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Paramedic School > Drugs Individual > Flashcards

Drugs Individual Flashcards

1
Q

Adenosine Indication:

A

SVT

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2
Q

Adenosine Contraindications

A

Hypersensitivity
Drug induced tachycardia
Bradycardia

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3
Q

Adenosine Dose

A

1st: 6mg
2nd: 12mg
3rd: 12mg
Fast IV followed w/ flush

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4
Q

Adenosine Side Effects

A

Light Headedness
Hypotension
Nausea

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5
Q

Albuterol Indications

A

Bronchospasms from asthma or COPD

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6
Q

Albuterol Contraindications

A

Pregnancy (unless needed)

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7
Q

Albuterol Dose

A

1st: 2.5mg
2nd: Same
3rd: Same
If no improvement after first, combine w/ Atrovent

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8
Q

Albuterol Side Effects

A

Tachycardia
Hypertension
Restlessness

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9
Q

Alcaine Indication

A

Burns to the eyes or corneal abrasion

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10
Q

Alcaine Contraindications

A

Trauma/Laceration to the eye

Foreign body in eye

Allergies

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11
Q

Alcaine Dose

A

1-2 drops every 5 minutes
Max of 3 doses

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12
Q

Alcaine Side Effects

A

Initial burning or stinging

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13
Q

Amiodarone Indications

A

V Fib
V Tac

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14
Q

Amiodarone Contraindications

A

Cardiogenic shock
Bradycardia

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15
Q

Amiodarone Dose

Adult:
Pedi:

A

Adult:
VFib/VTach without Pulse- 1st 300 mg IV/IO; 2nd 150mg IV/IO
VTach with pulse- 150mg over 10 minutes

Pedi:
VFib/VTach without Pulse- 1st 5mg/kg (max of 150); 2nd same
VTach with pulse- 5mg/kg drip over 30 minutes

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16
Q

Amiodarone Side Effects

A

Hypotension if given rapidly
Bradycardia
CHF

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17
Q

Amyl Nitrate Indications

A

Acute cyanide poisoning with severe symptoms
Altered Mental Status
Dyspnea, cyanosis
Vomiting, seizures

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18
Q

Amyl Nitrate Contraindications

A

Do not administer if IV established and able to give sodium nitrite

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19
Q

Amyl Nitrate Dose

A

1 ampule crushed and inhaled

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20
Q

Amyl Nitrate Side Effects

A

Hypotension

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21
Q

(Atrovent) Ipratronium Bromide Indication

A

Bronchospasm that didn’t improve w/ 1st dose of albuterol

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22
Q

(Atrovent) Ipratropium Bromide Contraindications

A

Sensitivity to atropine
Bronchospasms due to allergic reaction

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23
Q

(Atrovent) Ipratropium Bromide Dose

Adult:
Pedi:

A

Adult: .5mg in 2.5mL

Pedi: <1 year .25mg; >1 year adult dose

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24
Q

(Atrovent) Ipratropium Bromide Side Effects

A

Dry mouth
Nausea/Vomiting

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25
Q

Aspirin Indications

A

Cardiac Chest pain

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26
Q

Aspirin Contraindication

A

Allergy to aspirin
GI Bleed
Hemorrhagic stroke

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27
Q

Aspirin Dose

Adult
Pedi

A

Adult 324mg

Not give

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28
Q

Aspirin Side Effects

A

None in emergency setting

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29
Q

Ativan Indications

A

Active seizure
Sedation to facilitate airway device placement
Prior to painful procedure
Excited delirium

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30
Q

Ativan Contraindications

A

Hypotension
Head injury
Pregnancy

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31
Q

Ativan Dose

Adult:
Pedi:

A

Adult: 2-10mg

Pedi: .05-.1mg/kg

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32
Q

Ativan Side Effects

A

Hypotension
Respiratory depression
Confusion
Nausea
Vein irritation

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33
Q

Atropine Indications

A

Symptomatic bradycardia
Organophosphate poisoning

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34
Q

Atropine Contraindications

A

Hypothermic bradycardias

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35
Q

Atropine Dose

Adult
Pedi

A

Adult Sym Brady: .5mg IV every 3-5 mins
Adult Poisoning: 2-5mg every 15 mins until secretions stop

Pedi Sym Brady: .2mg/kg (may repeat up to a max of 1 or 3mg)
Pedi Poisoning: .05mg/kg

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36
Q

Atropine Side Effects

A

Tachycardia
Blurred vision
Dry mouth

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37
Q

Calcium Chloride Indications

A

Hyperkalemia
Hypocalcemia
Magnesium OD
Ca Channel Blocker OD

38
Q

Calcium Chloride Contraindications

A

Cardiac arrest
Hypercalcemia
Digitalis

39
Q

Calcium Chloride Dose

A

10-15mg/kg

40
Q

Calcium Chloride Side Effects

A

Bradycardia and hypotension if too much pushed too fast

41
Q

Calcium Gluconate Indications

A

Hyperkalemia
Magnesium OD
Ca Channerl Blocker OD

42
Q

Calcium Gluconate Contraindications

A

Cardiac Arrest
Hypercalcemia

43
Q

Calcium Gluconate Dose

Adult:
Pedi:

