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50 Cards in this Set
- Front
- Back
Tetracaine
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Trade Name: Altacaine, Pontocaine HCl, Tetcaine, Tetravisc
Class: Anesthetic MoA: local anesthetic, prevents initiation and transmission of nerve impulses. Indications: Ophthalmic Anesthesia, Ophthalmic Burns Contraindications: Sensitivity Dose (Adult): 1 - 2 drops. Dose (Pedi): 1 - 2 drops. Side Effects: stinging, burning, redness. How Supplied: 0.5% sol, 2% sol. |
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Magnesium Sulfate
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Trade Names: none.
Class: Anti-Dysrhythmic MoA: Acts as a calcium-channel blocker and blocks neuromuscular transmission, relaxes smooth muscles and is a peripheral vasodilator. Indications: Pre-Eclampsia, Eclampsia, Torsades, Reactive Airway Disease. Contraindications: Sensitivity Dose (Adult): Eclampsia: 2 - 4 g IV over 15 min ; RAD: 1 - 2 g IV over 15 min ; Torsades: 1 - 2 g IV over 15 min. Dose (Pedi): Acute Nephritis: 20 - 40 mg / kg IM PRN ; RAD: 25 - 100 mg / kg IV over 10 - 20 min ; Torsades: 25 - 50 mg / kg IV/IM. Side Effets: Hypertension, Circulatory Collapse, Heart Block, Respiratory Paralysis, Flaccid Paralysis, Depressed Reflexes, Hypocalcemia, Flushing, Sweating, Hypothermia How Supplied: 50 % sol, 4 % sol, 8 % sol, 4 g sol, 20 g sol, 40 g sol. |
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Midazolam
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Trade Names: Versed
Class: Benzodiazepine Mechanism of Action: Increases GABA levels, causing sedative / hypnotic effects. Indications: Anxiety, Premedication Prior to Cardioversion, RSI Contraindications: Narrow Angle Glaucoma, Shock, Sensitivity. Dose (Adult): 1 - 2.5 mg slow IVP, titrate ; 0.07 - 0.08 mg / kg IM. Dose (Pediatric): 0.03 mg / kg Side Effects: Amnesia, Apnea, Drowsiness, Hypotension, Respiratory Depression. How Supplied: 5 mg / mL. |
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Heparin
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Trade Names: HepFlush, HepLock, Heparin Sodium ADD-Vantage
Class: Anti-Platelet MoA: Inhibits reactions leading to blood clotting. Indications: AMI - STEMI Contraindications: Uncontrollable Bleeding, Sensitivity Dose (Adult): 5,000 U IVP Dose (Pedi): 50 U / kg IVP, then 25 U / kg / hr Infusion Side Effects: Hemorrhage, Fever, Headache How Supplied: 1 000 U / mL sol, 5 000 U / mL sol, 10 000 U / mL sol, 20 000 U / mL sol, 10 U / mL sol, 100 U / mL sol, 2 500 U / mL sol |
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Etomidate
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Trade Names: Amidate
Class: Non-Barbiturate Hypnotic MoA: Anesthesia with minimal cardiovascular and respiratory effects, without histamine release. Indications: Sedation Induction for Intubation Contraindications: Sensitivity, Child Under 10. Dose (Adult): 0.1 - 0.3 mg / kg IVP over 15 - 30 sec. Dose (Pedi): 0.1 - 0.3 mg / kg IVP over 15 - 30 sec. Side Effects: Apnea, Bradycardia, Hiccups, HTN, Hyperventilation, Hypotension, Hypoventilation, Laryngospasm, Myoclonus, N/V, Snoring, Tachycardia How Supplied: 20 mg / 10 mL amp |
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Vecuronium
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Trade Names: Norcuron
Class: Nondepolarizing Neuromuscular Blocker Mechanism of Action: Competes with ACh for cholinergic receptor sites on the post junctional membrane, causing paralysis of skeletal muscles. Indications: RSI Contraindications: Sensitivity Dose (Adult): 0.08 - 0.10 mg / kg (MAX: 2.4 mg / kg) Dose (Pedi): 0.08 - 0.10 mg / kg (MAX: 3.6 mg / kg) Side Effects: Apnea, Aspiration, Arrhythmias, Bradycardia, Increased ICP, Respiratory Depression, Sinus Arrest How Supplied: 10 mg / 10 mL ; 20 mg / 10 mL |
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Amiodarone
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Trade Names: Cardarone, Pacerone
Class: Class III Antidysrhythmic MoA: Prolongs duration of action potential and effective refractory period, alpha and beta adrenergic blocker, decreases AV conduction velocity and sinus node function. Indications: Ventricular Arrhythmias, Some Atrial Arrhythmias Contraindications: 2nd or 3rd Degree Heart Block, Bradycardia-Induced Syncope, Cardiogenic Shock, Hypotension, Sensitivity Dose (Adult): VFib / Pulseless VTach: 300 mg IVP, then 150 mg IVP after 3 - 5 min ; Stable w / PVCs: 150 mg over 10 min, q 10 min PRN ; Maintenance Infusion: 540 mg IV over 18 hrs ; (ADULT MAX DOSE: 2.2 g IV / 24 hrs) Dose (Pedi): VFib / VTach: 5 mg / kg IV/IO bolus ; Stable w / PVC's: 5 mg / kg very slow IV/IO over 20 - 60 min, repeat up to 15 mg / kg ; (MAX PEDI DOSE: 300 mg) Side Effects: Bradycardia or AV Blocks (STOP), Hypotension, Prolonged PR, Prolonged QRS, Prolonged QT, Negative Inotrope and Chronotrope, Tremors, Vasodilation. How Supplied: 30 mg / mL, 50 mg / mL, 100 mg tab, 200 mg tab, 400 mg tab |
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Odanestron
