allergic/steroids Flashcards

1
Q
name/class 
epinephrine
A

adrenaline

sympathomimetic

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2
Q
name/class
adrenaline
A

epinephrine

sympathomimetic

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3
Q

description
epinephrine
adrenaline

A

epinephrine is a naturally occuring catecholamine that increases heart rate cardiac contractile force, myocardial electrical activity, systemic vascular resistance and systolic blood pressure and decreases overall airway resistance and automaticity. it also through bronchial artery constriction may reduce pulmonary conjestion and increase tidal volume and vital capacity

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4
Q

indications
epinephrine
adrenaline

A

to restore rhythm in cardiac arrest and severe allergic reactions

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5
Q

contraindications
epinephrine
adrenaline

A

narrow angle glaucoma, hemorrhagic traumatic or cardiac shock

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6
Q

cardiac arrest dosage/route
epinephrine
adrenaline

A

1mg of 1:10000 IV/3-5 min (ET 2-2.5 mg 1:1000)

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7
Q

pedi cardiac arrest dosage/route
epinephrine
adrenaline

A

0.01 mg/kg 1:10000 IV/IO (ET 0.1 mg/kg 1:1000) all subsequent doses 0.1 mg/kg IV/IO no max

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8
Q

bradycardia dosage/route
epinephrine
adrenaline

A

2-5 mcg/min IV drip mix 1mg/250cc

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9
Q

allergic reaction dosage/route
epinephrine
adrenaline

A

0.3-0.5 mg of 1:1000 IM/5-10 min as needed or 0.5 to 1 mg of 1:10000 IV if im dose ineffective or severe reaction consider IV drip 2-10 mcg/min if severe

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10
Q

pedi allergic reaction dosage/route
epinephrine
adrenaline

A

0.01 mg/kg(max0.5) of 1:1000 IM/ 10-15 min or 0.01 mg/kg of 1:10000 IV if IM dose ineffective or severe

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11
Q

Asthma COPD dosage/route
epinephrine
adrenaline

A

0.01 mg/kg to max of 0.3mg 1-1000SQ

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12
Q
name/class
diphenhydramine
A

benadryl

antihistamine

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13
Q
name/class
benydryl
A

diphenhydramine

antihistamine

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14
Q

description
dipenhydramine
benadryl

A

dipenhydramine blocks histamine release there by reducing bronchoconstriction, vasodilation and edema

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15
Q

indications
diphenhydramine
benadryl

A

anaphylaxis, allergic reactions and dystonic reactions

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16
Q

contraindictions
diphenhydramine
benadryl

A

asthma and lower respiratory disease

17
Q

precautions
diphenhydramine
benadryl

A

may induce hypotension, headache, palpitations, tachycardia, edation, drowsiness, and or disturbed coordination

18
Q

dosage/route
diphenhydramine
benadryl

A

25-50mg IV/IM

19
Q

pedi dosage/route
diphenhydramine
benadryl

20
Q
name/class
dexamethasone
A

decadron

steroid

21
Q
name/class
decadron
A

dexamethasone

steroid

22
Q

description
dexamethasone
decadron

A

dexamethasone is a long-acting synthetic adrenocorticoid with intense anti inflammetory activity. It prevents the accumulation of inflammation generating cells at the sites of infection or injury

23
Q

indications
dexamethasone
decadron

A

anaphylaxis, asthma, COPD, spinial cord edema

24
Q

contraindictions
dexamethasone
decadron

A

no absolute contraindictions in the emergency setting, Relative contraindictions: systemic fungal infections, acute infections, tuberculosis, varicella. or vaccinia or live virus vaccinations

25
precautions dexamethasone decadron
herpes simplex, keratitis, myasthenia gravis, hepatic or renal impairment, diabetes, CHF, seizures, psychic disorders, hypothyroidism and GI ulceration
26
dose/route dexamethasone decadron
4-24 mg IV/IM
27
pedi dose/route dexamethasone decadron
0.5-1 mg/kg
28
``` name/class methylprednisolone ```
solu-medrol | corticosteroid, anti inflammatory
29
``` name/class solu-medrol ```
methylprednisolone | corticosteroid, anti inflammatory
30
description Methylprednisolone solu-medrol
methylprednisolone is a synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. it is sometimes used in the treatment of spinial cord injury
31
indications Methylprednisolone solu-medrol
spinial cord injury, asthma, severe anaphylaxis, COPD
32
contraindictions Methylprednisolone solu-medrol
no major contraindictions in the emergency setting
33
precautions Methylprednisolone solu-medrol
only a single dose should be given pre hospital
34
asthma COPD Anaphylaxis dose/route Methylprednisolone solu-medrol
125-250 mg IV/IM
35
pedi dose/route Methylprednisolone solu-medrol
1-2 mg/kg IV over 15 min
36
spinial cord injury
30mg/kg IV over 15 min