Meds Flashcards by Ian Van Woert

Acetaminophen Dose

15mg/kg up to max dose 1g PO/PR

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Adenosine Dose (adult)

1st: 6mg RIVP followed by 10mL NaCl flush
2nd: 12mg RIVP followed by 10mL NaCl flush

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CI’s for Adenosine

2nd or 3rd degree, SSS, WPW.

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Albuterol Dose

2.5mg bullet NEB (max 2 doses)

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Albuterol Sulfate also known as…

Proventil

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Amiodarone Dose (adult VF/PVT)

1st: 300mg IV/IO. Dilute with 20ml saline.
2nd:150mg in 5 minutes.

Max total dose 450mg

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Amiodarone Dose (adult VT)

150mg IV/IO. Piggyback with 100ml NACL over 10 minutes.

Max total dose 450mg

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Amiodarone Dose (post-cardiac arrest)

900mg mixed into 500ml NACL. Run at 33.3ml/hr (1mg/min)

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Amiodarone Dose (ped VF/PVT) 🐥

5mg/kg IV/IO. Diluted with 15ml saline. May repeat in 5 minutes.

Max 15mg/kg

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Amiodarone Dose (ped VT) 🐥

5mg/kg IV/IO. Piggyback over 20-60 minutes

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Not to be used with Lidocaine, 2nd/3rd Degree heart block, sinus bradycardia

CI’s for Amiodarone

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To be used with suspected cyanide exposure

Amyl Nitrate is indicated for this poison…

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Method for Amyl Nitrate administration

Adult and Peds:
* Crush pearl between fingers. Wave under nose for 30 seconds with 30 seconds off. Up to three
minutes per pearl. PRN. No max dose.

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Cefazolin is also known as…

Ancef is also known as…

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Prophylactic coverage for open fractures or presumably contaminated wounds.

Ancef/Cefazolin indication

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Cautions for Ancef/Cefazolin

PCN allergy
Hx of seizure disorders

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Ancef dose (adult only)

1g IV/IO over 60min infusion

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This ACS platelet aggregate inhibitor is not to be used where choking hazard exists, pediatric patients, or in presence of allergies.

CI’s for ASA

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Precautions for ASA

Bleeding
Use of other blood thinners
Suspect CVA/Stroke

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Ativan is also known as…

Lorazepam is also known as…

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Seizures
Anxiety
Combativeness
Skeletal Muscle Spasms
Withdrawal symptoms

Indications for Ativan

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Narrow angle glaucoma
Shock
Allergies to Benzo’s

CI’s for Ativan

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Caution should be used when giving this medication for ETOH withdrawal…

Ativan should be used for ETOH withdrawal

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Ativan dose (adult seizure)

2-6mg IV/IO/IM repeat x 2 prn q 5 mins

Ativan dose (adult other)

1-2mg IV/IO/IM x2 prn q 5 mins

Ativan dose (peds) 🐥

0.05mg/kg IV/IO

May be used for symptomatic bradycardia or nerve agent exposure

Uses for Atropine

Not to be used with A-Fib/A-Flutter, Tachycardia, Glaucoma pt's

CI's for Atropine

Atropine dose (adult bradycardia) per ACLS

1mg IV/IO

Atropine dose (adult nerve agent)

1mg IV/IO q 5 min until symptoms resolve. No max.

Atropine dose (peds) 🐥

0.02mg/kg IV/IO (max 0.5mg dose)

Indications for use: HypoCa HyperK HyperMg Hydrogen Fluoride Toxicity Ca channel blocker toxicity Multiple blood transfusion

Calcium Gluconate indications

Do not piggyback this electrolyte medication with sodium bicarbonate... Contraindicated for V-Fib

CI's for Calcium Gluconate

Rapid infusion may cause Bradycardia, hypotension, or Asystole May cause tissue necrosis May cause V-Fib

Precautions for Calcium Gluconate

Calcium Gluconate dose (adult)

500mg-2g IV/IO over 10 mins q 20 mins prn

Calcium Gluconate (peds) 🐥

60mg/kg IV/IO over 10 mins q 20 mins prn

Diltiazem is also known as...

Cardizem is also known as...

A-Fib with RVR A-Flutter with RVR PSVT

Indications for Diltiazem

Do not use with patients who have... 2nd/3rd degree heart blocks SSS Severe hypotension WPW Rx Beta blockers (may cause profound bradycardia, AV block, depression of contractility)

CI's for Dilitiazem

This medication should be used cautiously in pt's with hx of hepatic/renal impairment, or CHF.

