Term
| Morphine (Morphine Sulfate) |
|
Definition
Class:Opiate
Action:Pain Killer
Indication:Extreme pain
Contraindication:Acute abdominal conditions,head injury,CHF,hypovolemia.
Doses:2-20mg
Routes:IV,IO
Adverse Effects:Hallucinations,fever,sweating
nausea,vomiting. |
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Term
| Atropine (Isopto Atropine) |
|
Definition
Class:Anticholinergic
Action:Decreases sweating,salivating,increases HR and dilates the pupils.
Indications:Bronchial secretions,bradycardia,toxic overdose.
Contraindications:Glaucoma,urinary tract obstruction.
Doses:0.5-1mg
Routes:IV,IO
Adverse Effects:Irregular HR,eye pain. |
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Term
|
Definition
Class:Beta Blocker
Action:Relaxes blood vessels, slows HR, decreases BP.
Indication:Hypertension
Contraindications:Cardiac failure,asthma, cardiogenic shock.
Doses:50-200mg
Routes:IV
Adverse Effects:Headache,dizziness,stomach pain. |
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Term
|
Definition
Class:Opiate
Action:Pain killer
Indication:Extreme pain
Contraindications:Respiratory depression,status athsmaticus.
Doses:1mg/mL 2mg/mL
Routes:IV,IM,SC
Adverse Effects:Nausea,vomiting,confusion,mood swings. |
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Term
|
Definition
Class:Anticholinergic
Action:Relaxes the airway.
Indication:COPD,
Contraindications:Oropharyngeal edema,anaphylaxis.
Doses:250mg
Routes:Inhalation
Adverse Effects:Headache,throat irritation,dry mouth. |
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Term
| Diltiazem (Adizem,Angitil,Viazem) |
|
Definition
Class:Calcium channel blocker
Actions:Relaxes blood vessels,decreases the heart's workload.
Indications:High BP,angina,atrial arrhythmia.
Contraindications:Cardiogenic shock,third degree heart block.
Doses:0.25 body weight 20mg average for the average pt
Routes:Bolus over 2 minutes
Adverse Effects:Nausea,vomiting,weakness |
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Term
|
Definition
Class:Opiate
Action:Pain killer
Indication:Severe pain
Contraindications:Respiratory depression,liver failure.
Doses:50-100mcg
Routes:IV,IM,IO
Adverse Effects:Tachycardia,fever,nausea,
vommiting,muscle spasms. |
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Term
| Succinylcholine (Anectine,Suxamethonium) |
|
Definition
Class: Neuromuscular Blockade
Action:Paralytic
Indications: ET or to nasally intubate.
Contraindications:Major burns,multiple trauma,major crush injury,Parkinson's,hyperkalemia.
Doses:1.5mg/kg
Routes:IV,IO
Adverse Effects:Malignant hyperthermia,hives,bradycardia,low BP,increased intercranial pressure,dizziness,anaphylaxis. |
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Term
|
Definition
Class:Antidysrhythmic
Action:Increase low levels of magnesium,constipation relief.
Indications:Constipation,hypomagnesemia,cardiac arrythmias,seizure prevention in eclampsia/preeclampsia.
Cotraindications:Heart block or damage,dialysis pt.
Doses:1-2g OB/GYN 4g in 250ml saline over 30 minutes.
Routes:IV,IO
Adverse Effects:Respiratory depression,hypothermia,hypotension,
diaphoresis,pulmonary edema,weakness,headache. |
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Term
|
Definition
Class:Opiate
Action:Pain killer
Indications:Severe pain
Contraindication:Gastrointestinal obstruction.
Doses:50-150mg 3-4 hours
Routes:IV,IM,SC
Adverse Effects:Cardiac arrest,chest pain,dry mouth,fainting,tachycardia,anaphylaxis. |
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Term
| Vecuronium (Vecuronium bromide,Norcuron) |
|
Definition
Class:Neuromuscular Blocker
Action:Muscle relaxer
Indications:ET intubation
Contraindications:Neuromuscular diseases,obesity, myopathy
Doses:0.08-0.1 mg/kg
Routes:IV, bolus
Adverse Effects:Anaphylaxsis,tachy or brady cardia,fever,dizziness. |
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Term
| Nitroglycerin (Nitromist,Nitrotab,Gonitro) |
|
Definition
Class:Nitrate
Action:Relaxes blood vessels,increases blood and O2 supply to the heart and decreases the workload.
Indication:Chest pain (angina)
Contraindications:Heart attack,head injury,increased ICP,shock.