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Trade Names: Zofran, Zudan
Class: 5HT-3 Receptor Agonist Mechanism of Action: Blocks 5HT-3 receptor sites located in vagal nerve terminals and the CTZ in the CNS. Decreases incidence and severity of N/V Indications: N/V Contraindications: Hypersensitivity. Dose (Adult): 0.15 mg / kg q 4 - 8 hrs Dose (Pedi, >6 mos): 0.15 mg / kg q 4 - 8 hrs. Side Effects: Constipation, Diarrhea, Headache How Supplied: 4 mg dissolving tabs, 8 mg DT, 4 mg / 5 mL sol, 4 mg tabs, 8 mg tabs, 2 mg / mL sol, 0.64 mg / mL sol. |
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Furosemide
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Trade Names: Lasix
Class: Diuretic MoA: Inhibits reabsorption of NaCl, promotes prompt diuresis, vasodilation. Indications: CHF, Pulmonary Edema. Contraindications: Dehydration, Hypokalemia, Hypovolemia, Pts Taking Lithium, Pregnancy. Dose (Adult): 40 - 80 mg IV Dose (Pedi): 1 mg / kg IV Side Effects: Dehydration, Hypokalemia, N/V, Ototoxicity. How Supplied: 10 mg / mL sol, 40 mg / 5 mL sol, 20 mg tabs, 40 mg tabs, 80 mg tabs. |
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Calcium Chloride
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Trade Names: none
Class: Electrolyte MoA: A hypertonic solution, that increases cardiac contractility. Indications: Hyperkalemia, Hypermagnesemia, Hypocalcemia, Calcium Channel Blocker OD, Mag Sulfate OD Contraindications: Digitalis, Hypercalcemia, NaC2, VFib during Resuscitation. Dose (Adult): 8 - 16 mg / kg slow IVP, over 5 min, q 10 min. Dose (Pedi, >1 yr): 20 mg / kg IV / IO slow IVP (MAX: 500 mg) Side Effects: Arrhythmias, Asystole, Artery Spasm, Hypotension, Metallic Taste, N/V, Vasodilation. How Supplied: 1 g / 10 mL prefilled syringe. |
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Epinephrine
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Trade Names: Epi, Epi Pen, Epi Pen Jr, Adrenaline
Class: Hormone MoA: Stimulates cardiac muscle, increases heart rate, vascular constriction. Indications: Asthma, Anaphylaxis, COPD. Contraindications: none in Cardiac Arrest or Anaphylaxis ; HTN, Angina, Hyperthyroidism, Concomitant Sympathomimetics. Dose (Adult): Cardiac Arrest: 1 mg IVP q 3 - 5 min; Anaphylaxis: 0.3 mg SQ / IVP ; Asthma: 0.3 mg SQ /IVP Dose (Pediatric): Cardiac Arrest: 0.01 mg / kg IVP q 3 - 5 min ; Anaphylaxis: 0.15 mg SQ ; Asthma: 0.15 mg SQ. Side Effects: Palpitations, Tachycardia, SOB, HTN, Dysrhythmias, Cerebral Hemorrhage, Hemiplegia, Angina, Anxiety, HA, Tremors, Weakness, Vertigo. How Supplied: 220 mcg / spray MDI ; 0.1 mg / mL sol ; 0.5 mg / mL sol ; 1 mg / mL sol, 0.3 mg AI. |
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Bumetanide
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Trade Names: Bumex
Class: Loop Diuretic MoA: Inhibits reabsportion of NaCl, promotes prompt diuresis and vasodilation. Indications: CHF, Edema, HTN. Contraindications: Anuria, Dehydration, Sensitivity to Drug or Sulfonamides. Dose (Adult): 0.5 mg - 1 mg IV/IM, q 2 - 3 hrs (MAX: 10 mg / day) Dose (Pedi): 0.015 - 0.1 mg / kg PO Side Effects: Arrhythmias, Chest Pain, Dehydration, Hypokalemia, N/V, Ototoxicity. How Supplied: 0.5 mg tabs, 1 mg tabs, 2 mg tabs, 0.25 mg / mL sol. |
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Adenosine
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Trade Names: Adenocard, Adenoscan
Class: Antiarrhythmic MoA: Slows conduction through the AV node and can interrupt reentrant pathways through the AV; decreases chronotrope with no effect on inotrope. Indications: PSVT or PSVT with WPW. Contraindications: AFib/Flutter, 2nd or 3rd Degree Heart Block Bradycardia, Poisoning Induced Tachycardia, SSS, VTach, Sensitivity. Dose (Adult): 6 mg rapid IVP followed by 20 cc NS Flush, repeat: 12 mg rapid IVP followed by 20 cc NS Flush, q 1 - 2 min (MAX: 30 mg) Dose (Pedi <50 kg): 0.1 mg / kg rapid IVP with 10 cc ND flush, repeat: 0.2 mg / kg rapid IVP with 10 cc NS Flush (MAX: 12 mg) Side Effects: Arrhythmias (Brady, Tachy, PAC's, PVC's), Asystole, Bronchospasm, Chest Pain, Palpitations, Chest Pressure, Dizziness, Dyspnea, Facial Flushing, Headache, Nausea, Numbness, Transient 1st, 2nd, or 3rd Degree Heart Block, Transient BP Rise. How Supplied: 6 mg / 2 mL, 12 mg / 4 mL |
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Labetalol
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Trade Names: Trandate, Normodyne
Class: Beta Blocker MoA: Competitive Alpha1 blocker, nonselective beta blocker. Causes a decrease in BP without reflex tachycardia. Indications: HTN, ICP Contraindications: Asthma, CHF, 2nd and 3rd Degree Heart Block, Bradycardia, Cardiogenic Shock Dose (Adult): 10 - 20 mg slow IVP. Dose (Pedi): 0.3 - 1 mg / kg slow IVP q 10 min (MAX: 20 mg) Side Effects: HA, Dysrhythmias, Dizziness, Hypotension, Dyspnea, Allergic Reaction, Diaphoresis, Postural Hypotension. How Supplied: 100 mg tabs, 200 mg tabs, 300 mg tabs, 5 mg / mL sol. |
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Albuterol
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Trade Names: Proventil, Ventolin, VoSpire, AccuNeb.
