Cumulative Quiz 1 Flashcards
1
Q
What is the trade name of Aspirin?
A
ASA, Bayer
2
Q
What is the onset and duration of Aspirin?
A
Onset: 15-30 min
Duration: 4-6 hours
3
Q
What is the classification of Aspirin?
A
Anti-Platet Aggregate, Anti-inflammatory agent, NSAID
4
Q
What is the action of Aspirin?
A
Prevents platelets from clumping.
5
Q
What is the indication for Aspirin?
A
ACS, new onset of chest pain, mild to moderate fever and pain.
6
Q
What is the contra/cautions of Aspirin?
A
Pediatrics, caution with patient who takes blood thinners/ active ulcers or asthma.
7
Q
What is the side/ adverse effects of Aspirin?
A
Prolonged bleeding, GI bleeding, wheezing, tinnitus, Heart burn.
8
Q
What is the route/ administration of Aspirin?
A
Oral preferably chewed
9
Q
What is the adult dose of Aspirin?
A
324mg
10
Q
What is
A
jlkj
11
Q
What is the Trade Name of Lactated Ringers?
A
None
12
Q
What is the onset/ duration of Lactated Ringers?
A
Immediate/ Effects cease after infusion
13
Q
What is the classification of Lactated Ringers?
A
Isotonic Crystalloid solution
14
Q
What is the Action of Lactated Ringers?
A
Replaces water and Electrolytes
15
Q
What is the indication for Lactated Ringers?
A
Hypovolemic shock, IV maintenance
16
Q
What are the cautions/ cautions of Lactated Ringers?
A
Congestive heart failure, renal failure
17
Q
What are the side effects of Lactated Ringers?
A
Rare in therapeutic dosages
18
Q
What is the route and administration Lactated Ringers?
A
IV/IO
19
Q
What is the adult dose of Lactated Ringers?
A
500 ml increments (max 2 liters)
20
Q
What is the pediatric dose of Lactated Ringers?
A
20ml/kg (max 60 ml/kg call OLMC for further dosing)
21
Q
What is the trade name of Nitroglycerin?
A
Nitrostat, Nitro-bid, Tridil
22
Q
What is the onset/ duration of Nitroglycerin?
A
Onset: 1-3 min
Duration: 30-60 min
23
Q
What is the Classification of Nitroglycerin?
A
Vasodilator
24
Q
What is the action of Nitroglycerin?
A
Smooth muscle relaxant, decreases workload of on the heart
25
What is the indication of Nitroglycerin?
Acute chest pain, hypertension, CHF, pulmonary edema
26
What is the contra/ cautions of Nitroglycerin?
Systolic blood pressure under 100, severe bradycardia, tachycardia, patients who have taken Cialis, Levitra or Viagra in the last 48 hrs. Patient who have taken pulmonary hypertension medications within 24hrs.
27
What are the side/ adverse effects of Nitroglycerin?
Hypotension
28
What is the route/ administration of Nitroglycerin?
Sublingual may be repeated every 5 minutes
29
What is the adult dose of Nitroglycerin?
.4mg (max 1.2 mg)
30
PED
ad
31
What is the trade name of Epinephrine 1-10,000
Adrenalin
32
What is the onset/duration of Epinephrine 1-10,000
Onset 1-2 min IV/IO and 5-10 mins IM with
| Duration:5-10 min
33
What is the classification of Epinephrine 1-10,000
Sympathomimetic
34
What is the action of Epinephrine 1-10,000?
Vasoconstriction, Positive inotropic, chronotropic and dromotropic effects
35
What are the indications of Epinephrine 1-10,000?
Cardiac arrest
| Neonatal resuscitation when HR less than 60
36
What are the contra/ cautions of Epinephrine 1-10,000?
Hypertension, hypothermia
37
What are the side/ adverse effects of Epinephrine 1-10,000?
Tachycardia, hypertension, chest pain
38
What is the route/ administration of Epinephrine 1-10,000?
IV/IO may repeat every 3-5 minutes
39
What is the adult dose of Epinephrine 1:10,000?
