<ul><li>Trade: Sublimaze</li><li>Class: Narcotic Analgesic </li><li>MOA: Binds to opiate receptors producing analgesia and euphoria</li><li>Indication: Pain</li><li>Contraindication: Use caution in traumatic brain injury, Respiratory depression </li><li>Side effects: Respiratory depression, apnea, hypotension, N/V, dizziness, sedation euphoria, Sinus bradycardia, sinus tachycardia, palpitations, HTN, diaphoresis, syncope</li><li>Dosing</li></ul>Adult 50-100mcg IM/IV Pedi 1-2mcg/kg IM/IV

<description>&lt;ul&gt;&lt;li&gt;&lt;b&gt;Trade: &lt;/b&gt;Sublimaze&lt;/li&gt;&lt;li&gt;&lt;b&gt;Class: &lt;/b&gt;Narcotic Analgesic &lt;/li&gt;&lt;li&gt;&lt;b&gt;MOA: &lt;/b&gt;Binds to opiate receptors producing analgesia and euphoria&lt;/li&gt;&lt;li&gt;&lt;b&gt;Indication: &lt;/b&gt;Pain&lt;/li&gt;&lt;li&gt;&lt;b&gt;Contraindication:&lt;/b&gt; Use caution in traumatic brain injury, Respiratory depression &lt;/li&gt;&lt;li&gt;&lt;b&gt;Side effects:&lt;/b&gt; Respiratory depression, apnea, hypotension, N/V, dizziness, sedation euphoria, Sinus bradycardia, sinus tachycardia, palpitations, HTN, diaphoresis, syncope&lt;/li&gt;&lt;li&gt;&lt;b&gt;Dosing&lt;/b&gt;&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Adult &lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;50-100mcg IM/IV&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Pedi &lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;1-2mcg/kg IM/IV&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;</description>

Trade: SublimazeClass: Narcotic Analgesic MOA: Binds to opiate receptors producing analgesia and euphoriaIndication: PainContraindication: Use caution in traumatic brain injury, Respiratory depression Side effects: Respiratory depression, apnea, hypotension, N/V, dizziness, sedation euphoria, Sinus bradycardia, sinus tachycardia, palpitations, HTN, diaphoresis, syncopeDosingAdult  50-100mcg IM/IV   Pedi  1-2mcg/kg IM/IV   

Fentanyl

<ul><li>Trade: Tegretol </li><li>Class:  Anticonvulsant </li><li>MOA: Binds preferably to voltage gated Sodium channels in their inactive conformation, which prevents repetitive and sustained firing of an action potential.</li><li>Indications: Partial and generalized tonic – clonic seizures </li><li>Contraindications: AV Block, bundle branch block, agranulocytosis, bone marrow supression, monoamine oxidase inhibitor therapy</li><li>Side effects: Dizziness, drowsiness, ataxia, N/V, blurred vision, confusion, headache, transient diplopia, visual hallucinations, life threatening rashes.</li><li>Dosing:</li></ul>Adult:200mg POPediatric:6-12 years old: 100mg PO        Less then 6: 10mg/kg PO

<description>&lt;ul&gt;&lt;li&gt;&lt;b&gt;Trade: &lt;/b&gt;Tegretol &lt;/li&gt;&lt;li&gt;&lt;b&gt;Class:&lt;/b&gt;  Anticonvulsant &lt;/li&gt;&lt;li&gt;&lt;b&gt;MOA: &lt;/b&gt;Binds preferably to voltage gated Sodium channels in their inactive conformation, which prevents repetitive and sustained firing of an action potential.&lt;/li&gt;&lt;li&gt;&lt;b&gt;Indications: &lt;/b&gt;Partial and generalized tonic – clonic seizures &lt;/li&gt;&lt;li&gt;&lt;b&gt;Contraindications:&lt;/b&gt; AV Block, bundle branch block, agranulocytosis, bone marrow supression, monoamine oxidase inhibitor therapy&lt;/li&gt;&lt;li&gt;&lt;b&gt;Side effects:&lt;/b&gt; Dizziness, drowsiness, ataxia, N/V, blurred vision, confusion, headache, transient diplopia, visual hallucinations, life threatening rashes.&lt;/li&gt;&lt;li&gt;&lt;b&gt;Dosing:&lt;/b&gt;&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Adult:&lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;200mg PO&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Pediatric:&lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;6-12 years old: 100mg PO&lt;/p&gt;&lt;p&gt;        Less then 6: 10mg/kg PO&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;</description>

Trade: Tegretol Class:  Anticonvulsant MOA: Binds preferably to voltage gated Sodium channels in their inactive conformation, which prevents repetitive and sustained firing of an action potential.Indications: Partial and generalized tonic – clonic seizures Contraindications: AV Block, bundle branch block, agranulocytosis, bone marrow supression, monoamine oxidase inhibitor therapySide effects: Dizziness, drowsiness, ataxia, N/V, blurred vision, confusion, headache, transie...

