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PARAMEDIC SCHOOL > BLOCK 5: PHARM DRUGS > Flashcards

BLOCK 5: PHARM DRUGS Flashcards

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1
Q

lidocaine drip
-how to mix
-concentration
-run

A

1gram of lido into 250mL bag
concentration: 4mg/mL
ran: 1-4mg/min (dependent on what was given during resuscitation)

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2
Q

dopamine drip
-how to mix
-concentration
-run

A

200mg of dope in 250mL bag (conc: 800mcg/mL)
400mg of dope in 250mL bag (conc: 1600mcg/mL)
ran: 1-20mcg/kg/min
1-5mcg/kg/min: renal dose
5-10mcg/kg/min: cardiac dose
11-20mcg/kg/min: alpha dose

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3
Q

epinephrine drip
-how to mix
-concentration
-run

A

1mg of 1:1000 epi in 250mL bag
concentration: 4mcg/mL
ran: 2mcg/min (may increase by 2mcg up to 10mcg/min maximum)

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4
Q

norepinephrine
-how to mix
-concentration
-run

A

4mg of levophed in 250mL of D5W
concentration: 16mcg/mL
ran: 1-30mcg/min titrated to BP of >80 systolic

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5
Q

Acetaminophen

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: analgesic, antipyretic

actions: inhibits prostaglandins

indications: mild/moderate pain and fever

contraindications: liver disease

side effects: liver injury in high dose/OD esp. in malnourished

routes of admin and dose:
Adult - PO 500-1000mg every 6hrs (max 4000mg)
Peds - PO 10-15mg/kg every 6hrs (max 50mg/kg in 24hrs)

specific interactions: transport time should be greater than 30 mins

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6
Q

Adenosine

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: antidysrhythmic

actions: slow conduction through AV node

indications: symptomatic stable supraventricular tachycardia

contraindications: (absolute) 2nd or 3rd degree blocks, wide complex tachycardia (relative) heart transplant, asthma

side effects: flushing dyspnea, chest pressure, sense of impending doom, bradycardia, complete heart block

routes of admin administration:
Adult: 6mg rapid IV/IO followed by 10-20cc flush, second dose 12mg rapid IV/IO followed by 10-20cc flush
Peds - 0.1mg/kg (max of 6mg) rapid IV/IO - second dose 0.2mg/kg (max of 12mg) rapid IV/IO

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7
Q

Albuterol

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: beta agonist, bronchodilator

actions: smooth muscle relaxation, shifts potassium from blood into cells

indications: bronchospasm (wheezing) and hyperkalemia

contraindications: preexisting or suspected cardiac disease (CHF), tachycardia, hypokalemia

side effects: angina, chest discomfort, hypertension, tachycardia, palpitations, anxiety, tremor, hypokalemia, hyperglycemia

routes of admin and dose:
Adult - 2.5-5mg nebulized every 15-20mins
Peds - 0.15mg/kg nebulized every 15-20mins

specific interactions: often combined with ipratropium, levalbuterol has less side effects

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8
Q

Amiodarone

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: antidysrhythmic

actions: beta-blocker and calcium channel block like effects on SA and AV nodes, increases refractory period, slows cardiac conduction

indications: pulseless VF/VT refractory to defibrillation, sustained unstable VT with pulseless refractory to cardioversion, stable symptomatic VT, Afib with RVR

contraindications: CHF

side effects: hypotension, bradycardia, CHF, cardiac arrest

routes of admin and dose:
Adult -
(pulseless VF/VT) initial 300mg IV/IO, second 150mg
(dysrhythmias w/ pulse) 150mg over 10mins, followed by 1mg/min

Peds -
(pulseless VF/VT) 5mg/kg (up to 300mg) IV/IO, repeat once
(dysrhythmias w/ pulse) 5mg/kg over 20-60mins

specific interactions: any drug that lengthens QT including antidysrhythmics and TCAs, any drugs that affect SA and AV nodes like beta-blockers, digoxin, calcium channel blockers

