Mod 2 - Medications Flashcards by Reid Nuber

Dose / Max / Repeat / Freq for nitroglycerin in 1.1 - Suspected Cardiac Chest Pain?

SL: 0.4mg / 1.2mg / 2 repeat / q5min

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Dose / Freq of ASA in 1.1 - Suspected Cardiac Chest Pain?

Buccal: 160-162mg / once

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What is the indication and contraindications for ASA?

Indication: 1.1 - Suspected Cardiac Chest Pain

Contra: none

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What are indications / contraindications for nitroglycerin in 1.1 - Suspected Cardiac Chest Pain?

Indications: 1.1 Cardiac Pain - BP over 90mmHg

Contraindications: HR under 60, hypotension, ED medication use

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What is the indication for NS in 1.1 - Suspected Cardiac Chest Pain?

BP under 90mmHg

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Dose / Max / Repeat / Freq for NS in 1.1 - Suspected Cardiac Chest Pain?

IV: 250mL bolus / 1L / 3 repeats / q10min

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What is the indication and contraindication for morphine?

Indication: 1.1 Cardiac Pain and 3.6 Pain

Contra: Allergy, resp distress, hypotension, CNS depression, head injury

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Dose / Max / Repeat / Freq for morphine in 1.1 - Suspected Cardiac Chest Pain?

IV: 2.5mg / 15mg / 5 repeats / q5min

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What is the indication and contraindication for dimenhydrinate?

Indication: 1.1 Suspected Cardiac Pain, 3.6 Pain

Contra: Glaucoma, Chronic lung disease, prostatic hypertrophy

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Dose / Max / Repeat / Freq for dimenhydrinate in 1.1 - Suspected Cardiac Chest Pain?

IM-IV-PO: 25mg - 50mg / 50mg / once / once

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;.[;.[l.[l.What is the indication for salbutamol?

Indication:
2.2 SOB asthma/COPD - SOB with wheezing or Hx of asthma/COPD, tachypnea, tachycardia, cyanosis, SpO2 under 95%, difficulty talking, tripoding, accessory muscle use
2.3 & 2.4 Anaphylaxis - signs of anaphylaxis as described in 8.13 of P&P manual

Contra: allergy

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Dose / Max for salbutamol MDI in 2.2 - SOB Suggestive of Asthma Mild / Moderate

4 - 8 puffs MDI / 24 puffs MDI / 3 repeats / q20min

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Number of repeats and time between for salbutamol nebulized in 2.2 - SOB Suggestive of Asthma Mild / Moderate

5mg / 15mg / 3 repeats / q20min

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What is the indication and contraindication for ipratroprium bromide

Indication: 2.2 SOB asthma/COPD

Contra: allergy to atropinics, aerosol components, or the drug itself

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Dose / Max / Repeat / Freq for Ipratroprium bromide MDI in 2.2 - SOB Suggestive of Asthma Severe

8 puffs / 24 puffs / 3 repeats / q10min

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Dose / Max / Repeat / Freq for ipratroprium bromide nebulized in 2.2 - SOB Suggestive of Asthma Severe

0.5mg / 1.5mg / 3 repeats / q10min

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What is the indication and contraindication for epinephrine?

Indication: 2.2 SOB asthma/COPD, 2.3 & 2.4 Anaphylaxis

Contra: none in these situations

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Dose / Max / Repeat / Freq for epinephrine 1:1000 in 2.2 - SOB Suggestive of Asthma Severe

IM: 0.3mg / 0.3mg / once / once

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What is the indication and contraindication for dexamethasone?

Indication: 2.2 SOB Asthma or COPD, 2.3 & 2.4 Anaphylaxis Adult and Ped over 30kg and under 30kg.

Contraindication: allergy to corticosteroids, systemic fungal infection.

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Dose / Max / Repeat / Freq for Dexamethasone in 2.2 - SOB Suggestive of Asthma Severe

IM-IV-PO: 10mg / 10mg / once / once

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Dose / Max / Repeat / Freq for epinephrine 1:1000 in 2.3 - Anaphylaxis Adult > 30kg?

IM: 0.3mg / 0.9mg / 3 repeat / q5min

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What is the indication and contraindication for diphenhydramine

Indication: 2.3 and 2.4 Anaphylaxis, 4.4 Hostile / Violent patient

Contra: Allergy, acute asthma

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Dose / Max / Repeat / Freq diphenhydramine in 2.3 - Anaphylaxis Adult > 30kg?

IM-IV-PO: 50mg / 400mg / 8 repeats / q2-4hrs

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Dose / Max / Repeat / Freq for Dexamethasone in 2.3 - Anaphylaxis Adult > 30kg?

IM-IV-PO: 10mg / 10mg / once / once

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Dose / Max / Repeat / Freq for epinephrine 1:1000 in 2.4 - Anaphylaxis Adult & Children < 30kg?

IM: 0.15mg / 0.45mg / 3 repeat / q5min

Dose / Freq for diphenhydramine in 2.4 - Anaphylaxis Adult & Children < 30kg?

IM-IV-PO: 1mg/kg / q6-8hr

Dose / Max / Repeat / Freq for dexamethasone in 2.4 - Anaphylaxis Adult & Children < 30kg?

IM-IV-PO: 0.6mg/kg / 10mg / once / once

What are the indications and contraindications for TXA?

Indication: 3.4 TXA Protocol - massive hemorrhage with BP under 90 OR HR over 110. Contra: Clotting conditions, allergy. but not really.

