Term
|
Definition
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|
Term
|
Definition
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|
Term
| VERAPAMIL Mechanism of Action: |
|
Definition
| decreases myocardial contractile force and slows AV conduction |
|
|
Term
|
Definition
| Supraventricular tachycardia, Atrial fibrillation and atrial flutter with rapid ventricular response |
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Term
| VERAPAMIL Contraindications |
|
Definition
| AV block, Sick sinus syndrome, any wide QRS complex tachycardia, Shock, Severe CHF |
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Term
|
Definition
| 2.5 - 5.0 mg IV PUSH over 2-3 minutes |
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Term
|
Definition
|
|
Term
| VERAPAMIL - Onset, Peak and Duration of Action |
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Definition
| Onset:1-3 min, Peak:3-5 min, Duration:2-5hrs |
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Term
|
Definition
| parasympatholytic, antimuscarinic, anticholinergic, parasympathetic antagonist, parasympathetic blocker |
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Term
| ATROPINE SULFATE - Mechanism of Action |
|
Definition
| Increased heart rate (positive chronotropic effect); increased conduction velocity; increased force of contraction (slight). |
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Term
| ATROPINE SULFATE - Indications |
|
Definition
| Symptomatic bradycardia Asystole PEA with actual or relative bradycardia organophosphate poisoning |
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Term
| ATROPINE SULFATE - Contraindications |
|
Definition
| Glaucoma, acute and narrow |
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Term
| ATROPINE SULFATE - Dosage |
|
Definition
| Alive - 0.5-1.0 rapid IV Q 3-5 min max 3mg, Asystole or PEA 1.0 mg Q 3-5 min max 3 mg. Organophosphate poisioning - 2-5mg iv Q 5 min no max |
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Term
| LIDOCAINE - Brand Name and Class |
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Definition
| Xylocaine, Antiarrhytmic, local anesthetic |
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Term
|
Definition
| Decreases automaticity by slowing the rate of spontaneous phase 4 depolarization. Terminates re-entry by decreasing conduction in re-entrant pathways Increases ventricular fibrillation threshold. |
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Term
|
Definition
| Suppression of VT, VF & PVC's (>6/min, couplets or multifocal) Pre intubation for had trauma |
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Term
|
Definition
| Do not treat PVC's if heart rate is <60. Hypersensitivity, 2nd & 3rd degree HB. |
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Term
|
Definition
| VT/VF - 1-1.5 mg/kg IVP q 3-5 max 3mg/kg. 1.5mg/kg bolus if HR returns drip rate of 2-4 mg/min. Antidysrhythmic (with pulse) 1-1.5mg/kg IVP followed by half initial dose q 5-10 min. NSR return initiate drip of 2-4mg/min |
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Term
| LIDOCAINE - Drip Calculation/Lido Clock |
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Definition
|
|
Term
|
Definition
|
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Term
|
Definition
| Epinephrine is a non-selective agonist of all adrenergic receptors. It boosts oxygen and glucose to the brain and muscle. It increases heart rate, electrical activity and stroke volume, dilates the pupils, and constricts arterioles in the skin and gastrointestinal tract while dilating arterioles in skeletal muscles. Blocks histamine release, bronchial smooth muscle relaxor. |
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Term
| EPINEPHRINE - Indications |
|
Definition
| Cardiac arrest - VF/Pulseless VT; asystole; PEA Severe bronchospasm, i.e., bronchiolitis, asthma. Anaphylaxis.Bradycardia, Hypotension unresponsive to other therapy, monitored patient only.Croup |
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Term
|
Definition
| None known for cardiac arrest, Hypothermia, relative |
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Term
|
Definition
| Pulsless arrest - IV/IO 1mg 1:10000 Q3-5 min ET 2-2.5mg, Anaphylaxis and asthma: Give 0.3 - 0.5 mg of 1:1,000 IM, SC, or inject SL, may repeat every 15 to 20 minutes; or in extreme cases only, may be asked to use 1:10,000 solution and give 0.1 mg every 5 minutes IV/IO |