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9
Q

Aspirin (ASA)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: analgesic, anti-pyretic, anti-platelet anti-coagulant, NSAID

actions: inhibits prostaglandin synthesis for anti-inflammatory and anti-pyretic effect, inhibits platelet aggregation via thromboxane for anti-coagulation effect

indications: known or suspected acute coronary syndrome, TIA/CVA post negative CT of head, prevention of clots in Afib, prolonged immobilization, Kawasaki’s disease

contraindications: (absolute) active bleed (relative) pediatric viral syndrome and chicken pox due to Reye’s syndrome

side effects: gastric irritation/bleeding, increased bleeding, tinnitus in OD situations, Reye’s syndrome (liver failure and brain damage following infection where aspirin was used to treat symptoms)

routes of admin and dose:
Adult - 160-325mg PO
Peds - 3-5mg/kg per day to 5-10mg/kg per day as a single dose

specific interactions: contact MCEP before administering to patients with history of bleeding disorder or on anticoagulants

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10
Q

Atropine Sulfate

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: anti-cholinergic/ anti-muscarinic

actions: blocks parasympathetic receptors resulting in increased heart rate, decreased smooth muscle activity reducing effects of SLUDGE

indications: symptomatic bradycardia (HR<50 and SBP <90), organophosphate toxicity

contraindications: high degree AV blocks, GI obstruction

side effects: tachycardia, palpitations, hypertension, increased thirst, nervousness, weakness

routes of admin and dose:
Adult -
(symptomatic bradycardia) 1mg IV/IO every 5mins up to 3mg
(organophosphate toxicity) 2mg IV/IO every 3-5mins or 2mg IM every 5-10 mins until symptoms stop
Peds -
(symptomatic bradycardia) 0.02mg/kg IV/IO every 5mins to total dose of 1mg
(organophosphate toxicity) 0.04mg IV/IO (max dose of 2mg) every 3-5 mins or 0.04mg/kg IM (max dose of 2mg) every 5-10 mins

specific interactions: can potentiate anti-cholinergic effects

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11
Q

Calcium Chloride and Calcium Gluconate

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: electrolyte

actions: counters hyperkalemia toxicity by stabilizing cell membrane of cardiac cells, replaces calcium in hypocalcemia, competes with calcium channel blockers

indications: calcium channel blocker OD, magnesium sulfate OD, hypocalcemia, hyperkalemia, hydrofluoric acid exposure

contraindications: hypercalcemia, digitalis toxicity

side effects: tissue necrosis, bradycardia/hypotension with rapid administration

routes of admin and dose:
Adult - 500-1,000mg slow IV/IO 1-1.5mL/min (max dose of 3g)
Peds - 50-100mg/kg slow IV/IO over 5-10mins (max dose of 3g)

specific interactions: may increase digitalis toxicity, gluconate has 1/3 as much calcium per volume as chloride

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12
Q

Dexamethasone (Decadron)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: corticosteroid

actions: anti-inflammatory

indications: allergic creation, croup, asthma, suspected steroid responsive COPD

contraindications: hyperglycemia, hypothyroidism, thromboembolic disorders, active infection

side effects: headache, hallucinations, nervousness, seizures, fluid retention

routes of admin and dose:
Adult - 4-10mg IV/IO/IM/oral
Peds - 0.15-1mg/kg IV/IO/Oral (0.6mg/kg most common dose)

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13
Q

Dextrose (D5, D10, D24, D50)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: concentrated sugar

actions: raises available blood glucose levels

indications: hypoglycemia, hyperkalemia

contraindications: (relative) CVA, acute head trauma

side effects: tissue necrosis if extravasation occurs, hyperglycemia, hypokalemia

routes of admin and dose:
Adult - 25g (D25 or D10) PO, IV
Peds - 0.5g/kg (D25 or D10) PO, IV
Neonates - 0.5 (D25 or D10) g/kg IV

specific interactions: consider dilution if given in small vein

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14
Q

Diazepam (valium)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: benzodiazepine, sedative, anti-convulsant, anxiolytic

actions: stimulation of GABA which inhibits CNS

indications: anxiety, procedural sedation, seizures, alcohol withdrawal, chemical restraint, muscle spasms

contraindications: hypotension, sedation/intoxication, acute glaucoma

side effects: respiratory depression, hypotension, sedation, amnesia

routes of admin and dose:
Adult - 2-10mg IV/deep IM (only IM injectable version)
Peds - 0.2-0.5mg/kg given slow over 3-5mins IV/deep IM

specific interactions: potentiation of other CNS depressants

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15
Q

Diltiazam (Cardizem)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: calcium channel blocker

actions: slows conduction through AV node

indications: Afib with RVR

contraindications: AV blocks, hypotension, wide complex tachycardia, WPW, heart failure

side effects: flushing, headache, bradycardia, hypotension

routes of admin and dose:
Adult - 0.25mg/kg IV/IO slow over 2mins (20mg common dose), second dose 0.35mg/kg slow push over 2mins (25mg common second dose) 5-15mg/hr infusion
Peds - not recommended

specific interactions: used to target HR 80-100bpm, additive response with beta blockers

