2206 Exam Flashcards
Prolongs the repolarization and blocks the potassium out of the cells - controls ventricles (vFib/Vtach)
Amiodarone
Calcium channel blockers. Blocks calcium from going in (AV node) and out of the cell (SA node). Afib/Aflutter
“zem” drugs
Calcium channel blockers that work on the AV node:
Cardizem, diltiazem
Blocks sodium in and out of the cell (Fib/Vtach) Controls the ventricles.
Lidocaine
Drug that resets the ventricles (ex. torsades)
Magnisium Sulfate
Class III potassium channel blocker (for Vfib Vtach)
Amiodarone
Class IB sodium channel blocker (for VF/VT)
lidocaine.
Calcium channel blocker helps to reset this rhythm:
afib/aflutter.
Routes of administration of drugs from fastest to slowest:
IV - IM - PO
The only drug carried that requires mixing and is carried as a kit
glucagon.
1g = ?mg
1000
1mg = ?mcg
1000
1 grain = ?mg
60 (apothecary system)
15 grains = ?
1g
Take an EMS run and decide the best medication and how to ???
document it.
If a change is needed in a medication documentation, what should you do?
notate the change needed and add initial and date next to it.
Route of administration for glucagon (hypoglycemia)
IM
route of administration for Glucose
PO
This drug is given for low BP related to shock; vasopressor. Found naturally in the body.
dopamine
This drug is given for low BP related to shock; is a vasopressor, but this is a synthetic sympathetic agonist
Dobutamine
Sympathetic or parasympathetic? Feeds the immune system, secretion in digestive gland, more fluids to reproductive organs.
Parasympathetic.
Symptoms that are associated with the parasympathetic system?
(SLUDGE) Salivation, lacrimation, urination, defecation, GI upset, Emesis, and Muscle Twitching/Miosis (pupillary constriction.
If a patient has SLUDGE, what drug do you administer?
Atropine
Needs narcan and may need more than one dose
Narcotic/Opioid OD.
Generic name for Atrovent
Ipratropium bromide
this drug relaxes the muscles around the airways
Atrovent
Ace inhibitor drugs:
prils
Calcium channel blocker drugs
Zems
Beta Blocker drugs
olols
If on-line medical direction orders a drug you know is wrong, you???
don’t give it.
Generic name for Alupent
Metaproterenol
What is Metaproterenol/Alupent used for?
For asthma as a potent bronchodilator; breathing difficulty
Aspirin dose
324mg
Narcan dose
up to 2mg IV or IN
Albuterol Dose
2.5mg in 3ml of NS
Nitro dose
.4mg sublingual q 5 min up to three doses.
Answer to number 16 on the test?
B or esmolol
Most of our drugs are eliminated/released through ???
kidneys/urine
Letter classification in newly released drug will tell its ???
treatment potential (number = potential for abuse)
How is adenosine administered?
Rapid IV push
Older people have a harder time responding to drug drive due to
liver and kidneys/renal system
This drug comes in a dark brown glass to protect it from UV rays:
Nitro
What is Meperidine?
type of opioid narcotic. causes respiratory depression, bradycardia.
Fluid bolus for adults
20ml/kg
Fluid bolus for pedi
10ml/kg
How much longer does a drug down the ET tube take compared to a drug administered IV?
2-2.5 times longer.
What is a medication combined with alcohol and water solvent?
Elixir
Answer to question 26; in the apothecary system, 1 grain = ?
60mg
How does Cardizem work?
calcium channel blocker that works of the AV node
What is the number one side effect of albuterol?
tachycardia
What to give for hydrogen cyanide poisoning?
Amyl nitrate
How to amyl nitrate work?
binds to hemoglobin and prevents cyanide from bonding, but does not reduce the effects.
How is sodium thiosulfate different from amyl nitrate is how it works agains hydrogen cyanide poisoning?
Sodium thiosulfate Converts cyanide and breaks it down to be excreted by the kidneys. Amyl nitrate blocks cyanide from bonding but does nothing to eliminate it.
Answer to question 29
Sodium Thiosulfate
Question 30: Opioids have physiological effect; the physical effect binds to pain receptors and suppresses the CNS which depresses everything including respiratory drive causing:
bradycardia and hypoxia
Morphine is an ??? that works with opioid receptors to decrease the CNS.
agonist