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Paramedic > Drug quiz 12 - Pedi Drugs > Flashcards

Drug quiz 12 - Pedi Drugs Flashcards

D25, Albuterol, Tylenol, Racemic Epi, Solu-medrol

1
Q

albuterol trade name

A

proventil hfa, proair hfa

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2
Q

proventil/proair generic

A

albuterol sulfate

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3
Q

albuterol drug class

A

b2 selective sympathetic agonist

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4
Q

albuterol moa

A

b2 agonist leads to bronchodilation

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5
Q

albuterol onset

A

5-15 min

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6
Q

albuterol peak

A

1-1.5 hrs

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7
Q

albuterol duration

A

3-6 hrs

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8
Q

albuterol half life

A

<3 hrs

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9
Q

albuterol indications

A

asthma, copd bronchospasms

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10
Q

albuterol contraindications

A

symptomatic tachycardia, hypersensitivity

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11
Q

albuterol SE

A

anxiety, HA, palpitations, sweating, dizziness, nervousness, tremor, HTN, arrhythmias, chest pain, N+V

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12
Q

albuterol mdi dose

A

1-2 90mcg sprays

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13
Q

albuterol adult dose

A

2.5mg in 2.5ml NS over 5-15 min

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14
Q

albuterol pedi dose

A

2.5mg in 2.5ml NS over 5-15 min

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15
Q

albuterol precautions

A

monitor vitals and ekg; check LS before and after, use caution with heart disease and HTN

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16
Q

albuterol Interactions

A

SE may increase with other sympathetic agonists, b blockers may blunt drug’s effect

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17
Q

methylprednisolone trade

A

solu-medrol

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18
Q

solu-medrol generic

A

methylprednisolone

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19
Q

solumedrol drug class

A

corticosteroid/anti-inflammatory

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20
Q

solumedrol moa

A

inhibits synthesis of pro-inflammatory enzymes

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21
Q

solumedrol onset

A

2-6 hrs

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22
Q

solumedrol peak

A

4-8 hrs

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23
Q

solumedrol duration

A

1-5 weeks

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24
Q

solumedrol half life

A

3.5 hrs

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25
solumedrol indications
anaphylaxis/hives; asthma/copd, spinal cord injury
26
solumedrol contraindications
none
27
solumedrol SE
fluid retention, CHF, HTN, abd. distention, vertigo, HA, nausea, malaise, hiccups
28
solumedrol adult asthma dose
125-250 mg IV
29
solumedrol spinal cord injury dose
30 mg/kg iv over 15 min, maintenance of 5.4 mg/kg/hr for 24-48 hrs
30
solumedrol pedi asthma dose
2 mg/kg iv, max 80mg
31
solumedrol precautions
one dose prehospitally, can prolong wound healing
32
solumedrol drug interactions
increased K lose with lasix and thiazide diuretics, decreased effect with phenytoin, phenobarbital, rifampin
33
acetaminophen trade
tylenol
34
tylenol generic
acetaminophen
35
tylenol drug class
antipyretic/analgesic
36
tylenol moa
cox inhibitor elevates pain threshold; antipyretic by action on hypothalamic heat regulatory center
37
tylenol onset
15-30 min
38
tylenol peak
30-120 min
39
tylenol duration
3-4 hrs
40
tylenol half-life
1-3 hrs
41
tylenol indications
fever, mild pain
42
tylenol contraindications
hypersensitivity, liver disease
43
tylenol SE
dizziness, abd pain, hypoglycemia, N+V
44
tylenol adult dose
325-650 po q4-6 hr PRN, max of 4g/day
45
tylenol pedi dose
15mg/kg PO q4-6hr PRN, max 4g/day
46
tylenol precautions
overdose is toxic to the liver; does not have antiplatelet aggregation effect like aspirin; does not have peripheral anti-inflammatory effect
47
tylenol interactions
excessive use of alcohol increases risk of hepatotoxicity
48
dextrose 25% drug class
carbohydrate
49
d25 moa
raises BGL
50
d25 onset
<1 min
51
d25 peak
varies
52
d25 duration
varies
53
d25 half life
n/a
54
d25 indications
hypoglycemia
55
d25 contraindications
none
56
d25 SE
tissue necrosis/phlebitis at IV site
57
d25 pedi dose
0.5-1g/kg slow IV
58
d25 precautions
1-8 y/o; caution w/ ICP or cerebral edema
59
d25 interactions
none
60
racemic epinephrine trade
vaponephrine
61
vaponephrine generic
racemic epinephrine
62
racemic epi drug class
sympathomimetic
63
racemic epi moa
alpha and beta agonist causes bronchodilation, decreased mucous membrane secretions, relieves subglottic edema
64
racemic epi onset
<5 min inhaled
65
racemic epi peak
5-15 min
66
racemic epi duration
1-3 hrs
67
racemic epi half life
n/a
68
racemic epi indications
croup
69
racemic epi contraindications
hypertension, tachydysrhythmias, epiglottitis
70
racemic epi SE
restlessness, anxiety, dizziness, HA, hypertension, tachycardia, paradoxical bronchospasm, N+V
71
racemic epi pedi dose
5mg 1:1000 epi in 2.5-3mL NS nebulized or 0.25-75 of 2.25% solution in 2mL NS nebulized
72
racemic epi precautions
rebound or worsened effects when med wears off
73
racemic epi interactions
additive effects with other sympathomimetics

Paramedic (17 decks)

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