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Paramedic ALS Guide > Drug Test 6 > Flashcards

Drug Test 6 Flashcards

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1
Q

What is the trade name of Fentanyl?

A

Sublimaze

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2
Q

What is the onset and duration of Fentanyl?

A

Fast (less than 5) / Moderate (less than 30)

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3
Q

What is the classification of Fentanyl?

A

Opioid analgesic

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4
Q

What is the action of Fentanyl?

A

Binds to opiate receptors producing analgesia.

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5
Q

What is an indication for Fentanyl?

A

Pain Management

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6
Q

What are the contra/ cautions of Fentanyl?

A

Traumatic brain injuries, patients taking MAOI, Myasthenia gravis, respiratory depression.

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7
Q

What are the side/ adverse effects of Fentanyl?

A

CNS depression, nausea, vomiting

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8
Q

What is the route and administration of Fentanyl?

A

IV/IN/IM/IO doses may be given every 10 minutes.

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9
Q

What is the adult dose of fentanyl?

A

50-100 mcg (max 200 mcg)

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10
Q

What is the pediatric dose of fentanyl?

A

1 mcg/kg (max 75 per dose) 2 mcg/kg for intranasal (max 100 mcg per dose)

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11
Q

What is the trade name of Promethazine?

A

Phenergan

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12
Q

What is the onset and duration of Promethazine?

A

Rapid (less than 1 minute) Duration 4-6 hours

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13
Q

What is the classification of Promethazine?

A

Antiemetic, antihistamine

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14
Q

What is the action of Promethazine?

A

Blocks action of histamines, anti- motion, antiemetic, potentiates narcotic

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15
Q

What is the indication for Promethazine?

A

Nausea, vomiting, potentiating analgesic effects of narcotics.

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16
Q

What are the contra/ cautions of Promethazine?

A

CNS depression from other drugs, lower respiratory symptoms

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17
Q

What are the side/ adverse effects of Promethazine?

A

Sedation, confusion, tissue irritation

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18
Q

What is the route/ administration of Promethazine?

A

IV: Push slowly and dilute medication in 10ML NS
IM: administer only if systolic is over 100

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19
Q

What is the adult dose of Promethazine?

A

IV: 12.5-25 mg
IM: 25 mg

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20
Q

What is the pediatric dose of Promethazine?

A

Not recommended call OLMC

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21
Q

What is the trade name of Propofol?

A

Diprivan

22
Q

What is the onset/ duration of Propofol?

A

Rapid onset of action that is dose-dependent and less than a minute

23
Q

What is the classification of Propofol?

A

Sedative hypnotic, short acting

24
Q

what is the action of Propofol?

A

Rapid and brief general anesthesia

25
Q

What is indication of Propofol?

A

Rapid sequence intubation, anesthesia

26
Q

What are the Contra/ Cautions of Propofol?

A

Hypovolemia, hypersensitivity to soybean oil, peanuts and eggs.

27
Q

What are the side/ adverse effects of Propofol?

A

Seizures, apnea, dysrhythmias, acute renal failure

28
Q

What is the route/ administration of Propofol?

A

IV/IO

29
Q

What is the adult dose of Propofol?

A

Induction dose 1.5-3 mg/kg, Maintenance infusion 25-75 ug/kg/min

30
Q

What is the pediatric dose of Propofol?

A

Induction dose 2.5- 3.5 mg/kg, Maintenance infusion 125-300 ug/kg/min.

31
Q

What is the trade name of Succinylcholine Chloride?

A

Anectine

32
Q

What is the onset and duration of Succinylcholine Chloride?

A

Onset: less than 1 min and duration 5-10 min

33
Q

What is the classification of Succinylcholine Chloride?

A

Neuromuscular blocker

34
Q

What is the action of Succinylcholine Chloride?

A

Short acting skeletal muscle relaxant

35
Q

What is an indication for Succinylcholine Chloride?

A

Rapid sequence intubation

36
Q

What is a contra/ caution of Succinylcholine Chloride?

A

Major burns, extensive muscle injury

37
Q

What is the side / adverse effects of Succinylcholine Chloride?

A

Respiratory depression, dysthymias, cardiac arrest

38
Q

What is the route/ administration of Succinylcholine Chloride?

A

IV/IO push quickly repeat once if needed.

39
Q

What is the adult dose of Succinylcholine Chloride?

A

1.0-1.5 mg/kg

40
Q

What is the pediatric dose of Succinylcholine Chloride?

A
  1. 0-1.5 mg/g

2. 0 mg/kg for infants

41
Q

What is the trade name of Vecuronium Bromide?

A

Norcuron

42
Q

What is the onset/ duration of Vecuronium Bromide?

A

Onset: 3-5 min

Duration 20-35 min

43
Q

What is the classification of Vecuronium Bromide?

A

Neuromuscular blocker

44
Q

What is the action of Vecuronium Bromide?

A

Skeletal muscle relaxant

45
Q

What is the indication for Vecuronium Bromide?

A

Rapid sequence intubation

46
Q

What are the contra/ cautions of Vecuronium Bromide?

A

Newborns, myasthenia gravis, heptic or renal failure

47
Q

What are the side/ adverse effects of Vecuronium Bromide?

A

Respiratory depression, dysthymias,, cardiac arrest.

48
Q

What is the route/ administration of Vecuronium Bromide?

A

IV/IO
Adults: maintenance dose within 30-45 minutes after induction dose
Pediatrics: Maintenance dose within 20-40 minutes after induction dose.

49
Q

What is the adult dose of Vecuronium Bromide?

A

0.1-0.2 mg/kg

50
Q

What is the pediatric dose of Vecuronium Bromide?

A

.01-0.015 mg/kg

Paramedic ALS Guide (11 decks)

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