Doses:0.4mg in saline every 5 minutes max 3 doses
Routes:IV,SL,TD
Adverse Effects:Anaphylaxsis,headache,tingling,numbness,weakness,nausea,vommiting,pale skin,diaphoresis. |
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Term
| Acetominophen (Tylenol,Excedrin) |
|
Definition
Class:Analgesic
Action:Fever reducer
Indications:Fever,cold,flu.
Contraindications:Hepatic impairment,hepatic disease.
Doses:325mg per pill 2-3 pills a day. 500mg/50mL-1000mg/100mL.
Routes:Oral,IV
Adverse Effects:Stomach pain,itching,jaundice,loss of appitite. |
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Term
| Rocuronium (Rocuronium bromide,Zemuron) |
|
Definition
Class:Neuromuscular blocker
Action:Paralytic
Indication:For airway muscle paralysis.
Contraindications:Renal or hepatic dysfunction.
Doses:1mg/kg
Routes:IV,IO
Adverse effects:Irregular heart beat,fainting,cough,weakness. |
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Term
| Diphenhydramine (Benadryl) |
|
Definition
Class:Antihistamine
Action:Relives allergies
Indication:Allergies.
Contraindications:Category B pregnancy,in neonates, not to be taken with excessive alcohol and other CNS depressants.
Doses:25-50mg, repeat after 25 minutes if no response, max 50mg.
Routes:IV,IO,IM
Adverse effects:Drowsiness,hypotension,headache,vertigo,tremors,tightness in chest,wheezing. |
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Term
|
Definition
Class:Non steroidal anti-inflammatory
Action:Pain relief,treats swelling
Indications:Fever,pain,headaches.
Contraindications:Hypersensitivity to NSAID's,peptic ulcers,gastrointestional bleeding.
Doses:400-1200mg
Routes:Oral
Adverse effects:Headache,dizziness,nausea,vomiting,ringing in the ears,fluid retention,swelling,sweating. |
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Term
|
Definition
Class:Alpha and beta adrenergic agonist
Action:Vascular and smooth muscle contraction, increases cardiac output.
Indications:Anaphlyaxsis,hypotension with septic shock.
Contraindications:Closed angle glucoma,thyrotoxicosis,severe hypertension,heart disease
Doses:Epi 1:1000 0.3mg SQ. 1mg or Epi 1:10000 2-2.5mg every 3-5 minutes IV,IO
Routes:IV,IO,SQ
Adverse effects:Tachycardia,hypertension,nausea,vomiting,weakness,tremors,sweating,anxiety. |
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Term
| Promethazine (Phenergan,Sominex) |
|
Definition
Class:Phenothiazine
Action:Blocks the effects of histamine
Indications:Rhinitis,conjuctivitis,neasea,vommiting,motion sickness.
Contraindications:Seizure,hypotension, not to be used with large amounts of CNS depressants.
Doses:12.5-25mg, if under 12:6.25mg
Routes:IV,IO,IM
Adverse effects:Confusion,restlesness,dizziness. |
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Term
|
Definition
Class:Nonsteriodal anti-inflammatory
Action:Pain killer
Indication:Severe/acute pain,
Contraindications:GI irritation,hemorrage
Doses:30mg,60mg IM if >65 yo or <110lbs
Routes:IV,IO,IM
Adverse effects:Bleeding,nausea,vomiting |
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Term
| Norepinephrine (Noradrenaline,Levophed) |
|
Definition
Class:Vasopresser
Action:Constrict blood vessels,eases restoration of spontaneous circulation
Indication:Low BP
Contraindications:Hypotension,peripheral vascular thrombosis
Doses:0.08mg/ml
Routes:IV
Adverse effects:Irregular heart beat,weakness,headache,dizziness,blurred vision. |
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Term
| Ondansteron (Zofran,Zuplenz) |
|
Definition
Class:Serotonin receptor antagonist
Action:Decreases nausea/vomiting
Indication:nausea,vomiting
Contraindications:Hypersensitivity
Doses:4-8mg max of 8mg
Routes:Oral,IV,IO
Adverse effects:Angina,hypotension,tachycardia,fainting,seizures,pain,burning,hypokalemia,hiccups. |
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Term
|
Definition
Class:Nonsteriodal anti-inflammatory
Action:Makes the platelets slick
Indication:Chest pain,fever,artheritis
Contraindications:Ulcers,GI disorders,bleeding disorders
Doses:For chest pain 324mg PO,Avulsion 81mg PO
Routes:PO
Adverse effects:GI bleeding,nausea,vomiting,bronchospasm. |
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Term
|
Definition
Class:Catecholamine neurotransmitter
Action:Increases HR and contractility
Indication:Bradycardia,hypotension (non-trauma),sepsis
Contraindications:Uncorrected tachyarrhythmia's,V-fib
Doses:Bradycardia and hypotension:5-10mcg/kg/min or Sepsis 5-20mcg/kg/min
Routes:IV
Adverse effects:Ectopic beats,tachycardia,widened QRS complex,bradycardia,hypotension,hypertension,vasoconstriction,dyspnea,nausea,vomiting,headache,anxiety. |
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Term
|
Definition
Class:Anti diuretic
Action:Control BP,sodium homeostasis,kidney function
Indication:Asystole,V-fib/pulseless V-tach
Contraindications:Liver disease,seizure disorder,CHF,CAD,asthma,migraine
Doses:18 and up,40 units
Routes:IV,IO
Adverse effects:Cardiac arrest,arrhythmias,peripheral vasoconstriction,cramps,nausea,vomiting,vertigo,tremor,bronchial constriction,sweating,urticaria |
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Term
|
Definition
Class:Opiate antagonist
Action:Reverses/blocks effects of opiates
Indication:Toxic overdose,altered mental status.
