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Emergency Drugs

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What is the class of Albuterol?
Sympathomimetic, Bronchodilator, Beta2 agonist.
How is Albuterol supplied?
MDI: 90mcg/metered spray

Solution for aerosolization: 0.5% (5mg/mL); 0.083% (2.5)mg in 3mL unit dose nebulizer
What is the adult dose of Albuterol (MDI) for bronchial asthma?
1-2 inhalations (90-180mcg) q 4-6 hr. (wait five min between inhalations);max 12 inhalations/day
What is the adult dose of Albuterol (solution) for bronchial asthma?
2.5mg (0.5mL of 0.5% solution) diluted to 3mL with 0.9% NS (0.083%solution);administer over 5-15 min;3-4 times a day by nebulizer
What is the pediatric dose of Albuterol (MDI)for bronchial asthma?
Same as adult!!!! 1-2 inhalations (90-180mcg) q 4-6 hr. (wait five min between inhalations);max 12 inhalations/day
What is the trade name for Albuterol?
Proventil
What is the generic name for Proventil?
Albuterol
What is the generic name for Cordarone?
Amioderone
What's the class of Amiodarone?
Class III Antidysrhythmic
Whats the trade name for Amiodarone?
Cordarone
How is Amiodarone supplied?
50mg/mL vials
What's the Adult dose of Amiodarone for Pulseless arrest?
300mg IV push (diluted in 20-30mL NS or D5W. Consider repeating 150mg IV push in 3-5 min (max cumulative dose 2g IV/24 hrs)
What's the adult dose of Amiodarone for Wide-Complex Tachycardia (rapid infusion)?
May be given as rapid infusion
150mg IV over first 10 min (15mg/min) repeated every 10 min as needed.
What's the adult dose of Amiodarone for wide-complex tachycardia (by slow infusion)?
360mg IV over 6 hr (1m/min)
What's the adult dose of Amiodarone for wide-complex tachycardia (maintenance infusion)?
540mg IV over 18 hr (0.5mg/min)
What is the pediatric dose of Amiodarone for pulseless arrest?
5mg/kg rapid IV bolus
What is the pediatric dose of Amiodarone for Perfusing tachycardias?
Loading dose 5mg/kg IV over 20-60 min (max dose 15mg/kg/day)
What is the trade name for Dopamine?
Intropin
What is the generic name for Intropin?
Dopamine
What is the Adult dose of Dopamine?
5-20mcg/kg/min
What is the pediatric dose of Dopamine?
2-20mcg/kg/min IV/IO, titrated to pt response (not to exceed 20 mcg/kg/min)
What's the class is Dopamine?
Sympathomimetic
How is Dopamine mixed?
400mg/250mL NS, D5W, Ringers
or
800mg/500mL NS, D5W, Ringers
What's the trade name for Epinephrine?
Adrenalin
What class is Epinephrine?
Sympathomimetic
What's the generic name for Adrenalin?
Epinephrine
What are the indications for Epinephrine?
Bronchial asthma, acute allergic reaction, cardiac arrest, and profound symptomatic bradycardia.
What's the initial adult dose for Epinephrine for pulseless arrest?
1mg (10mL, 1:10,000)IV push or 2-2.5mg ET diluted in 10mL NS, repeated every 3-5 min during resuscitation (follow each IV dose with a 20mL saline flush); higher doses (up to 0.2mg/kg) may be used if 1mg doses fail.
How is Epinephrine supplied?
1mg/mL (1:1000)
0.1mg/mL (1:10,000)ampule and prefilled syringe
and auto-injector (EpiPen) 0.5mg/mL (1:2000)
What's the pediatric dose of Epinephrine for pulseless arrest?
1st dose: 0.01mg/kg (1:10,000, 0.1mL/kg) IV/IO or ET (0.1-0.2mg/kg of 1:1000 [0.1-0.2mL/kg])
What's the adult dose of Epinephrine for profound bradycardia or hypotension?
Bradicardia: Add 30mg (1:1000) to 250mL NS or D5W
Hypotension: Add 1mg (1:1000)to 500mL bag
Titrate to response for both
What's the Adult dose of Epinephrine for anaphylactic reaction or bronchoconstriction?
Mild: 0.3-0.5mL (1:1000) SQ

Moderate to severe: 1-2mL (1:10,000) slow IV
What is the pediatric dose of Epinephrine for anaphylactic reaction or bronchoconstriction?
Mild: 0.01mL/kg (1:1000) SQ
max 0.3mL

Moderate to severe: 0.05-0.15mcg/kg/min IV infusion
What's the trade name for Lidocaine?
Xylocaine
What's the generic name for Xylocaine?
Lidocaine
If you don't know this yet your not studying hard enough.
What are the indications for Epinephrine?
Bronchial asthma, acute allergic reaction, cardiac arrest, and profound symptomatic bradycardia.
There's lots.
_mg IV or _to_._mg ET
How is Epinephrine supplied?
1mg/mL (1:1000)
0.1mg/mL (1:10,000)ampule and prefilled syringe
and auto-injector (EpiPen) 0.5mg/mL (1:2000)
Strong, a little less strong, and in "pen" format.
_.__mg/kg of 1:10,000 IV/IO
or
_._-_._mmg/kg ET or 1:1000
What's the adult dose of Epinephrine for profound bradycardia or hypotension?
Bradicardia: Add 30mg (1:1000) to 250mL NS or D5W
Hypotension: Add 1mg (1:1000)to 500mL bag
Titrate to response for both
__mg 1:1000 to 250mL (Brady)

__mg 1:1000 to 500mL (Hypo)
What class is Lidocaine?
Antidysrhythmic, also local anesthetic
What is the adult dose of Lidocaine for cardiac arrest?
1-1.5mg/kg IV bolus or 2-2.5 times the IV dose ET
consider repeat in 3-5 min (max total dose 3mg/kg)
What is the pediatric dose of Lidocaine for cardiac arrest?
1mg/kg IV/IO or ET (diluted to 3-5mL)
How do you mix Lidocaine?
1g to 250mL D5W or NS
or
2g to 500mL D5W or NS
What's the maintenance infusion of Lidocaine after resuscitation from cardiac arrest for Adult?
2-4mg/min
What's the maintenance infusion of Lidocaine after resuscitation from cardiac arrest for pediatric?
20-50mcg/kg/min (1-2.5mL/kg/hr)
What's the second dose of Lidocaine for cardiac arrest?
1/2 the amount of the first dose
What's the trade name for Verapamil?
Isoptin
Whats the generic name for Isoptin?
Verapamil
What class is Verapamil?
Calcium channel blocker (class IV Antidysrhythmic)

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