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16
Q

Diphenhydramine (Benedryl)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: anti-histamine, anti-cholinergic

actions: binds to and blocks H1 receptors, binds to and blocks muscarinic acetylcholine receptors

indications: symptomatic allergic reactions, extrapyramidal reactions (acute or prophylaxis), motion sickness

contraindications: (relative) asthma, prostate hypertrophy, narrow-angle glaucoma, less than 3months old, elderly

side effects: sedation, dry mouth, blurred vision, paradoxical CNS excitement (kids), thickening of bronchial secretions, tachycardia, dysrhythmias, urinary retention

routes of admin and dose:
Adult - 25-50mg PO, IM, IV/IO slow push
Peds - 1mg/kg IM, IV/IO slow push (max 25mg)

specific interactions: no immediate benefit in severe allergic reactions, may potentiate other sedating medications

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17
Q

Dopamine (Intropin)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: adrenergic agonist, Vasopressor, inotropic

actions: stimulates alpha and beta receptor sites depending on dose (beta for 2-10mcg/kg/min and alpha for 10-20mcg/kg/min)

indications: cardiogenic shock, septic shock, refractory bradycardia

contraindications: (relative) ventricular rhythms, tachycardia, hypovolemia, ACS

side effects: tachycardia, tachydysrhythmias, hypertension, cardiac ischemia, vomiting, skin necrosis

routes of admin and dose:
Adult - 2-20mcg/kg/min IV/IO
Peds - same as adult dose

specific interactions: half life is 2mins

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18
Q

Epinephrine (1:1000 and 1:10,000)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: adrenergic agent, inotropic

actions: potent alpha and beta agonist

indications: asthma, allergic reaction, hypotension, cardiac arrest, pediatric bradycardia, croup (inhaled), upper airway swelling (inhaled)

contraindications: (relative) hypertension, HX of coronary artery disease or stroke, over 65y/o, chest pain, glaucoma, pregnancy, hypersensitivity to sulfites

side effects: hypertension, angina/MI, stroke, tachycardia/palpitations, anxiety/restlessness

routes of admin and dose:
Adult -
anaphylaxis/severe asthma/hypotension: push dose: 0.3-0.5mg 1:1000 SC/IM every 5-10mins drip: 5-20mcg/min
cardiac arrest: 1mg 1:10,000 IV/IO every 3-5mins
inhaled: 0.05mg/kg of 1:1000 in 3mL up to 3mg
Peds -
anaphylaxis/severe asthma/hypotension: 0.01mg/kg 1:1000 SC/IM every 5-10mins
cardiac arrest: 0.01mg/kg 1:10,000 every 3-5mins

specific interactions: may potentiate other alpha and beta agonist meds

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19
Q

Fentanyl Citrate (Sublimaze)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: synthetic opioid analgesic

actions: binds to opioid receptor sites producing analgesia and euphoria

indications: pain

contraindications: TBI, respiratory depression

side effects: respiratory depression, apnea, dizziness, euphoria, nausea, vomiting, hypotension

routes of admin and dose:
Adult - 25-100mcg IV/IO, IM, SQ, IN slow push (1-2mins) max dose 200mcg
Peds - 1-2mcg/kg IV/IO, IM, SQ slow push (1-2mins)

specific interactions: may potentiate other CNS depressants and narcotics, lasts 15-20mins

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20
Q

Glucagon

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: endogenous hormone

actions: stimulates liver to release glycogen stores and helps convert glycogen to glucose

indications: hypoglycemia when IV cannot be obtained, beta blocker OD, anaphylaxis in patients on beta blockers

contraindications: pheochromocytoma, insulinoma, (relative) hyperglycemia, altered mental status

side effects: hyperglycemia, nausea, vomiting, hypertension, sinus tachycardia

routes of admin and dose:
Adult -
hypoglycemia: 1mg IV/IO, IM, SQ
beta blocker OD and anaphylaxis on beta blockers: 2-10mg IV/IO slow push (1minute) second dose 10mg IV/IO slow push or IV infusion of 2-5mg/hr if bradycardic or hypotensive

Peds -
hypoglycemia: <44lbs (20kgs) 0.5mg IM, SQ, IV/IO
beta blocker OD and anaphylaxis: <44lbs (20kgs) 0.5mg IV/IO