Class: Sympathomimetic Bronchodilator MoA: Binds to and stimulates beta2 adrenergic receptors, resulting in relaxation of bronchial smooth muscle. Indications: bronchospasm (asthma / COPD), burns, chronic bronchitis / emphysema / pneumonia. Contraindications: AMI, Angioedema, Cardiovascular Disorders (arrhythmias / HTN) CHF, Pulmonary Edema, Sympathomimetic Tachycardias, Sensitivity Dose (Adult): MDI: 4 - 8 puffs q 4 - 8 hrs ; Neb: 2.5 - 5 mgs / 20 min (MAX: 3 doses) Dose (Pedi): MDI (over 4 yrs): 2 puffs q 4 - 6 hrs ; Neb (over 12 yrs): 0.5 mg / kg / hr ; Neb (under 12 yrs): 0.15 mg / kg / hr OR 0.5 mg / kg / hr. (MAX: 3 doses) Dose (Pregnant): MDI: 2 - 4 puffs q 4 hrs ; Neb: 2.5 mg / 0.5 mL by 0.5% sol over 5 - 20 min. Side Effects: Angina, Anxiety, CNS Stimulation, Diaphoresis, Dizziness, Dyspnea, HA, HTN, Hyperglycemia, Hypokalemia, Insomnia, Local Irritation, N/V, Palpitations, Paradoxical Bronchospasm, Sinus Tachycardia, Tremors. How Supplied: 90 mcg / puff ; 2 mg / mL sol ; 2 mg tabs ; 4 mg tabs ; 4 mg tabs ER ; 8 mg tabs ER ; 0.021% sol, 0.042% sol, 0.083% sol, 0.5% sol. |
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Procainamide
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Trade Names: Pronestyl
Class: Antiarrythmic MoA: Slows conduction through myocardium by increasing electrical threshold of ventricle, Bundle of His, and Purkinje. Indications: PVCs, VFib, VTach refractory to Lidocaine, Wide Complex Tachycardia. Contraindications: Bradycardia, Complete AV Block, Severe Conduction Disorders Dose (Adult): VTach: 20 - 30 mg / min IVP PRN, maintenance infusion 1 - 4 mg / min ; Refractory VFib: 30 mg / min IVP Dose (Pedi): Not indicated. Side Effects: Asystole, AV Block, Bradycardia, CNS Depression, Confusion, Dizziness, Fever, Hallucinations, N/V, Seizures, VFib, Widened QRS. How Supplied: 250 mg caps, 500 mg caps, 500 mg ER tabs, 1 g ER tabs, 1 g / 10 mL sol, 1 g / 2 mL sol, 100 mg / mL sol, 500 mg / mL sol |
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Dextrose 50%
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Trade Names: D50
Class: Caloric Agent MoA: Increases blood glucose concentration. Indications: Hypoglycemia. Contraindications: Intracranial and Intraspinal Hemorrhage, DTs, Solution Not Clear, Seals Not Intact Dose (Adult): Hyperkalemia: 25 g D50 IV / IO ; Hypoglycemia: 10 - 25 g D50 IV (20 - 50 mg sol) Dose (Pedi): Hyperkalemia: 0.5 - 1 mg / kg D50 IV/IO ; Hypoglycemia (>2 yrs): 2 mL / kg D50 IV/IO ; Hypoglycemia (<2 yrs): 2 - 4 mL / kg D10 IV/IO Side Effects: Hyperglycemia, Pain/Thrombosis of Peripheral Veins, Warmth/Burning of IV Infusion How Supplied: 50% sol |
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Oral Glucose
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Trade Names: Glutose, Insta-Glucose, B-D Glucose
Class: Caloric Agent MoA: Increases blood glucose level. Indications: AMS (Conscious), Hx of Diabetes Controlled by Medication Contraindications: Unable to Protect Airway Dose (Adult): 15 g PO (MAX: 40 g) Dose (Pediatric) 7.5 g PO (MAX: 20 g) Side Effects: none How Supplied: 15 g gel tube, 5 g chewable tabs |
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Diazepam
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Trade Names: Valium, DiaStat
Class: Benzodiazepine MoA: Binds to benzodiazepine receptors and enhances GABA, relaxing skeletal muscles and depressing the CNS. Indications: Anxiety, Skeletal Muscle Contraction, Alcohol Withdrawal, Seizures. Contraindications: Children under 6 months, Glaucoma, CNS Depression, Alcohol Intoxication, Known Sensitivity, Seizures Caused by Anticholinergics Dose (Adult): Anxiety, Moderate: 2 - 5 mg slow IV/IM ; Anxiety, Severe: 5 - 10 mg slow IV/IM (<5 mcg / min) ; DTs: 10 mg IV ; Seizure: 5 - 10 mg IV/IO q 10 - 15 min (MAX: 30 mg) Dose (Pedi): Anxiety: 0.04 - 0.3 mg / kg / dose IV/IM q 4 hrs (MAX: 0.6 mg / kg) ; Seizure (5 yrs+): 1 mg IV/IO over 3 min q 2 - 5 min (MAX: 10 mg) ; Seizure (30 days - 5 yrs): 0.2 - 0.5 mg IV/IO over 3 min q 2 - 5 min (MAX: 5 mg) ; Seizure (Neonate): 0.1 - 0.3 mg / kg IV / IO over 3 - 5 min q 15 - 30 min (MAX: 2 mg) ; Seizure (12 yrs+): 0.2 mg / kg PR ; Seizure (6 - 11 yrs): 0.3 mg / kg PR ; Seizure (2 - 5 yrs): 0.5 mg/kg PR ; Seizure (<2 yrs): Not Recommended PR Side Effects: Respiratory Depression, Drowsiness, Fatigue, Headache, Pain at Injection Site, Confusion, N/V, Hypotension, Oversedation How Supplied: 5 mg / 5 mL ; 2 mg tabs ; 5 mg tabs ; 10 mg tabs ; 5 mg / mL |
