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dugz Questions and and answers (1).
dugz Questions and and answers (1).
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dugzoxygen - ✅✅ -- breaks down glucose into energy
- indication = hypoxia, carbon monoxide poisoning
normal saline - ✅✅ -- indications = dehydration, hypovolemia
- contraindications = traumatic bleeding, ICP, renal failure, CHF
- 250-500 cc / max 2L
lactated ringers - ✅✅ -- indications = dehydration, hypovolemia
- contraindications = renal failure, CHF
- 250-500 cc / max 2L
ondansetron (zofran) - ✅✅ -- antiemetic
- indications = nausea and vomit
- contraindications = prolonged QT, low magnesium
- 4-8 mg IV or mouth
aspirin -✅✅ -- breaks clots / anti-inflammatory
- indications = ACS, chest pain, ischemic stroke
- contraindications = allergy, ulcers, asthma
- 160-325 mg
D5W (5% dextrose in water) - ✅✅ -- hypotonic
- indication = IV access for emergency drugs / dilution of drugs
- contraindications = fluid replacement
- microdrip set (60)
etomidate - ✅✅ -- sedative and hypnotic / non benzo
- indications = sedative for RSI
- contraindications = allergy
- 0.1-0.3 mg/kg over 15-30 seconds
ketamine** - ✅✅ -- sedative and hypnotic
- indications = sedative for RSI
- contraindications = severe hypertension / allergy
- 0.5-1 mg/kg over 30-60 seconds IV / 2-4 mg/kg IM
fentanyl** -✅✅ -- narcotic / for pain / sedative
- indications = RSI, severe pain
- contraindications = severe hemorrhage, shock, allergy
- 1-3 mcg/kg
succinylcholine - ✅✅-- paralytic for RSI
, - indications = paralysis for RSI
- contraindications = penetrating eye injury, narrow angle glaucoma, hyperkalemia,
malignant hyperthermia syndrome
- 1-1.5 mg/kg IV
rocuronium (zemuron) - ✅✅-- indications = paralysis for RSI
- contraindications = allergy
- 0.6-1.2 mg/kg
vecuronium (norcuron) - ✅✅ -- paralysis usually for post-intubation
- indications = paralysis for post-intubation
- contraindications = allergy
- 0.1 mg/kg IV
midazolam (versed) ** - ✅✅ -- benzo / binds to GAMA receptors in brain
- indications = seizures, sedation, anxiety
- contraindications = pregnancy, combined with opioids, unknown overdose, patient's
with tolerance
- 2-10 mg IV/IN
ketorolac (toradol) -✅✅ -- nonsteroidal anti-inflammatory agent (NSAID)
- a peripherally acting analgesic / no sedative properties
- indications = mild to moderate pain
- contraindications = allergy to NSAID, currently taking aspirin
- 30-60 mg IM / 30 mg IV
tranexamic acid (TXA) - ✅✅ -- anti-fibrinolytic (helps clot blood)
- indications = trauma associated with hemorrhage, as indicated by tachycardia and
hypotension
- contraindications = suspicion of MI, PE, CVA of ischemic nature, allergy
- 1 g over 10 min loading dose / maintenance dose of 1 g over 8 hours
morphine - ✅✅ -- narcotic analgesic / CNS depressant
- indications = severe pain associated with MI, renal stones, PE
- contraindications = severe hypotension, undiagnosed head injury, allergy
- 2-10 mg
✅✅
albuterol (proventil, ventolin) - -- sympathetic agonist / selective beta-2 agonist
- indications = bronchial asthma, reversible bronchospasm with chronic bronchitis
and emphysema
- contraindications = allergy, cardiac dysrhythmias with tachycardia
- 2.5 mg diluted to 3L with NS and administered over 5-15 min
diphenhydramine (benedryl) - ✅✅-- antihistamine / mild sedative effect
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