Drugs Flashcards by David Blackthorne

What 2 drugs/situations require OLMC

Glucagon for beta blocker OD

Mag for OB/GYN

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Tylenol dose/route/contra

325 - 1000mg PO/SIVP (>60s)
Liver disease or taken <4hr

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When to give activated charcoal

<2 hr Tylenol or aspirin OD

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Activated charcoal dose(max) route contra

1g/kg max 50 PO/NG

no contra

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Adenosine dose route contra

Dose = 6-12-12 fast push
Contra: 2nd/3rd deg block, a-fib, known hypersensitivity

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Why is adenosine bad for WPW

Can cause AVNRT ( worse tachycardia)

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How can adenosine be dangerously for asthmatics

Can cause reactive airway response

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When should adenosine be reduced to half dose

Cardiac transplant, tegretol, central line use

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General dose of albuterol

2.5mg

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Alprazolam (Xanax) dose route indication

0.25 PO

for anxiety or meth/coke OD

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Amio dose for pulseless V-fib/tach

300mg then 150mg bolus

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Amio dose for V-tach with pulse. How to prep?

150mg mixed in 100ml NS over 10 min

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Aspirin contra

Bleeding disorder
Ulcer
Gi bleed
Aortic dissection
Peds

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Atropine dose and contra for bradycardia

1mg repeat 3-5min for max 3

Contra = a-fib/flutter

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Atropine dose for organophosphate poisoning

2-5mg IV/IO or 2mg IM
OLMC for frequency

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Calcium gluconate dose

Alive = 1g (10ml vial) x3 then OLMC (SIV 30-60s proximal IV)

dead = 3g( 3 vials) SIVP (5-10s)

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Dex dose

10mg

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D10/d50 dose

D50 - 25-50ml

D10 - 125-250ml

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Benadryl dose and route

1mg/kg (max 50mg) IV IO IM PO

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Epi dose for anaphylaxis

1:1000 - 0.3-0.5mg x2

1:10,000 - 0.1 bolts PRN/3-5m max x5

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Epi dose and route for asthma

IM 0.3-0.5mg 1:1,000

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Epi dose for beta blocker OD

2-10 mcg/min drip

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Push dose Epi dose

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1ml (10mcg) per 1-5 min

Racemic Epi dose

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0.5ml (11.25 mg) mixed in 2.5ml NS. Nebulized x2

Esmolol dose for a code

500 mcg/kg x2

Esmolol dose for rosc

100mcg/kg/min It’s 1/5 the arrest dose

Etomidate (amidate) indication and doses for each

RSI - 0.3mg/kg over 10s Cardioversion - 1/2 rsi dose

Fentanyl dose indications and contra route

Contra - sbp <100 or bad Resp (SP02 <90) Pain - 25-100mcg - max 400mcg IV IO IM IN Post intubation - 50-100mcg

Lasix dose and contra

Contra - hypovolemia/ hypotension 20mg if first time Prescribed = 40mg

Who gets lower dose furosemide?

Digitalis toxicity

Glucagon dose route

1mg IM

Hydroxocobalamin (cyanokit) dose route and prep

5g IV IO over 15 min (repeat with OLMC permission) give it separately from sodium thiosulfate Mix in 200 LR OR NS

Ibuprofen dose route contra

600mg PO Contra = <6mo, ASA or NSAID allergy, immediate post CABG, blood thinners, stomach ulcers

Ipratropium bromide dose

0.5mg

Ketamine indication contra dose ROUTE

RSI - 1mg/kg IV IO Pain - 15mg IV IO IM contra = preggo, CAD, baby <3mo, schizo, glaucoma

Must follow Ketamine with what drug?

2.5 versed

Ketamine dose is based off what?

IDEAL body weight

Ketorolac dose and contra

15mg IV, 30 IM contra - trauma, bleeding, ASA/NSAID, preggo liver kidney problems, cardiac chest pain

Labetalol dose contra indication route

HTN preggo/postpartum - 10mg over 1-2min IV IO x3 every 15min contra = heart problems or bronchospasm (2/3rd deg block, Brady, carcinogenic shock,)

Lidocaine dose for each indication

VF code - 1.5mg/kgx1 then .75x2 ROSC - 0.75mg/kg every 10min max x4 IO - 0.5mg/kg (50mg) over 120s pause 30-60s - power flush

Mag sulfate dose and indications

Torsades - 2g over 1-2m Eclampsia - OLMC Asthma - 2g over 20m

Versed dose

2.5-5 MG IV 5-10 IM

Narcan dose and ROUTE

2mg IN max 8mg 0.5mg IV to max 2mg (It’s x4 doses max for each)

Nitro bolus dose and prep

1mg IV repeat x1 in 5m PRN 50mg/10ml into 250cc NS - mix 10s - 5cc=1mg

Norepi (levophed) prep and dose

Prep = 4mg in 1000 NS 4mcg/min titrate in 4mcg increments every 5min 24mcg/min (Think 4 - 4 - 24)

Olanzapine (Zyprexa) dose route and contra

10mg PO Preggo Pt not 8-65 Yrs

Zofran dose and route

8mg over 2 min x2 PRN IV IM IO PO

Oxytocin

10 units IM or 10 IV over 5min

Proparacaine dose and indication

Burns or stuff in eye 1 drop x4 every min. 8max

What drugs to avoid in RSI pts with seizures

ROC and Vec

Rocuronium bromide (zemuron) indications and dose

RSI, or post tube maintenance 1mg/kg IV

Sodium bicarbonate dose for all indications

Sodium blocker OD/code = 1mEq/kg Hyper K = 50mEq

Sodium Thiosulfate indication dose

For cyanide poisoning 50ml of 25% solution IV over 10 min

Succinylcholine contra and dose

Contra = recent burn/crush <6mo Stroke/spinal cord inj <6mo Neuromuscular disease (ms) Hyper K 1.5mg/kg repeat x1 after 1min if not relaxed enough

Tranexamic acid (TXA) dose indication and contra

2g Adult 15+ yrs <1 hr inj GCS 3-12 WITH Reactive pupil And NOT a code/drown/hang

Vecuronium Bromide indication and dose

RSI and post tube maintenance 0.1mg/kg IV IO

Ziprasidone (geodon) dose and route

10-20mg IM ONLY (max 20)

Drugs Flashcards

(57 cards)