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Term
| MAGNESIUM SULFATE - Class |
|
Definition
|
|
Term
|
Definition
| Cardiac-reduces ventricular irritability, especially when associated with hypomagnesemia; inhibition of muscular excitability |
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Term
| MAGNESIUM SULFATE - Indications |
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Definition
| Torsade de pointes.VF/VT refractory to lidocaine, Hypomagnesmia, Pre-term Labor, Pregnancy induced hypertension |
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Term
| MAGNESIUM SULFATE - Contra |
|
Definition
| Hypermagnesmia, cation in pts with impaired renal function and knwn Heart blocks |
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Term
| MAGNESIUM SULFATE - Dosage |
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Definition
| VF/VT, Torasade de pointes - 1-2gms in 1-2 min IV, PTL - 4-6 gms, PIH 3-6gms |
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Term
| CALCIUM CHLORIDE - Class & dose |
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Definition
| Electrolyte. Adult Dose:5-10ml of 10% Calcium Chloride, repeat in 10 min. |
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Term
|
Definition
| Increases cellular calcium levels. Increases cardiac contractabilit, may enhance ventricular automaticity, inhibits the effects of adenosine. |
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Term
| CALCIUM CHLORIDE - Indications |
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Definition
| Acure hypocalcemia, Calciam channel blocker Over dose, Hypermagnesmia, Pre treatment for verapimil. |
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Term
| Ondansetron = Brand Name and Class |
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Definition
|
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Term
|
Definition
| reduces the activity of the vagus nerve |
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Term
| Ondansetron - Indications and Contraindications |
|
Definition
Indications: Nausea and Vomiting
Contraindications: Hypersensitivity |
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Term
|
Definition
| 4-8mg SIVP, 2-5 min. or 8mg PO tablet (SEAMS - 4mg) |
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Term
|
Definition
|
|
Term
|
Definition
| Alliviates pain by acting on the pain receptors in the brain, eleviates pain threshiod. Depresses CNS, vasodialator, reduces preload and afterload, histamine realease |
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Term
| MORPHINE SULFATE - Indications |
|
Definition
| Analgesia (pain reliever) for burns, MI, Pulmonary edema |
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Term
| MORPHINE SULFATE - Contraindications |
|
Definition
| Respiratory depression, Head Injuries, ICP, Asthma, ABD pain |
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Term
| MORPHINE SULFATE - Adult Dosage |
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Definition
| 1-3 mg SIVP titrate. (SAEMS: Pain Mngt or CP A/O 2-5 mg q 5 min max 20mg, ) |
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Term
| NITROGLYCERIN - Brand Name |
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Definition
|
|
Term
|
Definition
| Vasodilator, organic Nitrate, anianginal |
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Term
|
Definition
| Smooth muscle relaxant., reduces workload on heart via blood pooling (decreased preload) Arteriolar vasodilation (decreased afterload) Increases blood flow to mycocardium, decreases myocardial O2 demand |
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Term
| NITROGLYCERIN - Indications |
|
Definition
| Angina, MI, CHF with Pulmonary Edema. |
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Term
| NITROGLYCERIN - Contraindications |
|
Definition
| Hypovolemia, ICP. Drug incompatabilites to Viagra or other vasodilators. |
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Term
| NITROGLYCERIN - Adult Dose |
|
Definition
| CP - 0.4mg tablet or spray X3 SL, PE - 1-2 0.4mg tablet SL every 5-10 min Maintaining Systolic BP >90 |
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Term
ACETYLSALICYLIC ACID, ASPIRIN, ASA
Class |
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Definition
