A-emt Meds Flashcards
Albuterol trade name
Proventil/ventolin
Albuterol contraindications
Tachycardia, synergistic with other sympathomimetics
Albuterol side effects
Headache, fatigue, light headedness, nausea/vomiting, irritability, dry mouth, tremors, restlessness, hypertension, tachycardia
Albuterol dose -adult and pediatric
A- O.5ml solution with 2.5ml normal saline
P- <20kg 1.25mg over 20 min
>20kg 2.5 mg over 20 min
Aspirin trade name
Acetylsaliollic
Aspirin contraindications
Hypersensitivity, active ulcer disease, asthma, major bleeding
Aspirin side affects
Bronchospasm, anaphylaxis, wheezing, bleeding (GI), nausea/vomiting, heartburn, Reyes syndrome
Dextrose 50 indications
Hypoglycemia, altered loc, coma/seizure of unknown origin, status epilepticus
Dextrose 50 contraindications
Intercranial hemmorage normal glucose level
Dextrose 50 routes
IV, IO
Dextrose 50 side affects
Tissue necrosis, cerebral hemorrhage; ischemia, p-edema, warmth, pain, burning, hyperglycemia
Dextrose 50 doses: adult and pediatric
A-D50 25g
P-1yr/older 25% 0.5-1g
Neonate- D10 200-500mg
Dextrose in water MOA
Provides dextrose as well as water
Dextrose in water indication
Dilution of concentrated meds for IV infusion
Dextrose in water contraindications
Dont use as a fluid replacement for hypovolemic states
Dextrose in water route
IV
Dextrose in water dose
Minidrip at “keep open” state
Epinephrine trade name
Adrenaline
Glucagon trade name
GlucoGen
Glucagon MOA
Stimulates glycogeolysis, stabilizes cardiac rhythms in beta blocker over dose, minimal ino/Chronotropic response
Glucagon indications
Altered LOC from hypoglycemia, beta blocker overdose
Glucagon contraindications
Hyperglycemia, hypersensitivity
Glucagon route
IM, IN
Glucagon Side affects
Dizziness, headaches, hypertension, nausea/vomiting, tachycardia, hypoglycemia
Glucagon dose adult and pediatric
A- 1mg every 7-10 min
p- >28kg/ 5yrs/older= 1mg
<28kg/ younger than 5yrs= 0.5mg
Ketorlac trade name
Toradol
Ketorlac (toradol) MOA
Inhibits prostaglandins (pain relief)
Ketorlac (toradol) indication
Pain after operation, back pain, kidney stones
Ketorlac (toradol) contraindications
NSAID allergic, blood thinners, anticoagulants, kidney disease, clotting disorder, closed head injury, active internal bleeding, fractures
Ketorlac (toradol) route
IV, IM
Ketorlac (toradol) side affects
N/V, bloating, loss of appetite, dark tarry stool, hemoptysis, abdominal pain, dry mouth, dizziness, blurred vision, sweating, mouth sores.
Ketorlac (toradol) doses
A- 60mg IM, 30mg IV, 15mg IV geriatrics
P- none
Lactated ringers trade name
Hartmann
Lactated ringers (Hartmann) MOA
Replaces water and electrolytes
Lactated ringers (Hartmann) indications
Hypovolemic shock, keep open IV, hypoperfusion
Lactated ringers (Hartmann) contraindications
Heart/ renal failure
Lactated ringers (Hartmann) route
IV
Lactated ringers (Hartmann) side affects
Rare/none
Lactated ringers (Hartmann) dose
Titrate according to pts physiologic response
Nitroglycerin trade name
Nitro state, nitro-bid, tridil
Nitrous oxide trade name
Nitronox
Nitrous oxide (nitrinox) MOA
Affects CNS phospholipids
Nitrous oxide (nitrinox) indications
Moderate-severe pain, anxiety, apprehension
Nitrous oxide (nitrinox) contraindications
Impaired LOC, head injury, inability to follow instructions, decompression sickness, abdominal pain/distension, bowel obstruction, hypotension, shock, COPD, Cyanosis, pneumothorax
Nitrous oxide (nitrinox) route
Inhalation
Nitrous oxide (nitrinox) side affects
Light headed, drowsiness, resp depression, apnea, n/v, malignant, Hyperthermia
Nitrous oxide (nitrinox) doses
A- instruct pt to inhale deeply through demand valve and mask of valve piece
P-same
Normal saline trade name
0.9% sodium Chloride
Normal saline MOA
Replaces water/ electrolytes
Normal saline indications
Heat related problems, fresh water drowning, hypovolemic, DKA, keep open IV
Normal saline contraindications
Heart failure
Normal saline doses
A- depends on situation
Neo- 10ml/kg over 5-10 min
Ondansteron trade name
Zofran
Ondansteron (zofran) MOA
Antimetric / serotonin receptor antagonism
Ondansteron (zofran) indications
Nausea / vomiting
Ondansteron (zofran) contraindications
Hypersensitivity to it or like meds
Ondansteron (zofran) routes
IV, IM, PO
Ondansteron (zofran) side affects
Constipation, diarrhea, dry mouth, headache, dizziness, drowsiness, fatigue, malaise, chills, hypotension, bronchospasm, muscle pain
Ondansteron (zofran) dose
A-4mg slow IV/IM no less than 30 min or 4mg PO
P- > 40kg; 4mg IV over 2-5 min
<40kg ; 0.1mg/kg over 2-5 min