| Term 
 
        | Adenosine(Adenocard)-Class |  | Definition 
 
        | Antidysrhythmic used to treat SVT's / PSVT |  | 
        |  | 
        
        | Term 
 
        | Adenosine(Adenocard)-Action |  | Definition 
 
        | Decreases conduction of the electrical impulse through the AV node |  | 
        |  | 
        
        | Term 
 
        | Adenosine(Adenocard)-Indication |  | Definition 
 
        | Paroxysmal Supraventricular Tachycardia (PSVT) |  | 
        |  | 
        
        | Term 
 
        | Adenosine(Adenocard)-Side Effects |  | Definition 
 
        | Facial flushing; headache; shortness of breath; dizziness; nausea |  | 
        |  | 
        
        | Term 
 
        | Adenosine(Adenocard)-Dosage |  | Definition 
 
        | 6 mg fast IVP in medication administration port closest to patient, followed by 10 cc rapid flush IVP; if no change: 12 mg fast IVP; 12 mg dose may be repeated once if necessary for a total of 30 mg |  | 
        |  | 
        
        | Term 
 
        | Albuterol (Proventil/Ventolin)-Class |  | Definition 
 
        | Sympathomimetic (beta2 selective) |  | 
        |  | 
        
        | Term 
 
        | Albuterol (Proventil/Ventolin)-Action |  | Definition 
 
        | Acts on the beta2-adrenergic receptors causing relaxation of bronchial smooth muscles, thus causing bronchodilation |  | 
        |  | 
        
        | Term 
 
        | Albuterol (Proventil/Ventolin)-Indication |  | Definition 
 
        | Reversible bronchospasms associated with astham or COPD |  | 
        |  | 
        
        | Term 
 
        | Albuterol (Proventil/Ventolin)-Precautions |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Albuterol (Proventil/Ventolin)-Side Effects |  | Definition 
 
        | Palpitations; anxiety; headache; dizziness; sweating |  | 
        |  | 
        
        | Term 
 
        | Albuterol (Proventil/Ventolin)-Dosage |  | Definition 
 
        | 2.5 mg in 2.5 mL normal saline solution over 5-15 minutes via nebulizer |  | 
        |  | 
        
        | Term 
 
        | Amiodarone HCL (Cordarone)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Amiodarone HCL (Cordarone)-Action |  | Definition 
 
        | Prolongs action potential and refractory period; Slows sinus rate; increases PR and QT intervals; decreases peripheal vascular resistance |  | 
        |  | 
        
        | Term 
 
        | Amiodarone HCL (Cordarone)-Indications |  | Definition 
 
        | Dysrhythmias such as V-Tach and V-Fib |  | 
        |  | 
        
        | Term 
 
        | Amiodarone HCL (Cordarone)-Contraindications |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Amiodarone HCL (Cordarone)-Side Effects |  | Definition 
 
        | Hypotension; nausea; fatigue; ventricular ectopic beats |  | 
        |  | 
        
        | Term 
 
        | Amiodarone HCL (Cordarone)-Dosage |  | Definition 
 
        | Cardiac arrest: 300 mg IVP; may be repeated at 150 mg IVP Dysrhythmia w/ pulse: 150 mg IV over 10 mins |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | An analgesic, anti-inflammatory, antipyretic, and antiplatelet |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Inhibits platelet aggregation |  | 
        |  | 
        
        | Term 
 
        | Aspirin (ASA)-Indications |  | Definition 
 
        | Acute coronary syndrome, unstable angina |  | 
        |  | 
        
        | Term 
 
        | Aspirin (ASA)-Precautions |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Aspirin (ASA)-Side Effects |  | Definition 
 
        | Nausea; vomiting; wheezing |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Parasympatholytic (anticholinergic) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Blocks acetylcholine receptors, thus inhibiting parasympathetic stimulation and increasing heart rate |  | 
        |  | 
        
        | Term 
 
        | Atropine Sulfate-Indications |  | Definition 
 
        | Symptomatic bradycardias, Asystole, PEA with absolute bradycardia, organohosphate or nerve gas poisoning |  | 
        |  | 
        
        | Term 
 
        | Atropine Sulfate-Side Effects |  | Definition 
 
        | Palpitations; dizziness; anxiety; dry mouth; pupils dilated; blurred vision |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Bradycardia: 0.5 mg fast IVP; may be repeated once Asystole/PEA: 1 mg fast IVP every 3-5 minutes to max of 3 mg Organophosphate poisoning: 2 mg fast IVP every 5 minutes; titrate until secretions subsides |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Increases myocardial contractile force |  | 
        |  | 
        
