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Protocol Meds for Berlin
Protocol Meds for Berlin
36
Pharmacology
Professional
06/09/2012

Additional Pharmacology Flashcards

 


 

Cards

Term

Pediatric 

Adenosine (Adenocard)

Definition

>180 1-8 years of age

>220 newborn to 1

 0.1 mg/kg IV/IO followed by rapid flush

 cardioversion at 0.5j/kg

Versed 0.1mg/kg

 

Term

 Adenosine (Adenocard)

 

Definition

 (rapid a-fib/flutter, svt,sinus tach, WPW)

6mg IV over 1-2 seconds

Repeat with 12mg over 1-2sec follow by a rapid 20cc NS flush. Record a rhythm strip during admin.

Term
 Albuterol(Proventil, Ventolin)
Definition

 MDI 2 puffs

2.5mg in 3mL

may repeat 2 times if necessary

 (wheezes from asthma or respiratory distress)

Term

 Pediatric

 Amiodarone (Cordarone) 

 

 

 

Definition
 5mg/kg (pulseless VT or VF)IV/IO
Term
 Amiodarone
Definition

 300mg IV/IO

for pulseless Vtach and V fib

repeat with 150mg

 Drip set

Term
 Aspirin
Definition
 4 chewable 325mg
Term
 Atropine
Definition

 0.5 mg IV/IO max 3mg

 (peds-0.02mg/kg IV/IO min dose0.1mg;max 1mg)

Term
 Atrovent (Ipratropium)
Definition

 (0.5mg in 2.5mL)

 X 3 doses

Term
 Calcium Chloride
Definition

 10 mL of 10% solution over 20min in IV/IO

Indications: profound bradycardia, hypotension, or conduction deficits. Calcium channel blocker overdose.

Term

 Cardizem (Diltiazem)

(antiarrhythmic)

(PSVT, a-fib, a-flutter)

Definition

 (0.25mg/kg IV/IO slowly over 2 minutes)

CONTACT MEDICAL CONTROL FOR ORDERS!

Term
 Dextrose 50%
Definition

 12.5-25 grams

used for hypogycemia, coma of unknown origin

(contra indic if intracerebral bldg or hemorrhagic CVA)

Term
 Diphenhydramine (Benadryl)
Definition

 Peds - 1mg/kg IM/IV

Adults 50mg IM/IV

For moderate to severe allergic reactions

 

Term
 Diphenhydramine 25mg tablet
Definition
 1-2 tablets
Term
 Dopamine
Definition

 Adults and peds - 2-20 mcg/kg/min

 Indications: Hypotension and bradycardia

Contra: ^HR, HTN, dose to 1/10th for pt. on MAOI's

Term

 Epinephrine

 

 

 

 

 

Definition

 Drip 2-10mg/min

 0.3mg 1:1000 (anaphylaxis)

1mg 1:10,000 (cardiac arrest)

Term
 Fentanyl (sublimaze)
Definition

 0.05-1mg IM/IV

 Peds-1-3yrs 2-3mcg/kg IV every 1-4hrs prn

3-12 years 1-2mcg/kg IV every 1-4 hrs prn

>12 years 0.5-1mcg/kg IV every 1-4 hours prn

Term
 Furosemide (Lasix)
Definition

 20-40mg IV

CHF with pulmonary edema, hypertensive crisis

Term
 Glucagon
Definition

 1mg

Peds <5 0.5 mg, >51mg IM

Term
 Glutose
Definition
 1 tube orally
Term
 Labetol
Definition
 CALL MEDICAL CONTROL!!!!!
Term
 Lidocaine
Definition

 1-1.5 mg/kg

peds- 1mg/kg IV/IO

Term
 Lorazapam (Ativan)
Definition

 1-2mg IV/IM

can be given every 5 minutes or until seizure stops

(can be reversed with Flumazenil)

Peds- 0.05-0.1/kg dose up to 2 mg

Term
 Magnesium Sulfate
Definition

  Eclampsia- 2 grams IV over 5 min X2 (4g over 10min)

Torsades- 1-2 gm (5-10gm may be required)

Term
 Mannitol (Osmitrol)
Definition
  CALL MEDICAL CONTROL!!!
Term

 Metoprolol(Lopressor)

(beta blocker for a-fib, a-flutter, psvt)

Definition

 CALL MEDICAL CONTROL!!!

2.5-5mg every 2-5 minutes max 15mg

For MI- 5 mg IV slowly over 2-5 minutes repeated every 5 minute to a total of 15mg

(contra- CHF, APE, bronchospam, brady, hypotension, Hx asthma)

 

Term
Morpine
Definition

 For chest pain, CHF w/chest pain and pain management

Peds 0.1mg/kg up to 4 mg

Adults 2-4 mg IV/IM

BP needs to be > 100 (>80 in peds)

Term
 Naloxone (Narcan)
Definition
 0.4 - 2mg IV/IM/SQ repeat every 5 min X3 doses
Term
Nitroglycerin
Definition

 For chest pain

check for erectile disfunction meds in the last 24 hrs

1 pill or spray X 3 (every 5 min) if BP>100

For CHF sublingual 0.4 every 3-5 min. no max dose

Term
 Romazicon(Flumazenil)
Definition

  Indication: Benzo OD

0.2mgIV/IO repeat 0.3 mg, repeat 0.5mg max 5mg

CALL MEDICAL CONTROL!!!!!

Term
 Sodium Bicarbonate
Definition

1 amp for cardiac arrest

for Tricyclid OD 1-2 amps IV (for long transports consider a drip with 3 amps in a liter of D5W @250mL/hr after the initial boluses are in. 

Term

 Solu-Medrol (Methylprednisolone)

Steriod

 

Definition

 Allergy/Anaphyaxis/COPD

 Peds-2mg/kg IV/IO (for moderate to severe reactions)

Adults-125mg IV

 Spinal Cord Trauma

CONTACT MEDICAL CONTROL!!!!

 

Term

 Toradol (Ketorolac)

(NSAID analgesic)

Definition

 CONTACT MEDICAL CONTROL!!!

15-30mg IV or 30-60mg IM

Term
 Versed (Midazolam)
Definition

 Cardiac for shocks: Peds 0.1mg/kg IV/IO

Adults:1-2mg IV over 1-2 min titrated to effect. Max 5mg

For seizures: 2-5 mg IV/IM may repeat in 5 in x1 do not exceed 5mg per dose max dosing 10mg

Term
 Xopenex (Levalbuterol)
Definition

 CHF, Allergies and Anaphylaxis, Chest Pain

1.25mg

(Nebulized Inhaled beta2 bronchodilator)

Term

 Zofran (Ondansetron)

(5H3 receptor agonist)

Definition

4mgIV slowly or IM

Peds-0.1mg/kg slow IV/IO Max 4mg

(follow with 25-50mg of Benadryl if side effects develope)

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