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CCFD Drugs Flashcards

1
Q

What is glucagon for?

A

Hypoglycemia

Beta blocker overdose

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1
Q

What are the special notes for diphenhydramine?

A

Causes dry mouth and throat

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1
Q

What does atropine sulfate do?

A

Enhances sinus automaticity

Enhances AV conduction

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2
Q

What are the contraindications for epinephrine?

A

Hypovolemic shock

Hypertension

Coronary insufficiency

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3
Q

Side effects of morphine sulfate?

A

Respiratory depression

Hypotension

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4
Q

What are the indications for diazepam?

A

Benzodiazepine

For: Seizures

Pre med for cardioversion and intubation

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4
Q

What class is albuterol?

A

Bronchodilator

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6
Q

What are the side effects of midazolam?

A

Respiratory depression

Hypotension

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6
Q

Side effects of aspirin?

A

GI Hemorrhage

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7
Q

What are the contraindications of ondansetron?

A

None

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7
Q

What do you use dopamine for?

A

Drug of choice for hypotension in absence of hypovolemia

Drug of choice for cardiogenic shock

3rd line for bradycardia

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7
Q

What is another name for dopamine?

A

Intropin

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7
Q

What is furosemide?

A

Loop diuretic

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8
Q

What class is aspirin?

A

Anti-platelet agent

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8
Q

What is a trade name for adenosine?

A

Adenocard

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8
Q

When do you give adenosine?

A

First line for SVT (Supraventricular Tachycardia)

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10
Q

What are the contraindications for diazepam?

A

Comatose state

Head injury (unless actively seizing)

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11
Q

What are the special notes for lidocaine?

A

Overdose toxicity causes seizures.

Cut max dose in half for >70 yrs old or anyone with renal or hepatic failure.

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12
Q

What is another name for methylprednisolone?

A

Solu-Medrol

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12
Q

What are the side effect of nitroglycerin?

A

Can cause hypotension

Transient headache

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13
Q

What is the dose of glucagon?

A

1.0 mg (units) IM, subcutaneous, slow IV

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13
Q

What are the side effects of dopamine?

A

Hypertension

Tachydysrhythmias

Increased myocardial o2 demand

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13
Q

What is another name for epinephrine?

A

Adrenalin and Adrenaline

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14
Q

What are the special notes for magnesium sulfate?

A

Use with caution with other CNS depressants

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14
Q

What does epinephrine do?

A

Alpha 1, beta 1, beta 2 stimulation in a dose related manner.

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15
Q

What is another name for diazepam?

A

Valium

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16
Q

What is the pediatric dose for epinephrine 1:10000?

A

.01 mg/kg IV

.1 mg/kg ET 1:1000

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17
Q

What is the pediatric dose of naloxone?

A

0.5-1 mg IV 2 mg max

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18
Q

What are the side effects of naloxone?

A

Nausea and projectile vomiting

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18
Q

What is the dose of diphenhydramine?

A

25-50 mg IV or IM

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18
Q

What is the indication for Labetalol?

A

Drug of choice for hypertensive crisis. BP>220/110

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19
Q

What are the contraindications of naloxone?

A

None

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19
Q

What is the pediatric dose for adenosine?

A

0.1 mg/kg IV

Repeat at 0.2 mg/kg IV

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20
Q

What are the side effects and special notes of diazepam?

A

Respiratory depression

Hypotension

Effects reversed with romazicon

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20
Q

What is another name for ondansetron?

A

Zofran

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20
Q

What is the dosage for diazepam?

A

2-10 mg. IV push

Max is 10 without medical control

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21
Q

What is the dosage of calcium gluconate?

A

1g over 2 minutes slow IV push

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22
Q

What are the indications of naloxone?

A

Opiate antagonist

Coma of unknown origin

Opiate overdose

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22
Q

What is another name for D50?

A

D50W

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24
Q

What are the indications of glucose in pediatrics?

A

Carbohydrate

For: hypoglycemia

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24
Q

What is the dosage for magnesium sulfate?

A

2 g IV over 2 min.

4 g IV in eclampsia

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25
Q

What is another name for midazolam?

A

Versed

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26
Q

What is diazepam?

