Class
What class is Nitroglycerin?
Vasodilator, nitrate, antianginal
Indications for Nitroglycerin?
Ischemic-type chest pain, heart failure, hypertension, pulmonary edema
Contraindications for Nitroglycerin?
Hypotension (100 systolic), hypovolemia, pericardial tamponade
Adverse effects of Nitroglycerin?
Headache, dizziness, weakness, reflex tachycardia, syncope, muscle spasms
Dose for Nitroglycerin?
0.3-0.4 mg 3x SL via spray or tablet; 12.5-25mcg bolus then 10mcg IV maintenance
What is the brand name for Nitroglycerin
Nitrostat
What class is Nifedipine?
Calcium Channel Blocker
Indications for Nifedipine?
HAPE prevention, pregnancy induced hypertension with preeclampic symptoms
Contraindications for Nifedipine?
Cardiogenic shock, hypersensitivity
Adverse effects of Nifedipine?
Headache, mood changes, dyspnea, nervousness
Dose for Nifedipine?
30mg PO (HAPE in Adult), 10mg (Pregnancy..in Adult)
What is the brand name for Nifedipine?
Procardia
What class is Albuterol
Sympathomimetic, Bronchodilator
Indications for Albuterol?
Bronchospasm, Hyperkalemia
Contraindications for Albuterol?
Dysrrhythmia, Hypersensitivity
Adverse effects of Albuterol
Tremors, headache, dry mouth, chest discomfort
Dose for Albuterol?
2.5-5mg (Bronchospasm)
5mg (Hyperkalemia)
Inhalation
What is the brand name for Albuterol?
Proventil
What class is Alteplase?
Fibrinolytic
Indications for Alteplase?
ACS, Acute Ischemic Stroke, MI
Contraindications for Alteplase?
Intracranial Hemorrhage, Ischemic Stroke within 3 months, Hemorrhagic Stroke
Adverse Effects of Alteplase
Anaphylaxis, N/V, Fever, Allergic Reaction, Bleeding
Dose for Alteplase?
Loading dose of 15mg then 0.75mg/kg for 30 minutes, then 0.5 mg/kg over 60 minutes IV/IO
What is the brand name for Alteplase?
Activase
Loop Diuretic
Indications for Bumetanide?
Heart Failure, Pulmonary Edema
Contraindications for Bumetanide?
Anuria, Hypovolemia, Electrolyte Imbalance, Acid-Base Imbalance, Hepatic Coma
Adverse Effects of Bumetanide?
Dehydration, ECG changes, itching, N/V, fatigue, hypotension
Dose for Bumetanide?
0.5-1mg IV slow, IM
What is the brand name for Bumetanide?
Bumex
What class is Dexamethasone?
Corticosteroid, adrenal glucocorticoid, anti-inflammatory agent
Indications for Dexamethasone?
Bronchial exacerbation, CROUP, Anaphylaxis, HACE, AMS, Intracranial Pressure, COVID-19
Contraindications for Dexamethasone?
Hypersensitivity, Preterm Infants, Systemic Fungal Infections
Adverse Effects of Dexamethasone?
Headache, restlessness, increased appetite, insomnia
Dose for Dexamethasone?
4mg for AMS, IV-IM-PO - Adults
0.6mg/kg for Bronchospasm, IV-IO-PO - Adults
0.6mg/kg for Croup, IV-IM-PO - PEDATRICS
What is the brand name for Dexamethasone?
Decadon
What class is D50?
Carbohydrate, glucose-elevating agent
Indications for D50?
Hypoglycemia, Status Epilepticus
Contraindications for D50?
Hyperglycemia, dehydration, anuria, diabetic coma
Adverse effects of D50?
Cerebral hemorrhage, hyperglycemia, cerebral ischemia, warmth, pain, burning, phelbitis
Dose for D50?
25g IV/IO at 50% - Adult
D50 not indicated for Pediatrics
What is the brand name for Dextrose 50%?
Dextrose :) or None
What class is Diphenhydramine
Antihistamine
Indications for Diphenhydramine?
Anaphylactic Reactions, Allergies
Contraindications for Diphenhydramine?
Adverse effects of Diphenhydramine?
Drowsiness, headache, excitability in children, chest tightness, palpitations
Dose for Diphenhydramine?
