Markey Cancer Center Nurses Guide: Intravenous Push (IVP) Drug List Approved for RN Administration
|
|
- Herbert Shepherd
- 7 years ago
- Views:
Transcription
1 Bumetanide (Bumex) Butorphanol Tartrate (Stadol) Cosyntropin (Cortrosyn) Dexamethasone Sodium Phosphate (Decadron) Dextrose 50% Diazepam (Valium) Diphenhydramine HCL (Benadryl) Dolasetron Mesylate (Anzemet) Droperidol (Inapsine) Epinephrine (Adrenaline Chloride) Famotidine (Pepcid) Flumazenil (Romazicon, Mazicon) Furosemide (Lasix) Glucagon (Glua Gen) Glycopyrrolate (Robinul) Granisitron HCL (Kytril) Haldoperidol (Haldol) Heparin (Heparin, Hep-Lock) Hydralazine HCL (Apresoline) Hydrocortisone Sodium Succinate (Solu-Cortef) Hydromorphone (Dilaudid) Insulin Regular Only Ketorolac (Toradol) Labetalol (Normodyne, Trandate) Leucovorin Calcium (Wellcovorin) Levothyroxine (Synthroid) Lorazepam (Ativan) Meperidine (Demerol) Methylprednisolone Sodium Succinate (Solu-Medrol) Metoclopramide (Reglan) Morphine (MSO4) Muromonab-CD3 (Orthoclone, OKT3) *BMT Unit ONLY Naloxone (Narcan) Pantoprazole (Protonix) Promethazine (Phenergan) *Via Central or PICC Line Only Sodium Bicarbonate (NaHCO3, Bicarb) Torsemide (Demadex)
2 GENERIC NAME Atropine Bumetanide (Bumex) Butorphanol Tartrate (Stadol) Cosyntropin (Cortrosyn) Dexamethasone Sodium Phosphate (Decadron) Antiarrhythmic/ Anticholinergic/ Treat symptomatic bradycardia, Pre-op antidote for certain insecticide poisoning Diuretic/ Acute pulmonary edema, CHF, renal disease Narcotic-Opioid analgesic/ Relief of modsevere pain Pre-op: mg Bradycardia: mg q 3-5 min to max of 2 mg 0.5-2mg mg q 3-4 hours RATE 2 mg 1mg/ml 1 mg or less over 1 minute 10mg/d ay 4mg/do se 2mg over 2 minutes 2mg/ml 2mg over 3-5 minutes CONSIDERS Pain at injection site Also supplied as nasal spray 10mg.ml Dry mouth, dizziness, palpitations, urinary retention, nervousness, weakness. Risk of ototoxicity if concurrent use with aminoglycoside antibiotics. Multiple drug interactions. Dizziness, weakness, N&V, orthostatic hypotension, hypokalemia, polyuria N&V, sedation, diplopia, palpitations, respiratory depression, caution with ambulation Diagnostic Agent 0.25mg 1mg 2 minutes Peak cortisol concentration occurs min after administration Antiemetic esp. for 4mg 4mg/ml Over 1 minute Contraindicated Insomnia, nervousness, increased high dose chemo & maximum, in pts. with appetite, thrombocytopenia, fluid radiation; Antiinflammatory, slower if itching psychosis, AIDS, retention, Over 3-5 min is TB, VRE, fungal Watch for GI bleeding, epistaxis Cerebral edema better. infections Highly variable based on disease/ pt. respons e ( mg)
3 Dextrose 50% Diazepam (Valium) Diphenhydramine HCL (Benadryl) Dolasetron Mesylate (Anzemet) Symptomatic hypoglycemia Benzodiazipine; Seizure, Anxiety, Alcohol withdrawal Antihistamine; Histamine 1 Antagonist/ Alleviate allergic symptoms 5 HT3 Blocker Antiemetic/ Prevent & treat chemo induced and post-op N&V 20-50ml of 50% solution Seizures: 5-10 mg initial, repeat at 10 min intervals to max 30 mg Anxiety: 2-5mg initial, repeat q3-4 hrs prn Alcohol Withdrawal: 10 mg initial, repeat 5-10 mg q 3-4 hrs prn mg Q2-4H 12.5 mg over 30 seconds ml of 50% solution 30mg/8 hrs 50mg/d ose400 mg/day RATE 10ml/minute CONSIDERS Phlebitis risk, pain at injection site. Best per central line VAD 5mg/ml 2-5mg/minute -Phlebitis risk, pain at injection site-use large vein -Flumazenil (Romazicon) is the antagonist -Incompatible with most other drugs & solns. Push only in NS or D5NS very close to IV site 50mg/ml 25mg/minute Dilute to 25mg/ml in D5W or NS 12.5mg/ ml 100 mg/30 seconds Hyperglycemia, confusion, tissue necrosis with extravasation of peripheral infusion. Bradycardia; tachycardia, drowsiness, hypotension, hypoventilation, urinary retention, caution in elderly, do not use with acute narrow angle glaucoma Hypotension, tachycardia, sedation, dizziness, insomnia, caution in asthma HTN, Headache, dizziness, tachycardia and urinary retention. Caution in patients at risk for prolonged QT interval
4 Droperidol (Inapsine) Epinephrine (Adrenaline Chloride) Nausea & vomiting Premed for OR Sympathomimetic, Cardiac Arrest, Hypersensitivity reactions mg per min 1mg q 3-5 min. during cardiac arrest RATE CONSIDERS 10 mg mg/min *Drug Carries Black Box Warning- Reserve for pts who do not respond to alternatives Usual conc. is 1mg/10ml 1 mg over 1-2 seconds Watch for injection site blanching/ extravasation Laryngospasm, hypotension especially orthostatic, hallucinations, sedation, prolonged QT interval. Check V/S at 30 min (peak effect) -Tachycardia, hypertension, nervousness, restlessness, headache, dizziness HR, BP -Note: One mg = 1ml of 1:1000 soln OR 10ml of 1:10,000 soln -Do not mix with alkaline solutions Famotidine (Pepcid) Flumazenil (Romazicon, Mazicon) Gastrointestinal, Histamine 2 Antagonist Benzodiazipine antagonist 20mg Q12H 40mg 20mg/5 to 10ml 0.2mg initial, them can repeat with 0.3mg Give no more than 1mg per dose or 3mg/ho ur 20mg/2 minutes 0.1mg/ml 0.2mg over seconds Transient irritation at IV site Dosage adjusted in renal failure Use large vein & free flowing IV to minimize pain at injection site Headaches, dizziness, confusion, mental status changes Pt. may need additional doses in case of re-sedation. Caution in pts. at risk for or being treated for seizures
