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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.