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Paramedic > Drug Quiz 6 - ACLS Drugs > Flashcards

Drug Quiz 6 - ACLS Drugs Flashcards

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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
Q

dopamine medium dose

A

5-10mcg/kg/min stimulates b1 effects

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26
Q

dopamine high dose

A

10-20mcg/kg/min stimulates a1 effects

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27
Q

dopamine precautions

A

protect from light

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28
Q

dopamine drug interactions

A

deactivated by alkaline solutions, maoi, hypotension with dilantin

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29
Q

mag s+ulfate drug class

A

electrolyte/mineral

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30
Q

mag sulfate moa

A

ca2+ channel blocker, causes cns depression and smooth muscle relaxation

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31
Q

mag onset of action

A

immediate iv, 1 hr im

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32
Q

mag peak effects

A

varies

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33
Q

mag duration of effect

A

1 hr

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34
Q

mag half life

A

n/a

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35
Q

mag indications

A

severe asthma, refractory VF or pulseless VT, torsades, post-mi prophylaxis, eclampsia

36
Q

mag contraindications

A

3rd degree heart block, shock, severe hypertension, impaired renal function, hypocalcemia

37
Q

mag side effects

A

bradycardia, respiratory depression, hypotension, flushing

38
Q

mag adult asthma dose

A

2g in 100cc NS infused over 10 min

39
Q

mag vt, vf, torsades no pulse adult dose

A

2g over 1-2 min

40
Q

mag vt/torsades + pulse adult dose

A

1-2g in 50-100 cc NS, over 5-60 min

41
Q

mag eclampsia dose

A

2-4g over 25 min

42
Q

mag pedi asthma dose

A

25-50mg/kg over 15-30 min, max dose 2g

43
Q

mag vt-no pulse pedi dose

A

25-50mg/kg max of 2g

44
Q

mag vt+pulse pedi dose

A

25-50mg/kg max of 2g over 10-20 min

45
Q

mag precautions

A

watch for resp. depression, have cacl2 available

46
Q

mag drug interactions

A

digitalis

47
Q

procainamide trade name

A

pronestyl

48
Q

pronestyl generic name

A

procainamide

49
Q

procainamide moa

A

na+ channel blocker, slows phases IV and 0 of cardiac cycle

50
Q

procainamide onset of action

A

10-30 min

51
Q

procainamide peak effects

A

15-20 min

52
Q

procainamide duration of effect

A

3-6 hrs

53
Q

procainamide half life

A

3 hrs

54
Q

procainamide indications

A

persistent cardiac arrest secondary to vf, pvc’s, and vt all refractory to lidocaine

55
Q

procainamide contraindications

A

2/3rd degree heart blocks, pvc’s with bradycardia

56
Q

procainamide side effects

A

hypotension, bradycardia, heart blocks, respiratory and cardiac arrest

57
Q

procainamide adult dose

A

100mg q5min at 20mg/min; maintenance 1-4mg/min

58
Q

procainamide pedi dose

A

15mg/kg over 30-60 min

59
Q

procainamide precautions

A

monitor bp; dc if dysrhythmia is suppressed, hypotension occurs, qrs widens by 50%, or 17 mg/kg has been administered

60
Q

procainamide drug interactions

A

hypotension when taken with antihypertensives, neurotoxicity with lidocaine

61
Q

sodium bicarb drug class

A

alkalinizing agent/electrolyte

62
Q

sodium bicarb moa

A

the bicarb buffer formula

63
Q

sodium bicarb onset of action

A

immediate

64
Q

sodium bicarb peak effects

A

<15 min

65
Q

sodium bicarb duration of effect

A

1-2 hrs

66
Q

sodium bicarb half life

A

n/a

67
Q

sodium bicarb indications

A

metabolic but not respiratory acidosis; tricyclic antidepressant OD

68
Q

sodium bicarb contraindications

A

tums OD and routine cardiac arrest

69
Q

sodium bicarb side effects

A

none

70
Q

sodium bicarb dose

A

1 mEq/kg IV

71
Q

sodium bicarb precautions

A

causes metabolic alkalosis in large quantities

72
Q

sodium bicarb drug interactions

A

deactivates catecholaines and vasopressors, forms PPT with CaCl2

73
Q

vasopressin trade name

A

pitressin

74
Q

pitressin generic name

A

vasopressin

75
Q

vasopressin drug class

A

vasopressor/hormone

76
Q

vasopression moa

A

V1 R agonist, releases ca2+ from sarcoplasmic reticulum, sustained contractions by VSMC leading to vasoconstriction

77
Q

vasopressin onset of action

A

varies

78
Q

vasopressin peak effects

A

varies

79
Q

vasopressin duration of effects

A

30-60 min

80
Q

vasopressin half life

A

10-20 min

81
Q

vasopressin indications

A

increase peripheral vascular resistance during cpr

82
Q

vasopressin contraindications

A

none

83
Q

vasopressin side effects

A

dysrhythmia, bradycardia, blanching of skin, htn, nausea

84
Q

vasopressin adult dose

A

40 units iv, single dose, to replace 1st or 2nd dose of epi

85
Q

vasopressin pedi dose

A

none

86
Q

vasopressin precautions

A

caution with pt’s with epilepsy, migraine, asthma, heart failure, angina; may increase myocardial o2 demand

87
Q

vasopressin drug inteactions

A

none in acls

Paramedic (17 decks)

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