| analgesic; antipyretic; anti-inflammatory |
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Term
ACETYLSALICYLIC ACID, ASPIRIN, ASA
Brand Names |
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Definition
|
|
Term
ACETYLSALICYLIC ACID, ASPIRIN, ASA
MOA |
|
Definition
| a potent platelet aggregant and vasoconstrictor. |
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Term
ACETYLSALICYLIC ACID, ASPIRIN, ASA
Adult dose |
|
Definition
| Cardiac - 160-325mg (2-4 ped chewables) |
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Term
| ACETYLSALICYLIC ACID, ASPIRIN, ASA |
|
Definition
| Bleeding ulcer, hemophilia, hypersensitivity, PEDS |
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Term
| ACETYLSALICYLIC ACID, ASPIRIN, ASA |
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Definition
|
|
Term
| NALOXONE - Brand name and Class |
|
Definition
Brand Name: Narcan
Class: Opioid Antagonist |
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Term
|
Definition
| Competitive inhibition at narcotic receptor sites, Reverses respiratory depression secondary to narcotics |
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Term
| NALOXONE -Indications & Contra |
|
Definition
Indications -Antidote for Opioid overdoses
Contra - Hypersensitivity |
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|
Term
|
Definition
| 2 mg q 2 min, titrate. IV, IM, SL, SC, ET |
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Term
|
Definition
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|
Term
|
Definition
| Ddecreases seizures by increasing threshold, sedative, calming effects, amnesic |
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Term
| DIAZEPAM - Indications for use |
|
Definition
| Seizures, Cardioversion or pacing, delirium tremens |
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Term
|
Definition
| Hypersensitivity, Glaucoma |
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|
Term
|
Definition
| 2 mg SIVP, SEAMS S/O is 5-10mg |
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Term
| DIAZEPAM - Brand name and Class |
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Definition
|
|
Term
|
Definition
|
|
Term
| FUROSEMIDE - Brand Name and Class |
|
Definition
|
|
Term
|
Definition
| Diuresis, inhibits electrolyte reabsorption in the loop of Henle. |
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Term
|
Definition
| Pulmonary edema, congestive heart failure |
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Term
|
Definition
| Anuria, Hypovolemia Hypotension |
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|
Term
|
Definition
| Known hypersensitivity, Caution in pts with Glacouma, bronchial asthma, GI obstructive diseases, hyperthyroidism, Cardiac disease, hypertension. AGE GREATER than 60yo (all relative risk vs benefit) |
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Term
| DIPHENHYDRAMINE - Brand Name and Class |
|
Definition
Benadryl
Antihistamine, anticholinergic |
|
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Term
|
Definition
| 25-50mg SIVP or IM (SEAMS S/O is 1mg/kg max of 25mg) |
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|
Term
|
Definition
| Blocks histamine receptors |
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|
Term
|
Definition
|
|
Term
| DIPHENHYDRAMINE - Indications |
|
Definition
|
|
Term
METHYLPREDNISOLONE SODIUM SUCCINATE
Brand Name |
|
Definition
|
|
Term
METHYLPREDNISOLONE SODIUM SUCCINATE
Class |
|
Definition
| Corticosteroid, anti-inflammatory, steroid, glucocorticoid. |
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|
Term
METHYLPREDNISOLONE SODIUM SUCCINATE
MOA |
|
Definition
| At cell level responsible for its anti-inflammatory and immunosuppressive effects; thought to stabilize cellular and intracellular membranes. |
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|
Term
METHYLPREDNISOLONE SODIUM SUCCINATE
Indications for Use |
|
Definition
| Burns involving the airway, Reactive airway desiease, emphysema, chronic bronchitis, astham, Anaphylaxix, Acute spinal cord trauma |
|
|
Term
METHYLPREDNISOLONE SODIUM SUCCINATE
Contra |
|
Definition
|
|
Term
METHYLPREDNISOLONE SODIUM SUCCINATE
Dose |
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Definition
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|
Term
| ALBUTEROL SULFATE - Class |
|
Definition
| Sympathomimetic, bronchodilator |