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Aspirin
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Trade Names: Acetylsalicyclic Acid, Alka-Seltzer's, ASA, Ascriptin, Aspergum, Bayer, Bufferin, Easprin, Ecotrin, Empirin, Genacote, Halfprin, Magnaprin, Norwich, St. Joseph's, ZORprin
Class: Platelet Aggregation Inhibitor MoA: Decreases prostaglandin synthesis, blocks platelet aggregation, decreases thromboxane A2. Indications: AMI Symptoms, Angina, Cardiac Chest Pain, Fever, Inflammation Contraindications: Active Ulcer Disease, Asthma, Bleeding Disorder, Bronchospasm, Children with Flu-Like Symptoms or Chicken Pox, GI Bleed, Hemorrhagic Stroke, Sensitivity Dose (Adult): MI: 160 - 325 mg PO , 300 mg PR ; Pain or Fever: 325 - 650 mg PO q 4 - 6 hrs. Dose (Pedi): MI: 3 - 5 mg / kg / day up to 5 mg / kg / day ; Pain or Fever: 60 - 90 mg / kg / day divided into doses q 4 - 6 hrs. Side Effects: Anaphylaxis, Angioedema, Bronchospasm, Heartburn, N/V, Tinnitus (STOP). How Supplied: 227 mg gum, 81 mg tab, 325 mg tab, 500 mg tab, 650 mg tab, 81 mg tab DR, 162 mg tab DR, 325 mg tab DR, 500 mg tab DR, 975 mg tab DR, 800 mg tab ER, 60 mg PR, 120 mg PR, 200 mg PR, 300 mg PR, 600 mg PR. |
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Atropine
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Trade Names: AtroPen, Sal-Tropine
Class: Anticholinergic MoA: Competes reversibly with acetylcholine at the site of the muscarinic receptor. Indications: Asystole, PEA, Nerve Agent Exposure / Organophosphate Poisoning, Symptomatic Bradycardia. Contraindications: AMI, GI Obstruction, Glaucoma, Myasthenia Gravis, Sensitivity to the Drug, Belladonna, or Sulfates. Dose (Adult): Symptomatic Bradycardia: 0.5 mg IV / IO every 3 - 5 min (MAX: 3 mg) ; Asystole/PEA: 1 mg IV/IO every 3 - 5 min, (MAX 3 mg) or 2 - 2.5 mg / 5 - 10 mL NS every 3 - 5 min ; Nerve Agent Poisoning: 2 - 4 mg IV/IM every 20 - 30 min ; Severe Nerve Agent Poisoning: up to 6 mg IV every 5 - 60 min. Dose (Adolescent): Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV / IO every 3 - 5 min, MAX 2 mg Dose (Pediatric): Symptomatic Bradycardia: 0.02 mg / kg (min: 0.1 mg / dose, MAX: 1 mg / dose) IV/IO every 3 - 5 min (MAX: 1 mg) ; Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 10 - 30 min. Dose (Infant): Nerve Agent Poisoning: 0.05 mg / kg IV / IM q 5 - 20 min. Side Effects: Blurred Vision, Dry Mouth, Hot Skin, Intense Flushing, Paradoxical Bradycardia (If Too Low or Too Slow), Photophobia, Restlessness, Tachycardia, Pupil Dilation, How Supplied: 0.25 mg / 0.3 mL AI ; 0.5 mg / 0.7 mL AI ; 1 mg / 0.7 mL AI ; 2 mg / 0.7 mL AI ; 0.4 mg tabs ; 0.05 mg / mL sol ; 0.1 mg / mL ; 0.4 mg / mL ; 0.5 mg / mL ; 1 mg / mL. |
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Bumetanide
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Trade Names: Brethine
Class: Sympathomimetic Bronchodilator MoA: Beta2 selective bronchodilator, beta1 chronotropic, relaxes uterine muscles to suppress contractions. Indications: Bronchial Asthma, Bronchospasm with COPD, Preterm Labor. Contraindications: Tachydysrhythmias, Sensitivity. Dose (Adult): 0.25 mg SQ q 15 - 30 min (MAX 0.5 mg / 4 hr) ; MDI: 2 inhalations (400 mcg) q 4 - 6, 1 - 2 min between inhalations ; Neb: 0.15 - 1 mg / 2 mL Dose (Pedi): 0.01 mg / kg SQ ; MDI: 2 inhalations (400 mcg) q 4 - 6 hrs, 1 - 2 min between inhalations ; Neb: 0.03 - 0.05 mg / kg / 2 mL. Side Effects: Anxiety, Bronchospasm, Coughing, Headache, Palpitations, PVCs, Tachycardia, Tremor. How Supplied: 1 mg / mL ; 200 mcg / puff MDI. |
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Acetaminophen
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Trade Names: Acephen, Anacin, Genapap, Genebs, Tylenol
Class: Analgesic, Antipyretic MoA: Analgesic / antipyretic with little effect on platelet function. Indications: Mild to moderate pain and fever when aspirin is not tolerated. Contraindications: Hypersensitivity. Dose (Adult): 325 - 650 mg PO q 4 - 6 hrs, 650 mg PR q 4 - 6 hrs. Dose (Pedi): 5 - 10 mg / kg PO q 4 - 6 hrs. Dose (Pedi under 3 yrs): Not recommended. Side Effects: Hypothermia How Supplied: 80 mg dissolving tabs, 160 mg DT, 325 mg caps, 650 mg caps, 500 mg caps, 80 mg PR, 120 mg PR, 125 mg PR, 325 mg PR, 650 mg PR. |