A

Benzodiazepine

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27
Q

What are the special notes of midazolam?

A

Effects reversed by romazicon

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28
Q

What is the dose of D50?

A

25g PRN slow IV

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29
Q

What is furosemide for?

A

Pulmonary edema and chf

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29
Q

What is the dose of aspirin?

A

324 mg PO

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30
Q

What are the pediatric indications for epinephrine?

A

Sympathomimetic

Alpha-1, beta-1, beta-2 stimulation in a dose related manner.

1st line V-Fib/Pulseless VTach, PEA, Asystole, Bradycardia

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30
Q

What is another name for lidocaine?

A

Xylocaine

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31
Q

What is the dose of naloxone?

A

2 mg slow IV/IO/ET

Max 6 mg

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32
Q

What does albuterol do?

A

Selective beta2 stimulant

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33
Q

What class is naloxone?

A

Opiate antagonist

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34
Q

What is another name for nitroglycerin?

A

Nitrostat

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35
Q

What are the side effects of D50?

A

Tissue necrosis with infiltration

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36
Q

What is the contraindication of albuterol?

A

Tachydysrhythmias

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37
Q

What are the special notes for glucagon?

A

Give carbs ASAP

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38
Q

What are the contraindications for adenosine?

A

Heart blocks and SSS (Sick Sinus Syndrome)

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39
Q

What does furosemide do?

A

Inhibits sodium and water retention in the loop of henle

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39
Q

What’s the dose for morphine sulfate?

A

2-10 mg IV

Max 10 mg before contacting medical control

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40
Q

What is the dosage for midazolam?

A

1-5 mg IV/IM

Max of 5 mg before calling medical control

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41
Q

What is the dose and route of atropine sulfate?

A

1 mg rapid IV or IO (ET normal speed)

Max 3.0 mg adult

Max 0.02 mg/kg pedi max of 1 mg total

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42
Q

What is dopamine?

A

Sympathomimetic

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43
Q

What’s morphine sulfate for?

A

Ischemic chest pain

Pulmonary edema

Pain control

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45
Q

What is the dosage of albuterol?

A

5 mg in 6 mL nebulized or aerosol

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46
Q

What are the contraindications of methylprednisolone?

A

GI Hemorrhage

Diabetes mellitus

46
Q

What is the dose and route of lidocaine?

A

1.5 mg/kg

Max dose is 3.0 mg/kg

IV IO

47
Q

What are the side effects of methylprednisolone?

A

Sodium and water retention

Hypertension

Headache

Metabolic alkalosis

49
Q

What are the side effects of glucagon?

A

Tachycardia

Hypertension

Nausea

Vomiting

50
Q

What are the side effects of atropine sulfate?

A

Tachycardia and dysthymia

Can cause reflex bradycardia if given too slow or in insufficient quantities.

52
Q

What are the contraindications of D50?

A

Increased ICP

Known intracerebral hemorrhage

Stroke in absence of hypoglycemia

54
Q

Special notes for sodium bicarbonate?

A

Tissue necrosis occurs with infiltration

55
Q

What is the dose for nitroglycerin?

A

0.4 mg. sublingual q 5 minutes

Max - 1.2 mg.

56
Q

What are the contraindications of atropine?

A

Tachycardia

Narrow angle glaucoma

56
Q

What is morphine sulfate?

A

Opiate analgesic

56
Q

What are the side effects of lidocaine?

A

Lightheadedness

Blurred vision

Numbness

Hypotension

58
Q

What is the dose for ondansetron?

A

4 mg IV/IM

59
Q

What class is methylprednisolone?

A

Glucocorticosteroid

61
Q

What are the indications for diphenhydramine?

A

Allergic reactions

Anaphylaxis

EPS (Extra Pyramidal Syndrome)

62
Q

What class is epinephrine?

A

Sympathomimetic

64
Q

What is another name for labetalol?

65
Q

What are contraindications for morphine sulfate?

A

Hypotension

Hypovolemia

Head injury

67
Q

What is the dose and route of epinephrine (1:10,000)?

A

1.0 mg q 3-5 minutes

IV, IO, ET

No maximum dose

68
Q

What is glucagon?

