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Paramedic Drug Cards:)

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Question
Answer
Class For (Epinephrine)   show
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show Binds strongly with both alpha/beta receptors, increases BP/HR, bronchodilation  
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Indications For (Epinephrine)   show
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Adverse Effects For (Epinephrine)   show
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Contraindications For (Epinephrine)   show
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show Adult Arrest: 1 mg (1:10 000) IV/IO q 3-5 min Ped Arrest: 0.01 mg/kg (1:10 000) IV/IO, repeat q 3- 5 PRN Adult Symptomatic Bradycardia: Adult 2 – 10 mcg/min infusion Ped Symptomatic Bradycardia: 0.01 mg/kg q 3 – 5 min, max dose 1 mg  
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Another Name For Diphenhydramine Hydrochloride   show
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show Antihistamine  
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Actions For (Benadryl)   show
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Indications For (Benadryl)   show
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show Drowsiness, dizziness, HA, excitable state (children), wheezing, thickening of bronchial secretions, chest tightness, palpitations, hypotension, blurred vision, dry mouth, n/v, diarrhea  
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show Corticosteroid  
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Another Name For Hydrocortisone Sodium Succinate   show
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show Reduces inflammation by multiple mechanisms.  
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Indications For (Hydrocortisone)   show
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show Leukocytosis, hyperglycemia, increased infection, decreased wound healing, increased rate of death from sepsis  
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Contraindications For (Hydrocortisone)   show
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show Anaphylactic Shock: 100 – 500 mg IV, IO, IM (Adult)Ped: 2 – 4 mg/kg/day IV, IO, IM (500 mg max)  
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show (Proventil, Ventolin)  
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Class For (Albuterol)   show
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Action For (Albuterol)   show
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Indications For (Albuterol)   show
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show Hyperglycemia, hypokalemia, palpitations, tachycardia, anxiety, tremor, n/v, hypertension, headache, paradoxical bronchospasm  
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show Angioedema, sensitiviy.  
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show Nebulizer: 2.5 – 5 mg q 20 minutes, max three doses MDI: 4 – 8 puffs every 1 – 4 hrs  
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show (Xopenex)  
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show Beta Agonist  
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Action For (Levalbuterol)   show
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Indications For (Levalbuterol)   show
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Adverse Effects For (Levalbuterol)   show
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show Angioedema, sensitivity.  
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show Nebulizer: 1.25 to 2.5 mg q 20 minutes for 3 doses  
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show (Atrovent)  
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show Bronchodilator, anticholinergic  
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Action for (Atrovent)   show
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show Asthma, bronchospasma associated with COPD  
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Adverse Effects for (Atrovent)   show
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Contraindications for (Atrovent)   show
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Dosage for (Atrovent)   show
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Another Name For Methylprednisolone   show
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Class for (Solu-Medrol)   show
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show Reduces inflammation by multiple mechanisms  
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Indications for (Solu-Medrol)   show
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Adverse Effects for (Solu-Medrol)   show
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Contraindications for (Solu-Medrol)   show
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Dosage for (Solu-Medrol)   show
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show (Racepinephrine)  
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Class for(Racepinephrine)   show
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show Stimulates both alpha and beta receptors, causing vasoconstriction, reduced mucosal edema, bronchodilation  
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Indications for(Racepinephrine)   show
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show Anxiety, dizziness, HA, tremor, palpitations, tachycardia, arrhythmias, HTN, n/v  
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Contraindications for(Racepinephrine)   show
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show Adult: 11.25 mg in 3 mL nebulizer  
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Another Name For (OXYGEN)   show
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show Elemental Gas  
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show Facilitates cellular metabolism  
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show Hypoxia, cellular energy metabolism  
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show Known paraquat poisoning  
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show High concentrations may cause respiratory depression in COPD patients  
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Dosage For(O2)   show
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show ASPIRIN, Alka-Seltzer, Bayer, St Joseph  
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Classification For (ASPIRIN)   show
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show Inhibits platelet formation; lowers body temperature; relieves pain  
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show Fever, inflammation, angina, chest pain indicative of MI  
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show Sensitivity, bleeding disorders, GI bleeding, hemorrhagic stroke, active ulcer disease, children with chicken pox/flu-like symptoms  
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Precautions For (ASPIRIN)   show
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show 325 mg PO (Four – 81 mg “Baby Aspirin”  
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show Nitrolingual, NitroQuick, Nitro-Dur  
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Classification For (Nitro)   show
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Action For (Nitro)   show
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show Angina, hypertension, myocardial ischemia  
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show Hypotension, severe bradycardia/tachycardia, increased ICP, patients taking medications for erectile dysfunction (Viagra ®, Levitra ®, Cialis ®)  
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Precautions For (Nitro)   show
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Dosage For (Nitro)   show
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Classification for (MORPHINE SULFATE)   show