5 Furosemide (Lasix) Loop Diuretic for pulmonary edema, fluid overload 40 mg 80 mg but can vary widely RATE CONSIDERS 10mg/ml 1-2 minutes Rapid and high dose admin. can cause irreversible hearing loss Hypotension, headache, dizziness Glucagon (Glua Gen) Glycopyrrolate (Robinul) -Emergency treatment of symptomatic hypoglycemia -Diagnostic aid in some radiological exams Anticholinergic/ Preop: to diminish secretions & block cardiac vagal reflexes mg. May be repeated 1-2 times mg./kg 30 min prior to anesthesia 1mg/minute 0.2mg.ml 0.2 mg over 1-2 minutes using free-flowing IV line May precipitate with NS, potassium & calcium. Compatible with D5W Unstable hypoglycemic diabetic may not respond & will need dextrose IV instead. N&V, hypokalemia in overdose, urticaria, respiratory distress, hypotension. Blurred vision, dry mouth, N&V, urinary hesitancy & retention Granisetron HCL (Kytril) Haldoperidol (Haldol) 5HT3 Blocker Prevention of N/V secondary to chemotherapy Antipsychotic/ Acute psychiatric episodes Nausea & vomiting 10 mcg/kg given 30 min prior to chemo dose 2-25 mg Varies with patient Undiluted over 30 seconds 100mg/ml 5mg/minute Start with lower doses in geriatric patients Headache, diarrhea, constipation, hypertension, fever. Drowsiness, extrapyramidal symptoms, hypotension, tachycardia, bradycardia, suppression of cough reflex, dry mouth, N&V
6 Heparin (Heparin Hep-Lock) Hydralazine HCL (Apresoline) Hydrocortisone Sodium Succinate (Solu-Cortef) Hydromorphone (Dilaudid) Anticoagulant/ DVT, Pulmonary Embolism, MI -Final flush for Groshong catheter in low dose Antihypertensive/ Severe essential hypertension, when need to lower BP is urgent Narcotic Analgesic units Initial bolus: units/kg Infusion: units/kg/hr mg Repeated as necessary Succinate = mg 1-4mg q 2-6 hrs prn units/ml RATE Over 1 minute CONSIDERS Reversal agent: Protamine Takes 6 hours to see effects of dose change 20 mg/ml Slow IVP -Do not give with dextrose containing solutions -Undergoes color changes in most IV solutions. This does not indicate loss of potency Succinate= over at least 30 sec 4mg/ml Each 2 mg over 2-5 minutes -Succinate comes in Mixo-vial, mix gently Nalxone (Narcan) is reversal agent Bleeding, APTT, Hct, Hgb Thrombocytopenia (HIT - Heparin Induced Thrombocytopenia) Caution in CVA-may increase intercranial pressure. Headache, N&V, palpitations, angina, tachycardia, diarrhea. Elderly may be more sensitive to hypotensive effects. *Do not confuse with hydroxyzine. Insomnia, nervousness. May cause hyperglycemia in diabetics. Caution in TB & fungal infections & antibiotic resistant infections. Alert: salt formations are not interchangeable Alert: do not confuse Solu-Cortef with Solu-Medrol Palpitations, hypotension, constipation, dizziness, drowsiness, BP, RR
7 Insulin (Regular Only) Ketorolac (Toradol) Labetalol (Normodyne) (Trandate) Leucovorin Calcium (Wellcovorin) Folinic acid Pancreatic Hormone/ Hyperglycemia, DKA, Hyperkalemia NSAID/ Short term management of mod-severe pain Antihypertensive -High dose methotrexate rescue. -Advanced colorectal cancer (followed by 5FU as 2 nd infusion) units/kg IV bolus 15 mg-30mg IV q 6 hours 20 mg initial. Additional doses of 40-80mg q 10 min. until max 300 mg Rescue: Based on methotrexate level but roughly 10mg/m2 Cancer: mg/m2 120 mg/day, max 5 days RATE Over 10 seconds 30 mg/ml Over > 15 seconds 25mg/ml 20 mg over 2 minutes Over 3 minutes or longer. Do not exceed 160 mg/minute CONSIDERS -ONLY Regular Insulin may be given IV -Hyperkalemia: 10 units in conjunction with dextrose and sodium bicarbonate Do not administer intrathecal or epidural routes Requires renal dose adjustment -Pain at injection site -Protect form heat & light Monitor Finger Stick Blood Sugars Edema, drowsiness, headache, renal toxicity. Do not administer to pts with active or recent bleeding. Do not use as pre-op analgesic. Avoid if already taking ASA or NSAIDS. Dizziness, orthostatic hypotension, vivid dreams, N&V, bronchospasm, dyspnea, arrhythmias, nasal stuffiness Allergic reactions. Do not confuse leucovorin (folinic acid) with folic acid. Follow leucovorin rescue schedule/protocol VERY closely.