1mg
40
What is the pediatric dose of Epinephrine 1:10,000?
Cardiac arrest: 0.01mg/kg
| Neonatal resuscitation: 0.01-0.03 mg/kg
41
What is the trade name of .9% sodium chloride?
Normal Saline
42
What is the onset/ duration of .9% sodium chloride?
Immediate/ effects cease after infusion
43
What is the classification of .9% sodium chloride?
Isotonic crystalloid solution
44
What is the action of .9% sodium chloride?
Replaces water and electrolytes
45
What are the indications for .9% sodium chloride?
Traumatic Shock, Non traumatic shock
46
What are the contra/ cautions of .9% sodium chloride?
Congestive heart failure, caution with wet lung soungs
47
What are the side/ adverse effects of .9% sodium chloride?
Rare in therapeutic doses.
48
What is the route/administration of .9% sodium chloride?
IV/IO
49
What is the adult dose of .9% sodium chloride?
Traumatic Shock:500ml increments closed head injury 110-120 systolic, Open head injuries maintain 80-90 systolic.
Non-traumatic shock- 500 ml Increments (max 2 liters)
50
What is the pediatric dose of .9% sodium chloride?
20ml/kg (max 60ml/kg call OLMC for further dosing)
51
What is the trade name of Dopamine?
Intropin
52
What is the onset/duration of Dopamine?
Onset: 2-4 min
Duration: 10-15 min
53
What is the action of Dopamine?
Inotropic and chronotropic effects on blood pressure.
54
What are the indication of Dopamine?
Hypotension, bradycardia
55
What is are the contra/ cautions of Dopamine?
Hypovolemic shock, tachydysrhythmias, v-fib
56
What is the side/adverse effects of Dopamine?
Anxiety, hypertension, chest pain, increased myocardial oxygen demand
57
What is the route/ administration of Dopamine?
IV/IO titrate to increas blood pressure to 100 systolic, titrate to normal pediatric blood pressure.
58
What is the adult dose of Dopamine?
2-20mcg/ kg/ min
59
What is the Pediatric dose of Dopamine?
2-20 mcg/kg/min
60
What is onset of Dopamine and duration?
Onset:2-4 min
| Duration 10-15 min
61
What is the trade name of Magnesium Sulfate?
Magnesium Sulfate
62
What is the onset and duration of Magnesium Sulfate?
Onset: Immediate IV
Duration: 30 min IV
63
What is the classification of Magnesium Sulfate?
Electrolyte
64
What is the action of Magnesium Sulfate?
reduces striated muscle contractions, induces uterine relaxation.
65
What are the indications of Magnesium Sulfate?
Seizure of Eclampsia, torsade's de Pointes
66
What are the Contra/ Cautions of Magnesium Sulfate?
Heart blocks, myocardial damage
67
What are the side/ adverse effects of magnesium sulfate?
CNS depression, abnormal ECG, Vasodilation
68
What is the route/ administration of Magnesium Sulfate?
Seizures of Eclampsia: IV/IO (given over 15-30 minutes)
| Torsades de pointes: IV, IO given over 2 minutes
69
What is the adult dose of Magnesium Sulfate?
Seizures of eclampsia: 4g
| Torsades de Pointes: 1-2 g
70
What is the pediatric dose magnesium Sulfate?
Torsades de Pointes: 25-50 mg/kg
71
What is the trade name of Sodium Bicarbonate?
None
72
What is the onset/ duration of Sodium Bicarbonate?
onset: 2-10min
Duration: 30-60 min
73
What is the classification of Sodium Bicarbonate?
Systemic hydrogen ion buffer
74
What is the action of Sodium Bicarbonate?
Buffers metabolic acidosis
75
What is the indication for Sodium Bicarbonate?
Metabolic acidosis from cardiac arrest.
Tricyclic antidepressant overdose.
Crush injury
76
What is the Contra / cautions of sodium bicarb?
Metabolic alkalosis, electrolyte imbalance from vomiting
77
What is the side/adverse effects of Sodium Bicarbonate?
