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Protocol Meds

All Protocol Meds

QuestionAnswer
CARDIZEM aka? DITALAZEM
CARDIZEM class? CALCIUM CHANNEL BLOCKER
CARDIZEM dose / route? 0.25 mg / kg Slow IVP, MAX of 25 mg
CARDIZEM indications? Symptomatic A-Fib, A-flutter With RVR, HR > 150 bpm
CARDIZEM contraindiactions? Hypersensitivity, B/P < 90, WPW, SSS, Heart block, V-tach, Adimn of Beta Blocker within 30 min
CARDIZEM packaging? 25 mg in action type bristojet.
DIPHENHYDRAMINE aka? BENADRYL
DIPHENHYDRAMINE class? ANTIHYSTAMINE
DIPHENHYDRAMINE dose / route? 0.5 mg/kg IM,IV, MAX 50mg
DIPHENHYDRAMINE indications? Allergic reactions, Adjunct in Anaphalaxis, Extrapyramidal reations to Antipsychotic Meds
DIPHENHYDRAMINE contraindications? Hypersensitivity, Narrow angle Glaucoma, Prostate enlargement, Ulcers with Symptoms of Obstuction
DIPHENHYDRAMINE packaging? 50 mg/ 1 ml
DOPAMINE class? ANTIDIURETIC HORMONE
DOPAMINE dose / route? 5-20 mcg/kg/min in brady / cardiogenic shock and following 2 liters NS in trauma Shock with orders, 10-20 mcg/kg/min in ROSC cardiac
DOPAMINE indications? Hypotension in absence of Hypovolemia
DOPAMINE contraindications? Due to Beta I effects may exacerbate SVT and Ventricualr dysarrythmias, May cause Acute HTN in pt's with Pheochromocytoma, 1/10th the normal dose in pt on MAOI's due to synergistic effects
DOPAMINE packaging? 400 mg / 5 ml
EPINEPHERINE class? SYMPATHOMIMETIC
EPINEPHERINE dose / route? 1 mg (1:10,000)IV/IO cardiac arrest, 0.3 - 0.5 mg (1:1000) SQ anaphylaxis Max 0.5mg, 0.1 mg (1:10,000) IV asthma
EPINEPHERINE indications? Cardiac arrest, Anaphylaxis, Asthma
EPINEPHERINE contraindications? Allergic to sulfites, Minor allergic reations, ACD, Angina, and Palpitations
EPINEPHERINE packaging? 1 mg / 10 ml (1:10,000), 30 mg / 30 ml (1:1000)
NALOXONE aka? NARCAN
NALOXONE class? OPIOD ANTAGONIST
NALOXONE dose / route? 05 mg up to 10 mg IV, 2 mg Nasal Atomizer
NALOXONE indications? Alt. LOC or Resp Depression from Narcotic OD, Coma or Alt. LOC of unknown cause
NALOXONE contraindications? NONE
NALOXONE packaging? 2 mg / 2 ml
NTG aka? NITROSTAT
NTG class? VASODIALATOR
NTG dose / route? 0.4 mg SL, MAX 3 doses
NTG indications? Angina, Pulmonary Edema, Hypertensive Crisis
NTG contraindications? Hypotension B/P < 100, Increased ICP, Use of Viagra like Meds within 24-48 hrs, Glaucoma
NTG packaging? Metered Spray bottle
O2 class? ELEMENT
O2 dose / route? 2 - 15 lpm NC/NRMB/Neb/BVM/Vent
O2 indications? Hypoxemia, CP, Cardiac Arrest, MI
O2 contraindications? NONE
O2 packaging? 1500 PSI cylinder
SODIUM BICARBONATE class? ELECTROLYTE
SODIUM BICARBONATE dose / route? 1 meq/kg,
SODIUM BICARBONATE indications? All dialysis Pt Cardiac Arrest, Cardiac Arrest with unknown Down time or > 10 min down, Trycyclic OD with Orders, poss. respiratory Acid exposure, CRUSH syndrome
SODIUM BICARBONATE contraindications? CHF, Known Alkalosis, Renal Dysfunction
SODIUM BICARBONATE packaging? 50 meq / 50 ml
MAGNESIUM SULFATE class? ELECTROLYTE
MAGNESIUM SULFATE dose route? 2 GM SIVP over 2-3 min.
MAGNESIUM SULFATE indications? Eclamptic Seizures, VT-VF refractory to Lidocaine
MAGNESIUM SULFATE contraindications? Pt with Heart Block
MAGNESIUM SULFATE packaging? 1 GM / 2 ml
METOPROLOL aka? LOPRESSOR
METOPROLOL class? BETA BLOCKER
METOPROLOL dose / route? 5 mg IVP, may repeat once.
