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Paramedic Class 27 > Drug Memorization G-M > Flashcards

Drug Memorization G-M Flashcards

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1
Q

Oral Glucose Indication

A

Altered LOC caused by hypoglycemia

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2
Q

Oral Glucose Contraindication

A

No gag reflex. Unable to protect airway

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3
Q

Oral Glucose Dose

A

25-50mg (full tube)

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3
Q

Oral Glucose side effects

A

Aspiration

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4
Q

Glucagon Indication

A

Hypoglycemia (IN or IM)
Beta blocker OD
calcium channel blocker toxicity.

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5
Q

Glucagon Contraindication

A

Hypersensitivity to proteins.

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6
Q

Glucagon Dose

A

Low sugar: 1mg IN or IM.
CCB or beta blocker OD: 1mg IV/IO up to 3 mg.

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7
Q

Glucagon Side effects

A

N/V
Tachycardia

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8
Q

Ketamine indication

A

anesthesia prior to RSI
chemical sedation for psychiatric/behavior issues.

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9
Q

Ketamine contraindication

A

hypersensitivity

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10
Q

Ketamine dose

A

RSI: 1mg/kg IV may repeat every 5-10

Sedation: 1mg/kg IV or 4mg/kg IM.

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11
Q

Ketamine side effects

A

hypertension
tachycardia
sedation
vomiting
involuntary muscle movement.

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12
Q

Lasix (Furosemede) indication

A

acute pulmonary edema

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13
Q

Lasix (Furosemede) contraindication

A

hypersensitivity
hypovolemia/dehydration

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14
Q

Lasix (Furosemede) dose

A

1mg/kg over 2 min.

if already on lasix, give twice their daily dose.

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15
Q

Lasix (Furosemede) side effects

A

hypotension
dry mouth
electrolyte imbalance
if given too fast, can cause hearing loss.

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16
Q

Lidocaine indication

A

CA from VT/VF
Maintenance infusion @ROSC associated w/ VT/VF

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17
Q

Lidocaine contraindication

A

2nd/3rd heart block
Strokes - adams syndrome.
Prophylactic use in AMI

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18
Q

Lidocaine dose

A

CA 1-1.5mg/kg q5-10 min to max 3mg/kg

ROSC 1-4mg/min

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19
Q

Lidocaine side effects

A

light headed
confusion
blurred vision
hypotension
b radycardia
altered LOC
seizures

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20
Q

Magnesium Sulfate indication

A

eclamptic seizure
ventricular dysrhythmias
torsades
digitoxin toxicity
asthma

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21
Q

Magnesium Sulfate contraindications

A

heart block
myocardial damage

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22
Q

Magnesium Sulfate dose

A

Eclampsia, torsades, asthma: 1-2g over 10min

CA 1-2g IV push

23
Q

Magnesium Sulfate side effects

A

diaphoresis
hypothermia
respiratory depression
facial flush
bradycardia
hypotension
N/V

24
Q

Midazolam (versed) indication

A

active seizure
status epilepticus
sedation prior to cardio version/pacing

25
Q

Midazolam (versed) contraindication

A

hypersensitivity
acute narrow angle glaucoma

26
Q

Midazolam (versed) dose

A

2.5-5mg may repeat once (IV or IN)

27
Q

Midazolam (versed) side effects

A

respiratory depression
confusion
hypotension
nausea

28
Q

Morphine indication

A

pain and anxiety
chest pain unrelieved by nitroglycerine

29
Q

morphine contraindication

A

BP <90
traumatic brain injury
respiratory depression

30
Q

Morphine dose

A

2-4mg q 3-5 min to hypotension or respiratory depression

31
Q

Morphine side effects

A

respiratory depression
hypotension
dizziness
N/V
bradycardia

32
Q

Haldol (haloperidol) indication

A

Patients who require sedation for comfort or safety during transport
Acute psychotic episodes
severe anxiety and tension
acute alcohol withdrawal symptoms

33
Q

Haldol (haloperidol) contraindications

A

Preexisting coma
intoxication
known cardiovascular disease

34
Q

Haldol (haloperidol) dose

A

Adult:
5-10mg IM not to exceed 100mg in 24 hours

35
Q

Haldol (haloperidol) side effects

A

Extrapyramidal effects aka dystonic reaction (antidote benadryl 25-50mg)
tardive dyskinesia
potentially fatal neuroleptic malignant syndrome.

36
Q

Heparin indication

A

Prevention of thrombus formation in acute MI

37
Q

Heparin contraindication

A

active bleeding or bleeding tendencies
recent major surgery or trauma

38
Q

Heparin dose

A

5000 units IV follow with 20000 to 40000 units IV over 24 hours.

39
Q

Heparin side effects

A

potentially life threatening bleeding.
May cause hematologic disorder.

40
Q

Hydroxocobalamin (cyanokit) indication

A

cyanide toxicity

41
Q

Hydroxocobalamin (cyanokit) contraindication

A

absolute: none
relative: history of anaphylactic reaction to the drug.

42
Q

Hydroxocobalamin (cyanokit) dose

A

5 grams (2 vials) over 15 minutes

43
Q

Hydroxocobalamin (cyanokit) side effects

A

Flushing, urticaria, itching, rash, chest tightness, dyspnea, transient BP elevation, anaphylaxis, red skin, tears, sweat, and urine.

44
Q

Labetolol indication

A

Acute hypertensive crisis with end organ dysfunction
unstable angina
non q wave MI
AAA
SVT with RVR
Ventricular tachycardia refractory to lidocaine

45
Q

Labetolol contraindication

A

cocaine or amphetamine OD
CHF
Hypertension

46
Q

Labetolol dose

A

HTN crisis:
5-10mg IV may repeat to total of 20mg IVP

47
Q

Labetolol side effects

A

Bronchospasm
hypotension
hallucination
hyponatremia
hyperkalemia

48
Q

Levophed (norepinephrine bitartrate) indication

A

neurogenic and cariogenic shock and septic shock
BP<70 (hemodynamically significant hypotension)

49
Q

Levophed (norepinephrine bitartrate) contraindication

A

hypovolemia

50
Q

Levophed (norepinephrine bitartrate) dose

A

8-12mcg/min

51
Q

Levophed (norepinephrine bitartrate) side effects

A

HTN
dysrhythmias
angina
reflex bradycardia
tissue necrosis

52
Q

Methylprednisolone (solumedrol) indication

A

wheezing refractory to inhaled bronchodilators
status asthmaticus
severe anaphylaxis, in conjunction with epi and benadryl.

53
Q

Methylprednisolone (solumedrol) contraindication

A

known hypersensitivity to the product and its constituents

54
Q

Methylprednisolone (solumedrol) dose

A

60-125mg IV/IO, if there are no contraindications
IM in asthma

55
Q

Methylprednisolone (solumedrol) side effects

A

HTN
rare instances of anaphylactic reaction
exacerbation of congestive heart failure
Seizure

Paramedic Class 27 (11 decks)

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