Term
|
Definition
RSI
V-Tach
V-Fib
Local Anesthetic for IO infusion |
|
|
Term
| Xylocaine- Contraindications |
|
Definition
Hypersensitivity
Allergy to local anesthetics of the amide type
Second degree type II and third degree heart blocks
PVC's caused by bradycardia
Idioventricular rhythm |
|
|
Term
|
Definition
RSI 1.0 mg/kg
V-Tach w/ Pulse 1.0 mg /kg rapid IVP (every 3-5 min) Max loading dose of 3mg/kg
V-Fib & Pulseless V-Tach (3-5 min between doses)
1st dose =1.5 mg/kg rapid IVP
2nd & 3rd dose = 0.5-0.75 mg/kg Rapid IVP
Max loading dose of 3mg / kg IV/IO ½ dose for patients >70 years old.
ET Dose 3.0 mg/kg in 10cc NACL
Maintenance Infusion 50% of loading dose every 8-10 minutes.
IO Pain Management 20-40mg slow IVP *Geriatric PT = 20mg |
|
|
Term
|
Definition
RSI 1.0 mg/kg
V-Tach & V-Fib 1 mg/kg rapid IVP every 3-5 min
Max loading dose of 3 mg/kg
ET Dose 2mg/kg in 5cc NACL
Maintenance Infusion 50% of loading dose every 8-10 minutes
IO Pain Management 0.5 mg/kg not to exceed 20 mg |
|
|
Term
|
Definition
|
|
Term
| Vecuronium-Contraindications |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
EtOH or Malnutrition
(Alcohol related seizure or diabetic emergency) |
|
|
Term
| Thiamine-Contraindications |
|
Definition
| None when used as indicated |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Succinylcholine-INDICATION |
|
Definition
| Rapid Sequence Intubation |
|
|
Term
| Succinylcholine-Contraindication |
|
Definition
Muscular myopathies (Duchenne’s Muscular Dystrophy, Myasthenia Gravis)
Family Hx of Malignant Hyperthermia
Hyperthermia |
|
|
Term
|
Definition
|
|
Term
|
Definition
| 2.0 mg /kg IV up to age 10 |
|
|
Term
| Sodium Bicarbonate-Indications |
|
Definition
Documented metabolic acidosis
Tricyclic overdose
Prolonged resuscitation |
|
|
Term
| Sodium Bicarbonate-Contraindications |
|
Definition
| Respiratory or metabolic alkalosis. |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Racemic Epinephrine-Indications |
|
Definition
|
|
Term
| Racemic Epinephrine-Contrainidication |
|
Definition
|
|
Term
| Racemic Epinephrine- Adult |
|
Definition
|
|
Term
|
Definition
0 to 4 years
0.05 ml/kg
not to exceed 0.5ml nebulized in 3ml
4-12 years
0.5 ml (unit dose) nebulized in 3 ml |
|
|
Term
| Pralidoxime(2 Pam) -Indications |
|
Definition
|
|
Term
| Pralidoxime(2 Pam)-Contraindications |
|
Definition
|
|
Term
|
Definition
| 30 mg/kg or (1-3) 600mg auto injectors from Mark I kit |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Oral Glucose-Contraindication |
|
Definition
| Pt unable to swallow or control their own airway |
|
|
Term
|
Definition
| 15g PO may repeat in 15-30 mins |
|
|
Term
|
Definition
| Over 24 months- 15 grams PO may repeat in 15-30 mins |
|
|
Term
|
Definition
|
|
Term
| Ondansetron-Contraindication |
|
Definition
|
|
Term
|
Definition
| 4-8mg IV/IM/ODT or combination of routes not to exceed 8mg |
|
|
Term
|
Definition
| <40kg 0.1mg/kg IVP, without IV 4-11 years old consider 4mg ODT |
|
|
Term
|
Definition
|
|
Term
| Nitrous Oxide-Contraindication |
|
Definition
Nasopharyngeal Obstruction
Psychoses
Fear of Loss of Control
Pulmonary Bullac
Severe Emphysema
Pneumothorax
Pregnancy (esp in first 6 months)
Inability to understand/follow instructions |
|
|
Term
|
Definition