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Glucagon
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Trade Names: Glucagen
Class: Hormone MoA: Causes breakdown of glycogen to glucose, inhibits glycogen synthesis, elevates blood glucose levels, increases cardiac contractile force, increases heart rate. Indications: Hypoglycemia Contraindications: Sensitivity Dose (Adult): 0.25 - 0.50 U IV or 1 mg IM Dose (Pedi): 0.03 mg / kg IV/IM Side Effects: Few in emergent setting. How Supplied: 1 mg Amp |
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Diltiazem
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Trade Names: Cardizem
Class: Calcium Channel Blocker MoA: Dilates coronary and peripheral arteries and arterioles, increasing circulation to the heart and reducing peripheral vascular resistance. Indications: SVT, Angina Contraindications: 2nd or 3rd degree Heart Block, Hypotension, SSS, WPW, Wide-Complex Tachycardia, Sensitivity Dose (Adult): 20 mg IV bolus (0.25 mg / kg) over 2 min. Dose (Pedi): not recommended. Side Effects: Asystole, Bradycardia, Dizziness, Headache, Heart Block, Hypotension, N/V How Supplied: 25 mg / 5 mL ; 50 mg / 10 mL |
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Ketorolac
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Trade Names: Toradol
Class: NSAID MoA: Inhibits Platelet Aggregation. Indications: Moderately severe acute pain. Contraindications: Sensitivity. Dose (Adult): 30 mg slow IVP over 1 - 2 min. Dose (Pedi): 0.5 mg / kg IM/IV Side Effects: Edema, HTN, Rash, Itching, Nausea, Heartburn, Constipation, Diarrhea, Drowsiness, Dizziness How Supplied: 15 mg Prefilled Syringe, 30 mg PS, 60 mg PS, 10 mg tabs. |
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Methylprednisolone
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Trade Names: Solu-Medrol, Medrol, Depo-Medrol, A-methaPred, A-methaPred ADD-Vantage
Class: Gluccocorticoid MoA: Anti-inflammatory, suppresses immune response (esp in allergic reactions). Indications: Anaphylaxis, Reactive Airway Disease Dose (Adult): 125 mg IVP Dose (Pedi): 2 mg / kg IVP Side Effects: Headache, HTN, Sodium Retention, Water Retention, Hypoglycemia, Hypokalemia, Fetal Harm. How Supplied: 40 mg sol, 125 mg sol, 500 mg sol, 1 g sol, 2 g sol. |
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Ketamine
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Trade Names: Ketalar, Ketaset, Ketanest
Class: NMDA-Receptor Antagonist MoA: NMDA-Receptor Antagonist Indications: General Anesthesia, Excited Delirium Contraindications: <3 months, psychosis, sensitivity, HTN Dose (Adult): 1 - 2 mg / kg IV over 1 - 2 min or 4 - 5 mg / kg IM Dose (Pedi): 1 - 2 mg / kg IV over 1 - 2 min or 4 - 5 mg / kg IM Side Effects: Laryngospasm, Hallucinations, HTN, Nystagmus, Tachycardia, Hypersalivation, Myoclonus, Hypertonicity. How Supplied: 10 mg / mL, 50 mg / mL, 100 mg / mL |
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Ibuprofen
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Trade Names: Motrin, Advil, Nuprin, Rufen, NeoProfen, Caldolor, Midol, Genpril, Haltran, Ibu-Tran, Menadol, IBU
Class: NSAID MoA: Inhibits Platelet Aggregation Indications: Fever, Mild to Moderate Pain Contraindications: Active Peptic Ulcer, Bleeding Conditions, Sensitivity Dose (Adult): 200 - 400 mg q 4 - 6 hrs (MAX: 1200 mg) Dose (Pedi): 5 - 10 mg / kg q 4 - 6 hrs (MAX: 40 mg / kg) Side Effects: Abdominal Pain, Dizziness, Heartburn, Nausea, Rash. How Supplied: 200 mg caps, 40 mg / mL susp, 100 mg / 5 mL susp, 200 mg tabs, 400 mg tabs, 600 mg tabs, 800 mg tabs, 100 mg / mL sol (IV). |
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Lorazepam
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Trade Names: Ativan
Class: Benzodiazepine MoA: Binds to benzodiazepine receptors and enhances GABA. Indications: Seizures, Chemical Restraint. Contraindications: Pregnancy, Sensitivity, Caution In Seizures From Anticholinergic OD. Dose (Adult): 2 - 4 mg IV/IM q 10 min (MAX: 8 mg) Dose (Pedi): 0.1 mg / kg IV/IM, 0.05 mg / kg q 10 min. Side Effects: Sedation, Hypotension, Respiratory Depression. How Supplied: 2 mg / mL, 4 mg / mL, 0.5 mg tabs, 1 mg tabs, 2 mg tabs. |
