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Paramedic Drugs > Drug Indication > Flashcards

Drug Indication Flashcards

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1
Q

Glucagon

A

Hypoglycemia (when IV dextrose is not available)
Beta blocker overdose
Calcium blocker overdose

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2
Q

Sodium bicarbonate

A

TCA overdose
Acidosis (crush injuries, hyperkalemia, etc.)
Cardiac arrest with suspected hyperkalemia (renal failure)

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3
Q

Tranexamic acid
(TXA)

A

Severe hemorrhage < three hours (including postpartum hemorrhage)

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4
Q

Diphenhydramine
(Benadryl)

A

Allergic reaction
Anaphylaxis
Dystonic reaction

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5
Q

Acetaminophen
(Tylenol)

A

Pediatric fever >100.4°F (38°C)
Some protocols may allow for pain management

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6
Q

Flumazenil
(Romazicon)

A

Benzodiazepine oversedation

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7
Q

Ondansetron
(Zofran)

A

Nausea or vomiting

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8
Q

Succinylcholine (SUX)
Anectine

A

RSI

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9
Q

Magnesium sulfate

A

Asthma
Eclampsia
Hypermagnesaemia (Torsades de Pointes)

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10
Q

Calcium gluconate 10%

A

Hyperkalemia
Hypermagnesemia
Calcium channel blocker overdose
Hydrofluoric acid

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11
Q

Naloxone
(Narcan)

A

Respiratory depression with suspected opioid overdose

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12
Q

Dextrose

A

Hypoglycemia
(<40 neonates)

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13
Q

Diltiazem
(Cardizem)

A

Atrial fibrillation with rapid ventricular response
May be used for SVT as well

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14
Q

Labetalol
(Trandate)

A

Hypertensive emergency (ACS)
SVT

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15
Q

Amiodarone
(Corderone)

A

Ventricular fibrillation
Ventricular tachycardia
Pulseless ventricular tachycardia

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16
Q

Atropine sulfate

A

Symptomatic bradycardia
Organophosphate poisoning
RSI for pediatrics

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17
Q

Hydralazine
(Apresoline)

A

Hypertensive crisis
High blood pressure in preeclampsia and eclampsia

18
Q

Aspirin
(Acetylsalicylic acid - ASA)

A

Chest pain
Signs and symptoms of ACS

19
Q

Heparin
(Lovenox)

A

STEMI with signs and symptoms of ACS

20
Q

2% lidocaine
(Xylocaine)

A

Alternative to amiodarone:
ventricular fibrillation
Ventricular tachycardia
Pulseless, ventricular tachycardia
*local anesthetic for IO infusion

21
Q

Nitroglycerin
(Nitrostat)

A

ACS chest pain
CHF pulmonary edema

22
Q

Furosemide
(Lasix)

A

CHF pulmonary edema

23
Q

Albuterol
(Proventil/Ventolin)

A

Bronchospasm (bronchoconstriction): i.e., asthma, COPD, bronchitis, anaphylaxis, etc.

24
Q

Ipatropium bromide
(Atrovent)

A

Bronchospasm (bronchoconstriction): i.e., Asthma, COPD, bronchitis, anaphylaxis, etc.

25
Q

Epinephrine 1:1,000
(adrenaline)

A

Anaphylaxis
Bronchospasm
Upper airway swelling (severe croup or epiglottitis)

26
Q

Dexamethasone
(Decadron)

A

Adrenal crisis (Addison’s/ CAH)
Anaphylaxis
Asthma
COPD
Allergic reaction

27
Q

Methylprednisolone
(Solu-Medrol)

A

Adrenal crisis (Addison’s/CAH)
Anaphylaxis
Asthma
COPD
Allergic reaction

28
Q

Droperidol

A

Psychotic disorder (disruptive, not dangerous)
Nausea and vomiting
Headache

29
Q

Morphine

A

Pain
Preload reduction (CHF, a MI)

30
Q

Midozalam
(Versed)

A

Seizure
Sedation
Stimulant overdose

31
Q

Haloperidol
(Haldol)

A

Psychotic disorder (disruptive, not dangerous) – not drug related

32
Q

Ketorolac
(Toradol)

A

Pain
Renal colic (kidney stones)

33
Q

Ketamine
(Ketalar)

A

Pain
Excited delirium
RSI induction

34
Q

Fentanyl
(Sublimaze)

A

Pain

35
Q

Etomidate
(Amidate)

A

RSI induction

36
Q

Norepinephrine
(Levophed)

A

Hypotension (refractory to fluids)

37
Q

Epinephrine drip
(A “pressor”)

A

Hypotension (refractory fluids)
Adult bradycardia
Anaphylactic shock

38
Q

Dopamine
(Intropine)

A

Hypotension (refractory to fluids)
Cardiogenic shock
Adult bradycardia

39
Q

Epinephrine 1:10,000
(Cardiac epi)

A

Cardiac arrest
Severe bradycardia in pediatrics
Heart rate below 60 in neonates

40
Q

Adenosine
(Adenocard)

A

Reentry SVT (WPW, AVRT, AVNRT)

Paramedic Drugs (3 decks)

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