25-50 mg IV-IO-IM - Adult
1-1.5mg IV-IO-IM - Pediatrics
What is the brand name for Diphenhydramine?
Benadryl
What class is Dopamine?
Adrenergic agonist, inotropic, vasopressor
Indications for Dopamine?
Hypotension, symptomatic bradycardia
Contraindications for Dopamine?
Pheochromocytoma, VFib, VTach, Hypovolemia
Adverse effects of Dopamine?
Tachycardias, arrhythmias, agina, dyspnea, n/v, headache
Dose for Dopamine?
10-20 mcg/kg for hypotensive adults
5-10 mcg/kg for bradycardic adults
2-20 mg overall
What is the brand name for Dopamine?
Intropin
Adrenergic agent, inotropic
Indications for Dobutamine?
CHF, Cardiogenic Shock
Contraindications for Dobutamine?
Poisoning or drug induced shock, idiopathic hypertrophic subaortic stenosis, <100 mmHg
Adverse effects for Dobutamine?
Tachycardia, Hypertension, Hypotension, Palpitations arrhythmias
Dose for Dobutamine?
0.5-1mcg/kg IV-IO, 2-20mcg/kg maintenance dosing
ADULT, PEDIATRICS
What is the brand name for Dobutamine?
Dobutrex
What class is Furosemide?
Loop diuretic
Indications for Furosemide?
Pulmonary Edema, CHF, Hypertensive emergencies
Contraindications for Furosemide?
Hypersensitivity
Adverse effects of Furosemide?
Vertigo, dizziness, orthostatic hypotension, thrombophlebitis
Dose for Furosemide?
20-40 mg IV-IO (Adult CHF, Pulmonary Edema)
1mg/kg IV-Io-IM (Pediatric CHF, Pulmonary Edema)
1mg/kg IV-IM (Adult Hypertension)
What is the brand name for Furosemide?
Lasix
What class is Hydrocortisone?
Corticosteroid
Indications for Hydrocortisone?
Adrenal insufficiency, allergic reactions, COPD, anaphylaxis, asthma
Contraindications for Hydrocortisone?
Cushing's Syndrome, Benzyl alcohol sensitvity
Adverse effects of Hydrocortisone?
Leukocytosis, increased infection, decreased wound healing
Dose for Hydrocortisone?
100-500mg IV-IO-IM; 2-10mg/kg IV-IO-IM for anaphylaxis
What is the brand name for Hydrocortisone?
Cortef
What class is Insulin?
Hormone
Indications for Insulin?
Hyperglycemia, Hyperkalemia, Diabetes Mellitus
Contraindications for Insulin?
Hypoglycemia
Adverse effects of Insulin?
Diaphoresis, hypoglycemia, insulin shock, palpitations
Dose for Insulin?
0.1 unit/kg IV-IO for DKA in Adults
10 units IV-IO with D50 over 5 minutes in Adult Hyperglycemia
0.1 unit/kg IV-IO for Pediatric Hyperglycemia
What is the brand name for Insulin?
Humulin R
Bronchodilator, anticholinergic
Indications for Ipratropium?
Asthma, Bronchospasm, Bronchospasm with COPD
Contraindications for Ipratropium?
Prostatic hypertrophy, close-angle glaucoma, bladder neck obstruction
Adverse effects of Ipratropium?
Cough, paradoxical acute bronchospasm, dry mouth, palpitations
Dose for Ipratropium?
8 inhalations every 20 min (MDI Adult)
4-8 inhalations every 20 min (MDI Pediatric)
0.5mg x3 (Adult Neb), 0.25mg-0.5mg x3 (Pediatric Neb)
What is the brand name for Ipratropium?
Atrovent
What class is Levalbuterol?
Beta Agonist
Indications for Levalbuterol?
Acute bronchospasm, bronchospasm prophylaxis
Contraindications for Levalbuterol?
Angioedema, phenothiazine use
Adverse effects of Levalbuterol?
Hyperglycemia, hypokalemia, paplitations, sinus tachycardia, tremors
Dose for Levalbuterol?
0.63mg 3x Adult Neb
0.31mg 3x Pediatric Neb
What is the brand name for Levalbuterol?
Xopenex