Metabolic alkalosis
78
What is the route/ administration of Sodium Bicarbonate?
IV/IO
Tricyclic antidepressant overdose: Heart rate over 120 QRS wider than .1 secs
Crush injury: Administer normal bolus then hang liter bag with 50 mEq of bicard
79
What is the adult dose of Sodium bicarbonate?
Metabolic acidosis 1-2 mEq/kg
Tricyclic antidepressant: 1 mEq/kg
Crush injury: 1 mEq/kg
80
What is the pediatric dose of Sodium bicarb?
1 mEq/kg call OLMC
81
What is the trade name of Vasopressin?
Pitressin
82
What is the onset/ Duration of Vasopressin?
Onset: Immediate
Duration: Variable
83
What is the classification of Vasopressin?
Vasopressor
84
What is the action of Vasopressin?
Simulation of smooth muscle receptors.
85
what is the indication of Vasopressin?
alternative to epinephrine in cardiac arrest
86
What is the contra/ cautions of Vassopressin?
Caution with coronary artery disease, epilepsy or heart failure.
87
What are the side/ adverse effects of Vasopressin?
Chest pain, dysrhythmia
88
What is route/ administration of Vasopressin?
IV/IO replaces 1st or 2nd dose of epinephrine. given once
89
What is the adult dose of Vasso Pressin?
40 Units
90
ped
ped
91
What is the trade name of Ondansetron?
Zofran
92
What is the onset/ duration of Ondansetron?
On:15-30 min
Duration: 3-6 hr
93
What is classification of Ondansetron?
Antiemetic, serotonin receptor antagonist
94
What is the action of Ondansetron?
Blocks action of serotonin causing a decrease in nausea/ vomiting.
95
What is an indication of Ondansetron?
Nausea or vomiting
96
What are the contra/ cautions of Ondansetron?
Hypersensitivity, GI obstruction, use caution with liver disease pt's
97
What are the side/ adverse effects of Ondonsetron?
ECG irregularities, dizziness, Headache, hiccups, pruritus, chills.
98
What is the route/ administration of Ondansetron?
IV/IM/PO
99
What is the adult dose of Ondansetron?
4-8 mg
100
What is the pediatric dose of Ondansetron?
0.1 mg/kg max 4 mg
101
What is the trade name of fentanyl?
Sublimaze
102
What is the onset/duration of Fentanyl?
Onset: Fast
| Duration Moderate
103
What is the classification of Fentanyl?
Opioid Analgesic
104
What is the action of Fentanyl?
Binds to opiate receptors producing analgesia
105
What is the indication of Fentanyl?
Pain management
106
What is the contra/ caution of Fentanyl?
Traumatic brain injury, patients taking MAOI, Myasthenia gravis, respiratory depression.
107
What are the side/ adverse effects of Fentanyl?
CNS depression, nausea, vomiting
108
What is the route/ administration of Fentanyl?
IV/IN/IM/IO doses may be given every 10 minutes.
109
What is the adult dose of Fentanyl?
50-100mcg (max 200 mcg)
110
What is the pediatric dose of Fentanyl?
1 mcg/kg (max 75 mcg per dose) 2 mcg/kg for intranasal (max 100 mcg per dose)
111
What is the trade name of Promethazine?
Phenergan
112
What is the onset/ duration of Promethazine?
Onset: Rapid by IV
Duration: 4-6 hrs
113
What is the classification of Promethazine?
Antiemetic, antihistamine
114
What is the action of Promethazine?
Blocks action of histamine, anti-motion, antiemetic, potentiates narcotic.
115
What is the indication of Promethazine?
Nausea, vomiting, potentiating analgesic effects of narcotics.
116
What is the contra/ cautions of Promethazine?
CNS depression from other drugs, lower respiratory symptoms
117
What are side/ adverse effects of Promethazine?
Sedation, confusion, tissue irritation
118
What is the route/ administration of Promethazine?
IV- push slowly and dilute medication in 10 mL normal saline.