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21
Q

Hydroxocobalamin (Cyanokit)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: cyanide antidote

actions: binds to cyanide ion to be excreted in urine

indications: suspected cyanide poisoning

contraindications: (relative) hypertension

side effects: hypertension, nausea, red skin

routes of admin and dose:
Adult - 5g IV/IO over 15-30mins
Peds - 70mg/kg up to 5g IV/IO over 15-30mins

specific interactions: needs to be temperature controlled

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22
Q

Ibuprofen (Motrin, Advil)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: NSAID

actions: prostaglandin inhibitors

indications: mild to moderate pain, fever, inflammatory conditions (arthritis)

contraindications: hypersensitivity to salicylates (relative) asthma, hepatic/renal disease, CHF, hypertension, cardiac disease, cardiac arrythmias, coronary artery disease

side effects: anorexia, nausea, vomiting, epigastric/abdominal pain, dyspepsia, constipation, diarrhea, gastritis, melena

routes of admin and dose:
Adult - 250mL IV over 30mins as needed, 200-600mg oral every 4-6hrs
Peds - 1-2mL/kg IV over 30 mins as needed, 10mg/kg oral (not to exceed adult dose) every 4-6hrs

specific interactions: monitor serum sodium levels after 500mL

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23
Q

Ipratropium (Atrovent)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: bronchodilator, anti-cholinergic

actions: antagonizes acetylcholine receptors on bronchial smooth muscle producing bronchial dilation

indications: bronchospasms due to asthma or COPD

contraindications: peanut and soy sensitivity (relative) glaucoma, prostate hypertrophy, atropine or atropine derivatives

side effects: tachycardia/palpitations, paradoxical acute bronchospasm, cough, dizziness, headache

routes of admin and dose:
Adult - 0.25-0.5mg nebulized every 20mins max of 2 doses
Peds - 250-500mcg every 20 mins max of 3 doses (none under 2y/o)

specific interactions: given with albuterol

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24
Q

Ketamine (Ketalar)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: general anesthetic, PCP derivative, sedative, analgesic

actions: produces a state of anesthesia while maintaining airway reflexes, HR, and BP

indications: RSI induction, awake intubation, sedation and analgesia of intubated hypotensive or asthmatic patient, chemical restraint, moderate to severe pain (low dose) in opioid tolerant patients

contraindications: <3 months old (relative) < 6 months old, suspected ICP elevation, hypertension, tachycardia, coronary artery disease, pregnancy, psychosis

side effects: sedation, dysphoria/hallucinations, laryngospasm, increased oral secretions, emergence phenomenon, vomiting, hypertension, sinus tachycardia

routes of admin and dose:
Adult -
RSI induction: 1.5mg/kg IV
sedation (intubated): 0.5mg/kg every 10-20mins
chemical restraint: 2mg IV or 5mg/kg IM
pain: 0.1-0.3mg/kg IV slow push
procedural sedation: 1-1.5mg/kg IV or 4-5mg/kg IM
Peds -
0.5-2mg’kg IV/IO, 4-5 mg/kg IM
specific interactions: may potentiate other CNS meds

25
Q

Acetazolamide

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: diuretic

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

26
Q

Acetic Acid

what is it and what is it used for

A

vinegar

pour it on non-United States jellyfish stings

27
Q

Acetylcysteine

class:
actions:
indications:
contraindications:
side effects:

A

class: acetaminophen antidote

actions: binds with acetaminophen in liver

indications: acetaminophen OD

contraindications: renal failure/insufficiency

side effects: anaphylactic reactions (urticaria, flushing, rash, angioedema, nausea
/vomiting)

28
Q

Activated Charcoal

class:
actions:
indications:
contraindications:
side effects:
dose:

A

class: antidote

actions: binds and inactivates toxins in GI tract for excretion

indications: oral poisonings and med OD’s in alert patient

contraindications: unprotected airway, intestinal obstruction, ingestion of heavy metals, acids, alcohols

side effects:
emesis, constipation, black stools, diarrhea

dose: 25-100grams PO

29
Q

Amyl Nitrite

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: antidote for cyanide toxicity

actions: stimulates production of methemoglobin to bind to cyanide for removal

indications: suspected cyanide toxicity

contraindications: none (relative) can cause hypotension

side effects: hypotension

routes of admin and dose:
Adult - one ampule inhaled thru nebulizer
Peds - same as adult

