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AEMT Pharmacology > AEMT > Flashcards

AEMT Flashcards

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1
Q

What class is Epi 1:1,000 & 1:10,000?

A

Alpha/Beta adrenergic agonist

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2
Q

What are the indications for Epi 1:1,000?

A

Anaphylaxis, Acute Allergenic Reactions, Asthma, Shock

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3
Q

What are the side effects of Epi 1:1,00?

A

Tremors, Dizziness, Anxiety, Palpitations, Tachycardia, Acute Hypertension

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4
Q

What’s the Adult Dose of Epi 1:1,000?

A

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

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5
Q

What’s the Pediatric Dose of Epi 1:1,000?

A

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

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6
Q

What are the indications of Epi 1:10,000?

A

Cardiac arrest, Shock, profound bradycardia

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7
Q

What is the action of Epi 1:10,000?

A

Increases cardiac resistance, BP, Electric activity, O2 needs, contractility, & myocardial activity. Alpha 1 & Beta 1

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8
Q

What are the contraindications of Epi 1:10,000?

A

None in a life threatening emergency

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9
Q

What are the side effects of Epi 1:10,000?

A

Tremors, Dizziness, Anxiety, Palpitations, Tachycardia, Acute Hypertension

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10
Q

What’s the Adult dose of Epi 1:10,000?

A

Cardiac Arrest: 1mg IV/IO q 3-5min

Bradycardia: 2-10mcg/min, Titrate to effect

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11
Q

What’s the pediatric dose of Epi 1:10,000?

A

0.01mg/kg IV/IO with a max dose of 1mg IV

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12
Q

What class is Glucagon?

A

Pancreatic hormone, Insulin Antagonist

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13
Q

What are the effects of Glucagon?

A

Stimulates glucose production

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14
Q

What are the indications of Glucagon?

A

Hypoglycemia, Beta blocker overdose

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15
Q

What are the contraindications of Glucagon?

A

Allergic, PCC, Insulinoma

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16
Q

What are the side effects of Glucagon?

A

Rebound hyperglycemia, hypotension, sinus tachycardia

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17
Q

What’s the Adult Dose of Glucagon?

A

Hypoglycemia: 1mg IM

Beta Blocker OD: 5mg IV, may repeat 1x

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18
Q

What’s the Pediatric Dose of Glucagon?

A

Hypoglycemia: <20kg: 0.5mg IM

Beta Blocker OD: <20kg: 0.5 mg IM/IV

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19
Q

What class is Benadryl?

A

Antihistamine

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20
Q

What’s the effect of Benadryl?

A

Binds and blocks H1 histamine receptors. High doses cause anticholinergic activity

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21
Q

What are the indications of Benadryl?

A

Anaphylaxis, Allergic Reaction, dystonic reactions

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22
Q

What are the contraindications of Benadryl?

A

Acute asthma, allergic, premature infants & neonates

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23
Q

What are the side effects of Benadryl?

A

Thickened bronchial secretions, drowsiness, potential anticholinergic effects/excitable state, especially in children

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24
Q

What’s the Adult Dose of Benadryl?

A

25-50mg IM/IV, 15-30 min onset

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25
What’s the Pediatric Dose of Benadryl?
1-2mg/kg IM/IV
26
What class is Albuterol?
Beta-2 agonist, sympathomimetic
27
What are the effects of Albuterol?
Beta2 adrenergic agonist with some Beta1 activity, relaxes bronchial smooth muscle
28
What are the indications of Albuterol?
Brochospastic lung disease
29
What are the contraindications of Albuterol?
Hypersensitivity, tachydysrythmias of cardiac origin
30
What are the side effects of Albuterol?
Tachydysrhytmias, anxiety, palpitations, tremors
31
What’s the Adult & Pediatric Dose of Albuterol?
2.5mg/3mL solution
32
What class is D10 & D50?
Carbohydrate, anti hypoglycemic
33
What are the effects of D10 & D50?
Increases blood glucose concentration
34
What are the indications of D10 & D50?
Hypoglycemia
35
What are the contraindications of D10 & D50?
Intracranial & intraspinal pressure, delirium tremens, solution is not clear
36
What are the side effects of D10 & D50?
Tissue necrosis if infiltration occurs with IV
37
What’s the Adult Dose of D10 & D50?
25-50g IV/IO
38
What’s the Pediatric dose of D10 & D50?
0.5-1g/kg IV/IO max single dose 25g; 5-10mL/kg D10%
39
What’s the Class of Aspirin?
Antiplatelet, antipyretic, NSAID
40
What are the effects of Aspirin?
Inhibits synthesis of prostaglandin, Inhibits thromboxane A2 production, inhibiting platelet aggregation
41
What are the indications for Aspirin?
Acute Coronary Syndrome (ACS), Myocardial Infarction (MI)
42
What are the contraindications of Aspirin?
Allergic, bleeding GI ulcers
43
What are the side effects of Aspirin?
Heart burn, tinnitus, GI bleeding
44
What’s the adult dose of Aspririn?
160-325mg PO (2-4 chewable 81mg tablets)
45
What class is Narcan?
Narcotic & Opioid antagonist
46
What are the effects of Narcan?
Displace narcotics at the receptor sites in the CNS. Attached to the receptors & inhibits the action of narcotics.
47
What are the indications of Narcan?
Known or suspected opiate overdose, respiratory depression with known or suspected opiate overdose
48
What are the contraindications of Narcan?
Allergic
49
What are the side effects of Narcan?
Nausea Vomiting (N/V), seizure, tachycardia, hypotension, withdrawal
50
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
51
What’s the Pediatric dose of Narcan?
0.1mg/kg IV/IM/IN IV/IM max dose is 2mg IN max dose is 4mg
52
What class is Nitro?
Vasodilator, Nitrate, Antianginal
53
What effects does Nitro have?
Nitrate converts to nitric oxide, resulting in vasodilation.
54
What are the indications of Nitro?
ACS, AMI, Angina, CHF exacerbation/pulmonary edema
55
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.
56
What are the side effects of Nitro?
Headache, hypotension, paradoxical bradycardia, tachycardia, flushing
57
What’s the Adult dose of Nitro?
0.3-0.4mg SL, every 5 min. up to 3 times.
58
What class is acetaminophen?
Analgesic
59
What class is Zofran?
Antiemetic
60
What is the adult dose of Zofran?
4-8mg IV/IO over 2-5 minutes, 4mg IM, 4-8mg PO Max 8mg
61
What’s the pediatric dose of Zofran?
0.15mg/kg IV/IO/IM Max 4 mg
62
What are the indications of Zofran?
Nausea/Vomiting
63
What are the contraindications of Zofran?
Hypersensitivity
64
What are the side effects of Zofran?
Headache, dizziness, diarrhea, prolonged QT interval

AEMT Pharmacology (3 decks)

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