Professional Documents
Culture Documents
MDI - (Metered Dose Inhaler) - 90 MCG SVN-2.5 mg/3ml
MDI - (Metered Dose Inhaler) - 90 MCG SVN-2.5 mg/3ml
Method of Action Indications Adult Dose Pediatric Dose Contraindications Side Effects
Brand Names
Apnea of short duration, respiratory
Premedication for medication 0.2-0.4 mg/kg IV/IO over depression, hypoventilation, hyperventilation,
Etomidate short acting hypnotic that acts at the 0.2 to 0.6 mg/kg IV Hypersensitivity, labor/delivery, or septic
-facilitated intubation or 30-60 seconds max dose dysrhythmias, hypotension, hypertension,
(Amidate)27 level of the reticular activating system over 30-60 sec, 20 mg shock particularly in peds
procedural sedation. 20 mg nausea, vomiting, involuntary muscle
movement, pain at injection site.
Confusion, paradoxical excitation, delirium,
50-100 mcg-1 mcg/kg drowsiness depression, sedation, resp
Fentanyl Citrate Binds to opiate receptors, producing Pain management, anesthesia 1-2 mcg/kg IM/IV/IN slow Known hypersensitivity, use with caution in
IM/IV slow push over 1- depression, tachycardia, hypotension,
(sublimaze) analgesia and euphoria adjunct push over 1-2 min traumatic brain injury.
2 min, max 150 mcg syncope, nausea, vomiting, abdominal pain,
dehydration, fatigue
Sedation for procedure or post-
procedural medication for
short acting benzo, central nervous 2.5 mg IV/IO/IM/IN Hypotension, respiratory or cardiac arrest,
Midazolam longer term sedation as 0.2 mg/kg IV/IO/IM/IN
system depressant that produces every 5 min, 10 mg Hypersensitivity, shock, resp depression, CNS depression, hiccups, over sedation,
Hydrochloride needed. Sedation for combative every 5 min, 5 mg max
sedation and recall max blurred vision
patients in behavioral agitated
delirium
Confirmed or expected
hypoxemia, ischemic chest pn,
resp. insufficiency,
nasal cannula, NRB,
prophylactically during air nasal cannula, NRB, Certain pts with COPD will not tolerate o2 Decreased LOC, decreased resp drive, dry
Oxygen Reverses Hypoxemia BVM, blow by, 0-15
transport, confirmed or BVM, blow by, 0-15 LPM concentrations over 35%, hyperventilation mucous membranes
LPM
suspected C02 poisoning,
decr eased tissue oxygenation,
decreased LOC
IV push-dose pressor-5-
IV 50-200 mcg every 2-
20 mcg/kg per minute,
Phenylephrine (Bei- Stimulates adrenergic receptors Transient hypotension and 5 min. IV infusion 10- Hypersensitivity, hypertension, glaucoma, Ocular pain, necrosis, angina, dysrhythmias,
every 5 min. IV infusion-
Synephrine) causing peripheral vasoconstriction hypotension related to shock 200 mcg/min, tirated to VT heart failure, hypertension
0.1-0.5 mcg/kg per minute
effect
titrated to effect
slow IV 0.06 to 0.1 Weakness, prolonged neuromuscular Hypersensitivity, inability to control airway
Induction or maintenance of
Pancuronium Binds to the receptor for Acetylcholine mg/kg, repeat every 0.04 to 0.1 mg/kg slow block, bronchospasm, apnea, resp failure, and/or support ventilations with oxygen and
paralysis after intubation to
bromide (Pavulon) at the nuromuscular junction. 30-60 minutes as IV/IO tachydysrhythmias, transient hypotension, positive pressure, neuromuscular disease
assist ventilations
needed. hypertension, PVC's, salivation hepatic or renal failure.
Anesthesia induction, IV/IO 1.5 mg-3 mg/kg Seizure, apnea, dysrhythmias, asystole,
2.5-3.5 mg/kg.
Produces rapid and brief state of anesthesia maintenance, Maintenance infusion Hypovolemia, known sensitivity including hypotension, hypertension, nasea, vomiting,
Propofol (Diprivan) Maintenance infusion 125-
general anesthesia sedation for mechanically 25-75 mcg/kg per soybean oil, peanuts and eggs involuntary muscle movement, acute renal
300 mcg/kg per minute.
ventilated patients minute failure
Bronchospasm, wheezing, rhonchi, resp
Antagonizes Acetylcholine at the
Rocuronium Peds older than 3 mo Known sensitivity to bromides, use with depression, apnea, dysrhymia;s, tachycardia,
motor end plate producing skeletel RSI IV/IV 0.6-1.2 mg/kg
Bromide (Zemuron IV/IV 0.6-1.2 mg/kg caution in heart and liver disease transient hypertension, hypertension, nausea,
muscle paralysis
vomiting
Ultra short acting, depolarizing skeletal Apnea, resp depression, brady dysrhythmia,
Acute narrow angle glaucoma, penetrating
muscle relaxant that mimics tachy dysrhymia, dysrhythmia, cardiac arrest,
eye injuries, malignant hyperthermia, acute
Succinylcholine A cetylcholine as it binds with the IV 1-2 mg/kg, repeat IV 1-2 mg/kg, repeat once salivation, prolonged muscle rigidity,
RSI injury after multi system trauma, major
Chloride (Anectine) cholernergic receptors on the motor once if needed if needed rhabdomyolysis, malignant hyperthermia,
burns, extensive muscle injury that may
end plate producing a phase 1 block increased interocular pressure, hypercholemia,
result in hypercholemia
as manafested by fasciculations trauma pts.
neuromuscular agent with intermediate Acute narrow angle glaucoma, penetrating Weakness, prolonged neuromuscular block,
duration of action that competes with eye injuries, inability to control airway or bronchospasm, apnea, dysrhythmias,
Vecuronium
Aceylcholine for receptors at the motor RSI IV push, 0.1-0.2 mg/kg IV/IO 0.1-0.3 mg/kg support ventilations with O2 and positive bradycardia, tachycardia, PVC’s, transient
Bromide (Norcuron)
end plate, resulting in neuromuscular pressure, newborns, myasthenia gravas, hypertension, cardiac arrest, excessive
blockade hepatic or renal failure salivation