CCAC PHARM Board Cards

Question 1

Dopamine

Answer 1

DRUG NAME: Dopamine

BRAND NAME: Inotropin

CLASS NAME: Adrenergic Inotropic Agent

MOA: Stimulates A1 & B1 also Stimulates Dopaminergic Receptors DA1 and DA2

INDICATIONS: Heart Failure with Systolic BP of 70-100 mmHG, Post Rec. Stabilization, 2nd Line for Bradycardia

CONTRAINDICATIONS: hypersensitivity, Pheochromocytoma, V-Fib, Hypovolemia

PEDS DOSE:1-5 mcg/kg/min not to exceed 50mcg/kg/min

ADULT DOSE:5-20 mcg/kg/min titration to effect 50mcg/kg/min

SIDE EFFECTS:Headache, Tachycardia, hypertension/hypotension,tachdisrythmias, Dyspnea, palpitations, Chest Pain

HALF LIFE: Less than 10 minutes

Question 2

Sodium Bicarbonate

Answer 2

DRUG NAME: Sodium Bicarbonate

BRAND NAME: (same name)

CLASS:Alkalinizing Agent

MOA:Raises Blood and Urine PH

INDICATIONS:TcA Overdose, Crush Syndrome,Cardiac Arrest w/hyperkalemia

CONTRAINDICATIONS:Hypersensitivity, Metabolic and Resp Alkalosis, Hypernatremia, hypokalemia,Hypocalcemia

PEDS DOSE: Same As Adult

ADULTS DOSE: 1mEq/kg IV/IO slow push

SIDE EFFECTS: Electrolyte imbalance, Heart Failure, Seizures, Pulmonary Edema,Tremors

HALF LIFE: 1-2 hours

Question 3

Lorazepam

Answer 3

DRUG NAME: Lorazepam

BRAND NAME: Ativan

CLASS: Benzo

MOA: CNS Depression

INDICATIONS: Seizures, Anxiety, Chemical Restraint

CONTRAINDICATIONS: Hypersensitivity, Narrow-Angle Glaucoma, Neuro and resp. depression, Bradycardia, Shock, Suspected overdose.

PEDS DOSE: (Chemical Restraint) 0.5 mg/kg 2mg Max IV 0.05mg/kg 4mg max IM (Seizure) 0.1mg/kg with 4mg Max IV/IO

ADULTS DOSE: (Chemical Restraint) 2mg IV or 3mg IM (Seizure) 4mg IV/IO/IM

SIDE EFFECTS: Resp. Depression, Hypotension, Brady, Headaches, Dizziness.

HALF LIFE: 6-8 Hours

Question 4

Morphine

Answer 4

DRUG NAME: Morphine

BRAND NAME: Roxanol/MS contin

CLASS: Opioid analgesic

MOA: Alleviates pain through CNS action, decreases venous return and myocardial oxygen demand, decreases preload and afterload

INDICATIONS: Management of acute pain

CONTRAINDICATIONS: Hypersensitivity, upper airway diseases, undiagnosed head or abdominal injuries, heart failure due to chronic lung disease, MAOI use in the last 14 days.

PEDS DOSE: 0.1mg/kg IV/IO (Call Medic Command per PA protocol)

ADULTS DOSE: 2-10mg SC/IM/IV

SIDE EFFECTS: Respiratory depression, hypertension, syncope, dry mouth, headache, dizziness, apnea, drowsiness

HALF LIFE: 2-3 hours

Question 5

Ondansatron

Answer 5

DRUG NAME: Ondansatron

BRAND NAME:Zofran

CLASS:Anti-emetic

MOA:Blocks serotonin Receptors

INDICATIONS: Prevention and control of Nausea/vomiting

CONTRAINDICATIONS: Hypersensitivity, Lung Qt Syndrome, Bowel Obstruction

PEDS DOSE:0.15 mg/kg

ADULTS DOSE:4mg IV SL

SIDE EFFECTS: Headache, Constipation, EKG Changes, General Malaise, Cardiac Arrhythmia bronchospasm, hives

HALF LIFE:3-6 Hours

Question 6

Rocuronium

Answer 6

DRUG NAME: Rocuronium

BRAND NAME:Zemuron

CLASS:NonDepolarizing Neuromuscular blocker

MOA:Blocks Acetylcholine and Neuromuscular Junction

INDICATIONS:RSI

CONTRAINDICATIONS: Hypersensitivity, respiratory depression, Neuro vascular conditions

PEDS DOSE: 3mo- 14Yr 0.6mg/kg initial 14+ 0.45- 0.6 mg/kg

ADULTS DOSE: 0.6 - 1.2 mg/kg

SIDE EFFECTS:HTN Bradycardia, Resp depression, dose related tachycardia

HALF LIFE:30-60 minutes

Question 7

Ketamine

Answer 7

DRUG NAME: Ketamine

BRAND NAME:Ketalar

CLASS: Non-opioid analgesic/anesthetic

MOA:Blocks Pain receptors and Minimizes spinal cord activity

INDICATIONS: Procedural Sedation, Agitated/Violent Behavior, Pain Control

CONTRAINDICATIONS:Hypersensitivity, Concurrent Benzo Use, Pregnancy, Schizophrenia. (Caution with ICP)

PEDS DOSE: (Sedation) 4-5Mg/kg IM, IV 1.5-2mg/kg over 30-60Sec

ADULTS DOSE:(Sedation) 1-4.5 mg/kg IV 6.5-13 mg/kg once

SIDE EFFECTS: HTN, Bronchodilation, Hallucination, laryngospasm,

HALF LIFE: 10-15 minutes

Question 8

Epinephrine

Answer 8

DRUG NAME: Epinephrine

BRAND NAME: Adrenalin

CLASS:Sympathetic Agonist

MOA:Alpha Vasoconstriction, Beta-1 Raises Contractility/HR, Beta-2 bronchodilator

INDICATIONS: Cardiac Arrest, Anaphylaxis, Shock- non-cardiogenic, Croup

CONTRAINDICATIONS: Hypersensitivity, Uncontrolled HTN, PE, dysrhythmia, Hypovolemic Shock

PEDS DOSE: (CA) 0.01 mg/kg IV/IO 3-5min Max 1mg/dose (anaphylaxis) <25kg: 0.15mg IM/SC >25kg 0.3mg IM/SC

ADULTS DOSE: (CA) 1mg IV/IO 3-5 min (Anaphylaxis) 0.3mg IM/SC 5-15Min (Resp Distress) Albuterol with 5ml of 1mg/ml neb

SIDE EFFECTS:Tachycardia, Headache, restlessness, tremors, HTN,
Chest Pain, Palpitations, Anxiety, MI

HALF LIFE: 5-10min IV/IO 20-30mg IM

Answer 9

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