68
Q

What are the side effects of labetalol?

A

Hypotension

Bradycardia

Dizziness

Headache

70
Q

What is the pedi dosage for diazepam?

A
  1. 2 mg/kg IV at 1 mg/min
  2. 5 mg/kg PR
71
Q

Special notes for furosemide?

A

Can be ototoxic

Can cause tinnitus if pushed too fast

72
Q

What does Labetalol do?

A

Reduces bp without reflex tachycardia

74
Q

What is ondansetron and what is it for?

A

Anti-emetic

For vomiting

75
Q

What class is diphenhydramine?

A

Antihistamine

76
Q

What is sodium bicarbonate for?

A

Preexisting acidosis

Hyperkalemic

TCA overdose

ASA overdose

76
Q

What are the contraindications for atropine sulfate?

A

Tachycardia and narrow angle glaucoma

77
Q

What is albuterol for?

A

1st line for asthma, COPD

Also potassium overdoses

79
Q

What is the dosage of methylprednisolone?

80
Q

What does lidocaine do?

A

Increases fibrillation threshold

Decreases ventricular irritability

81
Q

What are the contraindications of dopamine?

A

Tachydysrhythmias

V-fib

Hypovolemic

Pheochromocytoma

82
Q

What drug class is atropine sulfate?

A

Parasympatholytic

84
Q

What is the class of D50?

A

Carbohydrate

85
Q

What is magnesium sulfate?

A

Electrolyte

CNS depressant

86
Q

What is the dose and route for adenosine?

A

6 mg rapid IV or IO

  • if ineffective -

12 mg rapid IV or IO with a max of 18 mg

87
Q

What are the contraindications of adenosine?

A

SSS

Heart Blocks

89
Q

What are the indications of D50?

A

Coma of unknown origin

Hypoglycemia

91
Q

What are special notes for nitroglycerin?

A

Must have 100 systolic prior to administration

Must have IV established prior to administration

93
Q

What is nitroglycerin for?

A

Ischemic chest pain

CHF

94
Q

What is the dose of sodium bicarbonate?

94
Q

Notes for morphine sulfate?

A

Must have 100 systolic prior to administration

Respiratory depression is reversed with narcan upon overdose

95
Q

Epinephrine is a first line drug for what?

A

V-Fib / Pulseless V-Tach

PEA

Asystole

96
Q

What is the pediatric dose of atropine?

A

.02 mg/kg IV/IO

Minimum dose:0.1 mg

Max dose: .5 mg/kg

Up to 1 mg total in child, 2 in teen

96
Q

Side effects of furosemide?

A

Dehydration

Electrolyte imbalances

97
Q

What are the contraindications of midazolam?

A

Comatose state

Hypotension

98
Q

What is the class of epinephrine (1:1000)?

A

Sympathomimetic

100
Q

What is calcium gluconate for?

A

Hyperkalemia

Cardiac arrest in a dialysis patient

Hydrofluoric acid

Calcium channel blocker or beta blocker overdose

101
Q

What is nitroglycerin?

A

Vasodilator

103
Q

What are the side effects of naloxone?

A

Nausea

Projectile Vomiting

104
Q

What class of drug is adenosine?

A

Antidysrhythmic

105
Q

What is magnesium sulfate for?

A

1st line for eclamptic seizures

1st line for torsades de pointes

Optional for v-fib

106
Q

What’s another name for furosemide?

107
Q

What does adenosine do?

A

Interrupts re-entry pathways

Slows av conduction

108
Q

What is methylprednisolone for?

A

Asthma

Anaphylaxis

Spinal cord injury

110
Q

What is diazepam for?

A

Sedation

Premedication for cardioversion and intubation

Seizures

111
Q

What class is lidocaine?

A

Antidysrhythmic

112
Q

What is the dose of furosemide?

A

40 mg slow IV/IO or double pts normal dose

113
Q

What does glucagon do?

A

Insulin antagonist - raises blood glucose levels

115
Q

What are the contraindications of diphenhydramine?

A

Asthma

CNS depression

Pregnant or lactating women

117
Q

What is the dosage of epinephrine (1:1000)?