| 50/50 mix with O2 self admin |
|
|
Term
|
Definition
| Must be old enough to understand and follow the directions for self-admin |
|
|
Term
| Nitroglycerin-Indications |
|
Definition
|
|
Term
| Nitroglycerin-Contraindications |
|
Definition
Hypersensitivity
Pt on Viagra (sildenafil) or other similar meds
Precautions-Hypotension |
|
|
Term
|
Definition
Chest Pain 0.4mgSL repeat in 5min PRN
CHF Mild 0.4mg SL every 3-5
CHF Moderate 0.4mgSL->0.8mgSl->0.8mgSL, 3-5 min between each dose, 1st Nitro-bid to anterior chest wall
Severe CHF 10-20mcg/min IV infusion with pump only, may increase 10mcg every 5 min with OLMC |
|
|
Term
|
Definition
|
|
Term
|
Definition
Narcotic Overdose
Coma of unknown origin |
|
|
Term
| Naloxone-Contraindication |
|
Definition
Hypersensitivity
Epistaxis and excessive mucus production (IN admin) |
|
|
Term
|
Definition
0.4-2mg IV/IN/IM/SQ
Admin 1/2 does in each nostril (IN)
May repeated every 5 min/ not to exceed 10mg |
|
|
Term
|
Definition
0.01mg/kg IV/IM/SQ
0.01-0.1mg/kg IM/SQ
2mg IN admin (1/2 in each Nostril) |
|
|
Term
| Morphine Sulfate-Indications |
|
Definition
Pain
CHF
Pain/Discomfort associated with an MI |
|
|
Term
| Morphine Sulfate-Contraindications |
|
Definition
Acute Bronchial Asthma
Hypotension
Hypersensitivity
Pregnancy
Nursing mothers
Respiratory Depression |
|
|
Term
|
Definition
| 2-4 mg Slow IV, repeat 3-5 mins not to exceed 20 mg |
|
|
Term
|
Definition
|
|
Term
|
Definition
Induction of Anesthesia for RSI
Conscious sedation for cadioversion/pacing
Seizure |
|
|
Term
| Midazolam-Contraindication |
|
Definition
Pregnancy
May cause severe respiratory depression or respiratory arrest
May cause laryngospasm
Hemodynamic changes
Epistaxis and excessive mucous production (IN administration) |
|
|
Term
|
Definition
RSI 2.5-10mg until adequate sedation achieved
Pacing/cardioversion: 2.5mg-10mg slow IV tirate to effect
Seizures- 5mg slow IVP, may repeat once, No IV 5mg IN admin 1/2 each dose (1cc) in each nostril, may repeat once |
|
|
Term
|
Definition
RSI- 0.1-0.2mg/kg
Pacing/Cardioversion 0.02mg/kg slow IVP titrate to effect
Seizure 0.15mg/kg slow IVP, max 5mg may repeat once, no IV-0.2mg/kg IN max 5mg (1/2 in each nostril) may repeat once |
|
|
Term
| Methylprednisolone-Indications |
|
Definition
Allergic Reaction
Asthma
COPD |
|
|
Term
| Methylprednisolone-Contraindication |
|
Definition
Premature Infant
Systemic Fungal Infections |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Severe asthma/reactive airway
Eclamptic Seizure
V-fib if patient meets one or more:
-Malnourished/alcoholic
-Known or suspected Hypomagnesemia
-EKG suggestive of Hx of Torsades de pointes |
|
|
Term
| Mag Sulfate-Contraindications |
|
Definition
Heart Block
Myocardial Damage |
|
|
Term
|
Definition
Asthma- 2 grams over 5-10 mins
Seizures- 4 grams slow IV/IM
V-fib- 1-2 grams rapid IV/IO |
|
|
Term
|
Definition
| Asthma- 25-50 mg/kg not to exceed 2 grams over 10-20 mins |
|
|
Term
|
Definition
|
|
Term
| Lorazepam-Contraindications |
|
Definition
Pregnancy
Acute narrow-angle glaucoma |
|
|
Term
|
Definition
| 2-4mg slow IV push, diluted with equal volume of NaCl |
|
|
Term
|
Definition
| 0.1mg/kg IV, diluted with equal volume of NaCl |
|
|
Term
| Ketorolac Tromethamine-Indication |
|
Definition
|
