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Paramedic > Drug Quiz 8 > Flashcards

Drug Quiz 8 Flashcards

NS, CaCl2, NaHCO3, Albuterol, D50

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1
Q

0.9% sodium chloride trade

A

normal saline

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2
Q

normal saline generic

A

0.9% sodium chloride

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3
Q

NS classification

A

isotonic crystalloid solution

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4
Q

NS mechanism

A

volume replacement, water, electrolytes

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5
Q

NS onset

A

immediate

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6
Q

NS peak

A

immediate

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7
Q

NS duration

A

varies

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8
Q

NS half life

A

N/A

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9
Q

NS indications

A

dehydration, hypotension/hypovolemia, DKA

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10
Q

NS contraindications

A

pulmonary edema, severe hypotension

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11
Q

NS side effects

A

may induce pulmonary edema in Pt’s w/ CHF

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12
Q

NS adult dose

A

200-250CC until 100 systolic or max of 2000cc

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13
Q

NS pedi dose

A

20cc/kg IV for >1mos; 10cc/kg for <1mos

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14
Q

NS precautions

A

may cause depletion of other electrolytes, may dilute O2 carrying capacity with severe bleeding, use dopamine after 2L infused

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15
Q

NS interactions

A

none

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16
Q

CaCl2 trade name

A

none

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17
Q

CaCl2 drug class

A

mineral/electrolyte

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18
Q

CaCl2 mechanism

A

replacement of elemental calcium, increases myocardial contractility and ventricular automaticity

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19
Q

CaCl2 onset

A

immediate

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20
Q

CaCl2 peak

A

unknown

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21
Q

CaCl2 duration

A

varies

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22
Q

CaCl2 half life

A

N/A

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23
Q

CaCl2 indications

A

hyperkalemia, hypocalcemia, Ca2+ channel blocker toxicity, crush syndrome, hypermagnesemia, abd muscle spasms due to brown recluse spider or man of war jellyfish, CA secondary to suspected hyperkalemia

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24
Q

CaCl2 contraindications

A

hypercalcemia

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25
Q

CaCl2 side effects

A

bradycardia, dysrhythmias, syncope, CA

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26
Q

CaCl2 adult dose

A

8-16mg/kg or 500-1000mg IV

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27
Q

CaCl2 pedi dose

A

20mg/kg IV

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28
Q

CaCl2 precautions

A

tissue necrosis if bad line, caution with digitalis, may cause dig toxicity

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29
Q

CaCl2 interactions

A

forms PPT with NaHCO3, dig toxicity

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30
Q

Sodium Bicarb trade name

A

none

31
Q

bicarb drug class

A

alkalinizing agent/electrolyte

32
Q

bicarb MOA

A

just give the formula

33
Q

bicarb onset

A

immediate

34
Q

bicarb peak

A

<15 min

35
Q

bicarb duration

A

1-2 hrs

36
Q

bicarb half life

A

n/a

37
Q

bicarb indications

A

metabolic but not respiratory acidosis; TCA OD

38
Q

bicarb contraindications

A

TUMS OD, routine CA

39
Q

bicarb side effects

A

none

40
Q

bicarb dose

A

1mEq/kg IV

41
Q

bicarb precautions

A

causes metabolic alkalosis in large quantities

42
Q

bicarb interactions

A

deactivates catecholamines and vasopressors, reacts with CaCl2 to form PPT

43
Q

albuterol sulfate trade name

A

proventil hfa, proair hfa

44
Q

proventil hfa, proair hfa generic

A

albuterol sulfate

45
Q

albuterol drug class

A

sympathomimetic

46
Q

albuterol moa

A

b2 agonist causes bronchodilation

47
Q

albuterol onset

A

5-15 min

48
Q

albuterol peak

A

1-1.5 hrs

49
Q

albuterol duration

A

3-6 hrs

50
Q

albueterol half life

A

<3 hrs

51
Q

albuterol indications

A

asthma, copd bronchospasms

52
Q

albuterol contraindications

A

hypersensitivity, symptomatic tachycardia

53
Q

albuterol SE

A

anxiety, palpitations, nervousness, HTN

54
Q

albuerol mdi adult

A

90 mcg 1 or 2 sprays

55
Q

albuterol adult neb dose

A

2.5mg in 2.5ml NS over 5-15 min

56
Q

albuterol pedi neb dose

A

2.5mg in 2.5ml NS over 5-15 min

57
Q

albuterol precautions

A

monitor BP, pulse, EKG, use caution with heart disease and HTN, check LS before and after

58
Q

albuterol interactions

A

SE increase with other sympathetic agonists, B blockers blunt effects, MAOI and TCA potentiate cardiovascular effects

59
Q

50% dextrose in water trade

A

d50

60
Q

d50 generic

A

50% dextrose in water

61
Q

d50 class

A

carbohydrate

62
Q

d50 action

A

principal form of glucose used by body to create energy

63
Q

d50 onset

A

<1 min

64
Q

d50 peak

A

varies

65
Q

d50 duration

A

varies

66
Q

d50 half life

A

n/a

67
Q

d50 indications

A

hypoglycemia

68
Q

d50 contraindications

A

none

69
Q

d50 SE

A

necrosis and phlebitis at injection site; warmth, pain, burning at injection site, Wernicke’s encephalopathy or Korsakoff’s psychosis if Pt is thiamine deficient

70
Q

d50 adult dose

A

25 g in 50 ml IV

71
Q

d50 pedi dose

A

dilute 1:1 to make d25 and give 0.5-1 g/kg

72
Q

d50 precautions

A

increased ICP, ensure line, check BGL before/after, administer 100 mg of thiamine if suspected deficiency

73
Q

d50 interactions

A

none

Paramedic (17 decks)

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