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Practicals Study > Drug Indications And Contraindications > Flashcards

Drug Indications And Contraindications Flashcards

1
Q

ASA indications

A

Chest pain indicative of cardiac ischemia

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2
Q

ASA Contraindications

A

-known hypersensitivity or allergy
-Asthma or patients with known asthma induced by NSAIDS or salicylic acids
Active gi bleeds or peptic ulcers
-pediatrics with viral symptoms (Reyes disease)

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3
Q

D10w indications and dosage

A

-Hypoglycemia/ALOC/ Seizures/Coma
Dose: 25mg in 250ml bags (GIVE IN 100ml boluses

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4
Q

Dimenhydrinate (Gravol) indications

A

Prevention or control of nausea, vomiting, and vertigo.

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5
Q

Dimenhydrinate (Gravol) contraindications

A

Known hypersensitivity or allergy

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6
Q

Dimenhydrinate (Gravol) dosage

A

1mg/kg to a maximum of 50mg

Given both IM and IV

For IV get 10ml syringe and dilute in 9ml of NS and push over 1-2 minutes

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7
Q

Diphenhydramine (Benadryl) indications

A

Treatment for allergic reaction

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8
Q

Diphenhydramine (Benadryl) contraindications

A

-Known hypersensitivity or allergy
-neonates

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9
Q

Diphenhydramine (Benadryl) dosage and route

A

25-50Mg - IV, IM

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10
Q

Entonox (Nitrous oxide) indications

A

-Relief of moderate to severe pain
-Relief of cardiac chest pain where nitro glycerin is contraindicated.
-isolated injury to extremities

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11
Q

Entonox (Nitrous oxide) contraindications

A

-Pneumothorax
-Air embolism
-Inhalation injury
-Nitro in the last 5 minutes
-Decompression sickness
-inability to comply
-enclosed spaces

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12
Q

Entonox (Nitrous oxide) cautions

A

Shock
Abdominal distension
Facial injuries
Deppressent drugs
COPD

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13
Q

Epinephrine indications

A

Anaphylaxis, severe bronchospasm

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14
Q

Epinephrine contraindications

A

Significant tachyarrythmias

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15
Q

Epinephrine route and dosage

A

0.5mg every 5 minutes up to three times
0.5mg every 5-20 minutes for severe bronchospasm
IM
Caution: can further hypotension

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16
Q

Glucagon indications

A

Hypoglycemia when IV is unsuccessful

17
Q

Glucagon contraindications

A

Allergy or hypersensitivity

18
Q

Glucagon dosage and routes

A

0.5 to 1mg IM

19
Q

Naloxone indications

A

To reverse respiratory depression/decreased mental status in actual or suspected narcotic overdoses.

20
Q

Naloxone contraindications

A

Allergy or known hypersensitivity

21
Q

Naloxone dosages

A

0.4 - 0.4 - 0.8 - 0.2mg IM,IV

22
Q

Nitroglycerin indications

A

-Chest discomfort that appears cardiac in nature
-Heart rate between 50 and 150bpm
-Patients without nitro prescription require consultation with medical oversight

23
Q

Nitroglycerin contraindications

A

-Known hypersensitivity or allergy
-Systolic below 110
-Use of Viagra or Levitra in the last 24 hours or Cialis in the last 48.

24
Q

Nitroglycerin dosage and route

A

-EMAs are to administer to patients prescribed dosage
-Can be delivered Q3 minutes if patients blood pressure remains above 110sys.
Given SL

25
Q

Salbutamol indications

A

-Bronchospasm associated with asthma, bronchitis, or emphysema
-bronchospasm secondary to anaphylaxis

26
Q

Salbutamol contraindications

A

-Hypersensitivity or allergy
-hemodynamically significant tachycardia

27
Q

Salbutamol dosages and routes

A

Neb: 5mg for ages greater than 1 year
Neb: 2.5mg for ages less than 1 year

MDI: 4x100mcg as required SHAKE EVERY TIME.

Pediatrics 10-20kgs 5x100mcg
Pediatrics greater than 20kgs 10x100mcg. Both may be repeated to a maximum of 3 times.

28
Q

Oral glucose indications

A

Patients with known diabetic history with bgl less than 4mmol

29
Q

Oral glucose contraindications

A

Patients that cannot maintain airway

30
Q

Oral glucose onset, dose, route.

A

EMAs can give half package (12g) before transport.

Comes in packages of 32ml with 38g of drug.

31
Q

Tranexamic Acid indications

A

-Major trauma patients after initiation of hypovolemia protocol
- Signs of shock associated with findings suggestive of ongoing or occult bleeding

32
Q

Tranexamic Acid contraindications

A

-known hypersensitivity or allergy
-If time is greater than three hours since injury
-Patients less than 12 years of age.
-isolated TBIs

Medical oversight is required for:
Postpartum hemorrhage and epistaxis.

33
Q

Tranexamic Acid dosage and route

A

1g infused in a 50ml bag of NS piggybacked. Delivered at a rate of 60gtts per minute.

Practicals Study (3 decks)

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