Drug Test Series 5

Part 1 Aspirin

DopamineVasopressin

Aspirin

• Generic Name • Trade Name• Class

Aspirin

• Generic Name– Acetylsalic acid, aspirin, asa

• Trade name– Bufferin, Anacin, Apc Among Others

• Class– Analgesic– Antipyretic– Anti- inflammatory

Aspirin

• Indications

Aspirin

• 1. Chest Pain or other signs/symptoms suggestive of accute myocardial infarction.

• 2. ecg changes suggestive of ami• 3. unstable angina• 4. pain, discomfort, fever in adult patients

only.

Aspirin

• Adult Dosage – Cardiac

Aspirin

• 160-325 mg (2-4 pediatric chewable tabs) – Chew or swallow

Aspirin

• Adult Dosage – Pain, Discomfort, Fever

Aspirin

• 325 mg PO (4 ped chewable tabs)

Aspirin

• Bonus

Aspirin

• 1. Baby Asa is heat and light sensitive• 2. the odor of acetic acid (vinegar like small)

indicated degradation of product.

Dopamine

• Generic Name• Trade Name• Class

Dopamine

• Generic Name – Dopamine

• Trade Name– Intropin

• Class– Sympathomimetic

Dopamine

• Indications

Dopamine

• 1. Symptomatic Bradycardia

• 2. Hemodynamic ally significant hypotension in the absence of hypovolemia

• 3. Carcinogenic or Septic Shock only after fluid administration: assess breath sounds first.

Dopamine

• Adult Dosage

– 1 of

Dopamine

• Dosage Range (2-20 mcg/kg/min)

• Preperation: (if permitted not carried) Add 400 mg to 250 mL NS or Dextrose = 1600 mcg/mL

Dopamine

• Adult Dosage Continued

Dopamine

• Brady Cardia– Start at 5 mcg/Kg/Min

• Shock Cardiogenic or Septic (non-hypervolemic)– Bp < 70 systolic: start drip at 5mcg/kg/min– BP > 70 systolic: Start drip at 2.5 mcg/kg/min

Dopamine

• Bonus – Special Notes• 1 of 2

Dopamine

• 1. Always monitor drip never run wide open.

• 2. An infusion pump is required for interfacility transports: – A minimum of microdrip tubing is required for

field use.

Dopamine

• Special Notes – Bonus • 2 of 2

Dopamine

• 3. It is important to remember that even in low dose ranges dopamine elevates pulmonary artery occlusive pressure and may exacerbate pulmonary congestion despite a rise in cardiac output.

Vasopressin

• Generic Name• Trade Name• Class

Vasopressin

• Generic Name– Vasopressin

• Trade Name – Vasopressin

• Class– Pituitary (antidiuretic) hormone

Vasopressin

• Indications

Vasopressin

• Adult Shock-refractory ventricular fibrillation/pulseless ventricular tachycardia

Vasopressin

• Adult Dosage

Vasopressin

• V Fib, Pulseless V-tach– 40 Units IV/IO/ET• One time only prior to administration of 1st or 2nd dose

of epinephrine.