AEMT Flashcards
What class is Epi 1:1,000 & 1:10,000?
Alpha/Beta adrenergic agonist
What are the indications for Epi 1:1,000?
Anaphylaxis, Acute Allergenic Reactions, Asthma, Shock
What are the side effects of Epi 1:1,00?
Tremors, Dizziness, Anxiety, Palpitations, Tachycardia, Acute Hypertension
What’s the Adult Dose of Epi 1:1,000?
Anaphylaxis: 0.3-0.5mg IM/SQ
Anaphylactic Shock: 1-4mcg/min IV, titrated to effect
Nebulized Epi/ Upper Airway Stridor: 5mL of 1mg/mL SVN
What’s the Pediatric Dose of Epi 1:1,000?
Anaphylaxis: 0.01mg/kg with a max dose of 0.5mg IV infusion 0.1-1mcg/kg/min, titrated to effect
Nebulized Epi/Upper Airway Stridor: Same as adult
What are the indications of Epi 1:10,000?
Cardiac arrest, Shock, profound bradycardia
What is the action of Epi 1:10,000?
Increases cardiac resistance, BP, Electric activity, O2 needs, contractility, & myocardial activity. Alpha 1 & Beta 1
What are the contraindications of Epi 1:10,000?
None in a life threatening emergency
What are the side effects of Epi 1:10,000?
Tremors, Dizziness, Anxiety, Palpitations, Tachycardia, Acute Hypertension
What’s the Adult dose of Epi 1:10,000?
Cardiac Arrest: 1mg IV/IO q 3-5min
Bradycardia: 2-10mcg/min, Titrate to effect
What’s the pediatric dose of Epi 1:10,000?
0.01mg/kg IV/IO with a max dose of 1mg IV
What class is Glucagon?
Pancreatic hormone, Insulin Antagonist
What are the effects of Glucagon?
Stimulates glucose production
What are the indications of Glucagon?
Hypoglycemia, Beta blocker overdose
What are the contraindications of Glucagon?
Allergic, PCC, Insulinoma
What are the side effects of Glucagon?
Rebound hyperglycemia, hypotension, sinus tachycardia
What’s the Adult Dose of Glucagon?
Hypoglycemia: 1mg IM
Beta Blocker OD: 5mg IV, may repeat 1x
What’s the Pediatric Dose of Glucagon?
Hypoglycemia: <20kg: 0.5mg IM
Beta Blocker OD: <20kg: 0.5 mg IM/IV
What class is Benadryl?
Antihistamine
What’s the effect of Benadryl?
Binds and blocks H1 histamine receptors. High doses cause anticholinergic activity
What are the indications of Benadryl?
Anaphylaxis, Allergic Reaction, dystonic reactions
What are the contraindications of Benadryl?
Acute asthma, allergic, premature infants & neonates
What are the side effects of Benadryl?
Thickened bronchial secretions, drowsiness, potential anticholinergic effects/excitable state, especially in children
What’s the Adult Dose of Benadryl?
25-50mg IM/IV, 15-30 min onset
What’s the Pediatric Dose of Benadryl?
1-2mg/kg IM/IV
What class is Albuterol?
Beta-2 agonist, sympathomimetic
What are the effects of Albuterol?
Beta2 adrenergic agonist with some Beta1 activity, relaxes bronchial smooth muscle
What are the indications of Albuterol?
Brochospastic lung disease
What are the contraindications of Albuterol?
Hypersensitivity, tachydysrythmias of cardiac origin
What are the side effects of Albuterol?
Tachydysrhytmias, anxiety, palpitations, tremors
What’s the Adult & Pediatric Dose of Albuterol?
2.5mg/3mL solution
What class is D10 & D50?
Carbohydrate, anti hypoglycemic
What are the effects of D10 & D50?
Increases blood glucose concentration
What are the indications of D10 & D50?
Hypoglycemia
What are the contraindications of D10 & D50?
Intracranial & intraspinal pressure, delirium tremens, solution is not clear
What are the side effects of D10 & D50?
Tissue necrosis if infiltration occurs with IV
What’s the Adult Dose of D10 & D50?
25-50g IV/IO
What’s the Pediatric dose of D10 & D50?
0.5-1g/kg IV/IO max single dose 25g; 5-10mL/kg D10%
What’s the Class of Aspirin?
Antiplatelet, antipyretic, NSAID
What are the effects of Aspirin?
Inhibits synthesis of prostaglandin, Inhibits thromboxane A2 production, inhibiting platelet aggregation
What are the indications for Aspirin?
Acute Coronary Syndrome (ACS), Myocardial Infarction (MI)
What are the contraindications of Aspirin?
Allergic, bleeding GI ulcers
What are the side effects of Aspirin?
Heart burn, tinnitus, GI bleeding
What’s the adult dose of Aspririn?
160-325mg PO (2-4 chewable 81mg tablets)
What class is Narcan?
Narcotic & Opioid antagonist
What are the effects of Narcan?
Displace narcotics at the receptor sites in the CNS. Attached to the receptors & inhibits the action of narcotics.
What are the indications of Narcan?
Known or suspected opiate overdose, respiratory depression with known or suspected opiate overdose
What are the contraindications of Narcan?
Allergic
What are the side effects of Narcan?
Nausea Vomiting (N/V), seizure, tachycardia, hypotension, withdrawal
What’s the adult dose of Narcan?
0.4-4mg IV/IM/IO/IN, Usual initial dose is 0.4-2mg IV/IM, up to 4mg IN
What’s the Pediatric dose of Narcan?
0.1mg/kg IV/IM/IN
IV/IM max dose is 2mg
IN max dose is 4mg
What class is Nitro?
Vasodilator, Nitrate, Antianginal
What effects does Nitro have?
Nitrate converts to nitric oxide, resulting in vasodilation.
What are the indications of Nitro?
ACS, AMI, Angina, CHF exacerbation/pulmonary edema
What are the contraindications of Nitro?
Allergic, right ventricular infarction, BP <90, increased ICP, HR <90bpm, HR >100bpm in the absence of heart failure, use of ED drugs in the last 3 days.
What are the side effects of Nitro?
Headache, hypotension, paradoxical bradycardia, tachycardia, flushing
What’s the Adult dose of Nitro?
0.3-0.4mg SL, every 5 min. up to 3 times.
What class is acetaminophen?
Analgesic
What class is Zofran?
Antiemetic
What is the adult dose of Zofran?
4-8mg IV/IO over 2-5 minutes, 4mg IM, 4-8mg PO
Max 8mg
What’s the pediatric dose of Zofran?
0.15mg/kg IV/IO/IM
Max 4 mg
What are the indications of Zofran?
Nausea/Vomiting
What are the contraindications of Zofran?
Hypersensitivity
What are the side effects of Zofran?
Headache, dizziness, diarrhea, prolonged QT interval
