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Paramedic > Drug Quiz 6 - ACLS Drugs > Flashcards

Drug Quiz 6 - ACLS Drugs Flashcards

1
Q

Cacl2 drug class

A

mineral/electrolyte

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2
Q

Cacl2 moa

A

increases myocardial contractility and ventricular automaticity

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3
Q

Cacl2 onset of action

A

immediate

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4
Q

Cacl2 peak effects

A

unknown

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5
Q

Cacl2 duration of effect

A

varies

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6
Q

Cacl2 half life

A

n/a

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7
Q

Cacl2 indications

A

hyperkalemia, hypocalcemia, ca2+ channel blocker toxicity, crush syndrome, hypermagnesemia, abdominal muscle spasms from brown recluse spiders or man of war jellyfish, CA secondary to suspected hyperkalemia or known dialysis pt

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8
Q

Cacl2 contraindications

A

hypercalcemia

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9
Q

Cacl2 side effects

A

bradycardia, respiratory depression, syncope, cardiac arrest

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10
Q

Cacl2 adult dose

A

8-16mg/kg or 500-1000 mg

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11
Q

Cacl2 pedi dose

A

20mg/kg

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12
Q

Cacl2 precautions

A

tissue necrosis, digitalis toxicity

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13
Q

Cacl2 drug interactions

A

ppt with nahco3, digitalis toxicity

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14
Q

dopamine hcl trade name

A

intropin

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15
Q

intropin generic

A

dopamine hcl

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16
Q

dopamine moa

A

a1 and b1 agonist

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17
Q

dopamine onset of action

A

<5 min

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18
Q

dopamine peak effects

A

5-8 min

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19
Q

dopamine duration of effect

A

<10 min

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20
Q

dopamine half life

A

2 min

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21
Q

dopamine indications

A

hypotension not called by hypovolemia, cardiogenic shock, symptomatic bradycardia

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22
Q

dopamine contraindications

A

hypovolemic shock where fluid have not been administered to maximum capacity, patients with adrenal gland tumor, tachydysrhythmias and VF

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23
Q

dopamine side effects

A

headache, dysrhythmias, palpitations, chest pain

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24
Q

dopamine low dose

A

2-5mcg/kg/min increases blood flow to gut

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25
dopamine medium dose
5-10mcg/kg/min stimulates b1 effects
26
dopamine high dose
10-20mcg/kg/min stimulates a1 effects
27
dopamine precautions
protect from light
28
dopamine drug interactions
deactivated by alkaline solutions, maoi, hypotension with dilantin
29
mag s+ulfate drug class
electrolyte/mineral
30
mag sulfate moa
ca2+ channel blocker, causes cns depression and smooth muscle relaxation
31
mag onset of action
immediate iv, 1 hr im
32
mag peak effects
varies
33
mag duration of effect
1 hr
34
mag half life
n/a
35
mag indications
severe asthma, refractory VF or pulseless VT, torsades, post-mi prophylaxis, eclampsia
36
mag contraindications
3rd degree heart block, shock, severe hypertension, impaired renal function, hypocalcemia
37
mag side effects
bradycardia, respiratory depression, hypotension, flushing
38
mag adult asthma dose
2g in 100cc NS infused over 10 min
39
mag vt, vf, torsades no pulse adult dose
2g over 1-2 min
40
mag vt/torsades + pulse adult dose
1-2g in 50-100 cc NS, over 5-60 min
41
mag eclampsia dose
2-4g over 25 min
42
mag pedi asthma dose
25-50mg/kg over 15-30 min, max dose 2g
43
mag vt-no pulse pedi dose
25-50mg/kg max of 2g
44
mag vt+pulse pedi dose
25-50mg/kg max of 2g over 10-20 min
45
mag precautions
watch for resp. depression, have cacl2 available
46
mag drug interactions
digitalis
47
procainamide trade name
pronestyl
48
pronestyl generic name
procainamide
49
procainamide moa
na+ channel blocker, slows phases IV and 0 of cardiac cycle
50
procainamide onset of action
10-30 min
51
procainamide peak effects
15-20 min
52
procainamide duration of effect
3-6 hrs
53
procainamide half life
3 hrs
54
procainamide indications
persistent cardiac arrest secondary to vf, pvc's, and vt all refractory to lidocaine
55
procainamide contraindications
2/3rd degree heart blocks, pvc's with bradycardia
56
procainamide side effects
hypotension, bradycardia, heart blocks, respiratory and cardiac arrest
57
procainamide adult dose
100mg q5min at 20mg/min; maintenance 1-4mg/min
58
procainamide pedi dose
15mg/kg over 30-60 min
59
procainamide precautions
monitor bp; dc if dysrhythmia is suppressed, hypotension occurs, qrs widens by 50%, or 17 mg/kg has been administered
60
procainamide drug interactions
hypotension when taken with antihypertensives, neurotoxicity with lidocaine
61
sodium bicarb drug class
alkalinizing agent/electrolyte
62
sodium bicarb moa
the bicarb buffer formula
63
sodium bicarb onset of action
immediate
64
sodium bicarb peak effects
<15 min
65
sodium bicarb duration of effect
1-2 hrs
66
sodium bicarb half life
n/a
67
sodium bicarb indications
metabolic but not respiratory acidosis; tricyclic antidepressant OD
68
sodium bicarb contraindications
tums OD and routine cardiac arrest
69
sodium bicarb side effects
none
70
sodium bicarb dose
1 mEq/kg IV
71
sodium bicarb precautions
causes metabolic alkalosis in large quantities
72
sodium bicarb drug interactions
deactivates catecholaines and vasopressors, forms PPT with CaCl2
73
vasopressin trade name
pitressin
74
pitressin generic name
vasopressin
75
vasopressin drug class
vasopressor/hormone
76
vasopression moa
V1 R agonist, releases ca2+ from sarcoplasmic reticulum, sustained contractions by VSMC leading to vasoconstriction
77
vasopressin onset of action
varies
78
vasopressin peak effects
varies
79
vasopressin duration of effects
30-60 min
80
vasopressin half life
10-20 min
81
vasopressin indications
increase peripheral vascular resistance during cpr
82
vasopressin contraindications
none
83
vasopressin side effects
dysrhythmia, bradycardia, blanching of skin, htn, nausea
84
vasopressin adult dose
40 units iv, single dose, to replace 1st or 2nd dose of epi
85
vasopressin pedi dose
none
86
vasopressin precautions
caution with pt's with epilepsy, migraine, asthma, heart failure, angina; may increase myocardial o2 demand
87
vasopressin drug inteactions
none in acls

Paramedic (17 decks)

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