8 Levothyroxine (Synthroid) Lorazepam (Ativan) Thyroid hormone/ Replacement therapy in hypothyroidism Benzodiazipine/ Anticonvulsant, sedation, anxiety, agitation Initial dose: mcg, then on day two, then maint mcg q day Maintenance = ½ of oral dose 1-2 mg 8mg/12 hrs, or 4mg per dose RATE 100mcg/min CONSIDERS -Do not mix with any other IV fluids -Do not further dilute drug 2mg/ml 2mg/minute -Flumazenil (Romazicon) is reversal agent used to treat respiratory depression. -Dilute with equal volume IVF Symptoms of hyperthyroidism (nervousness, tremor, headache tachycardia, heat intolerance, etc.) Sedation, hypotension, dizziness, headache, amnesia, HR, BP, RR. Can increase digoxin levels. Meperidine (Demerol) Narcotic Analgesic mg q 2-4 hrs prn 100mg/ml Over 4-5 minutes -Dilute to < 10mg/ml -Contraindicated in pt. taking MAO inhibitor & with pt. in kidney failure -Naloxone (Narcan) is reversal agent Sedation, hypotension, dizziness, constipation, BR, RR
9 Methylprednisolone Sodium Succinate (Solu-Medrol) Metoclopramide (Reglan) Anti-inflammatory agent Adrenal Corticosteroid/ Severe inflammation Immunosuppression Prevent infusion/allergic reactions Antiemetic/ Relief of symptomatic GE Reflux, facilitate small bowel intubation, N&V post-op and assoc mg -High dose regime ns will require IVPB route of admin 5-10 mg 1-2mg/kg IV 30 min prior to chemo with chemo Morphine Narcotic Analgesic 2-10 mg q 2-4 hours prn RATE 62.5mg/ml Over 3-60 minutes 125mg / 3-5 min 250mg/15-30min 500mg/ 30min 1Gm/60min 10 mg 5mg/ml 1-2 minutes High doses >10mg require IVPB over 15 min. CONSIDERS -Rapid admin of high doses can cause circulatory collapse. -* Only the succinate form can be given IV Admin over < 1 min. may cause intense anxiety & restlessness 10mg/ml 1 mg/min - Naloxone (Narcan) is reversal agent Insomnia, nervousness BP, monitor blood glucose levels in diabetic pts. Monitor Na+ and potassium levels Caution with hypertension. Contraindicated in GI bleed. Mental depression, BP changes, restlessness, drowsiness, dizziness, dystonic reactions (extrapyramadal effects treated Benadryl). Sedation, dizziness, heart palpitation, hypotension, bradycardia, constipation BP, RR, Oxygen saturation Muromonab-CD3 (Orthoclone, OKT3) *BMT Unit ONLY Immunosuppressive Agent 5mg 5mg 1mg/ml <1minute Filter each dose through a low protein binding 0.22 micron filter Fever, chilling, dyspnea, wheezing, chest pain, tachycardia, dizziness, shortness of breath. Monitor all vital signs including temperature.
10 Naloxone (Narcan) Pure Opiod Antagonist/ Treat respiratory depression from narcotic intake 0.4-2mg mg q 2-3 min until desired reversal of post-op narcotic depression RATE CONSIDERS 24mg 1mg/ml Over 2 minutes -If pt. on chronic opioids, give <0.1 mg at a time to avoid reversal of pain relief Tachycardia, narcotic withdraw, hypertension, hypotension, anxiety, restlessness, HR, BP, RR Note: duration of narcotic may exceed that of Naloxone, monitor for return of respiratory depression Pantoprazole (Protonix) Promethazine (Phenergan) Via CENTRAL or PICC line only, or IVPB over 20 min. Gastrointestinal; Proton pump inhibitor Antiemetic Antihistamine 40 mg 80 mg 4mg/ml 40mg/ 2 min Reconstitute with 10ml, 0.9% NaCl mg 50mg 50mg/ml 25mg/min ALERT! Extravasation can lead to EXTENSIVE tissue damage. Give ONLY via Central or PICC Line Injection site reactions, headache, dyspepsia, and nausea ALERT ONLY given via Central or PICC Line due to potential for tissue damage with extravasation. Hypotension, tachycardia, dizziness, drowsiness. Sodium Bicarbonate (NaHCO3) (Bicarb) Alkalinization Agent/ -Metabolic acidosis (from cardiac arrest, renal failure, DKA, etc) -Maintain alkaline urine: tumor lysis syndrome, trauma, tricyclic antidepressant drug overdose meq/kg Dose for renal failure & DKA based n ABG 1mg/ml Rapid: 1-2 seconds -Push in cardiac arrests only -Tissue necrosis if extravasation. -inactivates catecholamines such as dopamine, epinephrine -Precipitates if given with calcium Edema, fluid overload, hypernatremia, metabolic alkalosis
11 Torsemide (Demadex) Diuretic/ HPT, CHF with fluid overload, renal & hepatic disease RATE mg 20mg over at least two min CONSIDERS Contraindicated in anuria. Hypokalemia, hyperglycemia, N&V, headache, dizziness. If the medication is not approved for IV push administration and alternative routes of administration are not available, approval for this individual 02/04/03 Developed by: Jeanne Bouvier, Staff Development and Kim Hopper, PharmD Approved by: Kimberley Hite, Tukea Talbot, Mary Lindsey Merrill Contact person for revisions: Kimberley Hite
Intravenous Push (IVP) Drug List Approved for RN Administration
Acute Care 1111Page Floor Nurses 1 of 8 Guide: Bumetanide (Bumex) - Diuretic/Acute Pulmonary Edema, CHF, and Renal disease 0.5-2 mg over 1-2 RATE 10 mg/day 0.25 mg/ml 2 mg over 2 Pain at injection Site
More informationAdult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES
Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal
More informationtable of contents drug reference
table of contents drug reference ADULT DRUG REFERENCE...155 161 PEDIATRIC DRUG REFERENCE...162 164 PEDIATRIC WEIGHT-BASED DOSING CHARTS...165 180 Adenosine...165 Amiodarone...166 Atropine...167 Defibrillation...168
More informationFurosemide (Lasix) F: Loop Diuretic C: Sulfonamide Derivative Action: Inhibits reabsorption of sodium and chloride at proximal and distal tubes at loop of Henle Indication: Pubmonary edema, CHF, hepatic
More informationACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767
ACLS Cardiac Arrest Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767 Copyright 2010 American Heart Association ACLS Cardiac Arrest Circular Algorithm Neumar, R. W. et al. Circulation 2010;122:S729-S767
More informationPREPARATIONS: Adrenaline 1mg in 1ml (1:1000) Adrenaline 100micrograms in 1ml (1:10,000)