Precautions for Diltiazem

Diltiazem dose (adult only)

0.25mg/kg IV/IO over 2 mins. Repeat prn in 15 mins @ 0.35mg/kg IV/IO

Clonidine is also known as...

Catapres is also known as...

Clonidine is indicated for...

This medication is used to treat symptomatic hypertension

This hypertension medication is not to be used in pt's with... CVA 2nd/3rd degree heart blocks Hypotension

CI's for Clonidine

Clonidine dose (adult only)

0.1-0.2mg PO x 1 dose

Used to treat hypoglycemia

Dextrose

Questionable or unstable IV Hyperglycemia

CI's for dextrose

Dextrose dose (D10 infusion)

10-50g IV infusion. Titrate to effect.

Diphenhydramine is also known as...

Benadryl is also known as...

Indicated for... anaphylaxis dystonic reactions severe combative subjects

Indications for Benadryl

This antihistamine is not to be used in breastfeeding or pregnant mothers...

Contraindications for Benadryl

Benadryl dose (adult)

25-50mg IV/IM/IO

Benadryl dose (peds) 🐥

1-2mg/kg IV/IO/IM (max total dose 25mg)

Duoneb is also known as...

Combivent is also known as...

Indications for this medication include... -Asthma -COPD -CHF -Smoke Inhalation -Epiglottitis -Infection process of lung/airway

Duoneb indications

What does a Duoneb bullet consist of?

2.5mg Albuterol Sulfate 0.5mg Ipratropium Bromide in 3.0ml NS

Indications for this medication include... -Pulseless arrest (VF, pVT, PEA, Asystole) -Bronchospasm -Anaphylaxis -Hypotension

Indications for Epi

Hypertension Labor

Contraindications for Epi

Caution should be used with epinephrine as it will precipitate this medication...

Sodium bicarbonate will be precipitated from this medication.

Epinephrine dose (adult anaphylaxis)

0.3mg 1:1,000 (1mg/mL) SQ/IM q 3-5 minutes

Epinephrine dose (peds anaphylaxis) 🐥

0.01mg/kg 1:1,000 (1mg/mL) SQ/IM q 3-5 min

Epinephrine dose (adult cardiac arrest)

1mg 1:10,000 (1mg/10ml) IV/IO q 3-5 min

Epinephrine dose (peds cardiac arrest) 🐥

0.01mg/kg 1:10,000 (1mg/10ml) IV/IO q 3-5 min

Epinephrine dose (adult hypotension)

“Push Dose Pressor” 5-10mcq/1ml of diluted concentration IV/IO q 3 minutes until desired effect.

Epinephrine dose (adult infusion)

0.5-1.0 mcg/kg/min

Etomidate is also known as...

Amidate is also known as...

This medication is used for general anesthesia to facilitate intubation...

Etomidate is used as general anesthesia to facilitate intubation.

Side effects of etomidate..

Can cause uncontrolled skeletal muscle activity.

Etomidate dose (adult)

0.4mg/kg IV/IO

Etomidate dose (peds) 🐥

>10 yrs old 0.4mg/kg IV/IO

Fentanyl is also known as...

Sublimaze is also known as...

This medication is contraindicated for use in pt's who are... <2 yrs of age bradycardic ALOC Head injury w/suspected ICP

Contraindications of fentanyl use

Fentanyl dose (adult/peds pain)

1-2mcg/kg SIVP/IO/IM/IN (may repear prn at 1/2 initial dose)

Fentanyl dose (adult/peds post-sedation)

1-2mcg/kg/hr IV/IO

True or false. The doses mcg/kg for fentanyl are the same for adult and pediatrics?

True. Fentanyl doses for adult and pediatrics are the same.

GlucaGen is also known as...

Glucagon is also known as...

Hypoglycemia (if dextrose unavailable) Beta Blocker Overdose and Calcium Toxicity

Indications for Glucagon

The effects of this medication are inhibited by Dilantin

Glucagon is inhibited by Dilantin

Glucagon dose (adult hypoglycemia)

1mg SQ/IM (may repeat every 20 mins, Total max dose 4mg)

True or false. Glucagon is indicated in pediatric patients?

False, glucagon is not indicated for pediatric patients.

Indications for this medication... Minor hypoglycemia with patent airway

Oral glucose

True or false. Oral glucose may be used in patients with ALOC or non-patent airway?