        | Term 
 
        | Calcium Chloride-Indications |  | Definition 
 
        | Acute hyperkalemia or hypocalcemia; Calcium channel blocker overdose; Abdominal muscle spasm associated with neurotoxins |  | 
        |  | 
        
        | Term 
 
        | Calcium Chloride-Contraindications |  | Definition 
 
        | Patients receiving digitalis |  | 
        |  | 
        
        | Term 
 
        | Calcium Chloride-Side Effects |  | Definition 
 
        | Dysrhythmias; hypotension |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | 2-4 mg/kg of a 10% solution; may be repeated in 10 minute intervals |  | 
        |  | 
        
        | Term 
 
        | Calcium Chloride-PCEMS Dosage |  | Definition 
 
        | Calcium channel blocker overdose: 1 g IV |  | 
        |  | 
        
        | Term 
 
        | Calcium Chloride-Pedi Dosage |  | Definition 
 
        | Calcium channel blocker overdose: 0.3 mg/kg IV over 2 minutes |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Rapidly increase blood glucose level |  | 
        |  | 
        
        | Term 
 
        | Dextrose (50%)-Indication |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Dextrose (50%)-Side Effects |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Tranquilizer (benzodiazepine) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Binds to GABA Type A receptors, potentiating their effects in the brain, thus causing sedation |  | 
        |  | 
        
        | Term 
 
        | Diazepam (Valium)-Indications |  | Definition 
 
        | Seizures; Premedication before cardioversion; Acute anxiety states |  | 
        |  | 
        
        | Term 
 
        | Diazepam (Valium)-Precautions |  | Definition 
 
        | Do not mix with other drugs because of possible precipitation problems |  | 
        |  | 
        
        | Term 
 
        | Diazepam (Valium)-Side Effects |  | Definition 
 
        | Drowsiness; hypotension; respiratory depression and apnea |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Status epilepticus: 5-10 mg IV Acute Anxiety: 2-5 mg IM or IV Premedication before cardioversion: 5-15 mg slow IVP |  | 
        |  | 
        
        | Term 
 
        | Diazepam (Valium)-PCEMS Dosage |  | Definition 
 
        | Seizure: 5 mg increments slow IVP; titrated to patient response or to max of 10 mg or if no IV 5 mg IM or 10 mg rectal Premedication before cardioversion: 5 mg slow IVP |  | 
        |  | 
        
        | Term 
 
        | Diltiazem (Cardizem)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Diltiazem (Cardizem)-Actions |  | Definition 
 
        | Slows conduction through the AV node; Causes vasodilation; Decreases rate of ventricular response; Decreases myocardial oxygen demand |  | 
        |  | 
        
        | Term 
 
        | Diltiazem (Cardizem)-Indication |  | Definition 
 
        | Rapid ventricular rates associated with atrial fibrillation and flutter/PSVT |  | 
        |  | 
        
        | Term 
 
        | Diltiazem (Cardizem)-Contraindications |  | Definition 
 
        | Hypotension; Wide-complex tachycardia |  | 
        |  | 
        
        | Term 
 
        | Diltiazem (Cardizem)-Side Effects |  | Definition 
 
        | Nausea and vomiting; hypotension; dizziness |  | 
        |  | 
        
        | Term 
 
        | Diltiazem (Cardizem)-Dosage |  | Definition 
 
        | 0.25 mg/kg bolus (typicaly 20 mg) IV over 2 minutes, followed by maintenance infusion of 5-15 mg/hr |  | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl)-Action |  | Definition 
 
        | Blocks histamine receptors |  | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl)-Indications |  | Definition 
 
        | Allergic reaction and anaphylaxis / Dystonic reactions due to phenothiazines |  | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl)-Side Effects |  | Definition 
 
        | Sedation; blurred vision; headache; palpitations |  | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Diphenhydramine (Benadryl)-PCEMS Dosage |  | Definition 
 
        | 1 mg/kg IV or IM to max of 50 mg |  | 
        |  | 
        
        | Term 
 
        | Dopamine (Intropin)-Class |  | Definition 
 
        | Sympathomimetic / Vasopressor and a naturally occuring catecholamine |  | 
        |  | 
        
