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Drug quiz 1 Flashcards

1
Q

0.9% NaCl brand name

A

Normal saline

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2
Q

saline classification

A

isotonic crystalloid solution

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3
Q

saline MOA

A

volume, water, electrolyte replacement

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4
Q

saline onset of action

A

immediate

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5
Q

saline peak effects

A

immediate

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6
Q

saline duration of effect

A

until excretion

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7
Q

saline half life

A

n/a

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8
Q

saline indications

A

dehydration, hypovolemia, DKA

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9
Q

saline contraindications

A

hypertension, pulmonary edema

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10
Q

saline side effects

A

pulmonary edema in Pt’s w/ CHF

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11
Q

saline dose adult

A

200-250cc until BP>100, max dose 2000cc

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12
Q

saline pedi dose

A

20cc/kg for >1 mos; 10cc/kg for <1 mos

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13
Q

saline precautions

A

depletion of other electrolytes, consider dopamine if hypotension persists after 2000cc

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14
Q

saline drug interactions

A

none

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15
Q

5% dextrose in water brand name

A

D5W

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16
Q

D5W classification

A

hypotonic dextrose containing solution

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17
Q

D5W MOA

A

provides sugar

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18
Q

D5W onset of action

A

varies

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19
Q

D5W peak effects

A

N/A

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20
Q

D5W duration of effect

A

N/A

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21
Q

D5W half life

A

N/A

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22
Q

D5W indications

A

dilution of concentrated IV meds

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23
Q

D5W contraindications

A

hypovolemia requiring volume replacement, Pt w/ head injury or stroke

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24
Q

D5W side effects/adverse reactions

A

rare/none

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25
Q

D5W dose adult/pedi

A

KVO

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26
Q

D5W precautions

A

venous irritation, extravasation may cause tissue necrosis, monitor for circulatory overload

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27
Q

D5W drug interactions

A

do not use with dilantin or inocor

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28
Q

Lactated Ringer’s brand name

A

Hartmann’s solution

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29
Q

Ringer’s classification

A

isotonic crystalloid solution

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30
Q

Ringer’s MOA

A

volume, water, electrolyte replacement

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31
Q

Ringer’s onset of action

A

immediate

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32
Q

Ringer’s peak effects

A

immediate

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33
Q

Ringer’s duration of effect

A

varies depending upon disease process

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34
Q

Ringer’s half-life

A

N/A

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35
Q

Ringer’s indications

A

hypovolemia, burns

36
Q

Ringer’s contraindications

A

CHF or renal failure, hypersensitivity to sodium lactate

37
Q

Ringer’s side effects

A

pulmonary edema in Pt’s with CHF

38
Q

Ringer’s adult dose

A

wide open until systolic>100, then 100ml/hr

39
Q

Ringer’s pedi dose

40
Q

Ringer’s precautions

A

monitor for circulatory overload

41
Q

Ringer’s interactions

A

additive effects with K sparing drugs, may cause hyperkalemia

42
Q

Diazepam trade name

43
Q

Diazepam classification

A

anticonvulsant/sedative/benzo/anxiolytic

44
Q

diazepam MOA

A

positive allosteric modulator for GABAa receptors

45
Q

Diazepam onset of action

A

1-5 min IV, 15-30 min IM

46
Q

Diazepam peak effects

A

10 min IV, 30-45 min IM

47
Q

Diazepam duration of effect

48
Q

Diazepam half life

49
Q

Diazepam indications

A

seizures, anxiety, pre-med for cardioversion

50
Q

Diazepam contraindications

A

hypersensitivity

51
Q

Diazepam side effects

A

hypotension, tachycardia, hallucinations, drowsiness, HA, amnesia, respiratory depression, blurred vision, N+V

52
Q

Diazepam adult dose (anxiety)

53
Q

Diazpeam adult seizure dose

54
Q

Diazepam adult amnesia dose

55
Q

Diazepam PEDI dose

A

0.1-0.2mg/kg IV, max dose of 5mg

56
Q

Diazepam Precautions

A

venous irritation, don’t push faster than 1ml/min, have benzo antagonist available

57
Q

Diazpeam drug interactions

A

additive effects with CNS depressents and alcohol

58
Q

Lorazepam trade name

59
Q

Lorazepam drug class

A

anticonvulsant/sedated/hypnotic/benzo

60
Q

Lorazepam MOA

A

positive allosteric modultar for GABAa receptors

61
Q

Lorazepam onset of action

A

1-5 min IV, 15-30 IM

62
Q

Lorazepam peak effects

A

15-20 min IV, 2 hr IM

63
Q

Lorazepam duration of effect

64
Q

Lorazepam half life

65
Q

Lorazepem indications

A

seizures/anxiety/cardioversion

66
Q

Lorazepam contraindications

A

hypersensitivity

67
Q

Lorazepam side effects

A

hypotension, drowsiness, HA, amnesia, respiratory depression, blurred vision, N+V

68
Q

Lorazepam adult dose

A

0.5mg-2mg IV, 1-4 mg IM (0.1mg/kg)

69
Q

Lorazepam pedi dose

A

0.05 mg/kg IV

70
Q

Lorazepam precautions

A

have benzo antagonist available

71
Q

Lorazepam interactions

A

additive effects with CNS depressants and alcohol

72
Q

Midazolam trade name

73
Q

Midazolam drug classification

A

benzo/anticonvulsant/sedative/hypnotic

74
Q

Midazolam MOA

A

positive allosteric modulator for GABAa receptors

75
Q

Midazolam onset of action

A

3-5 min IV, 15 min IM

76
Q

Midazolam peak effects

77
Q

Midazolam duration of effect

A

<2 hrs IV, 1-6 hours IM

78
Q

Midazolam half life

79
Q

Midazolam indications

A

seizure, pre-medication for cardioversion and TCP, post intubation sedation

80
Q

Midazolam contraindications

A

Hx of narrow angle glaucoma, shock, depressed vitals, alcoholic coma

81
Q

Midazolam side effects

A

laryngospasm, bronchospasm, dyspnea, respiratory depression/arrest, drowsiness, amnesia, AMS, tachycardia, bradycardia, PVC’s, retching

82
Q

Midazolam adult dose

A

2-5mg (0.5mg/kg) IV slow

83
Q

Medazolam pedi dose

A

0.2 mg/kg slow iV, max dose of 10

84
Q

Midazolam precautions

A

have resuscitative equipment available, increased risk of respirator depression/arrest, have benzo antagonist available

85
Q

Midazolam drug interactions

A

additive effects with CNS depressants and alcohol

86
Q

Saline pedi dose for cardiogenic shock

Paramedic (17 decks)

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