|
Term
| Ketorolac Tromethamine-Contraindication |
|
Definition
Peptic Ulcer
GI Bleeding
Advance Renal Impairment
Patient at risk for Renal Failure due to volume depletion
Labor and Delivery |
|
|
Term
| Ketorolac Tromethamine-Adult |
|
Definition
|
|
Term
| Ketorolac Tromethamine-Peds |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Ibuprofen-Contraindications |
|
Definition
Allergy to ASA
Dosing by Parents within last 6 hours
Patient unable to swallow or control their own airway |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Hydroxocobalamin-Indication |
|
Definition
| Known or suspected cyanide poisoning |
|
|
Term
| Hydroxocobalamin-Contraindication |
|
Definition
Precaution: <5%
-May Cause allergic reaction
-May cause substantial increase in BP |
|
|
Term
|
Definition
| 5 Grams IV/IO infusion over 15 mins |
|
|
Term
|
Definition
| 70mg/kg, Admin'd at 10-15mL/min IV/IO. Reconstituted solution is 25 mg/ml |
|
|
Term
|
Definition
Asthma
COPD
Emphysema
Reactive Airway
Croup |
|
|
Term
|
Definition
|
|
Term
|
Definition
70/30 mix of He and O2
admin through normal O2 delivery devices and flow |
|
|
Term
|
Definition
70/30 mix of He and O2
admin through normal O2 delivery devices and flow |
|
|
Term
|
Definition
| Irrational pt presenting danger to themselves or others |
|
|
Term
|
Definition
Comatose state from any cause
Parkinson's Disease
Precaution-Transient hypotension, may lower seizure threshold |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Hypoglycemia
Beta Blocker Overdose |
|
|
Term
| Glucagon-Contraindications |
|
Definition
| Pheochromocytoma (disease causing extra norepi/ epi |
|
|
Term
|
Definition
DM- 1 Mg IM
OD-5-10 mg IV
use sterile water or NaCl to dilute not Cardiotoxic phenol |
|
|
Term
|
Definition
DM 0.5mg IM
OD 0.05- 0.1 mg/kg |
|
|
Term
| Fentanyl Citrate-Indications |
|
Definition
Moderate to severe pain
Alternative to Morphine |
|
|
Term
| Fentanyl Citrate-Contraindications |
|
Definition
Hypersensitivity
Hypotension
Discontinue Nitrous Oxide prior to admin of Fentanyl |
|
|
Term
|
Definition
1mcg/kg slow IV/IM max 100mcg
w/o IV consider 2mcg/mg IN max 200mcg
Each route may be repeated once after 5mins |
|
|
Term
|
Definition
0.5-1mcg/kg slow IV/IM max 100mcg
w/o IV consider 2mcg/mg IN max 200mcg
Each route may be repeated once after 5mins |
|
|
Term
|
Definition
|
|
Term
| Etomidate-Contraindications |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Asthma
COPD
Emphysema
Reactive Airway
Croup |
|
|
Term
|
Definition
|
|
Term
|
Definition
70/30 mix of He and O2
admin through normal O2 delivery devices and flow |
|
|
Term
|
Definition
70/30 mix of He and O2
admin through normal O2 delivery devices and flow |
|
|
Term
|
Definition
| Irrational pt presenting danger to themselves or others |
|
|
Term
|
Definition
Comatose state from any cause
Parkinson's Disease
Precaution-Transient hypotension, may lower seizure threshold |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Hypoglycemia
Beta Blocker Overdose |
|
|
Term
| Glucagon-Contraindications |
|
Definition
| Pheochromocytoma (disease causing extra norepi/ epi |
|
|
Term
|
Definition
DM- 1 Mg IM
OD-5-10 mg IV
use sterile water or NaCl to dilute not Cardiotoxic phenol |
|
|
Term
|
Definition
DM 0.5mg IM
