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36 Cards in this Set
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- Back
- 3rd side (hint)
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Acetaminophen (Tylenol)
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Fever in Pediatrics
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Pediatric- 10-15 mg/kg
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Acetylcysteine
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Antidote for Acetaminophen overdose
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Dosing ordered by physician
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Acetylsalicylic Acid (Aspirin)
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Myocardial Infarction patients, including AMI patients
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162-325 mg orally (baby aspirin)
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Activated Charcoal
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treatment of poisoning and overdoses in alert patients
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Adult- 1 g/kg PO or 10x the weight of amount ingested
Pediatric- 1g/kg |
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Adenosine (Adenocard)
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Stablize Supraventricular Tachycardia
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Adult- 6mg fast IV push, followed by 20 ml flush. 1-2 minutes 12mg fast IV push followed by 20 ml flush.
Pediatric- 0.1mg/kg fast IV push followed by 5 ml flush. Then 2-3 later 0.2mg/kg followed by flush |
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Albuterol (Proventil, Ventolin)
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-Wheezing associated with asthma
-COPD -Bronchospasm |
Adult- 2.5-5 mg in 3 ml of sterile saline. nebulized and repeated every 20 minutes
Pediatric-older than 12, same dose as adult Younger than 12 months-0.15mg/ml in 3ml of saline |
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Aminophylline
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Inter-facility transport
Acute bronchospasm due to Asthma |
Adult-5mg/kg IV in 50 ml D5W over 20 minutes
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Amiodarone (Cordarone)
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Pulseless or Unstable VF/VT refractory to initial electrical therapy
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Adult-Pulseless-VT/VF 300mg inital bolus after Epi.
-Unstable rhythm- 150mg over 10 minutes Pediatrics-Pulseless VT/VF 5mg/kg IVP -Unstable rhythm- 5mg/kg over 10 minutes |
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Atropine
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Symptomatic Sinus Bradycardia
Anticholinesterase poisioning |
Cardiac-Adult-0.5mg IV max of 3mg
Pediatric-0.02mg/kg IV max of 0.5 Anticholinesterase poisoning- Adult-2-4mg IV PEdiatric-0.05mg/kg IV |
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Blood-Packed red cells,Fresh Plasma, Whole Blood
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Maintain blood volume
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10ml/kg
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Calcium Preparations:
1.Calcium Gluconate 2.Calcium Chloride 3.Calcium Gluceptate |
Used as antidote for calcium channel blocker overdose
Magnesium Sulfate overdoses Black widow spider bite |
Calcium Gluconate-500-1000mg slow IVP
Pediatric-60-100mg/kg Calcium Chloride-Adult- 5-10ml by slow IVP Pediatric-0.2ml/kg |
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Ceftriaxone (Rocephin)
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Prophylactic Anitbiotic use in the field
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1g IV in 100 ml D5W given in 30 mintues
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Dexamethason (Decadron)
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1.Brain Injury associated with trauma
2.Reactive Airway disease with no response to Albuterol |
Adults-4-10mg/kg IV or IO/PO
Pediatric-0.6mg/kg (range from 0.15-1.0mg/kg) PO/IV/IO |
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Dextrose-Oral and IV
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Hypoglycemic
Seizures, associated to low BGL Refractory Cardiac Arrest(Especially in Neonates) |
Oral-25 g of paste PO
IV-Adult-25g slow IV push, may be given rectally Pediatric- Dilute 1:1 with sterile saline to make D25- give 1g/kg slow IV push, may give rectally Neonates- use 10% at 0.2gm/kg |
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Diazepam (Valium)
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Skeletal muscle relaxant, seizures, sedation for cardioversion
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Anxiety: Adult-2-20mg slow IV push with bag running
-Pediatric-0.05-1.0mg/kg IV/IO Seizures-Adult: 5-10mg slow IV push Rectal: 12 yr or older- 0.2mg/kg 6-11: 0.3mg/kg 2-5: 0.5mg/kg younger than 2-dont use |
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Diltiazem HCL (Cardizem)
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Atrial Fibrillation
Paroxysmal Supraventricular Tach. |
Adult-0.25mg/kg IV bolus over 2 minutes
Pediatric-Not used |
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Diphenhydramine (Benadryl)
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Allergic reactions
Anaphylaxis Motion Sickness |
Adults:12.5-50mg slow IV push or deep IM
Pediatric- 1mg/kg slow IV or deep IM |
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Dobutamine (Dobutrex)