ADRENALINE Acute hypotension Via a CENTRAL venous line Initially 100-300 nanograms/kg/minute 0.1-0.3 microgram/kg/minute adjusted according to response up to a maximum of 1.5 micrograms/kg/minute. Increase
More informationUpstate University Health System Medication Exam - Version A
Upstate University Health System Medication Exam - Version A Name: ID Number: Date: Unit: Directions: Please read each question below. Choose the best response for each of the Multiple Choice and Medication
More informationAlabama Medications. Christopher J. Colvin January 2010
Alabama Medications Christopher J. Colvin p January 2010 Activated Charcoal Used to absorb toxins ingested before they can be absorbed in the GI system. Contraindicated in AMS patients who cannot control
More informationANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for
More informationInterpretation of Laboratory Values
Interpretation of Laboratory Values Konrad J. Dias PT, DPT, CCS Overview Electrolyte imbalances Renal Function Tests Complete Blood Count Coagulation Profile Fluid imbalance Sodium Electrolyte Imbalances
More informationOpioid Analgesics. Week 19
Opioid Analgesics Week 19 Analgesic Vocabulary Analgesia Narcotic Opiate Opioid Agonist Antagonist Narcotic Analgesics Controlled substances Opioid analgesics derived from poppy Opiates include morphine,
More informationJeopardy Topics: THE CLOT STOPS HERE (anticoagulants) SUGAR, SUGAR, HOW D YOU GET SO HIGH (insulins)
Jeopardy Topics: THE CLOT STOPS HERE (anticoagulants) SUGAR, SUGAR, HOW D YOU GET SO HIGH (insulins) I HEAR YA KNOCKING BUT YOU CAN T COME IN (electrolytes) TAKE MY BREATH AWAY (Opiates-morphine) OUT WITH
More informationACLS PHARMACOLOGY 2011 Guidelines
ACLS PHARMACOLOGY 2011 Guidelines ADENOSINE Narrow complex tachycardias or wide complex tachycardias that may be supraventricular in nature. It is effective in treating 90% of the reentry arrhythmias.
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. ADRENALINE (TARTRATE) STEROP 1 mg/1 ml Solution for injection. Adrenaline (Levorenine, Epinephrine)
PACKAGE LEAFLET: INFORMATION FOR THE USER ADRENALINE (TARTRATE) STEROP 1 mg/1 ml Solution for injection Adrenaline (Levorenine, Epinephrine) Read all of this leaflet carefully before you start using this
More information!!! BOLUS DOSE IV. Use 5-10 mcg IV boluses STD ADRENALINE INFUSION. Use IM adrenaline in advance of IV dosing!
ADRENALINE IVI BOLUS IV Open a vial of 1:1000 ADRENALINE 1 mg /ml Add 1 ml to 9 ml N/Saline = 1mg adrenaline in 10 ml (or 100 mcg/ml) Add 1 ml 1:10,000 to 9 ml N/Saline = 100 mcg adrenaline in 10 ml (or
More informationPACKAGE LEAFLET: INFORMATION FOR THE USER. ADRENALINE (HCl) STEROP 0,8mg/1ml. Solution for injection. Adrenaline (Levorenine, Epinephrine)
PACKAGE LEAFLET: INFORMATION FOR THE USER ADRENALINE (HCl) STEROP 0,4mg/1ml ADRENALINE (HCl) STEROP 0,8mg/1ml Solution for injection Adrenaline (Levorenine, Epinephrine) Read all of this leaflet carefully
More informationUNIT VIII NARCOTIC ANALGESIA
UNIT VIII NARCOTIC ANALGESIA Objective Review the definitions of Analgesic, Narcotic and Antagonistic. List characteristics of Opioid analgesics in terms of mechanism of action, indications for use and
More informationAdrenergic, Adrenergic Blockers, Cholinergic and Cholinergic Blockers
Adrenergic, Adrenergic Blockers, Cholinergic and Cholinergic Blockers Objective 1: Explain the difference between the sympathetic and parasympathetic nervous systems Autonomic Nervous System Sympathetic
More informationPROPHYLACTIC TREATMENT PREVIOUS HISTORY OF REACTIONS
Management of Contrast Media Reactions - Adult Page 1 of 10 Any signs or symptoms of HSR/allergic reaction, notify Radiologist and consider notifying the Diagnostic Imaging Urgent Response Team. If patient
More informationDiabetic Emergencies. David Hill, D.O.
Diabetic Emergencies David Hill, D.O. Class Outline Diabetic emergency/glucometer training Identify the different signs of insulin shock Diabetic coma, and HHNK Participants will understand the treatment
More informationVISTARIL (hydroxyzine pamoate) Capsules and Oral Suspension
VISTARIL (hydroxyzine pamoate) Capsules and Oral Suspension DESCRIPTION Hydroxyzine pamoate is designated chemically as 1-(p-chlorobenzhydryl) 4- [2-(2-hydroxyethoxy) ethyl] diethylenediamine salt of 1,1
More informationDrug List. Medication Adult Dosing Pediatric Dosing. V-fib / pulseless V-tach 300 mg IV push Repeat dose of 150 mg IV push for recurrent episodes
Acetaminophen (Tylenol) 7-Pain Control-Adult 46-Pain Control-Pediatric 72-Fever 1000 mg po 15 mg/kg po Indicated for pain and fever control Avoid in patients with severe liver disease Adenosine (Adenocard)
More informationParamedic Pediatric Medical Math Test
Paramedic Pediatric Medical Math Test Name: Date: Problem 1 Your 4 year old pediatric patient weighs 40 pounds. She is febrile. You need to administer acetaminophen (Tylenol) 15mg/kg. How many mg will
More informationPHENYLEPHRINE HYDROCHLORIDE INJECTION USP
PRESCRIBING INFORMATION PHENYLEPHRINE HYDROCHLORIDE INJECTION USP 10 mg/ml Sandoz Canada Inc. Date of Preparation: September 1992 145 Jules-Léger Date of Revision : January 13, 2011 Boucherville, QC, Canada
More informationLidocaine Infusion for Perioperative Pain Management. Marley Linder, PharmD Matt McEvoy, MD
Lidocaine Infusion for Perioperative Pain Management Marley Linder, PharmD Matt McEvoy, MD Perioperative Surgical Home: PCS Shared Goals Improved Outcomes (pain, PONV, LOS, SSI) Improve Throughput (Clinic
More informationDrug List. Drug Adult Pediatric
Acetaminophen (Tylenol) 8-Fever 10-Pain Control-Adult 11-Pain Control-Pediatric 47-Pediatric Seizure 1000 mg po 10 mg/kg po Indicated for pain and fever control Avoid in patients with severe liver disease
More informationPHSW Procedural Sedation Post-Test Answer Key. For the following questions, circle the letter of the correct answer(s) or the word true or false.