|
|
Term
|
Definition
| B agonist, relaxes bronchial smooth muscle, decreases airway resistance |
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|
Term
| ALBUTEROL SULFATE - Indications |
|
Definition
| Treatment of bronchospasm |
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Term
| ALBUTEROL SULFATE - Contra |
|
Definition
| Synergistic with other sympathomimetics, Use caution in pts with DM, Hyperthyroid and cerebrovascular disease. |
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Term
| ALBUTEROL SULFATE - Dosage |
|
Definition
|
|
Term
| ALBUTEROL SULFATE - Brand Name |
|
Definition
|
|
Term
| IPRATROPIUM BROMIDE - Brand Name & Class |
|
Definition
Atrovent
Bronchodilator, Anticholinergic. |
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Term
| IPRATROPIUM BROMIDE - MOA |
|
Definition
| produce preferential dilatation of the larger central airways |
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Term
| IPRATROPIUM BROMIDE - Indications |
|
Definition
| Treatment of bronchospasm |
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|
Term
| IPRATROPIUM BROMIDE - Contra |
|
Definition
| Hypersensitivvity, Caution in pts with Glaucoma |
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|
Term
|
Definition
|
|
Term
| IPRATROPIUM BROMIDE - Dosage |
|
Definition
| 500 mcg in 2.5ml bullet via SVN X 1 mixed with Albuterol. |
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|
Term
|
Definition
| Reverses CNS effects of hypoglycemia by rapidly increasing serum glucose levels.Provides short-term osmotic diuresis |
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Term
| DEXTROSE 50% - Indication |
|
Definition
| Known hypoglycemia, Altered level of consciousness of unknown etiology, Seizures of unknown etiology, Hyperkalemia |
|
|
Term
|
Definition
| thiamine deficiency, Delirium tremens; use with caution in patients with acute alcoholism, may be ineffective without thiamine.Head injury (unless documented hypoglycemia). Intra cranial hemorrhage (relative).Severe pain (paradoxical excitement may occur). |
|
|
Term
|
Definition
| Hypoglycemia, altered level of consciousness or seizures of unknown etiology: 25-100 ml of D50 (12.5-50 Gm, 2 to 2 amps) IV. |
|
|
Term
| DEXTROSE 50% - Brand Name and Class |
|
Definition
D50
carbohydrate, hyperglycemic |
|
|
Term
|
Definition
| 1mg IM may repeat in 7-10 min |
|
|
Term
|
Definition
| Hypoglycemia when IV access delayed |
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|
Term
|
Definition
| Hypersensitivity, should not be used routinely |
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|
Term
|
Definition
| Acts only on liver glycogen, may reverse hypoglycemia |
|
|
Term
|
Definition
| Pancreatic hormone, hyperglycemic agent |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Required for carbohydrate metabolism |
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|
Term
| THIAMINE HCl - Indications |
|
Definition
| Treatment of vitamin B1 deficiency, Alcoholism, delirium tremens, Coma of unknown origin, especially if alcohol or malnourishment may be involved. Severe congestive heart failure |
|
|
Term
|
Definition
| Do not give intra-arterial |
|
|
Term
|
Definition
|
|
Term
| THIAMINE HCl - Brand Name |
|
Definition
|
|
Term
|
Definition
| Pituitary hormone, polypeptide, uterine stimulant |
|
|
Term
|
Definition
| Increases force and frequency of uterine contractions |
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|
Term
| OXYTOCIN - Indications in the Field |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| SODIUM BICARBONATE 8.4% - MOA |
|
Definition
| Buffers H and increses pH |
|
|
Term
| SODIUM BICARBONATE 8.4% - Indications |
|
Definition
| Pre existing metobolic acidosis, ASA or cyclic antidepressant overdose, Cardiac arrest after all other interventions. |
|
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Term
| SODIUM BICARBONATE 8.4% - Contra |
|
Definition
|
|
Term
| SODIUM BICARBONATE 8.4% - Dose |
|
Definition
| Acidosis - 50-100 mEq iv, Cardiac arrest - 1 mEq/kg first dose 0.5mEq/lg q 10 min |
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|
Term
| SODIUM BICARBONATE 8.4% - Class |
|
Definition
|
|
Term
|
Definition
| Postpartum hemrrhage - 10-20 USP added to 1000 cc NS or LR, Titrate. Or 10USP IM after delivery of placenta |
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