Term
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Definition
Classification: Narcotic (opioid)
Action: Analgesia and sedation through binding to opiate receptors.
Indications: moderate to severe pain
Contraindications: hypotension, hypersensitivity to drug
Dose: 2-10mg
Route: IV, IO, IM, SQ, PO
Adverse Effects: hypotension, bradycardia, vomitting, syncope, apnea, resp. depression, nausea, tachycardia.
Other: use appropriate monitor. Naloxone is antagonist. |
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Term
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Definition
Classification: Non-narcotic analgesic, antipyretic
Action: exact mechanism unknown, thought to inhibit cyclooxgenase
Indications: mild-moderate pain, fever.
Contraindications: hypersensitivity, alcoholism, chronic liver disease.
Dose: 325-650mg
Route: PO, Rectally
Adverse Effects: Rare. |
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Term
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Definition
Classification: NSAID
Action: anti-inflammatory and antipyretic through inhibition of prostaglandins.
Indications: Mild-moderate pain, fever, inflammation.
Contraindications: Hypersensitivity, bronchospam, angioedema.
Dose: 200-800mg.
Route: PO
Adverse Effects: Nausea, GI Bleed, Vomitting, Allergic Reaction. |
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Term
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Definition
Classification: Opiod Antagonist
Action: Opioid antagonist w/o opiate agonist properties. Has no activity when given in absence of opiates.
Indications: Partial reversal of opiate drug effects. Opiate overdose.
Contraindications: hypersensitivity.
Dose: 0.4-2.0mg
Route: IV, IO, IM, SQ, IN, Neb.
Adverse Effects: Fever, chills, vomitting, diarrhea, nausea, opiate withdrawal.
Other: Administer enough to reverse resp depression and avoid full narcotic withdrawal syndrome. |
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Term
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Definition
Classification: Opiate Antagonist
Action: Opiod Antagonist w/o agonist properties, has no activity when given in absence of opiates.
Indications: Partial reversal of opiate drug effects, opiate overdose.
Contraindications: Hypersensitivity.
Dose: 0.5-1.0mg.
Route: IV, IM, SQ, IO.
Adverse Effects: Fever, Chills, Vomitting, Diarrhea, Nausea, Opiate Withdrawal.
Other: Duration much longer than naloxone. |
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Term
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Definition
Classification: NSAID
Action: Anti-inflammatory and antipyretic through inhibition of prostaglandins.
Indications: Mild-moderate pain, fever, renal colic, inflammation.
Contraindications: Hypersensitivity, broncospams, angioedema.
Dose: 30mg (IV and Elderly) 60mg IM
Route: IV, IM
Adverse Effects: Nausea, GI Bleeding, Vomitting, Allergic Reaction, Dizziness, Headache.
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Term
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Definition
Classification: Benzodiazepine
Action: Binds to Type A GABA Receptors causing sedation
Indications: Anxiety, Sedation, Seizures
Contraindications: Hypersensitivity
Dose: 1-5mg.
Route: IV, IM, IO
Adverse Effects: Hypotension, sedation, amnesia, resp depression, nausea, vomitting.
Other: Flumazenil is an antagonist. |
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Term
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Definition
Classification: Dissociative Anesthetic
Action: Causes dissociation between the cortical and limbic
Indications: Sedation, analgesia.
Contraindication: Hypersensitivity, hypertension.
Dose: 0.5-1.0mg/kg (IV), 2-4mg/kg (IM)
Route: IV, IM
Adverse Effects: Hallucinations
Other: All monitors should be in place. Resuscitative equipment should be immediately available. |
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Term
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Definition
Classification: Anti-inflammatory and antipyretic through inhibition of thromboxane Az
Indications: mild-moderate pain, fever, platelet aggregation inhibitor.
Contraindications: hypersensitivity, bronchospams, angioedema, MAOIs(monoamine oxidase inhibitors)
Dose: 350-650mg
Route: PO
Adverse Effects: N/V. GI Bleed, Allergic Reaction. Avoid EC Aspirin in CP. |
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