False, oral glucose is contraindicated for these patients.

Oral glucose (adult dose)

15g (1 tube) buccal -repeat prn to maintain glucose levels

Oral glucose (peds dose) 🐥

>2 years old, 7.5-15g buccal -repeat prn to maintain glucose levels

Haloperidol is also known as...

Haldol is also known as...

Indications for this medication include... Hallucinations Tourette syndrome Combative subjects Psychotic disorders

Indications for haldol

True or false. Haldol may be used for Parkinson's disease?

False, Haldol is contraindicated in the presence of Parkinson's disease.

May cause extrapyramidal effects May cause arrythmias May cause orthostatic hypertension

Side effects of Haldol

Haldol dose (adult)

5mg IM (may repeat q 15 minutes. Max dose 10mg)

Haldol dose (ped) 🐥

>3 yrs old 0.05mg/kg IM

Deep Vein Thrombosis Pulmonary Emboli STEMI DIC

Indications for Heparin

Past heparin-induced thrombocytopenia Active GI bleed

Contraindications for Heparin

Bleeding ,petechiae, hematuria, hypotension, epistaxis

side effects of heparin

Heparin dose (adult STEMI)

60 u/kg SIVP (max 5000 units, followed by continuous infusion) Infusion rate 12 u/kg/hr (max 1000u/hr)

Heparin dose (peds) 🐥

No indicated pediatric dose for heparin

Hydralazine is also known as...

Apresoline is also known as...

Hypertension and Pre-eclampsia

Indications for Hydralazine

Mitral Valvular Rheumatic Disease is an absolute contraindication for which medication?

Hydralazine is contraindicated in MVRD Pt's.

Hx of heart disease Hx of CVA Hx of Renal impairment

precautions for hydralazine

Hydralazine dose (adult only)

20-40mg IV

<2 years of age Acute pulmonary edema

contraindications for Ketamine

0.1mg-0.3mg/kg is the pain management dose for...

Ketamine dose (adult pain management)

4mg/kg IM or 2mg/kg IV

Ketamine dose (adult combative/excited delirium)

2mg/kg IVP

Ketamine dose (adult sedation)

1-2mg/kg/hr infusion

Ketamine dose (adult post RSI)

0.1mg-0.3mg/kg IV/IM/IN🐥

Ketamine dose (peds pain management)

True or False. Ketamine may be used for combative patients <17yo?

False. Ketamine may NOT be used for combative patients <17yo.

Trandate is also known as...

Labetalol is also known as...

This beta blocker is indicated for use in hypertensive crisis...

Indication for Labetalol

2mg-5mg q 5 minutes. Total max dose 20mg

Morphine dose (adult cardiac/ACS)

0.05-0.1mg/kg IV/IO q 5minutes. Total max dose 20mg

Morphine dose (pain management)

2mg IV/IO q 5 minutes. Total max dose 20mg.

Morphine dose (pulmonary edema)

4mg ODT. Allow to dissolve. Repeat prn q 10 mins. Max dose 8mg.

Zofran dose ODT (adult)

>5 years old, 4mg ODT. Max dose 4mg 🐥

Zofran dose ODT (peds)

4mg IV/IM. Max dose 12mg

Zofran dose (adult IV/IM)

>2 years old 0.05mg-0.15mg/kg IV/IM 🐥

Zofran dose (peds IV/IM)

Oxytocin is also known as...

Pitocin is also known as...

-Stimulates uterus to stop vaginal hemorrhage -Profuse vaginal bleeding with signs of shock

Indications for Pitocin

40 units added to 1000mL NaCl, rapidly infused and titrated to control bleeding 10 units IM if unable to establish IV

Pitocin dose (adult only)

Promethazine is also known as...

Phenergan is also known as...

N/V Narcotic Enhancement Sedation Vertigo

Indications for Phenergan

Phenergan is NOT to be used in patients _ years or younger.

Promethazine is NOT to be used in patients 2 years or younger.

May cause sedation, confusion, disorientation Caution with HTN, CNS depressants, and epilepsy Caution with IV narcotic therapy

Precautions for Phenergan

12.5-25mg IM

Phenergan dose (adult)

>2 years old 6.25-12.5 mg IV piggyback over 10 minutes 🐥

Phenergan dose (peds)

Croup Epiglottitis May also be used in conjunction with SQ Epinephrine in acute anaphylaxis if IV/IO is unobtainable

Indications for Racemic Epinephrine

Caution in patients with coronary insufficiency and HTN

Contraindications for Racemic Epinephrine

Zemuron is also known as...