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Action for (MORPHINE SULFATE)   show
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Indications for (MORPHINE SULFATE)   show
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show Respiratory depression, hypotension, sensitivity  
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Precautions for (MORPHINE SULFATE)   show
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show Adult: (MI) 2 – 4 mg IV over 1 – 5 min, q 5 – 15 min (Pain)2.5 – 15 mg IV, 5-20 mg IM/SQ. Ped: 0.05 – 0.2 mg/kg IV/IO 0.1 – 0.2 mg/kg IM/SQ  
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Classification For (METAPROLOL Lopressor)   show
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Action For (METAPROLOL Lopressor)   show
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Indications For (METAPROLOL Lopressor)   show
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Contraindications For (METAPROLOL Lopressor)   show
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show Dizziness, diarrhea, heart block, bradycardia, bronchospasm, hypotension  
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Dosage For (METAPROLOL Lopressor)   show
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Antoher Name For (Atenolol)   show
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Class For (Tenormin)   show
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Action For (Tenormin)   show
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show ACS, hypertension, SVT, Atrial Flutter/Fibrillation  
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show Bradycardia, bronchospasm, hypotension  
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show Cardiogenic shock, AV block, bradycardia, sensitivity  
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Dosage For (Tenormin)   show
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show Anticholineric, antimuscarinic  
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show Competes reversibly with acetylcholine at the site of the muscarinic receptor  
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show Symptomatic bradycardia, asystole, PEA  
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Adverse Effects For (Atropine Sulfate)   show
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Contraindications For (Atropine Sulfate)   show
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Dosage For (Atropine Sulfate)   show
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show (Inotropin)  
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Class For (Dopamine)   show
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show Stimulates alpha and beta adrenergic receptors  
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show Hypotension and decreased CO associated with cardiogenic and septic shock, symptomatic bradycardia unresponsive to atropine, hypotension after return of spontaneous circulation following arrest  
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show Tachycardia, arrhythmias, skin/soft tissue necrosis, severe hypertension, angina, dyspnea, headache, n/v  
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show Pheochromocytoma, VF/VT or other ventricular arrhythmias, sensitivity  
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show 2-20 mcg/kg/min titrate to effect  
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show (Adenocard)  
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show Antiarrhythmic  
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show Slows conduction of electrical impulses at AV node  
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show Stable reentry SVT  
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show Sense of impeding doom, flushing, chest pressure, throat tightness, numbness  
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Contraindications For (Adenosine)   show
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Dosage For (Adenosine)   show
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show (Cordarone)  
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show Antiarrythmic, class III  
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Action For (Amiodarone)   show
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show Ventricular arrhythmias, second-line agent for atrial arrhythmias  
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show Burning at the IV site, hypotension, bradycardia  
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Contraindications For (Amiodarone)   show
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show Adult VF/VT: 300 mg IV/IO, repeat if needed with150 mg in 3-5 min Stable Tachycardia: 150 mg in 100 mL D5W IV/IO over 10 min, may repeat in 10 min up to max 2.2 g over 24 hrs.  
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Another Name For (Lidocaine)   show
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show Antiarrhythmic, Class IB  
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show blocks sodium channels, increases the recovery period after repolarization, suppresses automaticity in the ventricles  
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show VF/VT  
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Adverse Effects For (Lidocaine)   show
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Contraindications For (Lidocaine)   show
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Dosage For (Lidocaine)   show
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Class For (Vasopressin)   show
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show vasoconstriction independent of adrenergic receptors  
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Indications For (Vasopressin)   show
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show Cardiac ischemia, angina  
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Contraindications For (Vasopressin)   show
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show 40 U single dose IV/IO  
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Another Name For (Furosemide)   show
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show Loop diuretic  
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Action For (Lasix)   show
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show Pulmonary Edema, CHF, hypertensive emergency  
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show Vertigo, dizziness, weakness, orthostatic hypotension, hypokalemia, thrombophlebitis  
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Contraindications For (Lasix)   show
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Dosage For (Lasix)   show
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Another Name For (Digoxin)   show
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Class For (Digoxin)   show
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show inhibits sodium-potassium-adenosine triphosphatase membrane pump, resulting in an increase in calcium inside the heart muscle cell, therefore increases the force of contraction  
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show CHF, control ventricular rate in chronic AFib/Flutter, narrow complex SVT  
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Adverse Effects For (Digoxin)   show
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show Digitalis allergy, VT/VF, heart block, sick sinus syndrome, tachycardia without heart failure, pulse less than 50, MI, ischemic heart disease  
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Dose For (Digoxin)   show
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Class For (Magnesium Sulfate   show
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show Naturally occurring mineral. Controls seizures by blocking peripheral neuromuscular transmission. Cofactor in neurochemical transmission and muscular excitability.  
