D-F Flashcards by Clint Collier

Generic- Decadron

Dexamethasone

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Generic- Dextrose 10%

NONE

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Generic- Diazepam

Valium

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Generic- Diphenhydramine

Benadryl

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Generic - Dopamnine

Inotropin

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Generic- Epi 1:1000

Adrenalin

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Generic- Epi 1:10,000

Adrenalin

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Generic- Etomidate

NONE

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Generic- Fentanyl

NONE

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Decadron- INDICATION

Reducing swelling/inflammation due to :

*refractory bronchospasm in:
—Status Asthmaticus
—Acute exacerbation of Chronic Obstructive Pulmonary

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Decadron- HOW IT WORKS

MECHANISM OF ACTION:
*Synthetic adrenal corticosteroids that”
—suppress immune response
—restores normal capillary permeability
—inhibits the formation, storage, release of histamine from mast cells

*Anti-inflammatory effect in management of:
—allergic reactions and anaphylactic shock
—sometimes used for swelling in spinal cord injury management

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Decadron- CONTRAINDICATIONS

Known hypersensitivity

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Decadron- DOSE

IVP
*ADULT: 4-24mg

*IV/IM PEDI: 0.2-0.5mg/kg NOT to exceed adult dosage

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Decadron- SIDE EFFECTS

May produce hypertension.

RARE instance of :
* anaphylactic reactions
*exacerbation of CHF
*seizures

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Dextrose 10% - INDICATION

Hypoglycemia

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Dextrose 10% - HOW IT WORKS

Increases blood glucose levels

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Dextrose 10% - CONTRAINDICATIONS

None in hypoglycemia.

Use caution with head injuries.

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Dextrose 10%- DOSE

ADULT:
250mL D10 IV

PEDI:
5 mL/kg of 10% solution

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Dextrose 10% - Side Effects

Tissue necrosis w/ infiltration

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Diazepem - INDICATION

-active seizures/ status epilepticus

-premedication

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Diazepam - HOW IT WORKS

CNS Depressant

Amnesia, sedation, muscle relaxant

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Diazepam - CONTRAINDICATIONS

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Alcohol or sedative drug use.

Head injury.

Diazepam - DOSE

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ADULT:

5-10mg to max 10 mg IV/IM

PEDI:
.5mg/kg max of 5mg (rectal)

.2mg/kg max of 5mg (IV)

Diazepam - SIDE EFFECTS

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Respiratory Depression

Hypotension

Diphenhydramine - INDICATION

-Anaphylaxis -mod/severe allergic reactions (After Epi)

Diphenhydramine- HOW IT WORKS

Blocks effects of histamine

Diphenhydramine - CONTRAINDICATIONS

-MAOIs -newborns and nursing mothers

Diphenhydramine - DOSE

ADULT: 25-50 mg PEDI: 1-2mg/kg

Diphenhydramine - SIDE EFFECTS

Drowsiness, dizziness, sedation

Dopamine - INDICATION

Nonhypovolemic hypotension Symptomatic Bradycardia if atropine ineffective

Dopamine - HOW IT WORKS

LOW DOSE- increases perfusion to organs MOD DOSE- increase rate and force of ventricles HIGH DOSE- peripheral vasoconstriction

Dopamine - CONTRAINDICATIONS

Hypovolemic shock Tachydysrhythmias VFib

Dopamine - DOSE

2-20 mcg/kg/min Effects start at 5-10mcg/kg/min

Dopamine - Side Effects

Hypertension Headache Nausea/vomiting

Epi 1:1000 - INDICATION

*Asthmatic bronchoconstriction * allergic/ anaphylaxis *Profound bradycardia (atropine, shock, dopamine have all failed)

Epi 1:1000 - HOW IT WORKS

Chronotropic Effects. *Alpha effects: -producers peripheral vasoconstriction which: —increases coronary and cerebral perfusion —increases BP in anaphylaxis *Beta-1 effects : —increases rate, force, and contractility of ventricular contractions *Beta-2 effects: —Bronchodilation

Epi 1:1000 - CONTRAINDICATIONS

-hypersensitivity -hypovolemic shock -coronary insufficiency

Epi 1:1000 - DOSE

ADULT: Asthma/Allergy: 0.3mg SubQIM Bradycardia: 2-10mcg/min PEDI: .15mg SubQ or IM

Epi 1:1000 - SIDE EFFECTS

-Tachycardia -hypertension -can worsen cardiac ischemia

Epi 1:10,000 - INDICATION

Cardiac Arrest Anaphylaxis

Epi 1:10,000 - HOW IT WORKS

CHRONOTROPIC EFFECTS *Alpha effects -produces peripheral vasoconstriction which: —Increases coronary and cerebral perfusion. —Increases BP in anaphylaxis. *Beta 1 effects: -increases rate, force, and contractility of ventricular contractions *Beta 2 effects: -Bronchodilation

Epi 1:10,000 - CONTRAINDICATIONS

-Hypersensitivity -Hypovolemic shock -Coronary insufficiency

Epi 1:10,000 - DOSE

ADULT: Cardiac Arrest: 1mg IV q 3-5 min Anaphylaxis : 0.3mg may repeat no more than once PEDI: Cardiac Arrest: .01 mg/kg Anaphylaxis : .15mg may repeat no more than once

Epi 1:10,000 - SIDE EFFECTS

-palpitations -anxiety -tremulousness -headache -dizziness -hypertension -can worsen cardiac ischemia

Etomidate - INDICATION

Induction agent before the admin of a neuromuscular blockage agent

Etomidate - HOW IT WORKS

Suppresses CNS activity

Etomidate - CONTRAINDICATIONS

-known hypersensitivity -labor/delivery

Etomidate - DOSE

0.3 mg/kg MAX 40mg

Etomidate - SIDE EFFECTS

-N&V -dysrhythmias -Short of breath (SOB) -Hypotension -muscle twitch

Fentanyl - INDICATION

-Pain control -sedation for RSI (rapid sequence intubation) and PAI (Pre arrival instructions)

Fentanyl - HOW IT WORKS

Binds with receptor in brain to produce effects

Fentanyl - CONTRAINDICATIONS

-respiratory depression -hypotension -nausea and vomiting

Fentanyl - DOSE

1-2 mcg/kg to MAX 200mcg

Fentanyl - SIDE EFFECTS

-respiratory depression -bradycardia -hypotension/hypertension -nausea and vomiting

D-F Flashcards

(54 cards)