        | Term 
 
        | Dopamine (Intropin)-Actions |  | Definition 
 
        | Acts on both alpha and beta adrenergic receptors, thus having a positive inotropic (contratility) and chronotropic (rate) effect on the heart, causes peripheral vasoconstriction |  | 
        |  | 
        
        | Term 
 
        | Dopamine (Intropin)-Indication |  | Definition 
 
        | Symptomatic bradycardia (second-line after atropine); Cardiogenic shock |  | 
        |  | 
        
        | Term 
 
        | Dopamine (Intropin)-Contraindications |  | Definition 
 
        | Active hemorrhage / tachydysrhythmias |  | 
        |  | 
        
        | Term 
 
        | Dopamine (Intropin)-Side Effects |  | Definition 
 
        | Ventricular tachydysrhythmias; palpitations |  | 
        |  | 
        
        | Term 
 
        | Dopamine (Intropin)-Dosage |  | Definition 
 
        | Initial dose: 2-20 mcg/kg/min IV drip; titrated to maintain systolic B/P > 90 mmHG Method: 400 mg should be place in 250 mL of D5W, giving a concentration of 1600 mg/mL |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-Actions |  | Definition 
 
        | Increases heart rate, automticity, and contractile force; Increases systemic vascular resistance; Causes bronchodilation |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-Indications |  | Definition 
 
        | Bronchospasm associated wth asthma or allergic reaction; Allergic reaction |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-Contraindications |  | Definition 
 
        | Hypertension / Pregnancy / Tachydysrhythmias |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-Side Effects |  | Definition 
 
        | Palpitations; tachydysrhythmias; anxiety; tremors; headaches; nausea; vomiting |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:1000 (1mg/1mL)-PCEMS Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-Class |  | Definition 
 
        | Sympathomimetic and a catecholamine secreted by the adrenal medulla in response to sympathetic stimulation |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-Actions |  | Definition 
 
        | Increases heart rate, automaticity, and contractile force / Increases systemic vascular resistance / Causes bronchodilation |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-Indications |  | Definition 
 
        | Allergic reaction / Anaphylactic shock / Cardiac arrest / Symptomatic bradycardia |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-Contraindications |  | Definition 
 
        | Hypertension / Pregnancy / Tachydysrhythias |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-Side Effects |  | Definition 
 
        | Palpitations; tachydysrhythmias; anxiety; tremors; headache; nausea; vomiting |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-Dosage |  | Definition 
 
        | Cardiac arrest: 1 mg IV every 3-5 min Severe anaphylaxis: 0.3-0.5 mg IV |  | 
        |  | 
        
        | Term 
 
        | Epinephrine (Adrenalin) 1:10,000 (1mg/10mL)-PCEMS Dosage |  | Definition 
 
        | Cardiac arrest: 1 mg IV every 3-5 min Severe anaphylaxis: 0.5 mg IV |  | 
        |  | 
        
        | Term 
 
        | Etomidate (Amidate)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Etomidate (Amidate)-Action |  | Definition 
 
        | Produces a rapid induction of anesthesia |  | 
        |  | 
        
        | Term 
 
        | Etomidate (Amidate)-Indication |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Etomidate (Amidate)-Side Effects |  | Definition 
 
        | Myoclonic skeletal muscle movement |  | 
        |  | 
        
        | Term 
 
        | Etomidate (Amidate)-Dosage |  | Definition 
 
        | 0.1-0.3 mg/kg IV over 15-30 seconds |  | 
        |  | 
        
        | Term 
 
        | Etomidate (Amidate)-PCEMS Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-Action |  | Definition 
 
        | Central nervous system depressant / Decreases sensitivity to pain |  | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-Indications |  | Definition 
 
        | Severe pain; Adjunct to RSI/sedation; Maintenance of analgesia |  | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-Precautions |  | Definition 
 
        | Respiratory depression / Hypotension |  | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-Side Effects |  | Definition 
 
        | Dizziness; nausea; altered level of consciousness |  | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Fentanyl Citrate (Sublimaze)-PCEMS Dosage |  | Definition 
 
        | Pain management: titrate up to 2 mcg/kg slow IVP; max of 500 mcg RSI: 6 mcg/kg IV |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Furosemide (Lasix)-Action |  | Definition 
 
        | Inhibits reabsorption of sodium chloride in the Loop of Henle in the kidneys, thus reducing absorption of water |  | 
        |  | 
        