PHSW Procedural Sedation Post-Test Answer Key 1 1. Define Procedural (Conscious) Sedation: A medically controlled state of depressed consciousness where the patient retains the ability to continuously
More informationADMINISTRATION OF INTRAVENOUS PUSH/DIRECT MEDICATIONS
SASKATOON DISTRICT HEALTH Department of Nursing Affairs ADMINISTRATION OF INTRAVENOUS PUSH/DIRECT MEDICATIONS SPECIAL NURSING PROCEDURE LEARNING PACKAGE This package provides the basic information necessary
More informationWhite, circular, biconvex, uncoated tablets with a score line on one side, plain on the other.
Nausicalm Cyclizine hydrochloride Ph. Eur. 50 mg Presentation White, circular, biconvex, uncoated tablets with a score line on one side, plain on the other. Uses Actions The active ingredient-cyclizine
More informationADENOSINE (Adenocard) Intermediate- CALL IN Paramedic. ALBUTEROL SULFATE Basic-CALL IN Intermediate-CALL IN Paramedic
ADENOSINE (Adenocard) - CALL IN ALBUTEROL SULFATE Basic-CALL IN AMIODARONE (Cordarone) - CALL IN except in cardiac arrest- call while ASPIRIN Basic ATROPINE SULFATE - CALL IN except in cardiac arrest-
More information3% Sodium Chloride Injection, USP 5% Sodium Chloride Injection, USP
PRESCRIBING INFORMATION 3% Sodium Chloride Injection, USP 5% Sodium Chloride Injection, USP IV Fluid and Electrolyte Replenisher Baxter Corporation Mississauga, Ontario L5N 0C2 Canada Date of Revision:
More informationBasic Medication Administration Exam RN (BMAE-RN) Study Guide
Basic Medication Administration Exam RN (BMAE-RN) Study Guide Review correct procedure and precautions for the following routes of administration: Ear drops Enteral feeding tube Eye drops IM, subcut injections
More informationNaloxone Hydrochloride Injection PRODUCT INFORMATION
Naloxone Hydrochloride Injection PRODUCT INFORMATION DESCRIPTION Naloxone hydrochloride is 17-allyl-4,5α-epoxy-3,14-dihydroxymorphinan-6-one hydrochloride; C 19 H 21 NO 4.HCl. It is an off-white powder
More informationI.V. ADMINISTRATION GUIDELINES All IV meds must be administered by IV pump. Diluent Amount Over (min.) NO D5W 200mL. 500ml. 1000ml.
I.V. ADMINISTRATION GUIDELINES All IV meds must be administered by IV pump Medication Dose Push Acetadote Patients greater than 40 kg Loading Dose: Dose 2: Dose 3: Please use the Online calculator: http://aceta
More informationReview of Pharmacological Pain Management
Review of Pharmacological Pain Management CHAMP Activities are possible with generous support from The Atlantic Philanthropies and The John A. Hartford Foundation The WHO Pain Ladder The World Health Organization
More informationUBISTESIN 1:200,000 and UBISTESIN FORTE 1:100,000
UBISTESIN 1:200,000 and UBISTESIN FORTE 1:100,000 Articaine hydrochloride and adrenaline hydrochloride Consumer Medicine Information WHAT IS IN THIS LEAFLET Please read this leaflet carefully before you
More informationCritical Care/ Emergency Department Medication Competency Exam
Employee name: Score: / = % Critical Care/ Emergency Department Medication Competency Exam Please circle or write in (where applicable) the correct answer for each question below. There is only 1 correct
More informationACID- BASE and ELECTROLYTE BALANCE. MGHS School of EMT-Paramedic Program 2011
ACID- BASE and ELECTROLYTE BALANCE MGHS School of EMT-Paramedic Program 2011 ACID- BASE BALANCE Ions balance themselves like a see-saw. Solutions turn into acids when concentration of hydrogen ions rises
More informationACLS PRE-TEST ANNOTATED ANSWER KEY
ACLS PRE-TEST ANNOTATED ANSWER KEY June, 2011 Question 1: Question 2: There is no pulse with this rhythm. Question 3: Question 4: Question 5: Question 6: Question 7: Question 8: Question 9: Question 10:
More informationPOST-TEST Pain Resource Professional Training Program University of Wisconsin Hospital & Clinics
POST-TEST University of Wisconsin Hospital & Clinics True/False/Don't Know - Circle the correct answer T F D 1. Changes in vital signs are reliable indicators of pain severity. T F D 2. Because of an underdeveloped
More informationPackage leaflet : information for the user. Dilute Adrenaline/Epinephrine Injection 1:10,000 adrenaline (epinephrine) (as acid tartrate) 0.