Contraindications:Hypersensitivity
Doses:0.4-2mg can repeat after 5 minutes if no effect
Routes:IV,IO,IM,ET,MAD
Adverse effects:Nausea,vomiting,tachycardia,increased BP,cardiac arrest,seizure. |
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Term
|
Definition
Class:Inotropic agent
Action:Increases BP
Indication:Low BP,decompensated CHF
Contraindications:AMI,severe hypotension,pericarditis,hypokalemia,unstable angina
Doses:12.5mg/ml
Routes:IV
Adverse effects:Nausea,vomiting,chest pain,shortness of breath. |
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Term
|
Definition
Class:Oxytocic hormones
Action:Contraction of the womb during childbirth
Indication:Labor
Contraindications:Fetal distress,partial placenta previa,disposition for uterine rupture
Doses:0.5-1milliunit per minute
Routes:IV
Adverse effects:Nausea,vomiting,Slow HR,hypertension,wheezing,headaches,chest pain,cough. |
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Term
| Nubain (Nalbuphin hydrochloride) |
|
Definition
Class:Opiate analgesic
Action:Pain killer
Indication:Severe pain
Contraindications:Respiratory depression,GI obstruction,severe bronchial asthma
Doses:10mg for a 70kg pt
Routes:IV,IM,SQ
Adverse effects:Cyanosis,shallow breathing,nausea,vomiting,dizziness,weakness. |
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Term
|
Definition
Class:Bronchodilator (beta agonist)
Action:Relaxes the muscles around the airway
Indications:Allergic reaction,respiratory distress.
Contraindication:
Doses:2.5-3ml normal saline, via NEB at 6 liters per minute
Routes:NEB
Adverse effects:Tachycardia,hypertension,tremors,headache,insomnia,nausea,dizziness,vomiting,dyspepsia,cough,bronchitis,wheezing. |
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Term
| Glucagon (GlucaGen,Gvoke) |
|
Definition
Class:Anti-hypoglycemic
Action:Increases blood sugar
Indication:Low blood sugar
Contraindications:Hyperglycemia,allergies to beef or porcine proteins
Doses:1mg, reasses bgl in 10 minutes <60 repeat
Routes:IM
Adverse effects:Nausea,vomiting,increased BP or pulse rate. |
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Term
|
Definition
Class:Benzodiazepines
Action:Sedates/reduces muscle spasms
Indication:Muscle spasms,seizures
Contraindications:Severe respiratory depression,severe hepatic insuffiency,sleep apnea
Doses:Anxiety 2-5mg, orthopedic trauma 1-10mg,seizures 5-10mg
Routes:IV,IO
Adverse effects:Ataxia,confusion,anterograde amnesia,seizures. |
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Term
| Terbutaline (Brethaire,Brethine,Marex) |
|
Definition
Class:Bronchodilator (beta agonist)
Action:Relaxes the muscles,prevent bronchospasm
Indications:Bronchospasm,asthma,shortness of breath,to prevent premature labor
Contraindications:Coronary artery disease,hypertension,cardiac arrhythmias,hyperthyroidism,diabetes mellitus.
Doses:0.5-0.25mg IM 5mg oral 1mg/mL IV
Routes:IV,IM,Oral
Adverse effects:Headache,sweating,nausea,vomiting,weakness,fever,blurred vision,muscle cramps,wheezing. |
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Term
| Insulin (Humalog,Novolog,Afreeza) |
|
Definition
Class:Hormone
Action:Allows sugar to enter the cells,lowering the blood sugar
Indications:Hyperglycemia,DKA,NNHS
Contraindications:Hypoglycemia,inculinoma
Doses:1 unit, repeat until normal blood sugar.