        | Term 
 
        | Furosemide (Lasix)-Indications |  | Definition 
 
        | Pulmonary edema in the presence of CHF |  | 
        |  | 
        
        | Term 
 
        | Furosemide (Lasix)-Contraindications |  | Definition 
 
        | Pregnancy / Dehydration / Hypotension |  | 
        |  | 
        
        | Term 
 
        | Furosemide (Lasix)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hormone (antihypoglycemic agent) |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Causes a breakdown of glycogen (stored in liver) to glucose and inhibits the synthesis of glucose to glycogen, thus increasing blood glucose levels; Exerts a positive inotropic action on the heart |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hypoglycemia / Beta-blocker overdose |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | IV: 0.25-0.5 unit IM: 1 mg |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Hypoglycemia: 1 mg IM Asystole with b-blocker overdose: 2 mg IV |  | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-Class |  | Definition 
 
        | Major tranquilizer (butyrophenone) |  | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-Actions |  | Definition 
 
        | Blocks dopamine receptors in brain responsible for mood and behavior |  | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-Indications |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-Contraindications |  | Definition 
 
        | Should not be administered in the presence of other sedatives |  | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-Side Effects |  | Definition 
 
        | Physical and mental impairment |  | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Haloperidol (Haldol)-PCEMS Dosage |  | Definition 
 
        | 5 mg IM if < 60 kg 10 mg IM if > 60 kg |  | 
        |  | 
        
        | Term 
 
        | Ipratropium Bromide (Atrovent)-Class |  | Definition 
 
        | Anticholinergic, bronchodilator, parasympatholytic |  | 
        |  | 
        
        | Term 
 
        | Ipratropium Bromide (Atrovent)-Action |  | Definition 
 
        | Inhibits parasympathetic stimulation by blocking acetylcholine receptors,thus causing bronchodilation |  | 
        |  | 
        
        | Term 
 
        | Ipratropium Bromide (Atrovent)-Indications |  | Definition 
 
        | Reversible bronchospasms associated with asthma or COPD |  | 
        |  | 
        
        | Term 
 
        | Ipratropium Bromide (Atrovent)-Contraindication |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Ipratropium Bromide (Atrovent)-Side Effects |  | Definition 
 
        | Palpitations; dizziness; anxiety; headache; nervousness |  | 
        |  | 
        
        | Term 
 
        | Ipratropium Bromide (Atrovent)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Lidocane (Xylocaine)-Class |  | Definition 
 
        | Antidysrhythmic / Sodium Channel Blocker |  | 
        |  | 
        
        | Term 
 
        | Lidocane (Xylocaine)-Action |  | Definition 
 
        | Depresses depolarization and automaticity in the ventricles of the heart, has ability to increase repolarization |  | 
        |  | 
        
        | Term 
 
        | Lidocane (Xylocaine)-Indication |  | Definition 
 
        | V-Fib/Pulseless V-Tach; Stable V-Tach; Wide complex tachycardia of uncertain type |  | 
        |  | 
        
        | Term 
 
        | Lidocane (Xylocaine)-Contraindication |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Lidocane (Xylocaine)-Side Effects |  | Definition 
 
        | Anxiety; drowsiness; dizziness; confusion; nausea; vomiting; convulsions |  | 
        |  | 
        
        | Term 
 
        | Lidocane (Xylocaine)-Dosage |  | Definition 
 
        | Bolus: Initial bolus of 1-1.5 mg/kg IV; additional boluses of 0.5-0.75 mg/kg IV can be repeated at 3-5 min intervals until dysrhythmia has been suppressed or until 3 mg/kg has been administered Drip: After the dysrhythmia has been suppressed, a 2-4 mg/min IV infusion may be started to maintain adequate blood levels |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Anticonvulsant and antidysrhythmic |  | 
        |  | 
        
        | Term 
 
        | Magnesium Sulfate-Actions |  | Definition 
 
        | Acts as a physiological calcium channel blocker / Blocks neuromuscular transmission |  | 
        |  | 
        
        | Term 
 
        | Magnesium Sulfate-Indications |  | Definition 
 
        | Obstetrical: Eclampsia (toxemia of pregnancy) Cardiovascular: Refractory V-Fib and torade de pointes |  | 
        |  | 
        
        | Term 
 
        | Magnesium Sulfate-Contraindications |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Magnesium Sulfate-Side Effects |  | Definition 
 
        | Flushing; respiratory depression; drowsiness |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Magnesium Sulfate-PCEMS Dosage |  | Definition 
 