METOPROLOL indications? STEMI with HR > 60 bpm, and B/P > 120 systolic
METOPROLOL contraindications? Hypersensitivity, Active Bronciospasm, Systolic B/P <120, HR < 60, Calcium Channel Blocker use withing 30 min
METOPROLOL packaging? 5 mg / 5 ml
MIDAZOLAM aka? VERSED
MIDAZOLAM class? BENZODIAZAPINE
MIDAZOLAM dose / route? 1-2 mg IVP Sedation MAX 6 mg, 1-2 mg IM/Nasal if active seizing MAX 5 mg no IV access
MIDAZOLAM indications? Sedation for Cardioversion, RSI, Pacing, and Seizures
MIDAZOLAM contraindications? Hypersensitivity, Narrow angle glaucoma, Open angle glaucoma unless recieving proper therapy
MIDAZOLAM packaging? 10 mg / 1 ml
MORPHINE SULFATE calss? OPIOD NARCOTIC
MORPHINE SULFATE dose / route? 2 mg every 5 min max of 10 mg
MORPHINE SULFATE indications? CP, MI, CHF, Trauma Alert Burn criteria, Long Bone Fx
MORPHINE SULFATE contraindications? Hypersensitivity, Respritory depression, Hypotension, On Medications to Maintain B/P
MORPHINE SULFATE packaging? 10 mg / 1 ml
ETOMIDATE aka? AMIDATE
ETOMIDATE calss? ANESTHESIC, AMNESIC, with minimal cardiac response
ETOMIDATE dose / route? 0.3 mg/kg IV, 5-10 mg IVP for sedation for Cardioversion, Street RSI 10mg, 15mg, 20mg, based on body size.
ETOMIDATE indications? Sedation for Cardioversion, and RSI
ETOMIDATE contraindications? Hypersensitivity
ETOMIDATE packaging? 20 mg / 10 ml
FUROSEMIDE aka? LASIX
FUROSEMIDE class? DIURETIC HORMONE
FUROSEMIDE dose / route? 40 mg SIVP over 1-2 min, 2x's daily dose if on Lasix/Bumex MAX 80 mg
FUROSEMIDE indications? Pulmonary edema, CHF
FUROSEMIDE contraindications? Hypersensitivity, MI, Abnormal L ventricular compliance
FUROSEMIDE packaging? 40 mg / 4 ml
GLUCAGON calss? HORMONE
GLUCAGON dose / route? 1 mg SQ
GLUCAGON indications? Coma from Hypoglycemia when no IV access available, OD of Beta Blockers due to Beta I response
GLUCAGON contraindications? NONE
GLUCAGON packaging? Vial 1 mg powder, must have 1 ml NS mixed prior to Administration
LIDOCAINE class? ANTIDYSRHYTHMIC
LIDOCAINE dose / route? 1.5 mg/kg IVP VF/pulseless VT repeat once, 1.5 mg/kg VT repeat 0.75 mg/kg, 1 mg/kg PVC's repeat 0.5 mg/kg, All MAX 3 mg/kg
LIDOCAINE indications? VF-VT, Symptomatic VT, Ventricular Ectopy
LIDOCAINE contraindications? Hypersensitivity, Bradycardia, 2nd or 3rd degree Heart Blocks
LIDOCAINE packaging? 100 mg / 5 ml
ATROVENT aka? IPOTROPIUM
ATROVENT class? ANTICHOLINERGIC
ATROVENT dose / route? 0.5 mg Neb @ 6 lpm
ATROVENT indications? Wheezes, Bronchiospasms, Asthma, COPD
ATROVENT contraindications? Hypersensitivity to Med, Peanuts, or Soybeans
ATROVENT packaging? 0.5 mg / 2.5 ml
CALCIUM CHLORIDE class? ELECTROLYTE
CALCIUM CHLORIDE dose / route? 1 GM SIVP
CALCIUM CHLORIDE indications? Resuscitaion of Dialysis Pt, Hypocalcemia, Calcium Channel Blocker OD
CALCIUM CHLORIDE contraindications? When mixed with Sodium Bicarb catylizes into Salt crystals, Rapid administration may Slow HR, May cause Ventricular irratiability in the Digitalized Pt, Precipatates Dig Toxcicity, Poss. Vasospasms in the Coronary or Cerebral Arteries
CALCIUM CHLORIDE packaging? 1 GM / 10 ml
DEXTROSE aka? D50
DEXTROSE class? CARBOHYDRATE
DEXTROSE dose / route? 25 GM IVP
