Drips and Pressors
This is the first-line vasopressor for septic shock.
What is norepinephrine (Levophed)?
This drug is used first for stable SVT after vagal maneuvers. AND what is the SECOND dose given if the first is unsuccessful?
What is adenosine? 12mg
This medication is often used for procedural sedation and can cause apnea if administered rapidly.
What is propofol?
This medication is the first-line treatment for anaphylaxis.
What is IM epinephrine?
This medication treats severe hypoglycemia when IV access is not available.
What is glucagon?
This pressor is pure alpha-agonist and increases SVR without affecting heart rate.
What is phenylephrine (Neo-Synephrine)?
The first dose and medication given for V-fib or pulseless V-tach after the first shock
What is amiodarone 300mg?
This dissociative anesthetic maintains BP and is commonly used for RSI.
100 BONUS: What are THREE side effects of Ketamine?
What is Ketamine?
100 Bonus: Hypertension, tachycardia, hallucinations, nystagmus, agitation, dysphoria, hypersalivation
This inhaled medication combination is often used in asthma and COPD exacerbations.
What is albuterol/ipratropium (DuoNeb)?
This type of insulin is used for DKA management via infusion.
What is regular insulin?
This pressor is often used in bradycardic hypotension because it increases heart rate and contractility.
What is dopamine?
This drug is used to increase heart rate in symptomatic bradycardia.
What is atropine?
What supplies/interventions should be available/complete prior to initiating sedation?
(Hint: I am looking for AT LEAST 7 things)
Crash cart, ambu bag/BVM, suction, radiology, pharmacy, MD, consent, time out, supplies, sedation medications drawn up, scanned, and labeled, reversal agents, continuous VS (BP, HR, pulse ox, capnography), at least 2 IVs (best practice)
These medications are used to treat moderate to severe croup in pediatric patients.
What is racemic epinephrine and dexamethasone?
This medication stabilizes the cardiac membrane in hyperkalemia.
What is calcium gluconate?
This medication is titrated to maintain MAP ≥ 65 and is commonly used for refractory septic shock alongside norepinephrine.
What is vasopressin?
This electrolyte replacement is important in treating Torsades de Pointes :
What is magnesium sulfate?
This paralytic has a rapid onset and short duration, making it ideal for RSI but also can cause Malignant Hyperthermia.
What is succinylcholine?
A 20-kg child in anaphylaxis requires IM epinephrine. This is the correct dose.
What is 0.2 mg IM (0.01 mg/kg)?
This medication treats suspected adrenal crisis in a hypotensive patient.
What is hydrocortisone?
This vasopressor is avoided in sepsis because it can worsen tachyarrhythmias and raises lactate levels.
What is epinephrine?
This medication is used for rate control in atrial fibrillation with RVR in hemodynamically stable patients.
What is diltiazem (Cardizem)?
This opioid is most associated with chest wall rigidity when pushed rapidly.
What is Fentanyl?
This medication helps relax smooth muscle during status asthmaticus and is given IV.
What is magnesium sulfate?
This medication shifts potassium intracellularly and is often given with a beta-agonist and insulin.
What is sodium bicarbonate?