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Paramedic > Drug Quiz 3 > Flashcards

Drug Quiz 3 Flashcards

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1
Q

nitroglycerin trade name

A

nitrostat

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2
Q

nitrostat generic name

A

nitroglycerin

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3
Q

nitro drug class

A

vasodilator/nitrate

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4
Q

nitro MOA

A

pro-drug converted to nitric oxide, reduces intracellular Ca2+ in vascular smooth muscle muscle, decreases cardiac preload and afterload

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5
Q

nitro onset of effect

A

1-3 min SL; 30 min topical

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6
Q

nitro peak effects

A

5-10 min SL; varies topically

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7
Q

nitro duration of effect

A

20-30 min SL; 3-6 hrs topically

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8
Q

nitro half life

A

1-4 min

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9
Q

nitro indications

A

chest pain associated with angina or MI, pulmonary edema/CHF

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10
Q

nitro contraindications

A

hypotension, ICP, children under 12, ED drugs within last 48 hrs

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11
Q

nitro SE

A

headache, dizziness, tachycardia, hypotension

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12
Q

nitro adult spray dose

A

.4mg SL q3-5min, (max 3x25min)

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13
Q

nitro adult paste dose

A

0.5-1 inch

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14
Q

nitro adult tablet

A

0.4mg SL

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15
Q

nitro precautions

A

check vitals and 12 lead before and after, expect HA, use EXTREME CAUTION if R-sided MI

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16
Q

nitro drug interactions

A

orthostatic hypertension w/ b-blockers, severe hypotension with alcohol

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17
Q

oxygen drug class

A

gas

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18
Q

oxygen MOA

A

cells use it for breakdown of glucose

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19
Q

oxygen onset of action

A

immediate

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20
Q

oxygen peak effects

A

<1 min

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21
Q

oxygen duration of effect

A

<2 min

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22
Q

oxygen half life

A

n/a

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23
Q

oxygen indications

A

hypoxia, difficulty breathing, spo2<94%

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24
Q

oxygen contraindications

A

ROSC post CA w/ sp02>94%; chest pain, MI, cell injury or death with sp02>94%

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25
Q

oxygen side effects

A

free radicals in presence of injured tissues, causing cell death

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26
Q

oxygen adult dose

A

2-6L NC, 12-15L NRB, 15L BVM

27
Q

oxygen CPAP/VENT dose

A

varies by O2 demand to meet cmH20 requirement

28
Q

oxygen pedi dose

A

2-6L NC, 10-15L NRB, 15L BVM

29
Q

oxygen precautions

A

avoid hyperoxia; high concentrations to neonates can cause eye damage

30
Q

oxygen drug interactions

A

none EMS

31
Q

furosemide trade name

A

lasix

32
Q

lasix generic name

A

furosemide

33
Q

lasix drug class

A

loop diuretic

34
Q

lasix moa

A

inhibits Na and Cl reabsorption in kidneys, reducing water reasbsorption in descending limb; causes venous dilation and reduces preload

35
Q

lasix onset of action

A

5-10 min for vasodilation, 5-30 for diuresis

36
Q

lasix peak effects

A

30 min for vasodilation, 20-60 for diuresis

37
Q

lasix duration of effect

A

2 hrs for vasodilation, 6 hrs for diuresis

38
Q

lasix half life

A

30 min

39
Q

lasix indications

A

CHF and pulmonary edema

40
Q

lasix contraindications

A

sulfa allergies, renal failure, pregnancy

41
Q

lasix side effects

A

hypotension, headache, dizziness, volume depletion

42
Q

lasix adult dose

A

40 mg IV; if Pt takes lasix give their dose, if they missed today’s dose double their daily dose

43
Q

lasix pedi dose

A

0.5-1mg/kg IV, not for children under 12

44
Q

lasix precautions

A

LS and BP before and after, protect from light, may cause dehydration

45
Q

lasix drug interactions

A

additive effects with other diuretics; nsaid’s may antagonize effects

46
Q

epinephrine trade name

A

adrenalin, epipen

47
Q

adrenalin, epipen generic name

A

epinephrine

48
Q

epi drug class

A

sympathomimetic/catecholamine

49
Q

epi moa

A

a1 agonist - peripheral casoconstriction, b1 agonist - positive inotropy, chronotropy, dromotropy; b2 agonist - bronchodilation; blocks destruction of mast cells

50
Q

epi onset of action

A

<2 min iv, 3-10 im

51
Q

epi peak effects

A

<5 min iv, 20 min im

52
Q

epi duration of effect

A

5-10 min iv; 20-30 min im

53
Q

epi half life

A

5 min iv

54
Q

epi indications

A

cardiac arrest, anaphylaxis, symptomatic bradycardia/hypotension

55
Q

epi contraindications

A

HTN and tachydysrhythmias, use caution w/ pregnancy and CAD

56
Q

epi side effects

A

anxiety, HA, dysrhythmias, tremulousness

57
Q

epi adult cardiac arrest dose

A

0.5-1mg iv [1:10,000] q 3-5min

58
Q

epi pedi cardiac arrest dose

A

0.01mg/kg iv [1:10,000] q 3-5min

59
Q

epi bradycardia/hypotension adult dose

A

2-10 mcg/min

60
Q

epi anaphylaxis adult dose

A

0.3-0.5mg IM/SC [1:1000], then 0.1mg [1:10,000] IV over 3 min

61
Q

epi pedi anaphylaxis dose

A

0.01mg/kg IM/SC [1:1,000], then 0.01mg/kg [1:10,000] max of 0.3mg slow IV

62
Q

epi precautions

A

protect from light

63
Q

epi drug interactions

A

deactivated by alkaline solutions; effect intensified by anti-depressants, forms PPT w/ CaCl2 and NaHCO3

Paramedic (17 decks)

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