Dose / Max / Repeat / Freq for TXA in 3.4 - Tranexamic Acid?

IV-IO: 2g / 2g / once / once

What is the indication and contraindication for fentanyl lozenge?

Indication: 3.6 Pain protocol where incomplete pain control or more potent meds are not available. Contra: COPD/Asthma, resp depression, head injury, allergy, GI obstruction, surgical abdominal condition

What is the indication and contraindication for ketamine?

Indication: 3.6 Pain where morphine is contraindicated Contra: Allergy

Dose / Max / Repeat / Freq for ketamine in 3.6 - Pain Class B?

25mg / 100mg / 3 repeat / q20min 50mg / 100mg / 1 repeat / q30min

Dose / Max / Repeat / Freq for morphine in 3.6 - Pain?

2.5mg IV-IO / 15mg in 30min / 5 repeat in 30min / q5min 10mg IM (last resort) / 15mg in 30min / 1 per 30min / q30min

What is the indication and contraindication for midazolam?

Indication: 3.6 Pain, 4.2 Seizure, 4.4 Hostile/violent patient Contra: allergy

Dose / Max / Repeat / Freq of midazolam in 3.6 Pain?

IM-IV-IO: 2mg / 8mg / 3 repeats / q10min

What is the indication and contraindication for ibuprofen?

Indication: 3.6 Pain Contra: Bleeding, allergy to ASA/NSAIDS, GI ulcer, liver impairment, kidney impairment, hyperkalemia, lupus, pregnancy

Dose / Max / Repeat / Freq for ibuprofen in 3.6 - Pain?

800mg PO / 2400mg / 2 repeat / q8hr

What is the indication and contraindication for meloxicam?

Indication: 3.6 Pain Contra: Asthma, allergy to NSAIDs

Dose / Max / Repeat / Freq for meloxicam in 3.6 - Pain?

15mg PO / 15mg / once / once

Dose / Max / Repeat / Freq for acetaminophen in 3.6 - Pain?

POL 1g / 4g / 3 repeat / q6hr

What is the indication and contraindication for acetaminophen?

Indication: 3.6 - Pain Protocol Contra: Allergy, G6PD deficiency, liver failure

Dose / Max / Repeat / Freq for ondansetron in 3.6 - Pain?

8mg IV-IM-PO / 24mg / 2 repeat / q8hr

Dose / Max / Repeat / Freq for dimenhydrinate in 3.6 - Pain?

50mg IV-IM-PO / 300mg / 5 repeat / q4hr

What is the indication and contraindication for ondansetron?

Indication: N/V in 3.6 Pain or 3.8 Eye Injury Contra: allergy

Dose / Max / Repeat / Freq for ondansetron in 3.8 - Eye Injury?

IV-IO-PO: 8mg / 24mg / 2 repeat / q8hr

What is the indication and contraindication for 3% hypertonic saline?

Indication: 3.10 Severe TBI - signs of brain herniation Contra: no indication

What are signs of brain herniation that would indicate 3% hypertonic saline?

- Dilated / unreactive / asymmetrical pupils - Decreasing GCS - Cushing's Triad - Extensor Posturing

Dose / Max / Repeat / Freq for 3% hypertonic saline in 3.10 Severe TBI?

250mL IV bolus over 20min / 500mL / once / 3hrs

What is the indication and contraindication for naloxone?

Indication: 4.1 Narcotic Overdose, 4.6 Unconscious NYD contra: allergy

Dose / Max / Repeat / Freq for naloxone in 4.1 - Narcotic Overdose Adult?

IV: 0.4mg / 5mg / 11 repeat / q3min prn IM-SC: 0.8mg / 5mg / 5 repeat / q3min prn IN: 4mg / 20mg / 5 repeat / q3min prn

Dose / Max / Repeat / Freq for midazolam in 4.2 - seizure?

IV-IO: 5mg loading, 2.5mg on repeat / Until ceasing of seizure / "" / q5min IN: 5mg loading, 2.5mg repeat / Until ceasing of seizure / "" / q5min

Dose / Max / Repeat / Freq for cefoxitin in 4.3 - Antibiotic Adult?

IV-IO-IM: 2g / 6g / 2 repeat / q8hr

What is the indication and contraindication for cefoxitin?

Indication: 4.3 Antibiotic Protocol Contra: Hypersensitivity or allergy to cefoxitin or penicillin

Dose / Max / Repeat / Freq for clindamycin in 4.3 - Antibiotic Adult?

IV-IO-IM: 600mg / 1800mg / 2 repeat / q8hr

What is the indication and contraindication for clindamycin

Indication: 4.3 Antibiotic Protocol Contra: Allergy, liver impairment, <1mo old

What is the indication and contraindication for moxifloxacin?

Indication: 3.8 Eye Injury, 4.3 Antibiotic protocol Contra: allergy to moxi or other quinolones

Dose / Max / Repeat / Freq for moxifloxacin in 4.3 - Antibiotic Adult?

PO: 400mg / 400mg / once daily / q24hr

Dose / Max / Repeat / Freq for midazolam in 4.4 - Hostile / violent Patient

IM-IV-IO: 2mg / 4mg / once / once

What is the indication and contraindication for haliperidol?

Indication: 4.4 Hostile/violent Patient Contra: Severe CNS depression, history of spastic disorders

Dose / Max / Repeat / Freq for haliperidol in 4.4 - Hostile / violent Patient?

IM-IV-IO: 5mg / 10mg / once / once

Mod 2 - Medications Flashcards

(63 cards)