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Complements of: MUDPILES QUICK MEDICAL REFERENCE
Fits Neatly in Your Pocket
See other sample pages at:
http://www.mudpiles.com/reference.html
Take a look at the INDEX page on the website...will be more than happy to send you the full page of any page from the book. Page 55 below
DRIPS:
Aminophylline:
Pharmacology: Methylxanthine.
Indications: Bronchospasm, Cor Pulmonale.
Contraindicated: Peptic ulcer dz, seizure disorders, caution w/ liver, kidney disorder, CHF & hypothyroidism.
Dosage: Load 6 mg/kg IV over 30 min then 0.6 mg/kg/H for 12 H. Maintenance dose for smokers is 0.9 mg/kg/H for 12 H. Maintenance dose for CHF, liver dz & elderly is 0.3 mg/kg/H for 12 H.
Considerations: Safe in nursing. Clearance ↓d by Cimetidine, Erythromycin, & Allopurinol.
ADRs: Vent ectopy, headache, seizure, resp. arrest, tachycardia, N/V, insomnia.
Diltiazem:
Pharmacology: Calcium Channel Blocker.
Indications: Control ventricular rate in Atrial Fibrillation/ Flutter, paroxysmal SVT, angina pectoris.
Contraindicated: Sick Sinus Syndrome, 2nd or 3rd degree AV block, severe hypotension cardiogenic shock, & WPW. Not for wide QRS tachycardia.
Not for concomitant beta blockers usage.
Dosage: Load: 0.25 mg/kg over 2 minutes. May repeat dose in 15 min w/ an additional 0.35mg/kg over 2min. Titrate to HR.
Considerations: Close monitoring of EKG & BP.
ADRs: Bradycardia, AV Block, arrhythmia, hypotension, syncope, CHF.
Dobutamine:
Pharmacology: Stimulates Beta-1 adrenergic receptors.
Indications: Patient w/ pump problem (systolic 70-100mm Hg) without shock. Cardiac decomposition due to poor contractility.
Contraindicated: Systolic <100 w/ shock.
Concentration: 500mg/250ccD5W then 2.5 to 20 ug/kg/min titrated to desired BP. Usually not > 40 ug/kg/min.
Considerations: Positive inotropic agent. Titrate so that HR does not ↑ > 10 percent from baseline. Homodynamic monitoring of cardiac output, cardiac index, PCWP, CVP, & SVR during infusions.
ADRs: Hypotension, hypertension, tachycardia, PVCs, ventricular arrhythmias, thrombocytopenia, bronchospasm, & hypokalemia.
Dopamine:
Pharmacology: Adrenergic Agonist, Positive inotropic agent.
Indications: LOW DOSE: To ↑ renal perfusion.
MODERATE DOSE: Hypotension caused by cardiac or pressor complications, or poor contractility.
HIGH DOSE: Peripheral or renal vasoconstriction.
Concentrations: Mix 400mg/250cc NS, LR or 5% dextrose.
Contraindicated: VFIB, Pheochromocytoma, MAOI, Raynauds Syndrome.
Dosage: LOW DOSE: 1-5 ug/kg/min.
MODERATE DOSE: 5-10 ug/kg/min.
HIGH DOSE: 10-20 ug/kg/min.
Considerations: Use for hypotension w/ systolic BP less 100 mm Hg. Replace volume prior to usage.
Fits Neatly in Your Pocket
See other sample pages at:
http://www.mudpiles.com/reference.html
Take a look at the INDEX page on the website...will be more than happy to send you the full page of any page from the book. Page 55 below
DRIPS:
Aminophylline:
Pharmacology: Methylxanthine.
Indications: Bronchospasm, Cor Pulmonale.
Contraindicated: Peptic ulcer dz, seizure disorders, caution w/ liver, kidney disorder, CHF & hypothyroidism.
Dosage: Load 6 mg/kg IV over 30 min then 0.6 mg/kg/H for 12 H. Maintenance dose for smokers is 0.9 mg/kg/H for 12 H. Maintenance dose for CHF, liver dz & elderly is 0.3 mg/kg/H for 12 H.
Considerations: Safe in nursing. Clearance ↓d by Cimetidine, Erythromycin, & Allopurinol.
ADRs: Vent ectopy, headache, seizure, resp. arrest, tachycardia, N/V, insomnia.
Diltiazem:
Pharmacology: Calcium Channel Blocker.
Indications: Control ventricular rate in Atrial Fibrillation/ Flutter, paroxysmal SVT, angina pectoris.
Contraindicated: Sick Sinus Syndrome, 2nd or 3rd degree AV block, severe hypotension cardiogenic shock, & WPW. Not for wide QRS tachycardia.
Not for concomitant beta blockers usage.
Dosage: Load: 0.25 mg/kg over 2 minutes. May repeat dose in 15 min w/ an additional 0.35mg/kg over 2min. Titrate to HR.
Considerations: Close monitoring of EKG & BP.
ADRs: Bradycardia, AV Block, arrhythmia, hypotension, syncope, CHF.
Dobutamine:
Pharmacology: Stimulates Beta-1 adrenergic receptors.
Indications: Patient w/ pump problem (systolic 70-100mm Hg) without shock. Cardiac decomposition due to poor contractility.
Contraindicated: Systolic <100 w/ shock.
Concentration: 500mg/250ccD5W then 2.5 to 20 ug/kg/min titrated to desired BP. Usually not > 40 ug/kg/min.
Considerations: Positive inotropic agent. Titrate so that HR does not ↑ > 10 percent from baseline. Homodynamic monitoring of cardiac output, cardiac index, PCWP, CVP, & SVR during infusions.
ADRs: Hypotension, hypertension, tachycardia, PVCs, ventricular arrhythmias, thrombocytopenia, bronchospasm, & hypokalemia.
Dopamine:
Pharmacology: Adrenergic Agonist, Positive inotropic agent.
Indications: LOW DOSE: To ↑ renal perfusion.
MODERATE DOSE: Hypotension caused by cardiac or pressor complications, or poor contractility.
HIGH DOSE: Peripheral or renal vasoconstriction.
Concentrations: Mix 400mg/250cc NS, LR or 5% dextrose.
Contraindicated: VFIB, Pheochromocytoma, MAOI, Raynauds Syndrome.
Dosage: LOW DOSE: 1-5 ug/kg/min.
MODERATE DOSE: 5-10 ug/kg/min.
HIGH DOSE: 10-20 ug/kg/min.
Considerations: Use for hypotension w/ systolic BP less 100 mm Hg. Replace volume prior to usage.