A

Adult: 15-30mL of 10% solution

Pedi:60-100mg/kg slow IV push

44
Q

Calcium Gluconate Side Effects

A

Bradycardia
Hypercalcemia

45
Q

Cardizem Indications

A

A fib or AFlutter w/ RVR
PSVT unresponsive to adenosine

46
Q

Cardizem Contraindications

A

Systolic<90
Diastolic<60
Wide Complex Tachycardia

47
Q

Cardizem Dose

A

Adult:
1st .25mg/kg
2nd .35mg/kk
IV push over 2 min

48
Q

Cardizem Side Effects

A

Bradycardia
Hypotension

49
Q

Decadron Indications

A

Reduces Swelling & inflammation due to:
Refractory bronchospasm in seizures and acute exacerbation of COPD

50
Q

Decadron Contraindications

A

Known Hypersensitivity

51
Q

Decadron Dose

Adult:
Pedi:

A

Adult: 4-24 mg IV/IM

Pedi: .2-.5 mg/kg not to exceed adult dosage

52
Q

Decadron Side Effects

A

Hypertension
Anaphylactic reaction
Exacerbation of CHF
Seizures

53
Q

Dextrose 10% Indications

A

Hypoglycemia

54
Q

Dextrose 10% Contraindications

A

None in hypoglycemia
Use caution w/ head injury

55
Q

Dextrose 10% Dose

Adult:
Pedi:

A

Adult: 250 ml D10 IV

Pedi: 5mL/kg of 10% solution

56
Q

Dextrose 10% Side Effects

A

Tissue necrosis/ infiltration

57
Q

Diazepam Indications
(Valium)

A

Active Seizure
Premedication

58
Q

Diazepam Contraindications
(Valium)

A

Alcohol or sedative drug use
Head Injury

59
Q

Diazepam Dose
(Valium)

Adult:
Pedi:

A

Adult: 5-10mg to max 10mg IV/IM

Pedi: .5mg/kg max of 5mg (rectal); .2/kg max 5mg (IV)

60
Q

Diazepam Side Effects
(Valium)

A

Respiratory Depression
Hypotension

61
Q

Diphenhydramine Indications

A

Anaphylaxis
Moderate/Severe allergic reactions

62
Q

Diphenhydramine Contraindications

A

MAOI’s (antidepressant)
Newborns and nursing mothers

63
Q

Diphenhydramine Dose

Adult:
Pedi:

A

Adult: 25-50mg

Pedi: 1-2mcg/kg/min

64
Q

Diphenhydramine Side Effects

A

Drowsiness, dizziness, sedation

65
Q

Dopamine Indications

A

Nonhypovolemic hypotension
Symptomatic bradycardia if atropine is ineffective

66
Q

Dopamine Contraindications

A

Hypovolemic Shock
Tachydysrhythmias
VFib

67
Q

Dopamine Dose

A

2-20mcg/kg/min

68
Q

Dopamine Side Effects

A

Hypertension
Headache
Nausea/Vomiting

69
Q

EPI 1:1000 Indications

A

Asthmatic bronchoconstriction
Allergic/Anaphylaxis
Profound bradycardia

70
Q

EPI 1:1000 Contraindications

A

Hypersensitivity
Hypovolemic shock
Coronary insufficiency

71
Q

EPI 1:1000 Dose

Adult:
Pedi:

A

Adult:
Asthma/Allergy- .3mg SubQIM
Bradycardia- 2-10mcg/min

Pedi: .15mg SubQ or IM

72
Q

EPI 1:1000 Side Effects

A

Tachycardia
Hypertension
Can worse cardiac ischemia

73
Q

EPI 1:10,000 Indications

A

Cardiac Arrest
Anaphylaxis

74
Q

EPI 1:10,000 Contraindications

A

Hypersensitivity
Hypovolemic shock
Coronary insufficiency

75
Q

EPI 1:10,000 Dose

Adult:
Pedi:

A

Adult:
CA: 1mg IV every 3-5 minutes
AR: .3mg may repeat no more than once

Pedi:
CA: .01mg/kg
AR: .15 may repeat no more than once

76
Q

EPI 1:10,000 Side Effects

A

Palpitation
Anxiety
Tremulousness
Headache
Dizziness
Hypertension

77
Q

Etomidate Indications

A

Induction agent before the admin of a neuromuscular blockade agent

78
Q

Etomidate Contraindications

A

Known Hypersensitivity
Labor/Delivery

79
Q

Etomidate Dose

A

.3 mg/kg Max 40 mg

80
Q

Etomidate Side Effects

A

N&V
Dysrythmias
SOB
Hypotension
Muscle Twitch

81
Q

Fetanyl Indications

A

Pain Control
Sedation for RSI & PSI

82
Q

Fetanyl Contraindications

A

Respiratory Depression
Hypotension
N&V

83
Q

Fetanyl Dose

A

1-2 mcg/kg to Max 200mcg

84
Q

Fetanyl Side Effects

A

Respiratory Depression
Bradycardia
Hypo/Hypertension
N&V

85
Q

Oral Glucose Indications:

A

Altered LOC caused by hypoglycemia.

86
Q

Oral Glucose Contraindications:

A

-No gag reflex
-Unable to protect airway

87
Q

Oral Glucose Dose:

A

25-50g (full tube)

88
Q

Oral Glucose Side Effects:

A

Aspiration

89
Q

Glucagon Indications:

A

-Hypoglycemia (IN or IM)
-Beta-blocker OD
-Calcium Channel Blocker Toxicity

90
Q

Glucagon Contraindications:

A

Hypersensitivity to Proteins

91
Q

Glucagon Dose:

A

Low sugar: 1mg IM or IN

CCB or Beta Blocker OD:
1mg IV/IO up to 3mg

Less than age 1
0.5 mg IV/IO/IM/IN/SQ

92
Q

Glucagon Side Effects

A

-N&V
-Tachycardia

Paramedic School (6 decks)

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