Drug Cards Flashcards
Oxygen - Classification?
Atmospheric gas.
Oxygen - Mechanism of Action?
Aerobic metabolism - oxidation of glucose to form ATP.
Oxygen - Indications (x5)?
- Hypoxia.
- Ischemic chest pain.
- Respiratory insufficiency.
- Decrease in cellular oxygenation.
- Comfort measures.
Oxygen - Contraindications (x2)?
- COPD patients.
- Paraquat poisoning.
Oxygen - Side Effects (x2)?
- Dried mucous membranes.
- Irritation of upper respiratory tract.
Oxygen - Dosage (Adult & Pediatric)?
- Depends on the patient (target 94-99%).
- Depends on the delivery method:
- NC = 1 - 6 lpm.
- SFM = 6 - 12 lpm.
- NRBM = 10 - 15 lpm.
- BVM = 12 - 25 lpm.
Epinephrine (1:1000) - AKA?
Adrenaline.
Epinephrine - Classification (x2)?
- Sympathomimetic.
- Sympathetic agonist.
Epinephrine - Mechanism of Action (x2)?
- Positive stimulation of Alpha and Beta adrenergic receptors.
- Antagonizes histamine effects.
Epinephrine - Indications (x2)?
- Anaphylaxis.
- Asthma.
Epinephrine - Contraindications?
None in the emergency setting.
Epinephrine - Side Effects (x7)?
- Dysrhythmias.
- Tachycardia.
- Hypertension.
- Angina.
- Headache.
- Restlessness.
- Nausea/Vomiting.
Epinephrine - Adult Dosage?
0.3 - 0.5 mg IM/SQ (preferred IM)
Epinephrine - Pediatric Dosage?
0.01 mg/kg IM/SQ (preferred IM)
Nitroglycerin - AKA (x3)?
- Nitrostat.
- Nitrobid.
- Tridil.
Nitroglycerin - Classification (x4)?
- Vasodilator.
- Nitrate.
- Antianginal.
- Antihypertensive.
Nitroglycerin - Mechanism of Action?
Relaxes vascular smooth muscle decreasing preload and afterload on the heart.
Nitroglycerin - Indications (x4)?
- Ischemic Chest Pain.
- Angina Pectoris.
- Pulmonary Edema.
- Hypertensive emergencies.
Nitroglycerin - Contraindications (x2)?
- Hypotension.
- Recent ED medication usage.
Nitroglycerin - Side Effects (x5)?
- Hypotension.
- Headache.
- Tachycardia.
- Facial Flushing.
- Syncope.
Nitroglycerin - Adult Dosage?
0.4 mg SL q 3 - 5 minutes (400mcg) [max: 3 doses].
Aspirin - AKA?
Acetylsalicylic acid.
Aspirin - Classification?
Platelet anti-aggregator.
Aspirin - Mechanism of Action?
Blocks platelet aggregation by blocking the synthesis of thromboxane A2.
Aspirin - Indication?
Chest pain suggestive of myocardial ischemia.
Aspirin - Contraindications (x3)?
- Active ulcer disease (relative).
- Asthma (relative).
- Bleeding disorders (relative).
Aspirin - Side Effects (x2)?
- Allergy.
- Exacerbation of bleeding disorder.
Aspirin - Adult Dosage?
160 - 325 mg PO
