Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Paramedic > AMR South County Meds > Flashcards

AMR South County Meds Flashcards

You may prefer our related Brainscape-certified flashcards:
NREMT® EMT flashcards NREMT® Paramedic flashcards
1
Q

Fentanyl Dose

A

Adult: IV/IO/IM 1mcg/kg over 1min max 100
Max total 200 mcg may repeat after 5min
Ped: <14 yo
1mcg/kg over 1min
Max total: 4 dose or 200 mcg repeat after 5 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Fentanyl Indications

A

PAIN
SBP > 100
Unimpaired respirations
GCS normal for baseline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Fentanyl Contraindications

A

Hypersensitivity
Hypotension shock
Respiratory depression or hypoxia
Pathology or injury impairing respiration
Base contact for: serious head chest or ABD trauma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Fentanyl Mechanism

A

Opioid analgesic
Binds to opiate receptor sites producing analgesia and euphoria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Ketamine Dose

A

Adult: IV/IO 0.3 mg/kg in 100 ml over 5 min
Max dose 30 mg. May repeat in 10 minutes
Pediatric: IV/IO 0.3 mg/kg in 100ml over 5 min
Max dose: 10 mg. May repeat in 10 min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ketamine Indications

A

PAIN
Refractory to fentanyl or when fentanyl is contraindication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ketamine Contraindication

A

GCS< 14
Suspected or confirmed pregnancy
Suspected ACS
Known allergy or anaphylaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Ketamine Mechanism

A

Blocks pain receptors and minimizes spinal cord activity, affects the association pathways of the brain between the thalamus and limbic system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Epinephrine Dose (Anaphalaxis)

A

Adult: IM 0.5 mg every 5 min x2
Pediatric: IM 0.01 mg/kg every 5min x2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Epinephrine Dose (Severe Upper or Lower Obstruction)

A

Adult: IM 0.3 mg
Pediatric: IM 0.01 mg/kg Max 0.3 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Epinephrine Dose (Cardiac Arrest)

A

Adult: IV/IO 1mg (10 mL) every 3-5min
Pediatric: IV/IO 0.01mg/kg every 3-5min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Epinephrine (Bradycardic Pediatric)

A

IV/IO 0.01 mg/kg (1:10,000) every 3-5min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Epinephrine Indications

A

Anaphylaxis
Cardiac Arrest
Bradycardia
Severe upper or lower airway obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Epinephrine Contraindications

A

None in Cardiac Arrest or Anaphylaxis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Epinephrine Mechanism

A

Alpha and beta agonist
Beta 1 inotrope, dromotrope, chronotrope
Beta 2 bronchial smooth muscle relaxation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Push Dose Epinephrine Dose

A

Adult: IV/IO 10 mcg (1mL) every 3 min-titrate to SBP >90
Pediatric: IV/IO 1 mcg/kg max 10 mcg every 3 min- titrate to appropriate pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Push Dose Epinephrine Indications

A

Unstable Anaphylaxis
Severe hypotension with signs of shock
Septic shock
Unstable bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Push Dose Epinephrine Contraindications

A

Sodium Bicarbonate in same access

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Albuterol Dose

A

Adult: 5mg via nebulizer repeat as needed
Pediatric (under 3) : 2.5 mg via nebulizer repeat as needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Albuterol Indications

A

Anaphylaxis with wheezing
Shortness of breath
Lower airway obstruction
Upper airway obstruction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Albuterol Contraindication

A

Known hypersensitivity
Tachydisrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Albuterol Mechanism

A

Beta 2 agonist that stimulates the sympathetic nervous system, smooth muscle relaxation in the bronchial tree and peripheral vasculature

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Benadryl Dose

A

Adult: IM 50 mg
Pediatric: IM 1mg/kg (max 50 mg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Benadryl Indications

A

Allergic Reaction (less severe)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Benadryl Contraindications

A

Hypersensitivity
Acute asthma attack
Lower respiratory tract disease
Newborns and nursing mothers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Benadryl Mechanism

A

Blocks H1 histamine receptors in the respiratory tract, blood vessels, and GI smooth muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Midazolam Dose

A

Adult: IM-10 mg
IV- 2 mg repeat every 1 min to max of 10
Pediatric: IM- 0.1 mg/kg max of 5mg
IV-0.1 mg/kg max single dose of 2 mg max total dose of 5 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Midazolam Indications