Package leaflet : information for the user Dilute Adrenaline/Epinephrine Injection 1:10,000 adrenaline (epinephrine) (as acid tartrate) 0.1mg per ml Because of your condition it may not be possible for
More informationNurses Self Paced Learning Module on Pain Management
Nurses Self Paced Learning Module on Pain Management Dominican Santa Cruz Hospital Santa Cruz, California Developed by: Strategic Planning Committee Dominican Santa Cruz Hospital 1555 Soquel Drive Santa
More informationSTUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE
STUDY GUIDE 1.1: NURSING DIAGNOSTIC STATEMENTS AND COMPREHENSIVE PLANS OF CARE WHAT IS A NURSING DIAGNOSIS? A nursing diagnosis is a clinical judgment about individual, family, or community responses to
More informationD( desired ) Q( quantity) X ( amount ) H( have)
Name: 3 (Pickar) Drug Dosage Calculations Chapter 10: Oral Dosage of Drugs Example 1 The physician orders Lasix 40 mg p.o. daily. You have Lasix in 20 mg, 40 mg, and 80 mg tablets. If you use the 20 mg
More information4 Clinical Particulars
SUMMARY OF PRODUCT CHARACTERISTICS 1 Name of the Medicinal Product Procyclidine Syrup 5mg/5ml 2. Qualitative and Quantitative Composition Each 5ml dose contains 5mg Procyclidine Hydrochloride BP. 3. Pharmaceutical
More informationProtocol in depth Asthma/COPD. daniel.dunham@clemc.us
Protocol in depth Asthma/COPD daniel.dunham@clemc.us Asthma/COPD Narrowing of airways (an H4 histamine response causing inflammation and mucous production), leading to wheezing on inspiration and exhalation.
More informationAcetaminophen (Tylenol)
Acetaminophen (Tylenol) 8-Fever 10-Pain Control-Adult 11-Pain Control-Pediatric 47-Pediatric Seizure Drug Adult Pediatric 1000 mg po 10 mg/kg po Indicated for pain and fever control Avoid in patients with
More informationMILD TO MODERATE NOTE Medication is listed in increasing order of strength. Ascriptin (Aspirin) (P1-B1,2) - Pain reliever, anti-inflammatory
Page 1 of 6 pages Contact Surgeon before giving any medication marked with an asterisk. In an emergency or during Loss of Signal, begin appropriate treatment; then call Surgeon as soon as possible. MILD
More informationPATIENT HISTORY FORM
PATIENT HISTORY FORM If you are new to the office, have not been seen in over one (1) year, or are returning for a new problem, please complete this form in full. If there have been any changes since your
More informationHUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100)
1 PATIENT INFORMATION HUMULIN R REGULAR INSULIN HUMAN INJECTION, USP (rdna ORIGIN) 100 UNITS PER ML (U-100) WARNINGS Do not share your syringes with other people, even if the needle has been changed. You
More information1 What Anapen is and what it is used for?
PACKAGE LEAFLET: INFORMATION FOR THE USER Anapen 500 micrograms in 0.3 ml solution for injection (pre-filled syringe) Adrenaline (Epinephrine) Auto-Injector Read all of this leaflet carefully before you
More informationStimulates HR, BP, CO, and vasoconstriction. Stimulates renal, venous, mesenteric arterial. basic chart below) (alpha receptors) vasoconstriction
Bolus Alternate Range Drip ACLS Drugs and Drips Amiodarone / Cordarone Lidocaine Procainamide / Pronestyl Dopamine / Intropin CARDIAC ARREST PULSELESS VT/VF Arrest Kit: (300mg bolus) Amiodarone 6 Vial
More informationInstruct patient to: Take own pulse before taking medication Withhold medication and notify health care provider if pulse is greater than 100
Nursing Process Focus: Patients Receiving Levothyroxine (Synthroid) Potential Nursing Diagnoses Tissue perfusion, Risk for Ineffective related to tachycardia secondary to adverse effects of drug therapy
More informationDallas Neurosurgical and Spine Associates, P.A Patient Health History
Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of
More informationVAD Chemotherapy Regimen for Multiple Myeloma Information for Patients
VAD Chemotherapy Regimen for Multiple Myeloma Information for Patients The Regimen contains: V = vincristine (Oncovin ) A = Adriamycin (doxorubicin) D = Decadron (dexamethasone) How Is This Regimen Given?
More informationDiabetic Ketoacidosis: When Sugar Isn t Sweet!!!
Diabetic Ketoacidosis: When Sugar Isn t Sweet!!! W Ricks Hanna Jr MD Assistant Professor of Pediatrics University of Tennessee Health Science Center LeBonheur Children s Hospital Introduction Diabetes
More informationCrash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University
Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the
More informationPROFESSIONAL BOARD FOR EMERGENCY CARE
PROFESSIONAL BOARD FOR EMERGENCY CARE IMPORTANT NOTICE TO ALL EMERGENCY CARE PRACTITIONERS INTRODUCTION OF NEW SCOPE OF PRACTICE FOR REGISTERED EMERGENCY CARE PRACTITIONERS NOVEMBER 2009 Herewith the July
More informationAllergy Emergency Treatment Protocol
Allergy Emergency Treatment Protocol I. Initial evaluation of possible allergic reaction a. Cease administration of allergenic extracts b. Notify physician c. Record vital signs: blood pressure, pulse,
More informationMEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES. Source: ACLS Provider Manual. American Heart Association. 2001, 2002. Updated 2003.
MEDICATIONS USED IN ADULT CODE BLUE EMERGENCIES Source: ACLS Provider Manual. American Heart Association. 2001, 2002. Updated 2003. 1 ET Administration Atropine o First drug for symptomatic sinus bradycardia
More informationSTAGES OF SHOCK. IRREVERSIBLE SHOCK Heart deteriorates until it can no longer pump and death occurs.