Routes:SQ,IV
Adverse effects:Confusion,sweating,hunger,chills,pale skin,chest tightness,body aches or pain,swelling in the arms or legs,anxiety,cough. |
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Term
|
Definition
Class:Benzodiazepines
Action:Sedation
Indication:Severe pain,tachycardia,behavioral
Contraindications:Pregnancy,renal failure,glaucoma,alcoholic intoxication with depressed vital signs
Doses:2-4mg
Routes:IVP,IO,MAD
Adverse effects:Nausea,vomiting,anxiety,confusion,fever,hiccups,memory loss,chocking,blurred vision,shaking,slurred speech. |
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Term
| Racemic Epi (Asthmanefrin,S2) |
|
Definition
Class:Alpha/Beta agonist
Action:Relaxes the bronchial smooth muscles
Indications:Croup,wheezing,asthma,post extubated patients to prevent stridor
contraindications:Epiglottitis,chest pain,tachycardia,ventrical fibrillation
Doses:0.05 ml/kg/ of a 2.25% solution diluted in 3 ml of saline
Route:NEB
Adverse effects:Tachycardia,abnormal HR,headache,nausea,vomiting,tremor,rebound airway swelling. |
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Term
|
Definition
Class:Non-pyrogenic hypertonic solution
Action:Increases blood sugar
Indication:Hypoglycemia,hyperinsulinemia
Contraindications:Hyperglycemia,intercranial pressure
Doses:50mL per 100lbs of body weight
Routes:IV
Adverse effects:Cough,headache,rapid breathing,chest pain,redness,swelling,leg pain. |
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Term
|
Definition
Class:Benzodiazepines
Action:Slows brain activity
Indications:Agitation,restlessness,anxiety,seizures,insomnia,alcohol withdrawal
Contraindications:Shock,coma,respiratory depression,pregnancy
Doses:2mg
Routes:IV,SL,Oral
Adverse effects:Confussion,lethargy,irritability,chills,insomnia,slurred speech,agitation. |
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Term
| Amiodarone (Cordarone,Pacerone) |
|
Definition
Class:Class III anti-arrhymic
Action:Slows down electric signals in the heart
Indications:Tachycardia,V-fib,pulseless V-tach
Contraindications:Third degree AV block,sick sinus syndrome
Doses:Tachycardia 150mg,V-tach/pulseless V-fib 300mg
Routes:IV,IO
Adverse effects:Fever,hypotension,asystole,cardiac arrest,cardiogenic shock,shcok,CHF,bradycardia,ventricular tachycardia,nausea,vomiting. |
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Term
| Methylprednisolone (Medrol) |
|
Definition
Class:Systemic corticosteriod
Action:Controls inflammation
Indications:Allergic reaction,respiratory distress
Contraindications:GI bleed,severe infection
Doses:125mg
Routes:IV,IO
Adverse effects:Nausea,vomiting,dizziness,stomach pain,swelling. |
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Term
|
Definition
Class:Anesthetic
Action:Antogonist to NMDA receptors
Indications:Sedation,behavioral problems
Contraindications:Hypertension,pregnancy,breastfeeding,schizophrenia
Doses:2mg/kg IV/IO 4mg IM
Routes:IV,IM,IO
Adverse effects:Tachycardia,hypertension,bradycardia,nuasea,vomiting,tonic clonic seizures,respiratory depression,apnea,laryngospasms. |
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Term
|
Definition
Class:lb antiarrhythmic
Action:Inhibits impulse conduction,blocking pain signals.