A

Seizures > 5 min
Repeated seizures w/o regaining consciousness
Excited Delirium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Midazolam Contraindications

A

Hypersensitivity
Shock
Coma
Closed angle glaucoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Midazolam Mechanism

A

Reversible interacts with GABA receptors in the CNS, causing sedative, amnesic, and hypnotic effects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Glucagon Dose

A

Adult: IM 1 mg
Pediatric: IM 0.1 mg/kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Glucagon Indications

A

No IV Access
Blood glucose less than 60
Calcium channel blocker and beta blocker OD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Glucagon Contraindications

A

Ineffective w/o glycogen stores

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Glucagon Mechanism

A

Increases blood glucose by stimulating glycogenolysis, stabilizes cardiac rhythm with beta blocker overdoses

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

D10 Dose

A

Adult: IV/IO 25G (250 ml)
Pediatric: IV/IO 0.5g/kg (5ml/kg)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

D10 Indications

A

BG less than 60 and unable to swallow safely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

D10 Contraindications

A

Intracranial hemorrhage, closed head injuries

38
Q

D10 Mechanism

A

Rapidly increases serum glucose levels

39
Q

Amiodarone Dose (Cardiac Arrest)

A

Adult: IV/IO 300mg first dose, 150 mg second dose
Pediatric: IV/IO 5 mg/kg first dose, 2.5 mg/kg second dose

40
Q

Amiodarone Dose (Wide Complex Tachycardia)

A

Adult: IV/IO 150 mg in 100ml over 10 minutes
Pediatrics: IV/IO 2.5 mg/kg in 100ml over 10 minutes

41
Q

Amiodarone Indications

A

Persistent VF or VT in cardiac arrest
Stable VT with pulses

42
Q

Amiodarone Contraindications

A

Pulmonary congestion, cardiogenic shock, hypersensitivity, bradycardia, long QT, TCS overdose

43
Q

Amiodarone Mechanism

A

Blocks sodium and potassium channels prolonging action potential and repolarization. Decreases AV conduction and SA node function

44
Q

Calcium Chloride Dose

A

Adult: IV/IO 1 gm over 1 min repeat x1 in 10 minutes
Pediatric: IV/IO 20mg/kg over 1 min

45
Q

Calcium Chloride Indications

A

Suspected Renal Failure
Crush Syndrome
Calcium Channel Blocker OD

46
Q

Calcium Chloride Contraindications

A

Hypercalcemia
Vfib
Digitalis Toxicity

47
Q

Calcium Chloride Mechanism

A

Increases cardiac contractile state. Positive inotropic enhances ventricular automaticity

48
Q

Sodium Bicarbonate Dose

A

Adult and Pediatric: IV/IO 1mEq/kg repeat 0.5mEq/kg every 5 min

49
Q

SodiumBicarbonate Indications

A

TCA overdose
CA w/ suspected renal failure
Bradycardia w/ suspected renal failure
Crush injury

50
Q

Sodium Bicarbonate Contraindications

A

None when indicated

51
Q

Sodium Bicarbonate Mechanism

A

In the presence of hydrogen ions, sodium bicarbonate dissociates to sodium and carbonic acid, the carbonic acid picks up a hydrogen ion changing to bicarbonate and then dissociates into water and CO2, functioning as an effective buffer and alkalinizing the blood. In summary, increases plasma bicarbonate, which can buffer metabolic acids and move TCAs and phenobarbital off receptor sites and back into circulation

52
Q

Magnesium Sulfate Dose

A

Adult: IV/IO 2 g in 100mL over 5 minutes

53
Q

Magnesium Sulfate Indications

A

3rd Trimester Pregnancy & No Known Seizure History with either signs and symptoms of eclampsia or active seizures
Torsades de Pointes with pulse

54
Q

Magnesium Sulfate Contraindications

A

Hypermagnesemia, Heart block, MI

55
Q

Magnesium Sulfate Mechanism

A

reduces striated muscle contractions and blocks peripheral neuromuscular transmission by reducing Ach release at the myoneural junction.

