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Author: Admin | 2025-04-28
OD: 1 unit/kg bolus given with 25 grams of dextrose if initial BGN/AHyperkalemia, CCB OD, DKA/HHSHypokalemia, hypoglycemia, only regular insulin can be given IV, Preg BProtamine sulfateIonically binds heparin1 mg neutralizes 100 units of heparin (max dose 50 mg), administer at rate of 5 mg/minuteN/AHeparin induced bleedingAnaphylaxis in previous use or fish allergy, rapid infusion can cause hypotension, Preg CSodium bicarbonateIncreases serum bicarbonate (increases buffer stores)Hyperkalemia or metabolic acidosis: 50 mEq IV x 1 (1 amp = 50 mEq), TCA toxicity: 1-2 mEq/kg IV bolus to achieve serum pH of 7.45-7.55 and QRS narrowing (effective serum alkalinization unlikely with continuous infusion), Salicylate toxicity: 3 amps (150 mEq) in 1 L D5W given as 10-20 ml/kg bolus, then 2-3 ml/kg/hr; goal urine pH 7.5-8.0N/AHyperkalemia, TCA toxicity, salicylate toxicity, metabolic acidosisCaution in CHF, overshooting into metabolic alkalosis, hypernatremia, Preg CDRUGMOADOSE IVDOSE POINDICATIONCONTRAINDICATIONAdenosineActs on A1 receptors in AV node, causing temporary heart block6 mg IV RAPID push, may giev 12 mg IV q2 minutes if no effect x 2N/AStable SVT, stable narrow complex tachycardiaprodysrhythmic, do not give in preexisting 2nd/3rd degree heart block, pregnancy category CAmiodaroneBlocks K efflux (Class III antidysrhythmic); also has Na channel blocking (class I), beta blocking (class II), and Ca channel blocking (class IV) propertiesPulseless VF/VT: 300mg IV rapid push followed by 150mg IV rapid push if necessary at next pulse check Stable wide complex tachycardias: 150mg IV over 10 minutes, followed by infusion of 1mg/min x 6hours, then 0.5 mg/min thereafterN/APulseless VF/VT, wide complex tachydysrhythmiasCauses hypotension, can be
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