Indications:Sedation,tibal/hummerus infusion
Contraindications:Bradycardia,3rd or 2nd degree heart block,stokes-adams syndrome,WPW
Doses:1mg/kg IV,IO 2% lidocaine IO:0.5mg/kg max 20mg
Routes:IV,IO
Adverse effects:Bradycardia,hypotension,cardio vascular collapse,euphoria,tinnitus,blurred vision,nausea,vomiting,tremors,twitching,unconsciousness,respiratory depression,arrest. |
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Term
|
Definition
Class:Benzodiazepine antagonist
Action:Inhibits substances that interact with benzodiazepine sites
Indication:Reversal of the sedative effects of benzodiazepines
Contraindications:Patients given flumazenil for a life threatening condiction,cyclic antidepressant overdose
Doses:0.2mg repeat until desired consciousness
Routes:IV
Adverse effects:Confusion,headache,dizziness,shivering,injection site pain. |
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Term
| Nitrous Oxide (Dinitrogen oxide) |
|
Definition
Class:Anaesthetic
Action:GABA receptor agonist
Indication:Sedation,pain relief
Contraindications:Pneumothorax,air embolism,stroke,hypotension,pregnancy,heat problems
Doses:Continuous inhalation
Routes:Inhalation
Adverse effects:Dizziness,weakness,impaired memory and cognition. |
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Term
|
Definition
Class:1A antiarrhythmic
Action:Binds to sodium channels inhibiting recovery after repolarization
Indication:Ventricular arrhythmias,atrial flutter/fibrillation,WPW
Contraindications:QT prolongation,torsade de pointes
Doses:10-17mg/kg rate of 20 to 50mg/min or 100mg every 5mins
Routes:IV,PO
Adverse effects:Cardiac toxicity,bradycardia,hypotension,QRS,QTc,PR porlongation. |
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Term
| Amyl Nitrate (Pentyl Alcohol) |
|
Definition
Class:Alkyl nitrate
Action:Relaxes blood vessels and increases blood supply to the heart while reducing its workload
Indications:Angina,chest pain.
Contraindications:Glaucoma,head trauma,cerebral hemorrhage
Doses:0.3mm repeat after 5min if the pain hasn't changed
Routes:Inhalation
Adverse effects:Rash,tiredness,weakness,nuasea,vomiting,restlessness,headache,flushing,tachycardia |
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Term
|
Definition
Class:non-barbiturate sedative
Action:Inhibits GABA receptors
Indication:Sedation
Contraindications:Hypotension,allergies to eggs or soy
Doses:0.5mg/kg max of 50mg
Route:IV bolus
Adverse effects:Difficulty breathing,badycardia,tachycardia,nausea,vomiting,delirium,cough,seizures,rash,fever. |
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Term
| Phenytoin (Dilantin,Phenytek,capseal) |
|
Definition
Class:Anticonvulsants
Action:Decreases sodium ions which supresses action potential
Indication:Seizures
Contraindications:Sinus bradycardia,sinoatrial block,hepatoxicity,Adams Stokes syndrome
Doses: AHHHHHHHHHHHHHHHH
Routes:PO,IV
Adverse effects:ataxia,slurred speech,nausea,vomiting,lethargy. |
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Term
| Sodium Thiosulfate (Pedmark) |
|
Definition
Class:Antidote
Action:Converts cyanide to thiocyanate
Indication:Cyanide poisoning
Contraindications:Asthma,Hypertremia,,hypokalemia
Doses:25g in 100mL of sodium chloride 0.9%
Routes:IV
Adverse effects:Nausea,vomiting,fever,pale skin,headache,tachycardia,dry mouth,high BP,circulatory collapse,fainting,confusion. |
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Term
|
Definition
Class:Anesthetic
Action:Produces cortical depression
Indication:Sedation
Contraindication:Hypersensitivity
Doses:0.3mg/kg
Routes:IV,IO
Adverse effects:Pain,hypertension,hypotension,tachycardia,bradycardia,hyper/hypo ventilation,apnea,laryngospasm,snoring,nausea,vomiting. |
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Term
|
Definition
Class:Class V antiarrythmic
Action:Inhibits AV node conduction
Indication:Tachycardia/with a pulse
Contraindications:2 and 3rd degree heart block,sick sinus syndrome,bradycardia
Doses:6mg rapid,next 12mg,next another 12mg
Routes:IV,IO
Adverse effects:Flushing,headache,sweating,palpitations,chest pain,hypotension,hyperventilation,numbness,arm weakness,blurred vision,burning sensation,nausea,vomiting,tightness in throat,pressure in groin. |
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Term
|
Definition
Class:Oxime
Action:Reactivates acetylcholinesterase
Indications:Muscle weakness,respiratory depression.
Contraindications:Hypersensitivity
Doses:1000-2000mg infused in 100mL saline
Routes:IV
Adverse effects:nausea,vomiting,blurred vision,headache,dizziness, tachycardia, increased BP,hyperventalation. |
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Term
| Haldol (Decanate,Serenace) |
|
Definition
Class:Antipsychotic
Action:Blocks D2 dopamine receptors in the brain
Indications:schizophrenia,psychosis,tourette syndrome
Contraindications:stroke,coma,heart disease
Doses:5-10mg max 50mg
Routes:IV,IM
Adverse effects:Blurred vision,nausea,vomiting,drowsiness,tachycardia,fever,headache,seizures. |
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