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Nitroglycerin Sublingual
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Trade Names: NitroQuick, NitroStat, NitroLingual
Class: Vasodilator MoA: Peripheral arteriole dilation, which decreases preload, decreases the work of the heart, and lower myocardial O2 demand. Indications: CHF, Hypertension, Ischemic Chest Pain Contraindications: Cerebral Hemorrhage, Head Injury, Hypersensitivity, Hypotension, Nitrates within 24 - 48 hrs. Dose (Adult): 0.3 - 0.4 mg SL q 5 min. Dose (Pedi): Not Recommended. Side Effects: Diaphoresis, Headache, Hypotension, N/V, postural Syncope, Reflex Tachycardia. How Supplied: 0.3 mg / spray, 0.4 mg / spray, 0.6 mg / spray. |
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Vasopressin
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Trade Names: Pitressin
Class: Anti-Diuretic Hormone. MoA: Vasoconstriction, contraction, of abdominal smooth muscles. Indications: VFib / Pulseless VTach, Slow or Stop GI Bleeding, Diabetes Insipidus. Contraindications: Sensitivity. Dose (Adult): 40 U (2 mL) q 30 min. (SINGLE DOSE) Dose (Pedi): Not recommended. Side Effects: Abdominal Cramping, Angioedema, Arrythmias, Bradycardia, Bronchospasm, HTN, N/V. How Supplied: 20 U / mL inj. |
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Lidocaine
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Trade Names: Lidoject, Xylocaine, Xylocaine - MPF.
Class: Anti-Dysrhythmic MoA: Inhibits fluxes required for initiation and conduction of impulses. Indications: Arrythmias, Closed Head Injury, CVA. Contraindications: Bradycardia, Idioventricular Rhythms, High Degree Heart Blocks, Sensitivity. Dose (Adult): 0.75 - 1.5 mg / kg IV up to 3 mg / kg Dose (Pedi): 1 mg / kg IV up to 3 mg / kg Side Effects: Arrythmias, Seizures, Hypotension, Dizziness, Drowsiness. How Supplied: 0.5 % sol, 1 % sol, 1.5 % sol, 2 % sol, 4 % sol. |
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Flumazenil
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Trade Names: Romazicon, "Re-Versed"
Class: Benzodiazepine Antagonist MoA: Blocks action of benzodiazepines. Indications: Benzodiazepine OD Contraindications: Cyclic Antidepressant OD, Sensitivity. Dose (Adult): 0.2 mg (2 mL) IV over 30 sec. Dose (Pedi): Not indicated. Side Effects: Agitation, Blurry Vision, Dizziness, N/V, Seizures. How Supplied: 0.5 mg / 5 mL vial, 1 mg / 10 mL vial. |
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Fentanyl
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Trade Names: Sublimaze
Class: Narcotic MoA: CNS Depressant, decreases sensitivity to pain. Indications: Acute Pain, RSI. Contraindications: Severe Hemorrhage, Shock, Sensitivity. Dose (Adult): 25 - 100 (0.025 - 0.1 mg) slow IVP over 2 - 3 min. Dose (Pedi) 1.7 - 3.3 mcg / kg Side Effects: Apnea, Bradycardia, Muscle Rigidity, Respiratory Depression. How Supplied: 100 mcg / 2 mL (50 mcg / mL) amp |
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Ipatropium Bromide
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Trade Names: Atrovent
Class: Anticholinergic MoA: Bronchodilator, dries respiratory tract secretions. Indications: Asthma, Bronchospasm. Contraindications: use as a primary treatment, Sensitivity. Dose (Adult): Neb: 500 mcg Dose (Pedi): Not Recommended. Side Effects: Anxiety, Dizziness, Headache, Nervousness, Palpitations. How Supplied: 0.02% in 2.5 mL |
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Eptifibatide
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Trade Names: Integrilin
Class: Anti-Platelet MoA: Irreversibly inhibits platelet aggregation. Indications: AMI-STEMI. Contraindications: Stroke, Dialysis, Other Anti-Platelets, Surgery, HTN, Bleeding Disorders, Sensitivity. Dose (Adult): 180 mcg / kg IVP Dose (Pedi): Not Indicated. Side Effects: Stroke, Hemorrhage. How Supplied: 2 mg / mL, 0.75 mg / mL. |
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Succinylcholine
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Trade Names: Anectine, Quelicin