IM- Administer only if systolic is over 100
119
What is the adult dose of Promethazine?
IV 12.5- 25 mg
| IM- 25 mg
120
What is the pediatric dose of Promethazine?
Not recommended call OLMC
121
What is the trade name of Propofol?
Diprivan
122
What is the onset/duration of Propofol?
Rapid onset of action that is dose dependent
| Duration: less than 1 minute.
123
What is the Classification of Propofol?
sedative hypnotic, short acting
124
What is the action of Propofol?
Rapid and brief general anesthesia
125
What is the indication of Propofol?
rapid sequence intubation, anesthesia
126
What are the contra/ cautions of Propofol?
Hypovolemia, hypersensitivity to soybean oil, peanuts and eggs
127
What are the side effects of Propofol?
Seizures, apnea, dysrhythmias, acute renal failure.
128
What is the route/ administration of Propofol?
IV/IO
129
What is the adult dose of Propofol?
induction dose 1.5-3 mg/kg, Maintenance infusion 25-75 ug/kg/min
130
What is the pediatric dose of Propofol?
Induction dose 2.5-3.5 mg/kg. maintenance infusion 125-300 ug/kg/min
131
What is the trade name of Succinylcholine Chloride?
Anectine
132
What is the onset and duration of Succinylcholine Chloride?
Onset: less than 1 min
Duration: 5-10min
133
What is the Classification of Succinylcholine Chloride?
Neuromuscular blocker
134
What is the action of Succinylcholine Chloride?
short acting skeletal muscle relaxant
135
what is the indication of Succinylcholine Chloride?
Rapid sequence intubation
136
What are the conta/cautions of Succinylcholine Chloride?
Major burns, extensive muscle injury
137
What are the side/ adverse effects of Succinylcholine Chloride?
Respiratory depression, dysrhythmias, cardiac arrest
138
What is the route/ administration of Succinylcholine Chloride?
IV/IO push quickly repeat once if needed
139
What is the adult dose of Succinylcholine Chloride?
1.0-1.5 mg/kg
140
what is the pediatric dose of Succinylcholine Chloride?
1.0-1.5 mg/kg 2.0 mg/kg for infants
141
What is the trade name of Vecuronium Bromide?
Norcuron
142
What is the onset/ duration of Vecuronium Bromide?
Onset: 3-5 min
Duration:20-35 min
143
What is the classification of Vecuronium Bromide?
Neuromuscular blocker
144
What is the action of Vecuronium Bromide?
Skeletal muscle relaxant
145
What is the indication of Vecuronium Bromide?
Rapid sequence intubation
146
What are the contra/ cautions of Vecuronium Bromide?
Newborns, myasthenia gravis, hepatic or renal failure
147
What are the side/ adverse effects of Vecuronium Bromide?
respiratory depression, dysrhythmias, cardiac arrest
148
What is the route/ administration of Vecuronium Bromide?
IV/IO
Adults: Maintainace dose within 40-45 minutes after induction dose
Pediatrics: Maintance dose within 20-40 minutes after induction dose.
149
What is the adult dose of Vecuronium Bromide?
0.1-0.2 mg/kg
150
What is the pediatric dose of Vecuronium Bromide?
0.01-0.015 mg/kg
151
What the trade name of Activated Charcoal?
EZ-Char, actidose, liqui-Char
152
What is the onset/duration of activated Charcoal?
Onset: 20 minutes to over an hour.
Duration: up to 3 hrs
153
What is the classification of Activated Charcoal?
Adsorbent
154
What is the action of Activated charcoal?
Binds to and adsorbs toxic substances from GI tract
155
What is the indication for Activated charcoal?
Oral poisonings and medication overdose
156
What are the contra/ cautions of Activated charcoal?
Patient unable to swallow. Ingestion of corrosives, caustics, liquids, hydrocarbons. patients with undiagnosed abdominal pain or known GI obstruction
157
What are the side/ adverse effects of Activated Charcoal?
Aspiration, constipation, vomiting
158
What is the route/ administration of Activated charcoal?
