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Paramedic Drugs > A-F > Flashcards

A-F Flashcards

1
Q

Fentanyl (Indications, contraindications, side effects and dose)

A

-Pain Control
-Sedation for RSI & PAI
Binds w/receptor in brain to produce effects

Contraindications
-Respiratory Depression
-Hypotension
-N&V

Dose
1-2 mcg/kg to
MAX 200mcg

Side effects
-Respiratory Depression
-Bradycardia
-Hypo/
Hypertension
-N&V

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2
Q

Etomidate

A

Indications
Induction agent before the admin of a Neuromuscular blockade agent
Suppresses CNS activity.

Contraindications
-Known hypersensitivity
-Labor/Delivery

Dose
0.3 mg/kg MAX 40mg

Side effects
-N&V
-Dysrhythmias
-SOB
-Hypotension
-Muscle twitch

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3
Q

Epi 1:10000
(Adrenalin)

A

Cardiac Arrest
-Anaphylaxis

Contraindications
-Hypersensitivity
-Hypovolemic shock
-Coronary insufficiency

Adult:
CA: 1mg IV q 3-5 min
AR: 0.3mg may repeat no more than once
Pediatric:
CA: .01mg/kg
AR: .15mg may repeat no more than once

Side effects
-Palpitations
-anxiety,
-Tremulousness
-Headache
-Dizziness,
-Hypertension
-Can worsen cardiac ischemia

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4
Q

Epi 1:1,000

A

Indication
Asthmatic bronchoconstriction
-Allergic/Anaphylaxis
-Profound Bradycardia (Atropine, Shock, Dopamine have all failed)

Contraindications
Hypersensitivity
-Hypovolemic shock
-Coronary insufficiency

Adult
Asthma/Allergy: 0.3mg SubQIM
Bradycardia: 2-10mcg/min
Pediatric:
.15mg SubQ or IM

Side effects
-Tachycardia
-Hypertension
-Can worsen cardiac ischemia

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5
Q

Dopamine

A

Indication
Nonhypovolemic hypotension

Symptomatic bradycardia if atropine ineffective

Contraindications
Hypovolemic shock

Tachydysrhythmias

VFib
2-20mcg/kg/min

effects start at
5-10mcg/kg/min

Side effects
Hypertension
Headache
Nausea/vomiting

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6
Q

Diphenhydramine (Benadryl)

A

Indications
- Anaphylaxis
-mod/severe allergic reactions (after epi)

Contraindications
- MAOIs
-newborns and nursing mothers

Adult:
25-50mg
Pediatric:
1-2mg/kg

Side effects
Drowsiness, dizziness, sedation

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7
Q

Diazepam

A

Indications
-active seizure/status epilepticus
-premedication

Contraindications
- Alcohol or sedative drug use
- Head injury

Adult:
5-10mg to max 10mg
(IV/IM)
Pediatric:
.5mg/kg max of 5mg (rectal)
.2/kg max 5mg (IV)

Side effects
Respiratory depression
hypotension

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8
Q

Dextrose 10%

A

Indications
- Hypoglycemia

Contraindications
- None in hypoglycemia
Use caution w/ head injuries

Adult:
250ml D10 IV

Side effects
Tissue necrosis w/ infiltration

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9
Q

Decadron

A

Indications
- Reduces swelling & inflammation due to: Refractory bronchospasm in:
•Status asthmaticus
•Acute exacerbation of Chronic Obstructive Pulmonary

Contraindications
- Known hypersensitivity
IVP

Adult: 4-24 mg IV/IM
Not to exceed adult dosage

Side effects
May produce hypertension

Rare instances of:
o Anaphylactic reactions
o Exacerbation of Congestive Heart Failure (CHF)
o Seizures

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10
Q

Cardizem
(diltiazem)

Calcium Channel Blocker

A

Indications
- Afib or Aflutter w/ RVR
-PSVT unresponsive to adenosine

Contraindications
- Systolic < 90
- Diastolic < 60
Wide complex tach

Adult:
1st .25mg/kg
2nd .35mg/kg
IV push over 2 minutes

Side effects
-Bradycardia
-hypotension

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11
Q

Calcium gluconate

A

Indications
- hyperkalemia
-Magnesium OD
-Ca Channel Blocker OD

Contraindications
- cardiac arrest
- hypercalemia

Adult:
15-30mL of 10% solution

Contraindications
-bradycardia
-hypercalcemia

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12
Q

Calcium chloride

A

Indications
- hyperkalemia
-hypocalcemia
-Magnesium OD
-Ca Channel Blocker OD

Contraindications
- cardiac arrest
-hypercalcemia
-digitalis

Adult:
10-15mg/kg

Side effects
Bradycardia and hypotension if too much is pushed too fast

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13
Q

Atropine

A

Indications
-symptomatic bradycardia
-organophosphate poisoning

Contraindications
- Hypothermic bradycardias

Adult:
Sym Brady-
.5mg IV q 3-5 mins (max of 3 mg)
Poisoning-
2-5mg q 15mins until secretions stop

Side effects
-tachycardia
-blurred vision
-dry mouth

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14
Q

Amiodarone HCL

A

Indications
- Vtach and Vfib

Contraindications
- cardiogenic shock
-bradycardia

Adult:
VFib/VTach w/o P-
1st-300mg IV/IO
2nd-150mg IV/IO
VTach w/ P:
150mg over 10 mins

Side effects
-hypotension if given rapid infusion
-bradycardia,
-CHF

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15
Q

Adenosine

A

Indications
- SVT

Contraindications
- hypersensitivity
-drug induced tach
-bradycardia

1st-6mg
2nd-12mg
3rd-12mg
(fast IV, followed w/ flush)

Side effects
-Light headedness
-hypotension
-nausea

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16
Q

Ativan
(Lorazepam)

A

Indications
- Active seizure or status epilepticus
- Sedation

Contraindications
-Hypotension
• Head injury
• Pregnancy (except eclamptic seizure)

IV, IM, IN
o Adult: 2-10 mg

Hypotension
• Respiratory depression
• Confusion/stupor
• Nausea
• Vein irritation, phlebitis, or sclerosis

17
Q

(Atrovent) Ipratropium Bromide

A

Indications
- Bronchospasm that didn’t improve w/ 1st albuterol

Contraindications
- Sensitivity to atropine
- bronchospasm due to allergic reaction
Adult- .5mg in 2.5mL

Side effects
-dry mouth
-nausea/vomiting

Paramedic Drugs (1 decks)

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