Medications
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| show | Benadryl
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| Diphenhydramine Class | show 🗑
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| show | Binds and blocks H1 histmine receptors.
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| show | Anaphylactic reactions, dystonic reactions.
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| show | Drowsiness, dizziness, headache, excitable state (children), wheezing, thickening of bronchial secretions, chest tightness, palpitations, hypotension, blurred vision, dry mouth, nausea/vomiting, diarrhea.
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| Diphenhydramine Contraindications | show 🗑
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| show | 25-50-mg IV, IO, IM.
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| Diphenhydramine Dosage: Pedi: | show 🗑
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| show | Pregnancy class B.
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| Vasopressin Class | show 🗑
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| show | Causes vasoconstriction independent of adrenergic receptors, or neural innervation.
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| Vasopressin Indications | show 🗑
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| Vasopressin Adverse Effects | show 🗑
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| show | Responsive patients with cardiac disease.
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| show | 40U IV/IO may replace either the first or second dose of epinephrine. -May be given ET but the optimal dose is not known
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| Vasopressin Special Considerations | show 🗑
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| Verapamil, also known as | show 🗑
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| Verapamil class | show 🗑
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| show | Blocks calcium from moving into the heart muscle cell, which prolongs the conduction of electrical impulses through the AV node. Also dilates arteries.
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| Verapamil Indications | show 🗑
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| show | Sinus bradcardia; first-, second-, or third-degree AV block; congestive heart failure; reflex sinus tachycardia; transient asystole; AV block; hypotension.
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| show | 2nd or 3rd degree AV block (except in patents w/ a functioning artificial pacemaker; hypotension (systolic pressure <90mm Hg) or cardiogenic shock; sick sinus syndrome; Lown-Ganong_Levine syndrome; severe left ventricular dysfunction.
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| show | 2.5-5mg IV, IO over 2 minutes (3 minutes in elderly patients). May repeat at 5-10mg every 15-30 minutes to a max dose of 30mg.
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| Verapamil: Pedi: Children 1-16 yrs | show 🗑
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| Verapamil Dosage: Pedi: Infants <1 yr | show 🗑
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| Verapamil Special Considerations | show 🗑
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| show | Cordarone
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| show | Antiarrhythmic, Class III.
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| Amiodarone Action | show 🗑
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| Amiodarone Indications | show 🗑
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| Amiodarone Adverse Effects | show 🗑
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| Amiodarone Contraindications | show 🗑
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| show | 300mg IV/IO. May be followed by one dose of 150mg in 3-5 minutes. After conversion, follow with 1-mg/min infusion for 6 hours, then 0.5mg/min maintenance infusion over 18 hours.
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| Amiodarone Dosage: Pedi: Ventricular fibrillation and Pulseless Ventricular Tachycardia: Pedi: | show 🗑
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| show | 150mg in 100ml,D5W IV, IO over a 10 minute period; may repeat in 10 minutes up to a max dose of 2.2g over 24 hrs.
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| show | 5mg/kg very slow IV, IO (over 20-60 minutes); may repeat in 5mg/kg doses up to 15mg/kg (max dose: 300mg).
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| show | Pretnancy class D.
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| Atropine Sulfate Class | show 🗑
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| show | Competes reversibly w/ acetylcholine at the site of the muscarinic receptor. Receptors affected, in order from the most sensitive to the least sensitive, inculde salivary, bronchial, sweat glands, eye, heart, and GI tract.
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| Atropien Sulfate Indications | show 🗑
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| show | Decreased secretions resulting in dry mouth and hot skin temp, intense facial flushing, blurred vision or dilation of the pupils with subsequent photophobia, tachycardia, restlessness. May cause paradoxical bradycardia if dose admin'd too low or slowly.
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| show | Acute MI; myasthenia gravis; GI obstruction; closed-angle glaucoma; known sensitivity to Atropine, belladonna alkaloids; or sulfites. Won't be effective for infranodal (type II) AV block and new 3rd-degree block w/ wide QRS complex.
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| show | 0.5mg IV, IO every 3-5 mins to a max dose of 3mg
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| show | 0.02mg/kg (minimum 0.1mg/dose; max 1mg/dose) IV, IO up to a total dose of 2mg.
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| Atropine Sulfate Dosage: Symptomatic Bradycardia: Pedi: | show 🗑
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| Atropine Sulfate Dosage: Asystole/Pulseless Electrical Activity: | show 🗑
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| Atropine Sulfate: Nerve Agent or Organophosphate Poisoning: Adult: | show 🗑
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| show | 0.05mg/kg IV, IM every 10-30 minutes as needed until symptoms dissipate.
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| show | 0.05mg/kg IV, IM every 5-20 inutes as needed until symptoms dissipate.
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| Atropine Sulfate Special Considerations | show 🗑
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| Epinephrine Class | show 🗑
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| show | Binds strongly with both alpha and beta receptors, producing increased blood pressure, incrased heart rate, bronchodilation.
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| show | Bronchospasm, alleric and anaphylactic reactions, cardiac arrest.
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| show | Anxiety, headache, cardiac arrhythmias, hypertension, nervousness, tremors, chest pain, nausea/vomiting.