Rocuronium is also known as...

1mg/kg IV/IO is the dose for this paralytic

Rocuronium dose (adult only)

Patients with hepatic dysfunction Patients with neuromuscular disease Not recommended for pediatric patients

Precautions for Rocuronium

Acidosis Hyperkalemia TCA overdose

Indications for Sodium Bicarbonate

Alkalosis Do not give with catecholamines or Calcium

Contraindications for Sodium Bicarbonate

May cause alkalosis May cause excessive intravascular volume or worsen CHF Extravasation may cause tissue necrosis

Precautions for Sodium Bicarbonate

1mEq/kg IV/IO (may repeat prn q10 minutes)

Sodium bicarbonate dose (adult/ped)

Cyanide exposure Severe smoke inhalation secondary to structure fire

Indications for Sodium Nitrate

May cause hypotension if infused too quickly Remember to decon patient prior to administration

Precautions for Sodium Nitrate

300mg IV piggyback over no less than 5 mins

Sodium Nitrate dose (adult)

0.12ml-0.33ml/kg up to 10ml piggyback over 5-10 mins 🐥

Sodium Nitrate dose (peds)

Solu-Medrol is also known as...

Methylprednisolone is also known as...

Severe Anaphylaxis Asthma COPD

Indications for Solu-Medrol

May cause GI bleeding, prolonged wound healing, suppression of natural steroids

Precautions for Solu-Medrol

125mg-250mg IV/IO/IM

Solu-Medrol dose (adult)

2mg/kg IV/IO/IM 🐥

Solu-Medrol dose (peds)

Solu-Medrol has no contraindications. True or False?

True. Solu-Medrol has no contraindications.

Terbutaline is also known as...

Breathline is also known as...

Asthma Bronchospasm Preterm labor (27-36 weeks gestation to stop contractions)

Indications for Breathline

True or False. Terbutaline is not to be used with other sympathomimetic agents.

True. Terbutaline is not to be used with other sympathomimetic agents.

Caution with hx of diabetes, HTN, hypothyroidism May cause tachycardia, hypotension, lightheadedness, flushing, pulmonary chest pains, hyperglycemia

Precautions for Terbutaline

0.25mg SQ. Repeat once prn if no improvement in 15 minutes.

Terbutaline dose (adult and/or preterm labor)

Cyanide exposure (IV medication secondary to Sodium Nitrate)

Indications for Sodium Thiosulphate

12.5g IV piggyback over 10-20 mins

Sodium Thiosulphate dose (adult)

1.65ml/kg IV piggyback over 10-20 mins 🐥

Sodium Thiosulphate dose (peds)

Ocular pain relief Temporary numbing of eye for irrigation

Indications for Alcaine

Alcaine is also known as...

Tetracaine is also known as...

1-2 drops pf solution per affected eye prn 5-10 mins. Max 3 doses.

Tetracaine dose (adult and peds)

Toradol is also known as...

Ketorolac is also known as...

Short term management of mild to severe pains

Indications for Toradol

Obvious fractures (delays healing process) Recent GI bleeding Active ulcer Advanced Renal Impairment

Contraindications for Toradol

30mg IV or 60mg IM over no less than 30 seconds

Toradol dose (adult <65yrs of age)

>65yrs of age or weight less than 50kg: 30mg MAX

Toradol dose (adult >65yrs of age)

1mg/kg IM up to 30mg max OR 0.5mg/kg IV up to 15mg max

Toradol dose (peds)

Thiamine is also known as...

Vitamin B1 is also known as...

Alcoholic Polyneuropathy (S/S: nystagmus, opthalmoplegia, ataxia)

Indications for Vitamin B1

Administration of glucose may precipitate symptoms of thiamine deficiency. Therefore, in patients whose Thiamine status is suspect, Thiamine should be given prior to dextrose.

Precautions for Thiamine

100mg is the dose for this vitamin.

Thiamine dose (adult dose)

Hemorrhagic shock secondary to trauma ACE Inhibitor Inducted Angioedema

Indications for TXA

Patients <12 years old Suspected CVA, MI, or PE

Contraindications for TXA

May cause diarrhea, N/V or blurred vision

Precautions for TXA

Administer early with signs of internal/external hemorrhage or provider judgement. Ideally administration is performed before patient presents with shock (hypotension and tachycardia).