Class: Depolarizing Neuromuscular Blocker MoA: Binds to nicotinic receptors. Indications: Facilitate Intubation, Terminate Laryngospasm, Muscle Relaxation. Contraindications: Inability to Control Airway and/or Support Ventilations, Increased Intraocular Pressure, Penetrating Eye Injury Dose (Adult): 1.5 mg / kg Rapid IVP, repeat once if needed. Dose (Pedi): 1 mg / kg Rapid IVP, repeat once if needed. Side Effects: Bradycardia, Dysrhythmias, Excessive Salivation, Hyperkalemia, Hypotension, Malignant Hypertension, Muscle Fasiculations. How Supplied: 20 mg / mL, 100 mg / mL, 500 mg sol, 1 g sol, 40 mg / 2 mL amp, 100 mg / 5 mL amp. |
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Clopidogrel
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Trade Names: Plavix
Class: Platelet Aggregation Inhibitor MoA: Blocks platelet aggregation by antagonizing the GP IIb/IIa receptors. Indications: ACS, Chronic Coronary and Vascular Disease, Ischemic Stroke. Contraindications: History of Intracranial Hemorrhage, GI Bleed, Trauma, Sensitivity. Dose (Adult): Unstable Angina Pectoris, Non-Q-Wave AMI: Loading Dose: 300 mg PO, then 75 mg daily. Dose (Pedi): Not Indicated. Side Effects: Abdominal Pain, Hemorrhage, Nausea. How Supplied: 75 mg tabs, 300 mg tabs. |
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Norepinephrine
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Trade Names: Levophed ("Leave 'Em Dead")
Class: Sympathomimetic MoA: Alpha sympathomimetic, causes peripheral vasoconstriction, mild inotropic effects, increases myocardial O2 demand. Indications: Cardiogenic Shock, Hypotension Refractory to Other Sympathomimetics, Neurogenic Shock Contraindications: Hypercarbia, Hypotension Secondary to Hypovolemia, Hypoxia, Pts Taking Antidepressants, Sodium Bicarb Administration. Dose (Adult): 2 - 12 mcg / min (4 mg in 500 mL D5W) infusion Dose (Pedi): 0.01 - 0.5 mcg / kg / min infusion Side Effects: Headache, Local Irritation, N/V, Palpitations, Severe HTN, Sweating, Tissue Necrosis, Ventricular Dysrhythmias. How Supplied: 4 mg / mL amp, 1 mg / mL amp. |
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Sodium Bicarbonate
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Trade Names: MaxiVial, Neut, Soda Mint
Class: Buffer MoA: Reacts with H ions to form water and CO2 and buffers metabolic acidosis. Indications: Intubated Pt with Continued Long Arrest Interval, Known Bicarbonate-Responsive Acidosis, ROSC, TCA OD. Contraindications: Chloride Loss From Vomiting And GI Suction, Hypocalcemia, Hypokalemia, Metabolic / Respiratory Alkalosis. Dose (Adult): 1 mEq / kg, repeat with 0.5 mEq / kg q 10 min Dose (Pedi): 1 mEq / kg, repeat with 0.5 mEq / kg q 10 min Side Effects: Hypoxia, Electrolyte Imbalance, Metabolic Alkalosis, Rise in Intracellular PCO2 and Increased Tissue Acidosis, Seizures, Tissue Sloughing at the Injection Site. How Supplied: 325 mg tabs, 650 mg tabs, 4.2 % ( 0.5 mEq / mL ) sol, 5 % ( 0.595 mEq / mL ) sol, 7.5 % ( 0.892 mEq / mL ) sol, 8.4 % ( 1 mEq / mL ) sol. |
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Nitroglycerin Paste
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Trade Names: NitroBid
Class: Vasodilator MoA: Peripheral arteriole dilation, which decreases preload, decreases the work of the heart, and lowers myocardial O2 demand. Indications: CHF, HTN, Ischemic Chest Pain Contraindications: Cerebral Hemorrhage, Head Injury, Hypersensitivity, Hypotension, Nitrates within 24 - 48 hrs. Dose (Adult): 4 x 2 " area, .5 " deep - 6 x 6 " area, 1 " deep Dose (Pedi): Not Recommended Side Effects: Diaphoresis, HA, Hypotension, N/V, Postural Syncope, Reflex Tachycardia. How Supplied: 2 % ointment. |
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Naloxone
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Trade Names: Narcan
Class: Narcotic Antagonist MoA: Reverses effects of narcotics by competing for opiate receptors. Indications: Alcoholic Coma, Coma of Unknown Origin, Narcotics OD. Contraindications: None. Dose (Adult): 1 - 2 mg q 5 min Slow IVP Dose (Pedi): 0.1 mg / kg Side Effects: Acute Withdrawal Syndrome, Pulmonary Edema How Supplied: 2 mg / 2 mL Prefilled Syringe, 0.4 mg / mL PS, 10 mg / 10 mL vial. |
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Metoprolol