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show Torsades de pointes, cardiac arrhythmias associated with hypomagnesemia, preeclampsia/eclampsia, status asthmaticus  
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Adverse Effects For (Magnesium Sulfate)   show
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show AV block, GI obstruction  
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show Torsades: 1 – 2 g IV/IO infused over 5 – 10 minutes: Eclampsia/Preeclampsia: 4 – 6 g IV/IO infused over 20 – 30 minutes, followed by infusion of 1 – 2 g/hr  
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show (Valium)  
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Class For (Valium)   show
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Action For (Valium)   show
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show Anxiety, skeletal, alcohol withdrawal, seizures  
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show Respiratory depression, drowsiness, fatigue, headache, injection site pain, confusion, nausea, hypotension, oversedation  
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show Acute-angle glaucoma, CNS depression, alcohol intoxication, sensitivity  
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Dosage For (Valium)   show
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Class for (Activated Charcoal)   show
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show Certain chemical/toxins will attach to the surface of the charcoal and becomes trapped, reducing absorption into the body.  
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Indications for (Activated Charcoal)   show
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show n/v, constipation, diarrhea. Aspiration into lungs can induce potentially fatal form of pneumonitis  
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Contraindications for (Activated Charcoal)   show
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show Adult: 50 – 100 g/dose Ped: 1 – 2 g/kg  
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Class for (Sodium Bicarbonate)   show
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show Counteracts existing acidosis  
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show Acidosis, drug intoxications  
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show Metabolic alkalosis, hypernatremia, injection site reaction, sodium and fluid retention, peripheral edema  
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show Metabolic alkalosis  
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show Metabolic Acidosis during cardiac arrest: 1 mEq/kg slow IV, IO; may repeat at 0.5 mEq/kg in 10 minutes. Metabolic Acidosis not associated with cardiac arrest: Dosage should be individualized  
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Another Name For (Naloxone)   show
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Class For (Narcan)   show
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show Binds the opioid receptor and blocks the effect of narcotics  
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Indications For (Narcan)   show
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show n/v, restlessness, diaphoresis, tachycardia, HTN, tremulousness, seizures, cardiac arrest, narcotic withdrawal. Beware combativeness  
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Contraindications For (Narcan)   show
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show Adult: 0.4 mg – 2mg IV, IO, ET, IM, SQ, (2 mg intranasally) Ped (less than 20 kg): 0.1 mg/kg IV, IO, ET, IM, SQ  
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Another name for (Fentanyl citrate)   show
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Class for (Fentanyl)   show
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Action for (Fentanyl)   show
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show Pain  
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show Resp depression, apnea, hypotension, n/v, dizziness, sedation, euphoria, sinus bradycardia, sinus tachycardia, palpitations, hypertension, diaphoresis, syncope, pain at injection side  
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Contraindications for (Fentanyl)   show
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Dosage for (Fentanyl)   show
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show (Demerol)  
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Class for (Demerol)   show
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Action for (Demerol)   show
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show Moderate to severe pain  
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Adverse Effects for (Demerol)   show
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show MAOI in past two weeks, pts using other CNS depressants or alcohol, sensitivity.  
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Dosage for (Demerol)   show
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Another Name For (Propofol)   show
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show Anesthetic  
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show Produces rapid and brief state of general anesthesia  
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Indications for (Propofol)   show
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show Apnea, cardiac arrhythmias, asystole, hypotension, HTN, pain at injection site  
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show Hypovolemia, sensitivity (including soybean oil, eggs)  
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Dosage for (Propofol)   show
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show (Versed)  
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show Benzodiazepine, Schedule IV  
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Action for (Versed)   show
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Indications for (Versed)   show
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show Respiratory depression, respiratory arrest, hypotension, n/v, HA, hiccups, cardiac arrest  
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Contraindications for (Versed)   show
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Dosage for (Versed)   show
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show (Ativan)  
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Class for (Ativan)   show
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Action for (Ativan)   show
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Indications for (Ativan)   show
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show HA, drowsiness, ataxia, dizziness, amnesia, depression, dysarthria, euphoria, syncope, fatigue, tremor, vertigo, resp depression, paradoxical CNS stimulation  
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show Sensitivity to benzodiazepines, polyethylene glycol, propylene glycol, benzyl alcohol; COPD, sleep apnea, shock, coma, acute closed angle glaucoma  
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show Adult: 2 mg IV, IO (Sedation) 4 mg slow IV, IO (Seizures)  
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Another name for (Haloperidol)   show
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Class for (Haldol)   show
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show Selectively blocks postsynaptic dopamine receptors  
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show Psychotic disorders, agitation  
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show Extrapyramidal symptoms, drowsiness, tardive dyskinesia, hypotension, HTN, VT, sinus tachycardia, QT prolongation, torsades de pointes  
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show Depressed mental status, Parkinson’s disease  
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Dosage for (Haldol)   show
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show Antihypoglycemic  
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Action for (Dextrose)   show
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show Hypoglycemia  
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show Hyperglycemia, warmth, burning from IV infusion. Infiltration of IV site during administration may cause tissue necrosis.  
