- 2)narcotic dependency
- DOSE: 5mg IV/IM/SQ repeat 2mg doses as needed up to 20
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PANCURONIUM
- NAME/CLASS: Pavulon/Nondepolaring Neuromuscular Blocker
- DES: nondepolarizing neuromuscular blocker that causes paralysis w/out bronchospasm or hypotension
- IND: to facilitate endotracheal intubation
- CI: tachycardia
- DOSE: 0.04-0.1mg/kg IV Ped: 0.04-0.1mg/kg (same as adult)
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VECURONIUM
- NAME/CLASS: Norcuron/Nondepolarizing Skeletal Muscle Relaxant
- DES: nondepolarizing skeletal muscle relaxant
- IND: to facilitate endotracheal intubation
- CI: n/a
- PC: 1)severe obesity 2)myasthenia gravis 3)malignant hyperthermia
- DOSE: 0.08-0.1mg/kg IV Ped: 0.08-0.1mg/kg IV (same as adult)
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