STAGES OF SHOCK SHOCK : A profound disturbance of circulation and metabolism, which leads to inadequate perfusion of all organs which are needed to maintain life. COMPENSATED NONPROGRESSIVE SHOCK 30 sec
More informationPREMEDICATIONS: Agent(s) Dose Route Schedule
BCCA Protocol Summary for the Treatment of Relapsed or Refractory Advanced Stage Aggressive B-Cell Non-Hodgkin s Lymphoma with Ifosfamide, CARBOplatin, Etoposide and rituximab Protocol Code Tumour Group
More informationMedication Calculation Practice Problems
1 Medication Calculation Practice Problems Dosage Calculation 1. The order is for 60 mg of furosemide (Lasix) po daily. Available to the nurse is Lasix 40 mg/tablet. The nurse would administer how many
More information8/6/2010. Name of medication Concentration (1:1,000 or 1mg/1ml) Expiration date
Learning Objectives: Anaphylaxis & Epinephrine Administration by the EMT Adapted with permission from the Pilot Project for the Administration of Epinephrine by Washington EMTs With successful completion
More informationAdult CCRN/CCRN E/CCRN K Certification Review Course: Endocrine 12/2015. Endocrine 1. Disclosures. Nothing to disclose
Adult CCRN/CCRN E/CCRN K Certification Review Course: Carol Rauen RN BC, MS, PCCN, CCRN, CEN Disclosures Nothing to disclose 1 Body Harmony disorders and emergencies Body Harmony (cont) Introduction Disorders
More informationProcedure for Inotrope Administration in the home
Procedure for Inotrope Administration in the home Purpose This purpose of this procedure is to define the care used when administering inotropic agents intravenously in the home This includes: A. Practice
More informationA BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES
INTRODUCTION A BRIEF OVERVIEW OF PSYCHOTROPIC MEDICATION USE FOR PERSONS WITH INTELLECTUAL DISABILITIES Individuals with intellectual disabilities are not uncommonly prescribed psychotropic medications.
More informationDiabetes Expert Witness on: Diabetic Hypoglycemia in Nursing Homes
Diabetes Expert Witness on: Diabetic Hypoglycemia in Nursing Homes Nursing home patients with diabetes treated with insulin and certain oral diabetes medications (i.e. sulfonylureas and glitinides) are
More informationPhilip Moore DO, Toxicology Fellow, PinnacleHealth Toxicology Center Joanne Konick-McMahan RN MSRN, Staff RN, PinnacleHealth
Philip Moore DO, Toxicology Fellow, PinnacleHealth Toxicology Center Joanne Konick-McMahan RN MSRN, Staff RN, PinnacleHealth I. II. Background A. AWS can occur in anyone who consumes alcohol B. Risk correlates
More informationPATIENT MEDICATION INFORMATION
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION Pr CYRAMZA ramucirumab Read this carefully before you receive CYRAMZA (pronounced "si ram - ze"). This leaflet is a
More informationUnion EMS Local Formulary July 18, 2014
July 18, 2014 Forward The intent of the Union EMS Local Formulary is to provide guidance during the implementation and use of the 2012 NCCEP Protocols, Policies and Procedures to the ALS and BLS Professionals
More informationHere is a drug list that you need to know before taking the NREMT-P exam!! Taken from the book EMS NOTES.com
Here is a drug list that you need to know before taking the NREMT-P exam!! Taken from the book EMS NOTES.com Special thanks to the number #1 internet training site id44.com and also to (NOTE) Please remember
More informationBCCA Protocol Summary for Advanced Therapy for Relapsed Testicular Germ Cell Cancer Using PACLitaxel, Ifosfamide and CISplatin (TIP)
BCCA Protocol Summary for Advanced Therapy for Relapsed Testicular Germ Cell Cancer Using PACLitaxel, Ifosfamide and CISplatin (TIP) Protocol Code Tumour Group Contact Physician UGUTIP Genitourinary Dr.
More informationSMO: Anaphylaxis and Allergic Reactions
REGION I EMERGENCY MEDICAL SERVICES STANDING MEDICAL ORDERS EMT Basic SMO: Anaphylaxis and Allergic Reactions Overview: Allergic reactions can vary in severity from a mild reaction consisting of hives
More informationACTIVATED CHARCOAL. Classification: Absorbent. Binds and absorbs ingested toxins. Action:. Indications:. Poisoning. Contraindications: None
ACTIVATED CHARCOAL Absorbent Action:. Binds and absorbs ingested toxins. Poisoning Contraindications: None Nausea,vomiting,abdominal cramping & bloating, constipation 19ram/kg Altered mental status Ingestion
More informationpatient group direction
DICLOFENAC v01 1/8 DICLOFENAC PGD Details Version 1.0 Legal category Staff grades Approved by POM Paramedic (Non-ECP) Nurse (Non-ECP) Emergency Care Practitioner (Paramedic) Emergency Care Practitioner
More informationPediatric Pharmacotherapy A Monthly Newsletter for Health Care Professionals Children s Medical Center at the University of Virginia
Pediatric Pharmacotherapy A Monthly Newsletter for Health Care Professionals Children s Medical Center at the University of Virginia Volume 2 Number 12 December 1996 Medications for Neonatal and Pediatric
More informationNeonatal Reference Guide
Operated by REACH Air Medical Services Assessment Heart Rate (beats/min.) Age Rate
More informationConscious Sedation Policy
PURPOSE Provide guidelines to ensure safe and consistent process for patient selection, administration, monitoring and discharge care of patients receiving conscious sedation. Conscious sedation refers
More informationDRUG INTERACTIONS: WHAT YOU SHOULD KNOW. Council on Family Health
DRUG INTERACTIONS: WHAT YOU SHOULD KNOW Council on Family Health Drug Interactions There are more opportunities today than ever before to learn about your health and to take better care of yourself. It
More informationMEDICATION AND LABORATORY MONITORING
MEDICATION AND LABORATORY MONITORING GEM Conference 2013 September 17th, 2013 Clara Tsang RN (EC) Agenda Background Pharmacology Issues Among the Elderly Clinical Management & Medication Issues Diagnostic
More informationCommunity Ambulance Service of Minot ALS Standing Orders Legend
Legend Indicates General Information and Guidelines Indicates Procedures Indicates Medication Administration Indicates Referral to Other Protocol Indicates Referral to Online Medical Direction Pediatric
More informationMEDICATION GUIDE. What is Morphine Sulfate Oral Solution?