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Contraindications for (Dextrose)   show
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show Hyperkalemia Adult: 25 g dextrose 50% Ped: 0.5 – 1 g/kg IV, IO Hypoglycemia Adult: 10 – 25 g of dextrose 50% Ped (older than 2): 1 g/kg dextrose 50% Ped (less than 2): 1 – 2 g/kg dextrose 10%  
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show Hormone  
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Action for (Glucagon)   show
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Indications for (Glucagon)   show
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show n/v, rebound hyperglycemia, hypotension, sinus tachycardia  
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Contraindications for (Glucagon)   show
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show Hypoglycemia Adult: 1 mg IM, IV, IO, SQ Ped (<20 kg): 0.5 mg IM, IV, IO, SQ Beta blocker overdose Adult: 2 – 5 mg Ped (less than 20 kg): 0.5 mg  
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show Vitamin B1  
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Action for (Thiamine)   show
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show Wernicke-Korsakoff syndrome, beriberi, nutritional supplementation  
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Adverse Effects for (Thiamine)   show
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Contraindications for (Thiamine)   show
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show Adult: 100 mg IV, IO Ped: not recommended  
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show Hormone  
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Action for (Insulin)   show
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Indications for (Insulin)   show
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Adverse Effects for (Insulin)   show
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show Hypoglycemia, sensitivity  
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show Diabetic Ketoacidosis Adult: 0.1 U/kg IV, IO Infusion 0.05 – 0.1 U/kg/hr IV, IO Hyperkalemia Adult: 10 U IV, IO regular insulin, coadministered with 50 mL of D50 Ped: 0.1 u/kg regular insulin  
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Another name for (Phenytoin)   show
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show Anticonvulsant  
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show Depresses seizures by affecting the movement of sodium and calcium into neural tissue  
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show Generalized Tonic Clonic Seizures  
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Adverse Effects for (Dilantin)   show
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show Sinus bradycardia, SA block, 2nd and 3rd degree heart block, Adams-Stokes syndrome, sensitivity to hydantoins  
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Dosage for (Dilantin)   show
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show (Anectine)  
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show Neuromuscular blocker, depolarizing  
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show Competes with the acetycholine receptor of the motor end plate on the muscle cell, resulting in muscle paralysis  
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show To induce neuromuscular blockade for the facilitation of ET intubation  
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Adverse Effects for (Anectine)   show
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Contraindications for (Anectine)   show
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Dosage for (Anectine)   show
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Another Name For (Vecuronium)   show
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Class for (Norcuron)   show
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Action for (Norcuron)   show
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show To induce neuromuscular blockade for the facilitation of ET intubation  
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Adverse Effects for (Norcuron)   show
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show Known sensitivity to bromides.  
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Dosage for (Norcuron)   show
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Antoher name for (Etomidate)   show
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Class for (Amidate)   show
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Action for (Amidate)   show
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show Induction for rapid sequence intubation and pharmacologic-assisted intubation, induction of anesthesia  
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Adverse Effects for (Amidate)   show
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Contraindications for (Amidate)   show
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show 0.2 – 0.6 mg/kg slow IV, IO.  
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show (Dobutrex)  
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Class for (Dobutrex)   show
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Action for (Dobutrex)   show
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Indications for (Dobutrex)   show
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Adverse Effects for (Dobutrex)   show
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show Suspecteed or known poisoning/drug-induced shock, systolic pressure less than 100 with signs of shock, idiopathic hypertrophic subaortic stenosis, sensitivity (including sulfites)  
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show 2 – 20 mcg/kg/min IV, IO.  
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Another name for (Norepinephrine)   show
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show Adrenergic agonist, inotropic, vasopressor  
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show Alpha 1, Alpha 2, and beta 1 agonist, causes vasoconstriction, increased heart rate and dilates coronary arteries  
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show Cardiogenic shock,septic shock, severe hypotension  
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Adverse Effects for (Levophed)   show
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Contraindications for (Levophed)   show
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show  
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