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| Epinephrine Containdications | show 🗑
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| Epinephrine Dosage: Cardiac Arrest: Adult: | show 🗑
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| Epinephrine Dosage: Cardiac Arrest: Pedi: | show 🗑
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| Epinephrine Dosage: Symptomatic Bradycardia: Adult: | show 🗑
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| Epinephrine Dosage: Symptomatic Bradycardia: Pedi: | show 🗑
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| show | 0.3-0.5mg (1:1000 solution) IM or subQ. Mayrepeat every 10-15 minutes (max dose 1mg).
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| show | 0.01mg/kg (1:1000) solution) IM or subQ (max dose: 0.5mg).
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| Epinephrine Dosage: Anaphylactic Shock: Adult: | show 🗑
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| show | Continuous IV infusion rate of 0.1-1mcg/kg/min (1:10,000 solution); titrate to response.
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| Epinephrine Special Considerations | show 🗑
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| show | Xylocaine
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| show | Antiarrhythmic, class IB
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| Lidocaine Action | show 🗑
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| show | Ventricular arrythmias, when amiodarone is not a vailable; cardiac arrest from VF/VT, stable monomorphic VT with preserved Ventricular function, stable polymorphic VT with Normal baseline QT interval and preserved left ventricular function (when ischemia
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| Lidocaine Adverse Effects | show 🗑
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| Lidocaine Contraindications | show 🗑
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| show | 1-1.5mg/kg IV, IO; may repeat at half the original dose every 5-10 minutes to a max dose of 3mg/kg. If a maintenance infusion is warranted, the rate is 1-4mg/min.
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| Lidocaine Dosage: Pulselesws Ventricular Tachycardia and Ventricular Fibrillation: Adult ET tube: | show 🗑
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| Lidocaine Dosage: Pulseless Ventricular Tachycardia and Ventricular Fibrillation: Pedi IV, IO: | show 🗑
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| Lidocaine Dosage: Pulseless Ventricular Tachycardia and Ventricular Fibrillation: Pedi ET tube: | show 🗑
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| Lidocaine Dosage: Perfusing Ventricular Rhythms: Adult: | show 🗑
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| Lidocaine Dosage: Perfusing Ventricular Rhythms: Pedi: | show 🗑
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| Lidocaine Special Considerations | show 🗑
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| Diltiazem, also known as | show 🗑
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| show | Calcium channel blocker, class IV antiarrhythmic.
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| Diltiazem Action | show 🗑
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| Diltiazem Indications | show 🗑
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| show | Flushing; headache; bradycardia; hypotension; heart block; myocardial depression; severe AV block; and, at high doses, cardiac arrest.
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| show | Hypotension, heart block, heart failure.
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| Diltiazem Dosage: Adult: | show 🗑
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| Diltiazem Pedi: | show 🗑
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| show | Use with extreme caution in patients who are taking beta blockers because these two drug classes potentiate each other's effects and toxicities. Patients with a history of heart failure and heart block are at a higher risk for tox. Pregnancy class C.
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| show | Phenergan
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| Promethazine Class | show 🗑
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| Promethazine Action | show 🗑
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| show | Nausea/vomiting.
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| Promethazine Adverse Effects | show 🗑
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| show | Altered level of consciousness, jaundice, bone marrow suppression, known sensitivity. Use with caution in seizure disorder.
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| Promethazine Dosage: Adult | show 🗑
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| show | 0.25-1mg/kg IV, IO, IM (max rate of IV, IO adminstration is 25mg/min).
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| show | Pregnancy class C.
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| Thiamine, also know as | show 🗑
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| show | Vitamin B1.
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| show | combines with adenosine triphosphate to produce thiamine diphosphate, which acts as a coenzyme in carbohydrate metabolism.
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| Thiamine Indication | show 🗑
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| show | Itching, rash, pain at injection site.
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| Thiamine Contraindications | show 🗑
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| Thiamine Dosage: Wernicke-Korsakoff Syndrome: Adult | show 🗑
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| Thiamine Dosage: Wernicke-Korsakoff Syndrome: Pedi: | show 🗑
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| show | Pregnancy class A.
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| Epinephrine Autoinjectors, also known as | show 🗑
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| show | Adrenergic agonist, inotrope
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| show | Binds strongly with both alpha and beta receptors, producing increased blood pressure, increased heart rate, bronchodialation.
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| Epinephrine Autoinjectors Indications | show 🗑
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| Epinephrine Autoinjectors Adverse Effects | show 🗑
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| Epinephrine Autoinjectors Contraindications | show 🗑
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| show | Contains 0.3mg to be admin'd IM into the anterolateral thigh.
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| show | For children weighing <30kg, an IpiPen Jr delivers 0.15mg IM.
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| Epinephrine Autoinjectors Special Considerations | show 🗑
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| Zofran, also known as | show 🗑
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| Zofran Class | show 🗑
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| Zofran Actions | show 🗑
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| show | Nausea and vomiting associated with a variety of medical conditions.
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| show | Headache and dizziness.
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| show | Hypersensitivity. Age less than 6 months.
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| Zofran Dosage: Adults: | show 🗑
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| show | 0.15mg/kg IV every 4 hours; max dose of 4mg.
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| show | None.
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