        | 2 g in 10 mL normal saline over 1-2 min |  | 
        |  | 
        
        | Term 
 
        | Methylprednisone (Solu-Medrol)-Class |  | Definition 
 
        | Corticosteroid and anti-inflammatory |  | 
        |  | 
        
        | Term 
 
        | Methylprednisone (Solu-Medrol)-Actions |  | Definition 
 
        | Inhibits many substances that cause inflammation (cytokines, interleukin, interferon) / Suppress immune response |  | 
        |  | 
        
        | Term 
 
        | Methylprednisone (Solu-Medrol)-Indications |  | Definition 
 
        | Asthma; COPD; Respiratory distress associated with anaphylaxis; spinal cord injury |  | 
        |  | 
        
        | Term 
 
        | Methylprednisone (Solu-Medrol)-Precautions |  | Definition 
 
        | Onset of action may be 2-6 hours, and thus the drug should not be expected to be of use in the critical first hour of an anaphylactic reaction |  | 
        |  | 
        
        | Term 
 
        | Methylprednisone (Solu-Medrol)-Side Effects |  | Definition 
 
        | GI bleeding; Prolonged wound healing; Suppression of natural steroids |  | 
        |  | 
        
        | Term 
 
        | Methylprednisone (Solu-Medrol)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | CNS depressant; Causes peripheral vasodilation; Decreases sensitivity to pain |  | 
        |  | 
        
        | Term 
 
        | Morphine Sulfate-Indications |  | Definition 
 
        | Chest pain associated with ACS unresponsive to nitrates; Pulmonary edema; Severe pain |  | 
        |  | 
        
        | Term 
 
        | Morphine Sulfate-Contraindications |  | Definition 
 
        | Hypotension; Head injury; Undiagnosed abdominal pain |  | 
        |  | 
        
        | Term 
 
        | Morphine Sulfate-Precaution |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Morphine Sulfate-Side Effects |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | IV: 2-5 mg followed by 2 mg every few minutes until pain is relieved or respiratory depression ensues IM: 5-15 mg |  | 
        |  | 
        
        | Term 
 
        | Morphine Sulfate-PCEMS Dosage |  | Definition 
 
        | Cardiac: 2 mg slow IVP every 5 minutes until pain is relieved; max of 10 mg |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 
        | Blinds to opiate receptors in the brain, thus reversing any narcotic effects |  | 
        |  | 
        
        | Term 
 
        | Naloxone (Narcan)-Indications |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Naloxone (Narcan)-Precautions |  | Definition 
 
        | May cause withdrawal effects in patients dependent on narcotics; Short acting; Should be augmented every 5 minutes |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Naloxone (Narcan)-PCEMS Dosage |  | Definition 
 
        | 2 mg slow IVP every 3 minutes as needed; max of 6 mg if < 50 kg 2 mg slow IVP every 3 minutes as needed; max of 10 mg if > 50 kg |  | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-Action |  | Definition 
 
        | Dilates ateries by relaxing smooth muscle, thus reducing cardiac work |  | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-Indication |  | Definition 
 
        | Chest pain; Pulmonary edema |  | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-Contraindications |  | Definition 
 
        | Hypotension; Use of erectile dysfunction medication in last 24 hours; Children under 12 years |  | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-Side Effects |  | Definition 
 
        | Headache; Dizziness; Hypotension |  | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-Dosage |  | Definition 
 
        | 1 spray SL every 3-5 minutes |  | 
        |  | 
        
        | Term 
 
        | Nitroglycerin (Nitrostat)-PCEMS Dosage |  | Definition 
 
        | Spray: 0.4 mg SL every 5 min until nitro drip is established Drip: 10 mcg/min IV; may be increased 5 mcg every 5 min as needed |  | 
        |  | 
        
        | Term 
 
        | Procainamide (Pronestyl)-Class |  | Definition 
 
        | Antidysrhythmic / Sodium Channel Blocker used to treat ventricular dysrhythmias, this drug widens the QRS complex and prolongs the Q-T interval |  | 
        |  | 
        
        | Term 
 
        | Procainamide (Pronestyl)-Action |  | Definition 
 
        | Reduces the automaticity of the various pacemaker sites in the heart and slows intraventricular conduction, thus elevating the ventricular threshold and suppressing ventricular ectopic activity |  | 
        |  | 
        