Oral/ Nasogastric tube. Call medical control before using. Shake well
159
What is the adult dose of Activated Charcoal?
25-50 grams
160
What is the pediatric dose of activated charcoal?
1g/kg
161
What is the trade name of Haloperidol?
Haldol
162
What is the onset/ duration of Haloperidol?
Onset: 30-60 min IM
Duration: 12-24 hrs
163
What is the classification of Haloperidol?
Tranquilizer, antipsychotic
164
What is the action of Haloperidol?
Sedative effect
165
What is an indication of Haloperidol?
Acute psychotic episodes
166
What are the contra/ cautions of Haloperidol?
Parkinson disease, depressed CNS, pregnancy, head injury.
167
What are the side/ adverse effects of Haloperidol?
Seizures, dystonia, QT prolongation
168
What is the route/ administration of Haloperidol?
IM/IV/IO
169
What is the adult dose of Haloperidol?
IM: 5-10 mg
| IV/IO: 2-5 mg
170
What is the pediatric dose of haloperidol?
Not recomeded for kids under 6 years,
6-12: .15 mg/kg
12 and older use adult dose.
171
What is the trade name of Diazepam?
Valium
172
What is the onset/duration of Diazepam?
Onset-IV: 1-2 min
IM:15-30 min
Duration 15-60 min
173
What is the classification of Diazepam?
Benzodiazepine
174
What is the action of Diazepam?
Induces amnesia and sedation, raises seizure threshold
175
What is the indication of Diazepam?
Seizures, chemical sedation, anxiety
176
What is the contra/ cautions of Diazepam?
Respiratory depression, coma, head injury
177
What are the side/ adverse effects of Diazepam?
Respiratory depression, muscle weakness
178
What is the route/administration of Diazepam?
IV/IO rectal every 5 min
179
What is the adult dose of Diazepam?
5-10 mg (max 30 mg), Cut dose in half for patients on narcotics or alcohol
180
What is the pediatric dose of Diazepam?
0.1 mg/kg (max 10 mg)
181
What is the Trade name of Lorazepam?
Ativan
182
What is the onset/duration of Lorazepam?
IV:1-3 min
IM: 10-30
Duration 2 hours
183
What is the classification of Lorazepam?
Benzodiazepine
184
What is the Action of lorazepam?
Induces amnesia and sedation, raises seizure threshold.
185
What is the indication for Lorazepam?
Seizures, severe anxiety, sedation
186
What are the contra/ cautions of Lorazepam?
Coma, suspected drug abuse
187
What are the side. adverse effects of Lorazepam?
CNS depression, hypotension, bradycardia
188
What is the route/ administration of Lorazepam?
IV/IO may be given every 5 minutes
189
What is the adult dose of Lorazepam?
1-2 mg max of 4 mg
190
What is the pediatric dose of Lorazepam?
0.1 mg/kg
191
What is the trade name of Midazolam?
Versed
192
What is the onset/ duration of Midazolam?
Onset 1-3 min IV
| Duration 2-6 hours
193
What is the Classification of Midazolam?
Benzodiazepine
194
What is the action of Midazolam?
Induces amnesia and sedation, raises seizure threshold.
195
What is the indication of Midazolam?
Seizures, chemical sedation, anxiety
196
What are the contra/ cautions of Midazolam?
Respiratory depression, coma
197
What are the side/ adverse effects of Midazolam?
Respiratory depression
198
What is the route/ administration of Midazolam?
IV/IO titrate to effect, IN, IM
199
What is the adult dose of Midazolam?
IV/IO- 2 mg increments (max of 10 mg)
IN: 5 mg each nostril (max 10 mg)
IM: 5 mg may be repeated once after 10 min (max 10 mg)
Cut dose in half for patients on narcotics or alcohol.
200
What is the pediatric dose of Midazolam?
IV/IO 0.1 mg/kg,
IN: 0.2 mg/kg
IM: 0.2 mg/kg may be repeated once after 10 min
Cut dose in half for patients on narcotics or alcohol.