118
Q

What are contraindications of aspirin?

A

GI Hemorrhage

Hypersensitivity

Having a stroke

Hemophilia

119
Q

What are the special notes for diazepam?

A

Effects can be reversed by romazicon

121
Q

What are the contraindications of epinephrine (1:1000)?

A

Hypertension

Hypovolemia

Coronary insufficiency

122
Q

What are the contraindications of sodium bicarbonate?

A

Metabolic or respiratory alkalosis

124
Q

What are contraindications for nitroglycerin?

A

Bradycardia

Right sided MI

Extreme tachycardia (HR > 150)

Erectile disfunction drugs in last 24 hours (Viagra, Cialis, Levitra)

Cerebral hemorrhage

Hypotension

125
Q

What are contraindications for furosemide?

A

Hypovolemia/dehydration

Severe electrolyte depletion

Pregnancy

126
Q

What is another name for naloxone?

128
Q

What are the side effects and special notes for adenosine?

A

Chest pain

Shortness of breath

Nausea

Transient period of asystole < 10 seconds

129
Q

When should you use lidocaine?

A

Second line drug for v-fib, pulseless v-tach

Optional for v-tach with pulse

First line for v-ectopy

130
Q

What is midazolam and what is it for?

A

Benzodiazepine

For: Premed for cardioversion and intubation

Sedation

Seizures

131
Q

What are the side effects of epinephrine (1:1000)?

A

Hypertension

Tachycardia

Dysrhythmias

133
Q

What are the side effects of albuterol?

A

Hypertension

Tachycardia

Dysrhythmia

135
Q

What are the contraindications of glucagon?

136
Q

What are the contraindications for magnesium sulfate?

A

Shock

Heart blocks

137
Q

When do you use atropine sulfate?

A

First line for bradycardia

First line for heart blocks

Organophosphate poisoning

138
Q

What is aspirin for?

A

Ischemic chest pain

139
Q

What are the contraindications of calcium gluconate?

A

Patients on digitalis

141
Q

What is the pedi dose of glucose?

A

1: 1 mix with sterile saline - D25W for children < 2 Y/O
0. 5 gm/kg IV (2 mL/kg)

142
Q

What are the contraindications of labetalol?

A

Cardiogenic shock

CHF

Bradycardia

Heart blocks

Asthma

143
Q

What is calcium gluconate?

A

Electrolyte

144
Q

What are the side effects of sodium bicarbonate?

A

Metabolic alkalosis

Seizures

145
Q

What are the side effects of ondansetron?

A

Sedation

EPS

146
Q

What is sodium bicarbonate?

147
Q

What is labetalol?

A

Alpha and beta adrenergic blocker

149
Q

What are the dosages of dopamine? And their effect?

A

1-20 mcg/kg/min IV

1-5 mcg/kg/min - dopaminergic

5-10 mcg/kg/min - beta1 effect

10-20 mcg/kg/min - alpha1 effect

150
Q

What are the side effects of magnesium sulfate?

A

Hypotension

Decreased respirations

Decrease HR

151
Q

What are the side effects of epinephrine?

A

Hypertension

Tachycardia

Dysrhythmias

152
Q

What is epinephrine (1:1000) for?

A

Asthma

Anaphylaxis

153
Q

What are the side effects of diazepam?

A

Respiratory depression

Hypotension

154
Q

What are the side effects of calcium gluconate?

A

Precipitates sodium bicarbonate

155
Q

What does methylprednisolone do?

A

Anti inflammatory agent

156
Q

What is the dosage of labetalol?

A

10-20 mg slow IV over 2 minutes

157
Q

What are the indications of adenosine?

A

Antidysrhythmic

Interrupts reentry pathways, slows AV node conduction

1st line for SVT

158
Q

What are the contraindications for lidocaine?

A

Heart block

Bradycardia

Adam stokes syndrome

159
Q

What is another name for diphenhydramine?

160
Q

What are the indications of atropine in pediatrics?

A

Parasympatholytic

Enhances sinus automaticity and A/V conduction

2nd line for bradycardia

Organophosphate poisoning

161
Q

What is another name for glucagon?

Drug Box Quizzes (18 decks)

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