        | Term 
 
        | Procainamide (Pronestyl)-Indications |  | Definition 
 
        | PSVT; Stable wide-complex tachycardia of unknown origin; A-Fib; WPW syndrome |  | 
        |  | 
        
        | Term 
 
        | Procainamide (Pronestyl)-Contraindications |  | Definition 
 
        | High-degree heart blocks; PVCs in conjunction with bradycardia |  | 
        |  | 
        
        | Term 
 
        | Procainamide (Pronestyl)-Side Effects |  | Definition 
 
        | Anxiety; Nausea; Convulsions |  | 
        |  | 
        
        | Term 
 
        | Procainamide (Pronestyl)-Dosage |  | Definition 
 
        | Initial: 20 mg/min IV until dysrhythmia subsides, Hypotension ensues, QRS complex is widened by 50% of original width, or total of 17 mg/kg has been given |  | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-Class |  | Definition 
 
        | Antihistamine (H1 antagonist) |  | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-Action |  | Definition 
 
        | Blocks H1 receptors, thus producing antiemetic effects |  | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-Indications |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-Contraindications |  | Definition 
 
        | Comatose states; Patients who have received a large amount of depressants (including alcohol) |  | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-Side Effect |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Promethazine (Phenergan)-PCEMS Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Sodium Bicarbonate-Actions |  | Definition 
 
        | Combines with excessive acids to form a weak volatile acid, thus increasing pH |  | 
        |  | 
        
        | Term 
 
        | Sodium Bicarbonate-Indications |  | Definition 
 
        | Late in management of cardiac arrest / Tricyclic antidepressant overdose / Severe acidosis refractory to hyperventiation |  | 
        |  | 
        
        | Term 
 
        | Sodium Bicarbonate-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-Class |  | Definition 
 
        | Depolarizing neuromuscular blocker |  | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-Action |  | Definition 
 
        | Combines with cholinergic receptors in the motor nerves to cause depolarizaton, thus inhibiting neuromuscular transmission which renders the muscles unable to be stimulated by acetylcholine |  | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-Indications |  | Definition 
 
        | To achieve paralysis to facilitate ET intubation |  | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-Precaution |  | Definition 
 
        | Paralysis occurs within 1 min and last for approximately 8 min |  | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-Side Effects |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Succinylcholine (Anectine)-PCEMS Dosage |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Thiamine (Vitamin B1)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Thiamine (Vitamin B1)-Action |  | Definition 
 
        | Assists in the conversion of pyruvic acid to acetyl coenzyme A, thus allowng a normal breakdown of glucose |  | 
        |  | 
        
        | Term 
 
        | Thiamine (Vitamin B1)-Indications |  | Definition 
 
        | Coma of unknown origin / Alcoholism / Malnourishment / Delirium tremens |  | 
        |  | 
        
        | Term 
 
        | Thiamine (Vitamin B1)-Dosage |  | Definition 
 
        | 100 mg IV or IM Before the administration of Dextrose |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Vasopressor / Naturally occurring antidiuretic hormone that is a potent vasoconstrictor |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | Directly stimulates smooth muscle receptors and acts as a potent vasoconstrictor, Antidiuretic hormone |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | As an alternative pressor to epinephrine in adult cardiac arrest |  | 
        |  | 
        
        | Term 
 | Definition 
 | 
        |  | 
        
        | Term 
 
        | Verapamil (Isoptin, Calan)-Class |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Verapamil (Isoptin, Calan)-Actions |  | Definition 
 
        | Slows conduction through the AV node; Reduces myocardial oxygen demand due to negative inotropic (contractility) effects; Causes vascular dilation |  | 
        |  | 
        
        | Term 
 
        | Verapamil (Isoptin, Calan)-Indications |  | Definition 
 
        | PSVT refractory to adenosine; A-Fib |  | 
        |  | 
        
        | Term 
 
        | Verapamil (Isoptin, Calan)-Contraindications |  | Definition 
 | 
        |  | 
        
        | Term 
 
        | Verapamil (Isoptin, Calan)-Side Effects |  | Definition 
 
        | Nausea; Vomiting; Hypotension; Dizziness |  | 
        |  | 
        
        | Term 
 
        | Verapamil (Isoptin, Calan)-Dosage |  | Definition 
 
        | 2.5-5 mg slow IVP; a repeat dose of 5-10 mg IV can be administered after 15-30 min of PSVT does not convert; max of 30 mg in 30 min |  | 
        |  |