OD 0.05- 0.1 mg/kg |
|
|
Term
|
Definition
|
|
Term
|
Definition
Pt's with anuria
Allergy to Sulfonamides |
|
|
Term
|
Definition
if not currently rx lasix: .5mg/kg slow IV not to exceed 40mg
if prescribed: 2x PO dose not to exceed 80mg |
|
|
Term
|
Definition
|
|
Term
| Fentanyl Citrate-Indications |
|
Definition
Moderate to severe pain
Alternative to Morphine |
|
|
Term
| Fentanyl Citrate-Contraindications |
|
Definition
Hypersensitivity
Hypotension
Discontinue Nitrous Oxide prior to admin of Fentanyl |
|
|
Term
|
Definition
1mcg/kg slow IV/IM max 100mcg
w/o IV consider 2mcg/mg IN max 200mcg
Each route may be repeated once after 5mins |
|
|
Term
|
Definition
0.5-1mcg/kg slow IV/IM max 100mcg
w/o IV consider 2mcg/mg IN max 200mcg
Each route may be repeated once after 5mins |
|
|
Term
|
Definition
| Asthma- 25-50 mg/kg not to exceed 2 grams over 10-20 mins |
|
|
Term
| Lorazepam-Contraindications |
|
Definition
Pregnancy
Acute narrow-angle glaucoma |
|
|
Term
| Ketorolac Tromethamine-Adult |
|
Definition
|
|
Term
| Ketorolac Tromethamine-Peds |
|
Definition
|
|
Term
|
Definition
| 5 Grams IV/IO infusion over 15 mins |
|
|
Term
|
Definition
| 70mg/kg, Admin'd at 10-15mL/min IV/IO. Reconstituted solution is 25 mg/ml |
|
|
Term
|
Definition
|
|
Term
| Etomidate-Contraindications |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
Allergic Reaction
Asthma
Pediatric Cardiac Arrest
Bradycardia |
|
|
Term
| Epi 1:1000-Contraindications |
|
Definition
|
|
Term
|
Definition
Allergic Reaction: 0.3-0.5mg SQ
ET Dose- 2.5mg in 10cc NaCl
Bradycardia Infusion- 2-10mcg/min |
|
|
Term
|
Definition
Moderate to Severe Allergic Reaction- 0.01mg/kg IM/SQ max 0.3mg
ET Dose- 0.1mg/kg mix with N.S. (3-5 ml total vol)
Bradycardia 0.01mg/kg slow IV, Infusion 0.01-0.2mcg.kg/min |
|
|
Term
|
Definition
Cardia Arrest
Severe Allergic Reaction |
|
|
Term
| Epi 1:10,000-Contraindication |
|
Definition
|
|
Term
|
Definition
Cardia Arrest: 1mg q 3-5min
Allergic Reaction: .3-.5 slow IV push |
|
|
Term
|
Definition
Cardiac Arrest- 0.01mg/kg IV/IO
Allergic Reaction- Immediately Life Threatening
1st dose = 0.01mg/kg SQ
2nd and Subsequent Doses= 0.1mg/kg IV/IO/ET |
|
|
Term
|
Definition
Hypotension due to:
-Cardiac Failure
-Bradycardia
-Anaphylaxis |
|
|
Term
| Dopamine- Contraindication |
|
Definition
Phenochromocytoma
Uncorrected tachyarrhythmias or V-fib |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Diphenhydramine-Indications |
|
Definition
Allergic Reaction
Phenothiazine Reaction |
|
|
Term
| Diphenhydramine-Contrainidications |
|
Definition
Neonates, premature infants, nursing mothers
precautions-asthma, glaucoma |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Diltiazem-Contraindication |
|
Definition
Sick Sinus Syndrome
2nd or 3rd degree AV block
WPW
Sever Hypotension (less than 90 systolic)
Acute MI |
|
|
Term
|
Definition
0.25mg/kg slow IVP
wait 15 mins then 0.35mg/kg slow IVP
If conversion follow bolus with a 5mg/hr drip
Decrease by 50% in patient older than 70 |
|
|
Term
|
Definition
|
|
Term
|
Definition
Seizures
Combative or agitated postictal state where the patient is a danger to himself or other |
|
|
Term
| Diazepam-Contraindication |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
N/A
Precautions
