1300 Exam 1 Flashcards
Hypotonic
lower solute in the solution than the cell - causes water to go into the cell (NS, LR)
Hypertonic
higher solute in the solution causes water to leave the cell (Mannitol)
Isotonic
equal inside and outside the cell
What are routes of administration?
Intraosseous
Intravenous
Inhalation
Sublingual
IM
Sub Q
Rectal
Oral
Topical
How long do IV drugs take to act?
30-60 seconds
How long do inhaled drugs take to act?
2-3 minutes
How long do sublingual drugs take to act?
3-5 minutes
How long do IM drugs take to act?
10-20 minutes
How long do sub q drugs take to act?
15-30 minutes
How long do oral drugs take to act?
30-90 minutes
What are the sites for sub q administrations?
Upper arms, anterior thighs, and the abdomen.
What are the sites for IM injection?
Vastus lateralis muscle (lateral thigh)
Rectus femoris muscle
Gluteal area (Buttock)
Deltoid muscle
TKVO ≥2 years to <12 years
15 ml/hr
TKVO ≥12 years
30-60 ml/hr
Bolus ≥2 years to <12 years
20 ml/kg, reassess every 100 ml, max 2000 ml.
Bolus ≥12 years
20 ml/kg, reassess every 250 ml, max 2000 ml.
Drops per minute formula
total volume (ml)/ time (min) * gtts/ml = gtts/min
Med draw formula
DD/DH*volume on hand
Concentration Ratio
_ mg/ml
Serial Dilution
1 g : _ mls
% Solution
_ g/100 mls
What amount of potassium chloride (KCl) can PCPs monitor for pts ≥18 years of age?
10mEq in a 250 ml bag.
What IVs can paramedics monitor?
- an IV TKVO
- fluid replacement w/ max flow rate 2ml/kg/hr
- fluid replacement w/ thiamine, multivitamin preparations
- fluid replacement w/ drugs within level of certification
- fluid replacement w/ KCl for pts ≥18 yrs of age, max 10 mEq in a 250 ml bag.
