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Adult Flashcards

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1
Q

Afrin

A

0.05% Oxymetazoline

Nasotracheal Intubation

Adrenergic Receptor Antagonist
-Vasoconstrictor & nasal decongestant

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2
Q

Tetracaine

A

2 drops in affected eye (0.5%) every 3 min

Eye injuries/Morgan lens

Local anesthetci/alters Ca2+ release channels

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3
Q

Sodium Bicarb (Crush)

A

50 mEq IV 1 min prior to extrication then 50 mEq slow push every 30 min

Crush Injury- 1 extremity crushed 2 hours, 2 ext. for 1 hour

Electrolyte

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4
Q

Calcium Chloride (Crush)

A

1 g IV over 5 min MC

Crush w/suspected hyperkalemia and ECG changes (QT prolonged or wide QRS)

Electrolyte

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5
Q

Naloxone

A

2 mg IN/IV, repeat as necessary

Suspected Opiate OD

Narcotic Antagonist

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6
Q

Calcium Chloride (OD)

A

1 g IV MC

OD Ca2+ channel blockers

Electrolyte

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7
Q

Diphenhydramine (OD/Toxic Exposure)

A

50 mg IV/IM

Dystonic Rxn (exposure/OD)

Antihistamine

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8
Q

Ondansetron

A

4 mg IV/IM/PO

Nausea/Vomiting

Anti-emetic/nausea
Serotonin 5-HT3 Antagonist

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9
Q

Diphenhydramine (Nausea)

A

25 mg IV/IM

Motion Sickness

Antihistamine

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10
Q

Mag Sulfate (Pre-term labor)

A

4 g in 100 ml NS IV over 10 min MC

Pre-Term labor (24-37 weeks)

Electrolyte, mineral Ca2+ channel blocker, bronchodilator/CNS and muscle depressant

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11
Q

Diphenhydramine (Allergy)

A

50 mg IV/IM

Allergic Rxn

Antihistamine

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12
Q

Epi 1:1,000 (Allergy)

A

0.3 mg IM

Anaphylaxis

Sympathomimetic

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13
Q

Glucose Paste

A

15-24 g PO

Hypoglycemic and can swallow

Carbohydrate

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14
Q

Dextrose 10%

A

25 g in 250 ml NS IV, can redose

Hypoglycemic and can’t swallow

Carbohydrate

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15
Q

Glucagon

A

1 mg IM

Hypoglycemia w/ no IV access
Slight muscle relaxer (choking)

Hormone

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16
Q

Midazolam (Seizure)

A

5 mg IV/IM, can repeat once after 5 min
MC for more

Seizures

Sedative- Benzodiazepine

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17
Q

Mag Sulfate (Preg. Seizure)

A

4 g in 100 ml NS over 20 min IV

Seizures in Preg. Pts

Electrolyte, mineral Ca2+ channel blocker, bronchodilator/CNS and muscle depressant

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18
Q

Atrovent

A

0.5 mg/ 2.5 ml neb

Insp./Exp. wheezing

Parasympatholytic bronchodilator
Anticholinergic

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19
Q

Albuterol

A

2.5 mg/ 3 ml neb

Insp/Exp. wheezing (Asthma, Allergy, COPD, Pulm. Edema)

Beta-2 Agonist

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20
Q

Dexamethasone

A

10 mg PO/IM/IV

Acute Asthma, Anaphylaxis, COPD/Bronchospasm
MC for Shock/Hypoperfusion

Corticosteroid

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21
Q

Epi 1:1,000 (Asthma)

A

0.3 mg IM or 3 mg neb (MC for neb)

Severe asthma

Sympathomimetic

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22
Q

Mag Sulfate (Asthma)

A

2 g in 100 ml IV over 10 min

Asthma- if Pt did not respond to other treatments

Electrolyte, mineral Ca2+ channel blocker, bronchodilator/CNS and muscle depressant

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23
Q

Mag Sulfate (COPD)

A

2 g in 100 ml NS IV over 10 min MC

COPD MC

Electrolyte, mineral Ca2+ channel blocker, bronchodilator/CNS and muscle depressant