Notes for TXA

2g mixed with 100-250 ml dilutant given over 10 mins

TXA dose (adult or peds >13yrs)

Midazolam is also known as...

Versed is also known as...

Sedation (both short and long term) Acute alcohol withdrawals Seizures Post intubation sedation

Indication for Versed

Narrow angle glaucoma Shock Alcohol intoxication

Contraindications for Versed

Patients with ALOC Patients hemodynamically unstable Recent opiate administration Will cause respiratory depression May cause hypotension

Precautions for Versed

2mg-10mg IV/IM/IN/IO (may repeat q 2 mins at 1 mg until desired effects achieved) IN limited to 1ml per nostril max

Versed dose (adult)

5-15mg/hr IV titrated to effect

Versed infusion dose (adult)

0.05mg/kg/hr

Versed Post Intubation Sedation infusion dose (adult)

0.1mg/kg IV/IO/IN or 0.2mg/kg IM max 5mg 🐥

Versed dose (peds)

In place of Albuterol for patient with known sensitivity: Asthma Allergic Reaction COPD CHF Smoke Inhalation Infectious process involving lung/airway

Indications for Xopenex

True or false. Xopenex may be used in patients <12 yrs of age.

False, Xopenex is NOT to be used in patients <12 yrs of age.

1.25mg bullet via NEB

Xopenex dose (adult or ped >12yrs of age)

Stroke/CVA Asthma 2nd/3rd Degree Heart block Bradycardia

Contraindications for Labetalol

10mg-20mg IVP over 2 mins (may repeat initial or double initial dose q10 mins. Max total dose 150mg

Labetalol dose (adult only)

Significant PVC's R on T V-Tach V-Fib Conscious IO placement

Indications for Lidocaine

2nd or 3rd degree heart block Bradycardia

Contraindications for Lidocaine

Decreases myocardial contractility May cause dizziness and/or confusion

Precautions for Lidocaine

1mg-1.5mg/kg IV/IO (may repeat at 3-5min at 1/2 dose. Max dose 3mg/kg or 300mg)

Lidocaine dose (adult)

2g/500ml infusion at 2-4mg/min (4mg/ml @ 30-60ml/hr)

Lidocaine post conversion infusion dose (adult)

1mg-1.5mg/kg IV/IO. Repeat at 3-5mins. Max dose 3mg/kg or 300mg

Lidocaine dose (peds)

0.5mg/kg IV/IO 🐣

Lidocaine dose (infant)

Lopressor is also known as...

Metoprolol is also known as...

Hypertensive crises

Indication for Lopressor

Stroke/CVA Asthma 2nd or 3rd degree heart block Bradycardia

Contraindication for Metoprolol

May cause bradycardia Caution with hx of 1st degree heart block Caution with hx of CHF

Precautions for metoprolol

5mg SIVP q 5-10 mins. Max total dose 15mg

Lopressor dose (adult only)

Severe asthma Ventricular arrythmias Torsades de Pointes Pre-Eclampsia Pre-Term Labor

Indications for Magnesium Sulphate

May cause prolonged QT interval (stop infusion) May cause facial flushing

Precautions for Magnesium Sulfate

1g-2g IV/IO piggyback over 5 mins

Magnesium Sulfate dose (Cardiac Arrest/Torsades adult only)

2g piggyback over 10 mins

Magnesium Sulfate dose (Status Asthmaticus adult only)

4g piggyback IV/IO over 10 mins

Magnesium Sulfate dose (Pre-eclampsia adult only)

Levophed is also known as...

Norepinephrine is also known as...

Hypotension (non-hypovolemic)

Indication for Levophed

Incompatible with: Heparin Insulin Lidocaine Sodium Bicarbonate Packed RBC Hypovolemia

Contraindications for Levophed

Hypotension <90mmHg Rx usage of Viagra, Levitra, Cialis in past 24 hours

Contraindications for NTG

Chest pains, including suspected ACS symptoms Pulmonary edema

Indications for NTG

Establish IV access prior to adminstration Caution in patients with suspected or confirmed STEMI with reciprocal changes

Precautions for NTG

0.5-1.0" paste along anterior chest wall

NTG paste dose (adult only)

5mcg/min, slowly titrated to effect

NTG infusion dose (adult only)

0.5ml mixed with 3ml normal saline via neb or blow by 🐥

Racemic epinephrine dose (peds only)

Meds Flashcards

(210 cards)