dugz
activated charcoal - ✅✅ -- absorbent / absorbs toxins by chemical binding and
prevents GI absorption
- indications = poisoning following emesis, or when emesis is contraindicated
- contraindications = none
- 1 g/kg (typically 50-75 g) mixed with a glass of water to form slurry
adenosine ** - ✅✅ -- antidysrhythmic
- indications = used in PSVT refractory to vagal maneuvers
- contraindications = 2nd and 3rd degree heart blocks, sick sinus syndrome, allergy
- first dose is 6 mg, second dose 12 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
amiodarone ** - ✅✅ -- antidysrhythmic
- indications = v-tach and v-fib
- contraindications = allergy, breastfeeding mom, cardiogenic shock, severe sinus
node dysfunction, marked bradycardia, bifascicular block, 2nd and 3rd heart blocks
- first dose is 300 mg / second dose is 150 mg
amyl nitrate -✅✅ -- vasodilator / cyanide antidote / chemically related to nitro /
management in cyanide poisoning
- indications = cyanide poisoning
- contraindications = none
- 1-2 inhalants should be crushed and inhaled
diltiazem (cardizem) - ✅✅ -- calcium channel blocker / caused vascular dilation and
slows the conduction through the AV node
- indications = rate control for a-fib with RVR, a-flutter, PSVT refractory to adenosine
- contraindications = severe hypotension, cardiogenic shock, wide tachycardia
- 0.25 mg/kg over 2 min / second dose is 0.35 mg/kg IV/IO
diphenhydramine (benedryl) - ✅✅ -- antihistamine / mild sedative effect
- indications = anaphylaxis, allergic reaction, dystonic reactions
- contraindications = asthma, nursing mothers
- 25-50 mg IV or deep IM
dopamine ** - ✅✅ -- sympathetic agonist / raises BP on both alpha and beta 1
- indications = hypotension not from hypovolemia
- contraindications = hypovolemic hypotension, tumor of the adrenal glands
- 2-5 mcg/kg/min for renal dose / 5-20 mcg/kg/min for cardiac
etomidate - ✅✅ -- sedative and hypnotic / non benzo
- indications = sedative for RSI
- contraindications = allergy
- 0.1-0.3 mg/kg over 15-30 seconds
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