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24
Q

Haldol

A

2.5 - 5 mg IV/IM MC

Agitated Pt, Excited Delerium
may develop dyskinia

Antipsychotic

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25
Ketamine (Agitated Pt)
0.5 - 2 mg/kg IV/IM MC consider 250 mg loading dose Highly agitated Pt- needs sedation NMDA receptor antagonist
26
Midazolam (Delirium)
10 mg IM MC for more Excited Delirium Sedative - Benzodiazepine
27
Ketamine (Excited Delirium)
250 mg IV, may repeat once or as single dose after Versed MC for more Excited Delirium NMDA receptor antagonist
28
Ketorolac
30 mg IV, 30-60 mg IM (reduce in Pts < 50 kg) MC Pain Management NSAID
29
Fentanyl
1 - 1.5 mcg/kg IN/IV/IM can be repeated after 5 min up to 200 mcg MC for more Pain Management: Ax to morphine, potentially hemodynamically unstable (so no morphine) Narcotic Analgesic
30
Morphine (Pain)
0.05 mg/kg IV or 0.1 mg/kg IM can be repeated after 5 min up to 10 mg MC for more Hemodynamically Stable Pain Management Narcotic Analgesic - Opiate
31
Ketamine (Pain Management)
25 mg IV over 5 min OR 50 mg IM (All MC) Pain Management NMDA receptor antagonist
32
Midazolam (Pain)
2.5 - 5 mg IV up to 10 mg (generally 5 mg for IM) MC for more Pain Management Sedative - Benzodiazepine
33
Etomidate
0. 1 mg/kg IV for intubation (MC) 0. 3 mg/kg for induction Sedation for tubing Hypnotic
34
Midazolam (Post-tube)
up to 5 mg IV every 10 min as needed Post-intubation Management Sedative - Benzodiazepine
35
Ketamine (Post-tube)
As a substitute for Versed up to 100 mg every 5 min as needed Post-Intubation Management NMDA receptor antagonist
36
Midazolam (Procedural Sedation)
2.5 mg IV or 5 mg IM repeat every 5 min: SBP > 100 mmHg, MAP > 65 mmHg Procedural Sedation Sedative - Benzodiazepine
37
Ketamine (Procedural Sedation)
0.5 - 2 mg/kg IV or 3.5 mg/kg IM (MC for all) Procedural Sedation NMDA receptor antagonist
38
Morphine (Sedation)
MC for dose Procedural Sedation Narcotic Analgesic - Opiate
39
Ketamine (RSI)
2 mg/kg IV rapid push round to nearest 50 mg for adults RSI Option for Induction NMDA receptor antagonist
40
ASA
4 x 81 mg PO Cardiac Symptoms (CP, etc.) Antiplatelet
41
Nitro (Cardiac)
0.4 mg SL 5 min apart: SBP > 120, MAP > 90 CP, STEMI Nitrate
42
Metoprolol (STEMI)
5 mg slow IV push x 4 doses MC HR > 80, SBP > 120, MAP > 90 STEMI Beta-blocker
43
Nitro (Pulm. Edema)
SBP 120-160: 0.4 mg SL every 5 min 160-200: 0.8 mg >200: 1.2 mg Acute Cardiogenic Pulmonary Edema Nitrate
44
Metoprolol (Stroke)
5 mg slow IV MC Stroke: SBP >220, DBP >120 Beta-blocker
45
Furosemide
We don't do this Antihypertensive, Pulm. Edema, Heart Failure Loop Diuretic
46
Dopamine
We don't do this Low: Renal, Mid: Cardiac Pressor and Brady, High: Pressor Tachydysrhythmias, Shock Hypovolemic Sympathomimetic, Neurotransmitter
47
Sodium Bicarb (OD)
1 mEq/kg every 5 min until QRS normalizes Tricyclicantidepressant OD (tachy and wide QRS) Electrolyte
48
Calcium Chloride (Hyperkalemia)
1 g IV Hyperkalemia: Arrest, RSI w/ ECG changes (QT prolonged or widening QRS) Electrolyte
49
Adenosine
6, 12 mg IV LAC MC for second 12 mg Narrow Complex Tach (reg and stable) Antidysrhythmic - poss Na+ channel blocker
50
Diltiazem
1st: 0.25 mg/kg (max 25 mg) IV over 2 min if after 15 min and still stable: 2nd: 0.35 mg/kg (max 35 mg) IV over 2 min Stable Irreg. Tach Ca2+ Channel Blocker
51
Metoprolol (Arrythmia)
5 mg IV over 2 min, 2nd dose in 15 min MC for more Irreg. Narrow Tach Stable -use instead of Cardizem if Pt is on a Beta-blocker or if Metoprolol was used in the first dose Beta-blocker
52
Amiodarone (Tach)
150 mg/ 100 ml NS IV over 10 min (3 drops per 5 sec) Monomorphic Wide Tachy Antidysrhythmic - K+ Channel Blocker
53
Mag Sulfate (Arrythmia)
Stable: 2 g IV in 100 ml over 10 min Unstable: 2 g IV over 2 min Tachy Wide Complex w/ pulse (Torsades) Electrolyte, Mineral, Ca2+ Channel Blocker, Bronchodilator/CNS and muscle depressant
54
Lidocaine (Arrythmia)
1.5 mg/kg IV Wide Complex Tachy w/ Pulse Na+ Channel Blocker
55
Atropine
0.5 mg every 3 min IV max 3 mg Symptomatic Brady Parasympathetic antagonist to vagal, Enhances conduction through AV junction
56
Epi 1:10,000
1 mg IV/IO every 3-5 min Cardiac Arrest Sympathomimetic
57
Amiodarone (Arrest)
300 mg/ 20 ml saline IV then 150 mg 5 min later Cardiac Arrest V-Fib Antidysrhythmic - K+ Channel Blocker
58
Lidocaine (Arrest)
1.5 mg/kg IV Pulseless V-Fib or V-Tach Antidysrhythmic - Na+ Channel Blocker
59
Mag Sulfate (Arrest)
2 g IV Arrest - V-Fib, Pulseless V-Tach Electrolyte, Mineral, Ca2+ Channel Blocker, Bronchodilator/CNS and muscle depressant
60
Sodium Bicarb (Arrests and Suspected Hyperkalemia)
50 mEq IV Arrest/Suspected Hyperkalemia or Acidosis Electrolyte
61
Calcium Chloride (Arrest)
1 g IV (both Arrests) Arrests w/ suspected hyperkalemia: QT prolonged or QRS widening Electrolyte
62
Norepi (Not MC)
2 mcg/min titrated to 20 mcg/min after fluid bolus is infused to maintain SBP > 100, MAP >65 ROSC, Symptomatic Brady/Heartblocks, STEMI, ACS-CP (if unstable or in Pulm. Edema [cardio shock]), Anaphylactic Shock Catecholamine/ Vasopressor
63
Lidocaine (ROSC)
1.5 mg/kg IV ROSC Na+ Channel Blocker
64
Metoprolol (ROSC)
5 mg IV over 5 min, up to 4 doses MC SBP >200 ROSC Beta-blocker
65
Norepi (MC)
2 mcg/min titrated to 20 mcg/min after fluid bolus infused Septic, Traumatic shock, LVAD w/ ss shock Catecholamine/ Vasopressor

Med Protocols (2 decks)

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