Carbamazepine

<ul><li>Trade: Morphine</li><li>Class: Opiate agonist/Narcotic Analgesic </li><li>MOA: Binds to the opiate receptors. Reduces stimulation of the sympathetic nervous system caused by pain and anxiety. Reduction of sympathetic stimulation reduces heart rate, cardiac work, and myocardial O2 consumption</li><li>Indications: moderate to severe pain including chest pain associated with ACS, CHF, and pulmonary edema.</li><li>Contraindications: Respiratory depression, shock.</li><li>Side effects: Respiratory depression, hypotension, N/V, dizziness, lightheadedness, sedation, diaphoresis, euphoria, seizures, cardiac arrest, anaphylactoid reaction.</li><li>Dosage:</li></ul>Adult  2-10mg IV/IO/IMPediatric &lt; 110 lbs 0.025 – 0.2mg/kg IV/IO/IM

<description>&lt;ul&gt;&lt;li&gt;&lt;b&gt;Trade:&lt;/b&gt; Morphine&lt;/li&gt;&lt;li&gt;&lt;b&gt;Class:&lt;/b&gt; Opiate agonist/Narcotic Analgesic &lt;/li&gt;&lt;li&gt;&lt;b&gt;MOA: &lt;/b&gt;Binds to the opiate receptors. Reduces stimulation of the sympathetic nervous system caused by pain and anxiety. Reduction of sympathetic stimulation reduces heart rate, cardiac work, and myocardial O2 consumption&lt;/li&gt;&lt;li&gt;&lt;b&gt;Indications:&lt;/b&gt; moderate to severe pain including chest pain associated with ACS, CHF, and pulmonary edema.&lt;/li&gt;&lt;li&gt;&lt;b&gt;Contraindications:&lt;/b&gt; Respiratory depression, shock.&lt;/li&gt;&lt;li&gt;&lt;b&gt;Side effects:&lt;/b&gt; Respiratory depression, hypotension, N/V, dizziness, lightheadedness, sedation, diaphoresis, euphoria, seizures, cardiac arrest, anaphylactoid reaction.&lt;/li&gt;&lt;li&gt;&lt;b&gt;Dosage:&lt;/b&gt;&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Adult  &lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;2-10mg IV/IO/IM&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Pediatric &lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;&amp;lt; 110 lbs 0.025 – 0.2mg/kg IV/IO/IM&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;</description>

Trade: MorphineClass: Opiate agonist/Narcotic Analgesic MOA: Binds to the opiate receptors. Reduces stimulation of the sympathetic nervous system caused by pain and anxiety. Reduction of sympathetic stimulation reduces heart rate, cardiac work, and myocardial O2 consumptionIndications: moderate to severe pain including chest pain associated with ACS, CHF, and pulmonary edema.Contraindications: Respiratory depression, shock.Side effects: Respiratory depression, hypotension, N/V, dizziness...

Morphine 

<ul><li>Trade: Toradol </li><li>Class: NSAID</li><li>MOA: inhibits the production or prostaglandins in inflamed tissue, which decreases the responsiveness of pain receptors. </li><li>Indications: Moderately severe acute pain</li><li>Contraindications: Patients with a hx of peptic ulcer disease or GI bleed, patients with renal insufficiency, hypovolemic patients, 3rd trimester pregnancy, nursing mothers, allergy to other nsaids, stroke or head trauma, having surgery within the next 7 days.  </li><li>Side effects:  headache, drowsiness, dizziness, abdominal pain, dyspepsia, N/V, Diarrhea.</li><li>Dosing:</li></ul>Adult IV 30mgIM 60mg Senior (65 and older)/ Pediatric &lt; 50kgsIV 15mgIM 30mg

<description>&lt;ul&gt;&lt;li&gt;&lt;b&gt;Trade: &lt;/b&gt;Toradol &lt;/li&gt;&lt;li&gt;&lt;b&gt;Class: &lt;/b&gt;NSAID&lt;/li&gt;&lt;li&gt;&lt;b&gt;MOA: &lt;/b&gt;inhibits the production or prostaglandins in inflamed tissue, which decreases the responsiveness of pain receptors. &lt;/li&gt;&lt;li&gt;&lt;b&gt;Indications: &lt;/b&gt;Moderately severe acute pain&lt;/li&gt;&lt;li&gt;&lt;b&gt;Contraindications:&lt;/b&gt; Patients with a hx of peptic ulcer disease or GI bleed, patients with renal insufficiency, hypovolemic patients, 3rd trimester pregnancy, nursing mothers, allergy to other nsaids, stroke or head trauma, having surgery within the next 7 days.  &lt;/li&gt;&lt;li&gt;&lt;b&gt;Side effects: &lt;/b&gt; headache, drowsiness, dizziness, abdominal pain, dyspepsia, N/V, Diarrhea.&lt;/li&gt;&lt;li&gt;&lt;b&gt;Dosing:&lt;/b&gt;&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Adult &lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;IV 30mg&lt;/p&gt;&lt;p&gt;IM 60mg &lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Senior (65 and older)/ Pediatric &amp;lt; 50kgs&lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;IV 15mg&lt;/p&gt;&lt;p&gt;IM 30mg&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;</description>