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Trade Names: Lopressor
Class: Beta Blocker MoA: Beta-Adrenergic Receptor Blocker Indications: AMI-STEMI Contraindications: HR <70, BP <100 Systolic, Heart Blocks, Cardiogenic Shock, Cardiac Failure, SSS. Dose (Adult): 5 mg slow IVP q 5 min (MAX: 15 mg) Dose (Pedi): 1 mg / kg slow IVP Side Effects: Dyspnea, Dizziness, Drowsiness, Bradycardia, Sedation, Vomiting. How Supplied: 1 mg / mL, 50 mg tabs, 100 mg tabs. |
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Morphine Sulfate
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Trade Names: none
Class: Narcotic MoA: CNS depressant, analgesic, vasodilation, decreased myocardial O2 demand. Indications: Cardiac Chest Pain, Pulmonary Edema, Severe Pain. Contraindications: Abdominal Pain, COPD, Head Injury, Respiratory Depression, Sensitivity. Dose (Adult): IV: 2 - 5 mg, then 2 mg q few minutes, titrate ; IM: 5 - 15 mg Dose (Pedi): IV: 0.1 - 0.2 mg / kg Side Effects: Decreased LOC, Dizziness, Increased Vagal Tone, N/V, Respiratory Depression. How Supplied: 10 mg / mL PS. |
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Dopamine
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Trade Names: Inotropin
Class: Sympathomimetic MoA: Increases contractility, causes peripheral vasoconstriction, increasing chronotropic and inotropic effects, dilation of mesenteric & renal arteries (promoting urination). Indications: Cardiogenic Shock, Hypotension, Secondary to Post-Resuscitation Bradycardia, Hypovolemic Shock. Contraindications: Hypovolemic Shock Without Fluid Resuscitation, Uncorrected Tachycardia or VFib. Dose (Adult): 2 - 20 mcg / kg / min, increased as needed (800 mg in 500 mL D5W) Dose (Pedi): 2 - 20 mcg / kg / min Side Effects: Angina, HA, HTN, N/V, VTach. How Supplied: 200 mg / 5 mL Prefilled Syringe, 400 mg / 250 mL drip. |
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Thiamine
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Trade Names: B1
Class: Vitamin MoA: Assists in converting glucose to energy. Indications: Beriberi, Coma of an Unknown Origin, Chronic Alcoholism with Coma, DT's, Wernicke's Encephalopathy. Contraindications: None. Dose (Adult): 100 mg slow IVP Dose (Pedi): Not Recommended Side Effects: Anxiety, Diaphoresis, Hypotension (Too Fast or Too Much), N/V, Sensitivity (Rare). How Supplied: 1000 mg / 10 mL sol. |
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Promethazine
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Trade Names: Phenergan, Phenadoz, Promethegan
Class: H1 Antagonist (Antihistamine) MoA: Mild anticholinergic activity, antiemetic, potentiates action of analgesics. Indications: Analgesic Potentiation, Motion Sickness, N/V, Sedation. Contraindications: Comatose States, Pts With Large Amounts of Depressants. Dose (Adult): 12.5 - 25 mg Dose (Pedi): 0.5 mg / kg Side Effects: Drowsiness, Sedation. How Supplied: 6.25 mg / 5 mL sol, 12.5 mg tabs, 25 mg tabs, 50 mg tabs, 25 mg / mL sol, 50 mg / mL sol, 12.5 mg PR, 25 mg PR, 50 mg PR. |
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Diphenhydramine
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Trade Names: Benadryl
Class: Antihistamine MoA: Blocks histamine receptors, mild sedative anticholinergic effects. Indications: Anaphylaxis (with Epi), Allergic Reactions, Dystonic Reactions Due to Phenothiazines. Contraindications: Asthma, COPD, Enlarged Prostate, Glaucoma, Pregnancy. Dose (Adult): 25 - 50 mg slow IVP or deep IM Dose (Pedi): 2 - 5 mg / kg IVP or deep IM Side Effects: Blurred Vision, Headache, Palpitations, Sedation, Wheezing. How Supplied: 50 mg / mL amp. |
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Haloperidol
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Trade Names: Haldol
Class: Antipsychotic MoA: D2 receptor antagonist, the first of the butyrophenone series of major antipsychotics. Indications: Schizophrenia, Tourette's, Chemical Restraint. Contraindications: Pregnant Females, Unconscious Patients, Hypotensive Patients, Snesitivity. Dose (Adult): 2 - 5 mg IM q 30 min Dose (Pedi): 1 - 3 mg IM q 2 - 4 hr Side Effects: Torsades, Sedation, Hypotension. How Supplied: .5 mg tabs, 1 mg tabs, 2 mg tabs, 5 mg tabs, 10 mg tabs, 20 mg tabs, 50 mg / mL sol, 100 mg / mL sol, 5 mg / mL sol. |