-Patient IV, hypersensitivity to corn products
-Patent airway and ability to swallow for p.o. admin |
|
|
Term
|
Definition
25 g slow IVP
25 g PO mixed with jiuce or non-diet soft drink |
|
|
Term
|
Definition
| Over 24 months: 15g PO may be repeated after 15-30 min |
|
|
Term
|
Definition
|
|
Term
|
Definition
N/a
Precaution-hypersensitivity to corn product |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Calcium Chloride-Indications |
|
Definition
| Calcium channel blocker OD |
|
|
Term
| Calcium Chloride-Contraindications |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Atrovent-Contraindications |
|
Definition
|
|
Term
|
Definition
>10kg
.5mg in 2.5ml may be repeated once |
|
|
Term
|
Definition
<10kg
.25mg in 1.25ml may be repeated once |
|
|
Term
|
Definition
Bradycardia
PEA/Asystole
Cholinesterase Inhibitor OD
Pre-anesthesia in PEDS for RSI |
|
|
Term
| Atropine-Contraindication |
|
Definition
Glaucoma
Prostatic Hypertrophy
Except in pre-anesthesia
Should be used with caution when suspecting AMI |
|
|
Term
|
Definition
Bradycardia-0.5mg q3-5min not to exceed.03-.04mg/kg Rapid IV
PEA/Aystole-1mg q3-5min not to exceed 0.03-0.04mg/kg
Cholinesterase Inhibitors- 2-6mg or 1-3 mark1 kits q 10-30mins
ET dose: 2.0 mg |
|
|
Term
|
Definition
Bradycardia- 0.02mg/kg min dose .1mg Rapid IV
Pre-anesthesia 0.02mg/kg 0.1mg minimum dose rapid IV
Cholinesterase inhibitor-0.05mg/kg
ET dose 0.02mg/kg in 5cc nacl |
|
|
Term
|
Definition
|
|
Term
|
Definition
Recent Hx of Gastrointestinal Bleeding
Bleeding Disorders (e.g. Hemophilia) |
|
|
Term
|
Definition
162-324 mg orally
(2-4) 81 mg tab |
|
|
Term
|
Definition
|
|
Term
|
Definition
V-fib
V-tach
A-fib/ A-flutter
SVT that does not respond to Adenosine
WPW |
|
|
Term
| Amiodarone-Contraindication |
|
Definition
2nd and 3rd degree AV Block
Sinus Node Disease Such as symptomatic bradycardia, sick sinus syndrome
known Hypersensitivity
Iodine Allergy |
|
|
Term
|
Definition
V-fib
1st dose 300mg IV, 2nd dose 150mg, 450mg max
V-tach/A-fib/Aflutter/SVT/WPW 150mg over 10min
If Patient Converts-Admin Maintenance infusion of 1mg/min drip |
|
|
Term
|
Definition
V-fib
5mg/kgIVP
Vtach/A fib/A flut/SVT WPW
5mg/kg over 20-60min |
|
|
Term
|
Definition
|
|
Term
| Albuterol-Contraindications |
|
Definition
Known Hypersensitivity
Precaution: Paradoxical Bronchospasm |
|
|
Term
|
Definition
| >10kg 2.5 mg/3ml repeat as needed |
|
|
Term
|
Definition
<10kg 1.25mg/1.5ml mix with 1.5ml NaCl
Repeat as needed |
|
|
Term
|
Definition
|
|
Term
| Adenosine-Contraindications |
|
Definition
2nd and 3rd degree AV Block
Sinus Node Disease Such as symptomatic bradycardia, sick sinus syndrome
Known Hypersensitivity
Precautions:
Dig/Verpamil- V-fib
Dipyridamole (anti-clotting)-potentiates
carbamazepine(tegertol seizure)-heart block
Methylxanthine(COPD)-antagonizes |
|
|
Term
|
Definition
1st=0.1mg/kg, 2nd=0.2mg/kg, 3rd=0.2mg/kg
Rapid IV push 1-2 mins apart followed b a 2-5cc bolus of NaCl |
|
|
Term
| Activated Charcoal-Indications |
|
Definition
|
|
Term
| Activated Charcoal-Contraindications |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Acetaminophen-Contrainidication |
|
Definition
Acetaminophen over the last 4 hrs
unable to control own airway or swallow |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