DEXTROSE indications? Alt. LOC with BSL < 60, Coma poss. due to Hypoglycemia
DEXTROSE contraindications? Itracranial Hemorrhage, IV ifitration
DEXTROSE packaging? 25 GM / 50 ml
DIAZEPAM aka? VALIUM
DIAZEPAM class? BENZODIAZAPINE
DIAZEPAM dose / route? 5 mg IV Seizure, Sedation for Pacing / Cardioversion MAX 10 mg, 2 - 5 mg IM Anxiety Via Medical Control
DIAZEPAM indications? Seizures, Sedation for Pacing and Cardioversion, Anxiety Via Medical Control
DIAZEPAM contraindications? Repritory Deression, Gravid, Hypotension
DIAZEPAM packaging? 10 mg / 2 ml
ADENOSINE aka? ADENOCARD
ADENOSINE class? NEUCLEOSIDE
ADENOSINE dose / route? 6 mg RIVP with 20 ml NS Bolus, Repeat @ 12 MG up to 2 x's, MAX 30 mg
ADENOSINE indications? Symptomatic PSVT, SVT > 150 bpm
ADENOSINE contraindications? Hypersensitivity, 2nd or 3rd Defree Heart Block, WPW or other accesory pathway conduction Abnormality, SSS
ADENOSINE packaging? 6 mg / 2 ml
ALBUTEROL aka? PROVENTIL, VENTOLIN
ALBUTEROL class? SYMPATHOMIMETIC
ALBUTEROL dose / route? 2.5 mg Neb @ 6 lpm
ALBUTEROL indications? Wheezes, Bronchiospasms, Asthma, COPD
ALBUTEROL contraindications? Hypersensitivity, Warn of poss. Paradoxical Bronchiospasms
ALBUTEROL packaging? 2.5 mg / 3 ml
ASA aka? Aspirin
ASA calss? SALICYLATES
ASA dose? 324 mg PO
ASA indications? Cardiac related CP
ASA contraindications? Hypersensitivity, Current GI bleed, Multi-systems Trauma, Gravid, Taken ASA within 4 hrs
ASA packaging? 81 mg chewable tablets in a multi dose bottle
ATROPINE class? ANTICHOLINERGIC
ATROPINE dose / route? 0.5 mg IVP every 3 min MAX 3 mg for Symptomatic Bradycardia, 2 mg IV every 3 min till SLUDGEM subsideds in ORGANO PHOSPHATE POISINING / NERVE AGENT EXPOSURE,
ATROPINE indications? Symptomatic Bradicardia, ORGANOPHOSPHATE poisoning, NERVE AGENT EXPOSURE, Pedi RSI
ATROPINE contraindications? A-Fib, A-Flutter, Glaucoma, Use with caution in MI
ATROPINE packaging? 1 mg / 10 ml, 8 mg / 20 ml
SOLU-MEDROL class? CORTICOID STEROID
SOLU-MEDROL dose / route? 125 mg SIVP
SOLU-MEDROL indications? Severe Asthma, COPD
SOLU-MEDROL contraindications? Hypersensitivity, Diabetes, HTN, Seizures, CHF, Renal Disease
SOLU-MEDROL packaging? 125 mg / 2 ml action vial
SUCCINYCHOLINE aka? ANECTINE
SUCCINYCHOLINE class? DEPOLARIZING PARALYTIC
SUCCINYCHOLINE dose / route? 1.5 mg/kg IVP, Street dose 100 mg, 150 mg, 200 mg based on pt's weight
SUCCINYCHOLINE indications? Paralysis for Intubation
SUCCINYCHOLINE contraindications? Hypersensitivity, Penetrating Eye injury, Myopathies, Narrow angle glaucoma, malignant Hyperthermia, Plasma Pseudocholinesterase
SUCCINYCHOLINE packaging? 200 mg / 10 ml
VASSOPRESSIN class? ANTIDIURETIC HORMONE
VASSOPRESSIN dose / route? 40 units IV
VASSOPRESSIN indications? VF-pulseless VT is substitute for 1st or 2nd dose of EPI
VASSOPRESSIN contraindications? Hypersensitivity
VASSOPRESSIN packaging? 20 units / 1 ml
ZOFRAN aka? ONDANSETRON
ZOFRAN class? ANTIEMETIC
ZOFRAN dose / route? 4 mg IV/IO/IM
ZOFRAN indications? nausea / vomiting
ZOFRAN contraindications? Hypersensitivity
ZOFRAN packaging? 4 mg / 1 ml
Created by: ub4uf
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