30
Q

Dobutamine

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: adrenergic agent, inotropic

actions: beta 1 agonist

indications: CHF, cardiogenic shock

contraindications: none (relative) tachycardia, hypotension, hypovolemia, ROSC patient

side effects: tachycardia, hypertension, hypotension, PVCs

routes of admin and dose:
Adult: 0.5-1mcg/kg/min IV/IO, maintenance dose: 2-20mcg/kg/min IV/IO
Peds - same as adults

31
Q

Droperidol

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: antipsychotic, antiemetic

actions: dopamine antagonist

indications: chemical restraint, psychosis, excited delirium, nausea/vomiting, migraine

contraindications: (relative) prolonged QT, AMS, hypotension, seizure disorder, Parkinson’s

side effects: sedation, hypotension, Torsades de Pointes, dystonia

routes of admin and dose:
Adult -
chemical restraint: 5-10mg IM every 15mins as needed or 2.5-5mg IV every 5 mins as needed
nausea/headache: 1.25-2.5mg IV
Peds - N/A

32
Q

Famotidine

class:
actions:
indications:
contraindications:
routes of admin and dose:

A

class: histamine H2 antagonist

actions: blocks H2 receptors of gastric parietal cells to inhibit gastric secretions

indications: management of gastric ulcers, after anaphylaxis has been stabilized

contraindications: none

routes of admin and dose:
Adult - 5mg tablet PO
Peds -

33
Q

Hydralazine

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: antihypertensive

actions: vasodilator

indications: hypertension (esp. during pregnancy - gestational) and pre-eclampsia

contraindications: hypotension

side effects: hypotension, palpitations

dose: adult - 5mg IV, repeat after 20 mins if needed
peds: N/A

34
Q

Hydrocortisone

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: corticosteroid

actions: anti-inflammatory, immunosuppressive with salt-retaining actions

indications: shock with history of adrenal insufficiency, anaphylaxis, COPD, asthma

contraindications: fungal infection

side effects: headache, vertigo, hypertension

routes of admin and dose:
Adult - 2mg/kg IV/IM (100mg max)
Peds - N/A

specific interactions: lasts 8-12hrs, increases chance of GI bleed/ulcers in combination with other NSAIDs

35
Q

Hydromorphone (Dilaudid)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: opioid agonist

actions: stimulates Mu receptors

indications: moderate-severe pain

contraindications: head/abdominal injury (relative) respiratory depression, hypotension, multi-systems trauma w/ blood loss

side effects: respiratory depression, hypotension, bradycardia, nausea/vomiting, sedation

routes of admin and dose:
Adult - 0.5-1mg IV/IO slow push
Peds -

specific interactions: 8x stronger than morphine

36
Q

Isopropyl Alcohol uses

A

antiemetic (constant sniffing to reduce nausea)

37
Q

Metoclopramide (Reglan)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:

A

class: antiemetic

actions: blocks dopamine and serotonin receptors, increases GI motility and lower esophageal sphincter tone

indications: nausea, vomiting

contraindications: prolonged QT, GI obstruction/bleed/perforation

side effects: akathisia

routes of admin and dose:
Adult - 5-10mg IV
Peds - N/A

38
Q

Metoprolol

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: beta blocker, antihypertensive, anti-dysrhythmic

actions: blocks response to beta adrenergic stimulation, cardio selective for beta-1 at low doses

indications: narrow complex tachycardias, ACS, hypertension, thyroid storm

contraindications: bradycardia, hypotension, heart blocks, asthma

side effects: bradycardia, hypotension, 1/2/3rd degree heart blocks, bronchospasm

routes of admin and dose:
Adult - 5mg slow IV push every 5 mins up to 15mg max
Peds - N/A

specific interactions: Labetalol is more common

39
Q

Potassium Iodide

class:
actions:
indications:

A

class: antidote

actions: thyroid protective agent

indications: patients receiving radiation therapy to prevent thyroid from taking up the radioactive isotopes

40
Q

Prednisolone

class:
contraindications:
dose range:

A

class: corticosteroid
contraindications: fungal infections
does range: wider range than Prednisone

41
Q

Prednisone

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: corticosteroid

actions:

indications: COPD and asthma

contraindications: fungal infections

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

42
Q

Prochlorperazine

class:
actions:
indications:
routes of admin and dose:
specific interactions:

A

class: antiemetic, antipsychotic

actions: antiemetic, antidopinergic effect, blocks vagus nerve

indications: nausea, vomiting

routes of admin and dose:
Adult - 10mg IV
Peds -

specific interactions: works similary to metoclopramide and promethazine

43
Q

Sildenafil (Viagra)

class:
actions:
indications:
contraindications:
specific interactions:

A

class: arterial pulmonary hypertension

actions: relaxes blood vessels in the lungs and decreases pulmonary BP

indications: adjunct in high altitude pulmonary edema

contraindications: cardiogenic shock, unstable angina

specific interactions: given with other organic nitrates can cause sudden hypotension

44
Q

Sodium Nitrite

class:
actions:
indications:
contraindications:
side effects:
specific interactions:

A

class: cyanide antidote

actions: detoxifies cyanide thru generation of methemoglobin

indications: cyanide toxicity

contraindications: (relative) anemia

side effects: hypotension

specific interactions: have to give sodium thiosulfate with it

45
Q

Sodium Thiosulfate

class:
actions:
indications:
side effects:

A

class: cyanide antidote

actions: converts cyanide into less toxic thiocyanate

indications: cyanide toxicity

specific interactions: given after sodium nitrite

46
Q

Sorbitol

class:
actions:
indications:
contraindications:
side effects:

A

class: laxative

actions: hyperosmotic effects to get GI moving

indications: toxic ingestions

contraindications: (relative) acute abdominal pain, nausea/vomiting

side effects: cramping, diarrhea

47
Q

Ziprasidone

class:
actions:
indications:
contraindications:

A

class: second generation antipsychotic

actions: efficacy in schizophrenia through dopamine and serotonin

indications: known schizophrenia

contraindications: prolonged QT

48
Q

Tadalafil (Cialis)

class:
actions:
indications:

A

class: arterial pulmonary hypertension

actions: relaxation of lung blood vessels and decrease in pulmonary BP

indications: high altitude pulmonary edema

49
Q

Ketorolac (Toradol)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: NSAID, analgesic, anti-inflammatory, anti-pyretic

actions: prostaglandin inhibitor

indications: moderate-severe pain, fever

contraindications: history of peptic ulcers, renal failure/insufficiency, stroke, head injury, hypovolemia, active labor and 3rd trimester pregnancy

side effects: GI irritation, bleeding, kidney injury, abdominal pain, headache, nausea/vomiting

routes of admin and dose:
Adult - 10-30mg IV/IO, 30-60mg IM every 6hrs (max120ng/24hrs)
Peds - >1yr 0.5mg/kg IV/IO, IM

specific interactions: potentiates blood thinners, ASA, and other NSAIDs, best for patients with kidney stones

50
Q

Labetalol (Trandate)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: beta blockers, alpha activity

actions: nonselective beta blocker with sympathomimetic activity, also alpha blocker

indications: severe hypertension with pre-eclampsia symptoms

contraindications: asthma, severe bradycardia, 2/3rd degree heart block, cardiogenic shock (relative) calcium channel blockers

side effects: dizziness, headache, general weakness

routes of admin and dose:
Adult - 20mg IV over 2mins, may repeat twice every 10mins
Peds - N/A

specific interactions: may interact with other BP meds lowering BP too much, NSAIDs may stop it from working properly

51
Q

Lidocaine (Xylocaine)

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class: anti-arrhythmic (class 1)

actions: blocks sodium channels to increase refractory period

indications: cardiac arrest from VF and VT, stable monomorphic VT, local anesthetic for IO

contraindications: AV blocks, bleeding, thrombocytopenia (relative) bradycardia, hypovolemia, cardiogenic shock, reduce dose for liver disease and elderly

side effects: bradycardia, seizures, hypotension, toxicity, arrhythmias, cardiac arrest

routes of admin and dose:
Adult -
pulseless VF and VT: 1-1.5mg/kg IV/IO slow push over 2mins, 0.5-0.75mg/kg every 5-10 mins to max dose of 3mg/kg, 1-4mg/min IV/IO infusion post conversion
Peds -

specific interactions: potentiation with cardiac depression with phenytoin

52
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

53
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

54
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

55
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

56
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

57
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

58
Q

class:
actions:
indications:
contraindications:
side effects:
routes of admin and dose:
specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

59
Q

class:
actions:
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contraindications:
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specific interactions:

A

class:

actions:

indications:

contraindications:

side effects:

routes of admin and dose:
Adult -
Peds -

specific interactions:

PARAMEDIC SCHOOL (74 decks)

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