Trade: Toradol Class: NSAIDMOA: inhibits the production or prostaglandins in inflamed tissue, which decreases the responsiveness of pain receptors. Indications: Moderately severe acute painContraindications: Patients with a hx of peptic ulcer disease or GI bleed, patients with renal insufficiency, hypovolemic patients, 3rd trimester pregnancy, nursing mothers, allergy to other nsaids, stroke or head trauma, having surgery within the next 7 days.  Side effects:  headache, d...

Ketorolac

<ul><li>Trade: Valium </li><li>Class: Benzodiazepine</li><li>MOA: Binds to the benzodiazepine receptor and enhances the effects of GABA</li><li>Indications: Anxiety, Skeletal muscle relaxation, anticonvulsant </li><li>Contraindications: Children younger then 6 months, acute angle glaucoma, CNS depression, alcohol intoxication. </li><li>Side effects:  Respiratory depression, drowsiness, fatigue, headache, pain at the injection site, confusion, nausea, hypotension, cardiac arrest at high doses</li><li>•Dosing:</li></ul>Adult: Anxiety: 2-10mg IV/IMSeizure: 5-10mg IV/IOPediatric:Anxiety: 0.2 – 0.3mg/kg IV/IMSeizure:  Older then 5 years: 1mg IV/IOOlder then 30 days less then 5 years: 0.2 to 0.5mg IV/IO                Neonate: 0.1-0.3mg/kg IV/IO

<description>&lt;ul&gt;&lt;li&gt;&lt;b&gt;Trade: &lt;/b&gt;Valium &lt;/li&gt;&lt;li&gt;&lt;b&gt;Class: &lt;/b&gt;Benzodiazepine&lt;/li&gt;&lt;li&gt;&lt;b&gt;MOA: &lt;/b&gt;Binds to the benzodiazepine receptor and enhances the effects of GABA&lt;/li&gt;&lt;li&gt;&lt;b&gt;Indications:&lt;/b&gt; Anxiety, Skeletal muscle relaxation, anticonvulsant &lt;/li&gt;&lt;li&gt;&lt;b&gt;Contraindications:&lt;/b&gt; Children younger then 6 months, acute angle glaucoma, CNS depression, alcohol intoxication. &lt;/li&gt;&lt;li&gt;&lt;b&gt;Side effects:&lt;/b&gt;  Respiratory depression, drowsiness, fatigue, headache, pain at the injection site, confusion, nausea, hypotension, cardiac arrest at high doses&lt;/li&gt;&lt;li&gt;&lt;b&gt;•Dosing:&lt;/b&gt;&lt;/li&gt;&lt;/ul&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Adult: &lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;Anxiety: 2-10mg IV/IM&lt;/p&gt;&lt;p&gt;Seizure: 5-10mg IV/IO&lt;/p&gt;&lt;p&gt;&lt;b&gt;&lt;em&gt;Pediatric:&lt;/em&gt;&lt;/b&gt;&lt;/p&gt;&lt;p&gt;Anxiety: 0.2 – 0.3mg/kg IV/IM&lt;/p&gt;&lt;p&gt;Seizure:  &lt;em&gt;Older then 5 years:&lt;/em&gt; 1mg IV/IO&lt;/p&gt;&lt;p&gt;&lt;em&gt;Older then 30 days less then 5 years: &lt;/em&gt;0.2 to 0.5mg IV/IO&lt;/p&gt;&lt;p&gt;                &lt;em&gt;Neonate:&lt;/em&gt; 0.1-0.3mg/kg IV/IO&lt;/p&gt;&lt;p&gt;&lt;br/&gt;&lt;/p&gt;</description>

Trade: Valium Class: BenzodiazepineMOA: Binds to the benzodiazepine receptor and enhances the effects of GABAIndications: Anxiety, Skeletal muscle relaxation, anticonvulsant Contraindications: Children younger then 6 months, acute angle glaucoma, CNS depression, alcohol intoxication. Side effects:  Respiratory depression, drowsiness, fatigue, headache, pain at the injection site, confusion, nausea, hypotension, cardiac arrest at high doses•Dosing:Adult:  Anxiety: 2-10...

Diazepam

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