MEDICATION GUIDE Morphine Sulfate (mor-pheen) (CII) Oral Solution IMPORTANT: Keep Morphine Sulfate Oral Solution in a safe place away from children. Accidental use by a child is a medical emergency and
More informationBreast Cancer. Breast Cancer Page 1
Breast Cancer Summary Breast cancers which are detected early are curable by local treatments. The initial surgery will give the most information about the cancer; such as size or whether the glands (or
More informationMEDICATION ABUSE IN OLDER ADULTS
MEDICATION ABUSE IN OLDER ADULTS Clifford Milo Singer, MD Adjunct Professor, University of Maine, Orono ME Chief, Division of Geriatric Mental Health and Neuropsychiatry The Acadia Hospital and Eastern
More informationREFERENCE. Admit to: Program/Service: Diagnosis: Droplet/ Contact Airborne/ Contact
Weight (kg) REFER TO THE ALLERGY SCREEN IN MEDITECH FOR ALLERGY INFORMATION To complete the order form, fill in the required blanks and/or check the appropriate boxes. To delete orders, draw one line through
More informationDehydration & Overhydration. Waseem Jerjes
Dehydration & Overhydration Waseem Jerjes Dehydration 3 Major Types Isotonic - Fluid has the same osmolarity as plasma Hypotonic -Fluid has fewer solutes than plasma Hypertonic-Fluid has more solutes than
More informationMind the Gap: Navigating the Underground World of DKA. Objectives. Back That Train Up! 9/26/2014
Mind the Gap: Navigating the Underground World of DKA Christina Canfield, MSN, RN, ACNS-BC, CCRN Clinical Nurse Specialist Cleveland Clinic Respiratory Institute Objectives Upon completion of this activity
More informationAdrenaline (epinephrine) 1:1000 Injection BP Summary of Product Characteristics
Adrenaline (epinephrine) 1:1000 Injection BP Summary of Product Characteristics 1. NAME OF THE MEDICINAL PRODUCT Adrenaline (epinephrine) 1:1000 Injection BP 2. QUALITATIVE AND QUANTITATIVE COMPOSITION
More informationPRE-HOSPITAL PATIENT CARE PROTOCOLS BASIC LIFE SUPPORT/ADVANCED LIFE SUPPORT
PRE-HOSPITAL PATIENT CARE PROTOCOLS BASIC LIFE SUPPORT/ADVANCED LIFE SUPPORT Board Approved June 2007 Revised December 2009 Rappahannock EMS Council 435 Hunter Street Fredericksburg, VA 22401 PRE-HOSPITAL
More informationDoxylamine succinate belongs to the ethanolamine class of antihistamines with sedative properties.
Data Sheet MERSYNDOL Tablet Paracetamol 450mg per tablet Codeine Phosphate 9.75mg per tablet Doxylamine Succinate 5mg per tablet MERSYNDOL FORTE Tablet Paracetamol 450mg per tablet Codeine Phosphate 30mg
More informationDIPHENHYDRAMINE (Benadryl)
DIPHENHYDRAMINE (Benadryl) Classification: Antihistamine (H1 blocker) Antihistamine; appear to compete with histamine for cell receptor sites on effector cells. Therapeutic Relieves effects of histamine
More informationNaloxone treatment of opioid overdose
Naloxone treatment of opioid overdose Opioids Chemicals that act in the brain to relieve pain, often use to suppress cough, treat addiction, and provide comfort After prolonged use of opioids, increasing
More informationNew Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015**
New Jersey EMS Response to an Opiate Overdose Naloxone (Narcan ) Program **Updated March 26, 2015** Disclaimer This presentation was created to assist in the education of EMTs in Naloxone administration.
More informationShare the important information in this Medication Guide with members of your household.
MEDICATION GUIDE BUPRENORPHINE (BUE-pre-NOR-feen) Sublingual Tablets, CIII IMPORTANT: Keep buprenorphine sublingual tablets in a secure place away from children. Accidental use by a child is a medical
More informationChapter 13. Sympathetic Nervous System. Basic Functions of the Nervous System. Divisions of the Peripheral Nervous System
Chapter 13 Drugs Affecting the Autonomic Basic Functions of the Recognizing changes in Internal environment External environment Processing and integrating changes Reacting to changes Upper Saddle River,
More informationEmergency Medical Programs. Common Drugs - Indications & Administration
- Indications & Administration Table of Contents ACTIVATED CHARCOAL 3 ADENOSINE (Adenocard) 4 ALBUTEROL (Proventil, Ventolin) 5 AMIODARONE (Cordarone) 6 ASPIRIN 7 ATROPINE (Atropine, Component of Mark
More information1 2 INFORMATION FOR THE PATIENT 3 10 ml Vial (1000 Units per vial)
1 1 2 INFORMATION FOR THE PATIENT 3 10 ml Vial (1000 Units per vial) 4 HUMULIN N 5 NPH 6 HUMAN INSULIN (rdna ORIGIN) 7 ISOPHANE SUSPENSION 8 100 UNITS PER ML (U-100) 9 WARNINGS 10 THIS LILLY HUMAN INSULIN
More informationPATIENT HEALTH QUESTIONNAIRE Radiation Oncology (Patient Label)
REVIEWED DATE / INITIALS SAFETY: Are you at risk for falls? Do you have a Pacemaker? Females; Is there a possibility you may be pregnant? ALLERGIES: Do you have any allergies to medications? If, please
More informationAdrenal Insufficiency. Adrenal cortex secretions. Adrenal Insufficiency. Adrenal Insufficiency. Acute Adrenal Insufficiency
Adrenal cortex secretions Cortisol secretion Diurnal pattern 24 hour secretion = Stress = demands 30 mg 300 mg to meet physiological Adrenal Insufficiency PRIMARY ADDISON S DISEASE Autoimmune Infection
More information