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Paramedic > Drug Profiles > Flashcards

Drug Profiles Flashcards

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0
Q

Class for atropine sulfate?

A

Anticholinergic, parasympathetic blocker

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1
Q

Brand name for atropine sulfate?

A

Atropine

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2
Q

MOA for atropine sulfate?

A

Increased HR, decreased mucous production, bronchodilation.

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3
Q

Supply for atropine sulfate?

A

1mg/10ml prefilled syringe

8mg/20 ml multi dose vial

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4
Q

indications for Atropine Sulfate

A

Symptomatic bradycardia: hypotension, ventricular ectopy, chest pain, ALOC; Asystole: after epi; PEA: if bradycardia, after epi; Organophosphate poisoning; Refractory bronchospasm: 2 or 3 line

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5
Q

Contraindications for Atropine Sulfate

A

Acute narrow angle glaucoma (relative contraindication); Pediatric drowning [relative (pupillary reaction)]

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6
Q

Adverse Reactions from Atropine Sulfate are :

A

Tachydysrhythmias, vent. irritability, angina, dry mouth.

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7
Q

special considerations for Atropine Sulfate are :

A

Administering too small doses or administering too slowly may cause paradoxical bradycardia. Organophosphate poisoning: (SLUDGE) salivation, lacrimation, urination, defecation, GI, emmesis, bradycardia, coma

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8
Q

Peds dose for Atropine Sulfate with symptomatic bradycardia :

A

Symptomatic Brady 0.02 mg / kg (minimum 0.1 mg) IVP after epi. May repeat one time Max single dose Child: 0.5 mg Adolescent: 1 mg

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9
Q

Adult dose: Symptomatic bradycardia and Organophosphate poisoning for atropine sulfate

A

0.5 – 1 mg rapid IVP or via ETT q 3-5 min. to a max dose of 3 mg; Asystole or bradycardic PEA: 1 mg rapid IVP or via ETT q 3-5 min. to a max dose of 3 mg; Organophosphate poisoning: 2-5 mg IV, may repeat q 5 min. No max dose.

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10
Q

Brand name for Adenosine :

A

Adenocard

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11
Q

Class for Adenosine:

A

Antiarrhythmic, endogenous nucleoside

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12
Q

MOA for Adenosine:

A

Slows conduction through AV node, interrupts re-entry pathways, slows sinus rate

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13
Q

supply for adenosine

A

6 mg / 2 ml vial or prefilled syringe

12 mg / 2 ml vial or prefilled syringe

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14
Q

Indications for adenosine:

A

Conversion of SVT (not atrial flutter or a-fib)

Wide complex tachycardia of uncertain origin unresponsive to Lidocaine.

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15
Q

Contraindications for adenosine:

A

Sick sinus syndrome, 2nd or 3rd degree AV blocks; Caution in patients with known asthma; Patients on theophylline, Persantine, Tegretol; A-fib and a-flutter; Pregnancy.

16
Q

Adult dose for adenosine:

A

Initial: 6 mg rapid RIVP with 20 cc/NS flush (AC) preferred, port closest to IV catheter, Constant ECG monitoring required. Repeat: 12 mg two times in 1-2 minutes.

17
Q

Peds dose for adenosine:

A

0.1 mg/kg IVP(rapid) with 2-3 cc NS flush. May repeat one time @ 0.2 mg/kg RIVP with 2-3 cc NS flush (max dose 12mg do not exceed). Infants with SVT associated with shock Adenocar may proceed DC cardiovertion.

18
Q

Adverse reactions for adenosine:

A

CV: transient dysrhythmias (asystole, bradycardia, PVCs) Palpitations, chest pain, hypotension, facial flushing, sweating; Resp: dyspnea, hyperventilation, tightness in throat, bronchospasm; CNS: dizzy, lightheaded, headache, paresthesia, blurred vision; GI: nausea, metallic taste.

19
Q

Acetylsalicylic Acid names are :

A

Aspirin and bufferin

20
Q

What is the class for acetylsalicylic acid ?

A

Analgesic, anti-pyretic and anti-inflammatory.

21
Q

What is the MOA for acetylsalicylic acid ?

A

Decreased platelet aggregation.

22
Q

What is the packing for acetylsalicylic acid ?

A

81 and 325 mg tablets

23
Q

What is the name of Dopamine?

A

Intropin

24
Q

What is the class for dopamine?

A

Sympathomimetic

25
Q

What is the MOA for dopamine at 1-2 mcg/kg/min?

A

1-2 mcg/kg/min: cerebral and renal vasodilation, increased urine output.

26
Q

What is the MOA for dopamine at 2-10 mcg/kg/min?

A

Increased cardiac output & BP.

27
Q

What is the MOA for dopamine at 10-20 mcg/kg/min?

A

Alpha effects, peripheral vasoconstriction, increased PVR and preload.

28
Q

What is the packaging for dopamine:?

A

400mg / 5ML vial must be added to 250ml OR 400mg / 250ml premix bag.

Paramedic (1 decks)

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