56
Q

Aspirin Dose

A

Adult: 324 mg

57
Q

Aspirin Indications

A

Chest pain suggestive of MI

58
Q

Aspirin Contraindications

A

Asthma, allergy to ASA, peptic under disease, head injury/bleeding

59
Q

Aspirin Mechanism

A

Prevents platelet aggregation

60
Q

Nitro Dose

A

0.4 mg every 4 min for continued pain

61
Q

Nitro indication

A

Chest pain/angina
Acute pulmonary edema w/hypertension

62
Q

Nitro contraindication

A

Inferior STEMI
SBP<100
Pulmonary HT/ED drugs within last 24 hours
Allergies to nitrates
Hympvolemia,
Head injury
ICP

63
Q

Nitro Mechanism

A

smooth muscle relaxant acting on vasculature, smooth muscle dilation of arterioles and veins. reduces preload and afterload decreasing workload of the heart and therefore myocardial oxygen demand.

64
Q

Atropine Dose

A

Adult: Bradycardia-0.5 mg
Nerve gas poisoning- 2 mg

65
Q

Atropine Indications

A

Symptomatic Bradycardias, nerve agent poisoning
organophosphate poison

66
Q

Atropine Contraindications

A

None in emergency setting

67
Q

Atropine Mechanism

A

inhibits ach at parasympathetic neuroeffector sites increases heart rate,

68
Q

Adenosine Dose

A

Adult: IV/IO 6mg, 12 mg, 12 mg
Pediatric: IV/IO 0.1 mg/kg, 0.2mg/kg, 0.2mg/kg

69
Q

Adenosine Indications

A

SVT 160+ bpm

70
Q

Adenosine Contraindications

A

23 Sick
Hypersensitivity

71
Q

Adenosine Mechanism

A

Acts directly on the sinus pacemaker cells and vagal nerve terminals.slows conduction through AV node. blocks reentry into AV node.

72
Q

Zofran Dose

A

ADULT:
PO – 4mg ODT May repeat x 1 in 10 min
IV/IO/IM – 4mg May repeat x 1 in 10 min
PEDIATRIC: > 4 yo
PO – 4mg
IV/IO/IM – 4mg

73
Q

Zofran Indications

A

Moderate to severe nausea and vomiting

74
Q

Zofran Contraindiactions

A

Hypersensitivity, Prolonged QT interval, Concurrent use of Apomorphine (apokyn) an anti-parkasonian drug.

75
Q

Zofran Mechanism

A

blocks serotonin a natural substance that causes nausea and vomiting

76
Q

Naloxone Dose

A

IV/IO – 0.4mg every 1 min Total max 8mg PRN to 12 resp/min
IN/IM: 2mg
Pediatric
IV/IM/IO – 0.1mg/kg every 1 min Total max 8mg PRN to 12 resp/min

77
Q

Naloxone Indications

A

Complete or partial reversal of depression caused by narcotics or synthetic narcotics, Coma of unknown etiology.

78
Q

Naloxone Contraindications

A

Known hypersensitivity

79
Q

Naloxone Mechanism

A

competitive inhibition at narcotic receptor sites. reverses respiratory depression due to opiate use.

80
Q

Charcoal Dose

A

Adult/Pediatric: 1g/kg. Adult max 50 g
Pediatric max 25 g

81
Q

Charcoal Indications

A

Oral ingestion within 1 hour, awake and gag reflex present

82
Q

Charcoal Contraindications

A

Should not be used in treatment for poisonings of cyanide, mineral acids, caustic substances, ethanol or methanol

83
Q

Charcoal Mechanism

A

Absorbs and neutralizes poison at the stomach

84
Q

TXA Dose

A

1 gram in 100 mL normal saline IV/IO infused over >10 min

85
Q

TXA indications

A

Blunt or penetrating traumatic injury with SBP <= 90
Significant blood loss with ongoing bleeding not
controlled by direct pressure, hemostatic agents, or tourniquet application

86
Q

TXA Contraindications

A

Patients less than 15 years of age, 3 hours post injury, Isolated head injury, Isolated spinal shock
Isolated extremity hemorrhage controlled
active stroke, myocardial infarction, PE
Hypersensitivity to TXA, traumatic arrest with >5 min of CPR w/o ROSC, Drowning or hanging victims

87
Q

TXA Mechanism

A

reduces plasminogen activation mitigating conversion to plasmin.

88
Q

Lidocaine Dose

A

0.5mg/kg (max of 40mg) slow IVP over 60 seconds

89
Q

Lidocaine Indications

A

IO on a conscious patient prior to fluids

90
Q

Lidocaine Contraindications

A

None

91
Q

Lidocaine Mechanism

A

slows rate of depolarization. inhibits transport ions across neuron, blocking conduction of normal nerve impulses..

Paramedic (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions