Airway meds

Question 1

(Albuterol) dose:
Pedi dose:

Answer 1

= 2.5mg/3ml via SVN repeat 12-20, 0.83mg/ml
=1.25-2.5mg/1.5-3mL SVN

Question 2

(Albuterol) class:
in:
contra:

Answer 2

=B agonist w/ preference for B2 receptors
=bronchospasm, allergies, hyperkalemia
= hypersensitive, anxiety, dizzy/HA

Question 3

(Atropine) dose:
Organophosphate poisoning dose:

Answer 3

=1mg IV push 3-5mins ; dont exceed 0.04mg/kg (total 3mg)
=2-4mg (or higher) IV Push

Question 4

(Atropine) Class:
Contra:
cautions:

Answer 4

=Parasympatholytic & selectively blocks M receptors inhibiting PSANS
=allergy, hypothermic (82degrees), MIs & hypoxia→ increase O2 med
= <0.5mg may result in paradoxical slowing of heart // may not be effective for infranodal blocks- be prep/ed to pac

Question 5

(EPI 1:1000) Dose:
Pedi Dose:

Answer 5

=1mg/1ml IM→ standard 0.3mg-0.5mg
=0.01mg/kg IM w/ max dose 0.3mg

Question 6

(EPI 1:1000) class:
indi:
Advese effects:

Answer 6

=potent A & B agonist
=bronchospasms, anaphylaxis
=worsen heart ischemia, heart probs

Question 7

(Ipratropium/ Atrovent) dose:
Pedi dose:

Answer 7

500mcg/2.5mL
250-500/2.5mL

Question 8

(Ipratropium/ Atrovent):
Indi:
Adverse effects:

Answer 8

= Anticholinergic, selectively blocks M receptors, goes w/ albuterol
=bronchospasm w/ obstructive lung diseases
=dry lungs out, dry mouth, confusion

Question 9

(Terbutaline/ Brethine) Dose:

Answer 9

0.25mg IM (only in adults

Question 10

(Terbutaline/ Brethine) Class:

Indi:
Contra:

Answer 10

=B selective agonist relaxer w/ high affinity & give asthma, & CHF/heart prob PT
=asthma, emphysema, preterm labor, reversible airway
= hypersensitive, anxiety, dizzy/HA, NO PEDIS

Question 11

(Ipratropium/ Atrovent) Pharmacodynamics:
Indications:

Answer 11

= Anticholinergic; Selectively blocks muscarinic receptors
= Bronchospasm associated w/ obstructive lung diseases (asthma, COPD)

Question 12

(Ipratropium/ Atrovent) Contraindications:
Adverse Effects:

Answer 12

= Known hypersensitivity
= Blurred vision, Dry mouth, Dilated pupils, Cough, Confusion

Question 13

(Ipratropium/ Atrovent) route
Adult Dose:
Pediatric Dose:

Answer 13

= w/ SVN albuterol
= 500 mcg/2.5 mL
=250-500mcg/1.25-2.5 m

Question 14

(Magnesium Sulfate) Pharmacodynamics
Indications:
Contraindications

Answer 14

= Organic Salt act as physiologic Ca channel blocker thus Bronchodilator
= Bronchial asthma, Torsades des pointes, Eclampsia
= High-degree HB, Shock, Dialysis, Hypocalcemia, V-Fib/pulseless VTach

Question 15

(Magnesium Sulfate) Adverse Effects:

Answer 15

= Flushing, Sweating, Bradycardia, Resp/ depression, Hypothermia

Question 16

(Magnesium Sulfate) Adult Dose for Bronchodilation:
Pediatric Dose for Bronchodilation:

Answer 16

= 1-2 grams IV/IO over 10-20 minutes (Infusion)
= 25-50 mg/kg IV/IO (max of 2 grams) over 15-30 mins (Infusion)

Question 17

(Solu-Medrol): Class:
Will/med:

Answer 17

= Synthetic glucocorticoid Anti-inflammatory
= Suppresses immune response

Question 18

(Solu-Medrol) Indications:
Contraindications :

Answer 18

= (same as Dexy) Bronchial asthma, COPD, Anaphylaxis
= Known hypersensitivity to medication

Question 19

(Solu-Medrol) Adult Dose:
Pediatric Dose:
Adverse Effects:

Answer 19

= 125-250 mg IV/IO
= 2 mg/kg IV/IO to a max of 60 mg
= Increases BGL , Effects delayed & usually not seen prehospital care

Question 20

(Dexamethasone) Class:
Class/med Will:

Answer 20

= Synthetic glucocorticoid Anti-inflammatory
= Suppresses immune response

Question 21

(Dexamethasone) Indi:
Contra:

Answer 21

= Bronchial asthma, COPD, Anaphylaxis
= Known hypersensitivity, (Relative) Known fungal infection

Question 22

(Dexamethasone) Adult Dose:
Pediatric Dose:
Effects:

Answer 22

= 10 mg IV/IO/PO “better>sol-med”
= 0.5 mg/kg (max of 10 mg IV/IO/PO)
= Fluid retention (Peripheral edema) & May delay wound healing & small Increase in BGL (careful w/ diabetics)