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Paramedic > Drug quiz 12 - Pedi Drugs > Flashcards

Drug quiz 12 - Pedi Drugs Flashcards

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

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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
Q

solumedrol indications

A

anaphylaxis/hives; asthma/copd, spinal cord injury

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26
Q

solumedrol contraindications

A

none

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27
Q

solumedrol SE

A

fluid retention, CHF, HTN, abd. distention, vertigo, HA, nausea, malaise, hiccups

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28
Q

solumedrol adult asthma dose

A

125-250 mg IV

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29
Q

solumedrol spinal cord injury dose

A

30 mg/kg iv over 15 min, maintenance of 5.4 mg/kg/hr for 24-48 hrs

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30
Q

solumedrol pedi asthma dose

A

2 mg/kg iv, max 80mg

31
Q

solumedrol precautions

A

one dose prehospitally, can prolong wound healing

32
Q

solumedrol drug interactions

A

increased K lose with lasix and thiazide diuretics, decreased effect with phenytoin, phenobarbital, rifampin

33
Q

acetaminophen trade

A

tylenol

34
Q

tylenol generic

A

acetaminophen

35
Q

tylenol drug class

A

antipyretic/analgesic

36
Q

tylenol moa

A

cox inhibitor elevates pain threshold; antipyretic by action on hypothalamic heat regulatory center

37
Q

tylenol onset

A

15-30 min

38
Q

tylenol peak

A

30-120 min

39
Q

tylenol duration

A

3-4 hrs

40
Q

tylenol half-life

A

1-3 hrs

41
Q

tylenol indications

A

fever, mild pain

42
Q

tylenol contraindications

A

hypersensitivity, liver disease

43
Q

tylenol SE

A

dizziness, abd pain, hypoglycemia, N+V

44
Q

tylenol adult dose

A

325-650 po q4-6 hr PRN, max of 4g/day

45
Q

tylenol pedi dose

A

15mg/kg PO q4-6hr PRN, max 4g/day

46
Q

tylenol precautions

A

overdose is toxic to the liver; does not have antiplatelet aggregation effect like aspirin; does not have peripheral anti-inflammatory effect

47
Q

tylenol interactions

A

excessive use of alcohol increases risk of hepatotoxicity

48
Q

dextrose 25% drug class

A

carbohydrate

49
Q

d25 moa

A

raises BGL

50
Q

d25 onset

A

<1 min

51
Q

d25 peak

A

varies

52
Q

d25 duration

A

varies

53
Q

d25 half life

A

n/a

54
Q

d25 indications

A

hypoglycemia

55
Q

d25 contraindications

A

none

56
Q

d25 SE

A

tissue necrosis/phlebitis at IV site

57
Q

d25 pedi dose

A

0.5-1g/kg slow IV

58
Q

d25 precautions

A

1-8 y/o; caution w/ ICP or cerebral edema

59
Q

d25 interactions

A

none

60
Q

racemic epinephrine trade

A

vaponephrine

61
Q

vaponephrine generic

A

racemic epinephrine

62
Q

racemic epi drug class

A

sympathomimetic

63
Q

racemic epi moa

A

alpha and beta agonist causes bronchodilation, decreased mucous membrane secretions, relieves subglottic edema

64
Q

racemic epi onset

A

<5 min inhaled

65
Q

racemic epi peak

A

5-15 min

66
Q

racemic epi duration

A

1-3 hrs

67
Q

racemic epi half life

A

n/a

68
Q

racemic epi indications

A

croup

69
Q

racemic epi contraindications

A

hypertension, tachydysrhythmias, epiglottitis

70
Q

racemic epi SE

A

restlessness, anxiety, dizziness, HA, hypertension, tachycardia, paradoxical bronchospasm, N+V

71
Q

racemic epi pedi dose

A

5mg 1:1000 epi in 2.5-3mL NS nebulized or 0.25-75 of 2.25% solution in 2mL NS nebulized

72
Q

racemic epi precautions

A

rebound or worsened effects when med wears off

73
Q

racemic epi interactions

A

additive effects with other sympathomimetics

Paramedic (17 decks)

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