ED Meds
What medications can be used to treat agitation?
Many options! Lorazepam, midazolam, haloperidol, droperidol, ziprasidone, olanzapine, risperidone,
What is typically given for a patient in pain?
Fentanyl
Two types of drugs needed for RSI
Induction agent and paralytic
Cystitis vs pyelonephritis symptoms?
Cystitis-dysuria, hematuria, frequency
Pyelonephritis-tenderness, flank pain, fever, nausea
FAST stroke symptoms
Facial droop, arm weakness, speech difficulty, time to call 911 if symptoms present
What can ketamine be used for?
Anesthesia, sedation, bronchospasm, pain, seizures, depression, alcohol withdrawal, migraine
So many uses
Most common antibiotic given during trauma workup?
Ancef
Two main paralytic agents?
Succinylcholine and rocuronium
Complicated UTI populations
Pregnancy, men, immunosuppression, structural abnormalities
Time frame for tpa
Must be initiated before 4.5 hours of symptom onset
Benzodiazepine reversal agent?
Flumazenil
Trauma vaccine?
Tdap
Protect against tetanus, diphtheria, and pertussis
Four induction agents?
Etomidate (1st line and almost always used)
Alternatives include midazolam, ketamine, and propofol
Keflex dosing in uncomplicated UTI?
500mg QID for 5-7 days
Blood pressure limits for tpa?
BP<185/110
Warfarin reversal agent?
PCC (prothrombin complex concentrate)
What is the dose and frequency of epinephrine during a code?
1mg every 3-5 min
What is the rocuronium reversal agent?
Sugammadex
Is Macrobid safe in pregnancy?
Yes, but only during 2nd trimester
Tpa dosing
0.9mg/kg IV (max 90mg)
10% bolus over 1 min and give rest over 1 hour
What is TXA?
Tranexamic Acid
Inhibits fibrinolysis to prevent excessive blood loss
What is the maximum dose of epinephrine during a code?
No max dose
Contraindications for succinylcholine use?
Trauma, burns, hyperkalemia, family history of malignant hyperthermia
What antibiotics can be used for UTI prophylaxis?
Macrobid and sulfamethoxazole/trimethoprim
Tpa contraindications
intracranial hemorrhage, head trauma or stroke within 3 months, BP>185/110, active bleeding, endocarditis, glucose<50