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Cardiogenic shock with pulmonary edema
Congestive Heart Failure |
Adult: 2-20mcg/kg/min mix 1 ampule(250mg) in 250 ml of D5W=1000mcg/ml
Pediatric-Same as Adult |
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Dopamine Hydrochloride (Dopastat, Intropin)
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Cardiogenic Shock
Septic Shock Hypotension after ROSC |
Adult-IV infusion ONLY-400mcg in 250ml of D5W-1600 mcg/ml
infuse 2-20mcg/kg/min to desired effect Pediatric-Same as adult |
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Enalaprilat (Vasotec)
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CHF
HTN Acute MI |
Adult-1.25mg Slow IV push, if no response, repeat every hour for 6 hours
Pediatric-0.08mg/kg once a day for HTN |
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Epinephrine 1:1000
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Broncospasm/Anaphlylaxis
Bradycardia |
Anaphylaxis-Adult-0.3mg SQ or IM if no response, 0.3mg (1:10,000) IV or 1 mg ET
Pediatric-0.01mg/kg SQ Bradycardia-Adult-1mg in 250 ml @ 2-10mcg/min Pediatric-0.1mcg/kg/min + 100ml @ 1ml/hour |
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Epinephrine 1:10,000
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Cardiac Arrest
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Adult-1mg every 3-5 minutes IV or IO, may be given ET 2x dose
Pediatric-0.01mg/kg every 3-5 minutes or ET 0.1mg/kg |
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Ertapnem (Invanz)
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Prophylactic antibiotic use in the field
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1g in 50ml given over 30 minutes
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Etomidate (Amidate)
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Sedation for Rapid Sequence Intubation
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0.2-0.6 mg/kg IV slowly
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Fentanyl (Sublimaze)
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Analgesic for moderate to severe pain
Short term sedation |
Adult-50-100mcg IVP/IO/IM
Pediatric-2-12 yr old- 1-2mcg/kg |
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Flumazenil (Romazicon)
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Benzodiazepine overdose/ over sedation
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Adult-0.2mg IVP/IO over 15 seconds, administer second dose after 45 seconds. Max is 1mg
Pediatric-Older than a year-0.01mg/kg IVP/IO over 15 seconds. After 45 Seconds repeat second dose. Max is 1mg |
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Furosemide (Lasix)
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Pulmonary Edema
CHF Hypertensive emergencies in the hospital setting |
Adult-40mg slow IV/IO, response not achieved, after 1 hour additional dose of 80mg. Max is 200mg
Pediatric-1mg/kg slow IVP/IO/IM, 2 hours later, 2mg/kg |
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Glucagon
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Hypoglycemic when IV cannot be started- less than 60 mg/dl
Beta Blocker overdose with serious signs and symptoms |
Hypoglycemic-
Adult: 1mg IM/SQ/IVP/IO Pediatric-0.5mg/kg IM/SQ/IVP/IO Beta Blocker Overdose Adult:5mg IVP/IO over 1 minute Pediatric-0.5mg/kg IVP/IO over 1 minute |
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Haloperidol
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Psychotic Disorders
Agitation |
Mild Agitation-0.5-2mg PO/IM
Mod. Agitation-5-10mg PO/IM Severe Agi.-10mg PO/IM Pediatric-Not Recommended |
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Heparin
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Thrombosis in deep vein
Pulmonary emboli |
Adult-IVP-60u/kg; maintenance dose 12u/kg/hr
Pediatric-IVP-75u/kg;maintenance dose is 20u/kg/hour |
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Hetastarch (Hespan)
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Increases fluid volumes in circulatory system
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20mg/kg hourly for acute hemorrhagic shock
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Hydromorphone (Dilaudid)
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Patients with major pain-Burns or isolated fractures
Acute Pulmonary Edema AMI |
Adult- 1mg slow IV push until desired effect
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Hydroxycobalamine
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Treatment in Cyanide Poisoning
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Adult-5 g IV over 30 minutes
Pediatrics-70mg/kg IV |
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Insulin
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Diabetic Ketoacidosis
Hyperglycemia Hyperkalemia |
Ketoacidosis:
Adult-IV/SQ 0.1u/kg Pediatric-Same as adult Hyperkalemia: Adult-10u IV/IO with 50ml of D50 Pediatric-0.1u/kg IV/IO |
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Ipratropium (Atrovent)
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Asthma
Reversible Broncospasm associated with chronic bronchitis and emphysema |
Adult:0.5mg nebulizer every 4-6 hours
Pediatric-0.25-0.5mg neb every 20 minutes fro 3 doses |
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Ketamine (Ketalar)
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Anesthesia
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1.1-4.5mg/kg IV/IO every 15
2.0.5-2mg/kg IM every 15 |
