N-Z Flashcards
Narcan
(Naloxone)
INDICATION
- Opiate OD
CONTRA
Hypersensitivity
DOSE
0.4mg to MAX 2mg
SIDE EFFECT
-Dysrhythmias
-N/V
-HTN
-Tachycardia
-Violent Behavior
Norcuron
(Vecuronium)
INDICATION
- Long-term muscle paralysis to facilitate endotracheal intubation
CONTRA
Hypersensitivity
DOSE
IV/IO
- Adult: 0.1 mg/kg Pedi: 0.1 mg/kg
- Onset: 30 sec
- Duration: 30-40 min.
SIDE EFFECTS
*Hypotension or hypertension
*Tachycardia or bradycardia
*Patients with neuromuscular disease – Multiple Sclerosis
*Hepatic or Renal impairment
Nitroglycerin
(Nitrostat)
INDICATION
-Chest pain or cardiac origin
-Pulmonary Edema assoc. w/ CHF
CONTRA
-Systolic BP <90
-Increased intracranial pressure
-ED drugs
-Extreme Brady/Tachycardias
DOSE
1 spray 0.4mg
1 SL tablet 0.4mg
SIDE EFFECTS
-Hypotension
-Headache
-Reflex Tach
-N/V
-Diaphoresis
Nitrous Oxide
(Nitronox)
INDICATION
-A&O PT w/pain (Kidney stones, Thermal burns, AMI, Labor, Fractures)
CONTRA
-Decompression Sickness
-COPD
-Chest Trauma
-Abd. Distention
-Altered LOC
DOSE
Self Dose
SIDE EFFECTS
-Hypotension
-Dizziness
(Pancuronium) Pavulon:
INDICATION
Long-term muscle paralysis to facilitate endotracheal intubation
CONTRA
Hypersensitivity
DOSE
IV/IO
o Adult: 0.04 - 0.1 mg/kg Pedi: 0.04-0.1 mg/kg
o Onset: 30 sec
o Duration: 180 min.
SIDE EFFECTS
*Hypotension or hypertension
*Tachycardia or bradycardia
*Patients with neuromuscular disease – Multiple Sclerosis
*Hepatic or Renal impairment
Phenergan
(Promethazine)
INDICATION
-Persistent vomiting
-GI problems
-Allergic Reactions
Better than Zofran if Pt. already vomiting
CONTRA
-Hypersensitivity
-Comatose States
-Altered LOC
DOSE
12.5mg to max MAX of 25mg
SIDE EFFECTS
-Drowsiness/
sedation
-Dystonic Reaction
-Necrosis
Pralidoxime Chloride (2-PAM®)
INDICATION
*Second drug given for the treatment of poisoning due to organophosphate pesticides and chemical nerve agents (First drug is atropine)
*Primary indication for pralidoxime administration is muscle weakness or respiratory depression in these patients
CONTRA
No absolute contraindications
DOSE
600mg (1 autoinjector) - 1800mg (3 auto-injectors) - standing order
SIDE EFFECTS
*Tachycardia, laryngospasm, muscle rigidity if IV and infused too quickly
*Mild to moderate pain at injection site
*Blurred or double vision, dizziness, loss of coordination, headache drowsiness, hypertension, tachycardia
Pronestyl
(Procainamide)
INDICATION
Suppress ectopy in ventricular tissue & reduce ventricular dysrhythmias such as:
- o Refractory & recurrent Ventricular Fibrillation (V-Fib)
- Pulseless Ventricular Tachycardia (V-Tach)
- Stable monomorphic or polymorphic Ventricular Tachycardia w/ pulse
- Wide-complex tachydysrhythmias of uncertain type
- Malignant, refractory PVCs
* I-C: Suppress ectopy in atrial tissue & reduce supraventricular dysrhythmias such as:
- PACs, PAT, A-Fib, A-Flutter, WPW
CONTRA
*TCA Overdose
* Previous use of Amiodarone
* 2nd and 3rd degree heart block
DOSE
- IV Infusion
- 20 – 30 mg/min IV infusion titrate to effect
- Max dose: up to 17 mg/kg
- Add 1 Gram Procainamide to 250 mL NS, use 10 gtts/min drip set
SIDE EFFECTS
*Hypotension
*2nd or 3rd degree AV block
*Widening of the QRS complex
Racemic epi
(Vaponefrin)
INDICATION
*Acute bronchospasm in reactive airway disease such as:
- Acute asthma attack
- Acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
- Allergic reaction unresponsive to other treatment
- (Croup)
CONTRA
*Hypersensitivity
*Pregnancy – except in life-threatening situation
*Racemic epinephrine: Epiglottitis
DOSE
Inhaled/Nebulized
- 0.5 mL of 2.25% soln. in 2.5 mL N.S. every 4 hours prn
SIDE EFFECTS
Side Effects:
*Tachycardia
*Restlessness/nervousness/tremors
*Hypertension
Sodium Bicarbonate
INDICATION
-TCA OD
-Hyperkalemia or Acidosis
-Prolonged CPR
-DKA
-Rhabdomyolysis
-Compartment Syndrome
CONTRA
-Alkolosis
-PE
-Abdominal Pain w/ unknown orgin
-Hypocalemia
DOSE
1mEq/kg
SIDE EFFECTS
-Acidosis
-Hypoxia
-Tissue sloughing
-Seizures
-Hypernatremia
-Inc. PCO2
Succinylcholine
INDICATION
To facilitate intubation
CONTRA
-Burn injuries w/in 12hrs
-Inability to control airway
-Acute Rhabdomyolysis
DOSE
Relax: 0.3-1.1mg/kg
RSI: 1-1.5 mg/kg
SIDE EFFECTS
-Respiratory depression
-Bradycardia
-Dysrhythmias
-Allergic Reaction
Terbutaline
INDICATION
*Acute bronchospasm in reactive airway disease such as:
o Acute asthma attack
o Acute exacerbation of Chronic Obstructive Pulmonary Disease (COPD)
o Allergic reaction unresponsive to other treatment
CONTRA
*Hypersensitivity
*Pregnancy – except in life-threatening situation
DOSE
Subcutaneous (SC)
o Adult: 0.25 mg SC May repeat once in 15 min if no response
o Pedi: 0.01 mg/kg (Not to exceed adult dosage)
SIDE EFFECTS
*Tachycardia
*Restlessness/nervousness/tremors
*Hypertension
Thiamine
INDICATION
Thiamine: vitamin required to convert glucose to energy – must be ingested, body does
not manufacture.
CONTRA
A history of sensitivity to thiamine or to any of the ingredients in this drug is a contraindication
DOSE
IVP/IM
o Adult: 50 mg IV/IM May repeat to total of 100 mg
SIDE EFFECTS
Verapamil (calan)
INDICATION
-SVT
-Aflutter w/RVR
-Afib
-Atrial Tach
-Unstable angina
CONTRA
-Hypersensitivity
-Bradycardia
DOSE
Initial: 2.5-5mg
Repeat: 5-10mg bolus every 15 min
SIDE EFFECTS
-Dizziness
-Headache
-N&V
-Hypotension
-Bradycardia
Zemuron
(Rocuronium)
INDICATION
Long-term muscle paralysis to facilitate endotracheal intubation
CONTRA
Hypersensitivity
DOSE
IV/IO
- Adult: 1 mg/kg Pedi: 1 mg/kg
- Onset: 60-90 sec
- Duration: 45-70 min.
SIDE EFFECTS
*Hypotension or hypertension
*Tachycardia or bradycardia
*Patients with neuromuscular disease – Multiple Sclerosis
*Hepatic or Renal impairment
