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Paramedic > Drugs random mix > Flashcards

Drugs random mix Flashcards

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1
Q

Albuterol Sulfate

A

Albuterol Sulfate

Sympathomimetic / Sympathetic Agonist
B2 Agonist

Allergic reaction / Anaphylaxis / Asthma / COPD / RAD
A. 2.5mg Neb w/ 02 8LPM q5
P. 2.5mg Neb w/ 02 8LPM q5

Hyperkalemia
A. 2.5mg Neb w/ 02 8LPM q5 may repeat until max of 20mg.
P. Not indicated

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2
Q

Epinephrine / Adrenalin

A

Epinephrine / Adrenalin

Sympathomimetic / Sympathetic Agonist / Catecholamine
A1 agonist increases BP. B1 agonist increases HR. B2 agonist causes bronchial SMC relaxation.

NO: Tachycardia

Cardiac Arrest 
A: 1 mg rapid IV, IO (1:10,000) q3-5
P: .01 mg/kg rapid IV, IO (1:10,000) q3-5
Asthma / Anaphylaxis 
A: .3 mg IM (1:1000) q5 x3
P: .01 mg/kg IM 1:1000 q5
Refractory Anaphylaxis / Hypotension 
A: 2-10 ug/min IV, IO
P: .1-2 ug/kg/min IV, IO
Bradycardia 
A: 2-10 ug/min IV, IO
P: .01 mg/kg IV, IO 1:10,000 q3-5
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3
Q

MethyLpredNisolone / Solu-Medrol

A

MethyLpredNisolone / Solu-Medrol

Corticosteroid / Anti-inflammatory

Allergic Reaction / Anaphylaxis 
Asthma / COPD / RAD
Adrenal Insufficiency
A: 125mg slow IV, IO 
P: 2mg/kg (max 125) slow IV, IO
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4
Q

Magnesium Sulfate

A

Magnesium Sulfate

Electrolyte / Antidysrhythmic
SMC CA2 channel blocker. Cardiac CA2 channel blocker.

NO: Hypotension

Asthma ———————————-
A. 2g in 100cc IV,IO over 10 min
P. 25-50 mg/kg IV,IO over 20 min
Torsades ———————————
A. 1-2g in 100cc IV,IO over 5 min
P. 25-50 mg/kg IV,IO over 10 min
Eclampsia ——————————-
A. 4g in 100cc over 10 min.
P. Not Indicated

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5
Q

Ntroglycerine / Nitrostat

A

Ntroglycerine / Nitrostat

Vasodilator / Nitrate

NO: Shock / Hypotension
Increased ICP
Children under 12
ED Drugs w/in 48 hours

Chest Pain / Pulmonary Edema
A: .4mg SL q3-5 or 1-2 inch topical
P: Not Indicated

*extreme caution with inferior wall MI

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6
Q

Adenosine / Adenocard

A

Adenosine / Adenocard

Antidysrhythmic (V) / Nucleoside
Slows AV conduction and inhibits calcium entery into pacemaker cells.

SVT / Wide Complex Tacky
A: 1st = 6mg rapid IV,IO followed by rapid flush.
2nd = 12mg rapid IV, IO followed by rapid flush.

P: 1st = .1mg/kg (max 6) rapid IV,IO followed by rapid flush.
2nd = .2mg/kg (max 12) rapid IV, IO followed by rapid flush.

*use proximal vein

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7
Q

Diltiazem / Cardizem

A

Diltiazem / Cardizem

CA2+ channel blocker

NO: Hypotension

Narrow complex tacky
A: 1st = .25mg/kg (max 20) slow IV, IO.
2nd = .35mg/kg (max 20) slow IV, IO.
P: not recommended

*Do not give to pt receiving iv beta blockers.

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8
Q

Atropine Sulfate

A

Atropine Sulfate

Parasympatholytic / Anticholinergic
Inhibits parasympathetic nervous system.

Bradycardia 
A: .5mg-1mg IV,IO q3-5 MAX 3mg
P: .02mg/kg IV, IO MAX .5
RSI 
A: .5mg IV,IO
P: .02mg/kg IV,IO
Organophosphate 
A: 2mg IV, IO, IM then double dose q5.
P: .05mg-.1mg/kg IV,IO,IM then double dose q5.
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9
Q

Amiodarone HCL / Cardarone

A

Amiodarone HCL / Cardarone

Antidysrhythmic
K, NA, CA, B, blocker.

Cardiac Arrest 
A: 300mg IV, IO repeat dose 150mg IV, IO
P: 5mg/kg IV, IO max 300mg
Wide Complex Tachy 
A: 150mg IV,IO over 10 min
P: 5mg/kg IV,IO over 20 min
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10
Q

Asprine / Bayer

A

Asprine / Bayer

Platelet aggregation inhibitor / anti-inflammatory
Blocks formation of Thromboxane A2. COX inhibitor.

NO: GI Bleeding

Chest Pain AMI / ACS
A: 324mg PO: 81mg baby ASA tablets can be chewed or swallowed.
P: Not recommended

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11
Q

Morphine Sulfate

A

Morphine Sulfate

Opioid Analgesic
Opiate receptor agonist.

NO: Respiratory depression
Hypotension BP < 100 systolic

Pain Management
A: .1mg/kg (MAX 10mg) IV,IO,IM. q10 x 3
>65 YO .05mg/kg (MAX 10mg) IV,IO,IM. q10 x 3
P: .1mg/kg slow IV,IO,IM

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12
Q

Fentanyl / Sublimaze

A

Fentanyl / Sublimaze

Opioid Analgestic
Opiate receptor agonist.

NO: Respiratory depression
Hypotension BP < 100 systolic

Pain Management / Premed / Sedation
A: 1ug/kg (MAX 100ug) Slow IV,IO,IM,IN q5.
>65YO: .5ug/kg (MAX 50ug) Slow IV,IO,IM,IN q5.
P: 1ug/kg (MAX 100ug) slow IV,IO,IM,IN

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13
Q

Ondansteron / Zofran

A

Ondansteron / Zofran

Antiemetic

Neausea / Vomiting
A: 4mg slow IV,IO,IM,PO may repeat once
P: .1mg/kg IV,IO,IM or 4mg PO

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14
Q

Norepinephrine / Levophed

A

Norepinephrine / Levophed

Sympathomimetic / Sympathetic agonist / Catecholamine
A1 agonist increases BP. B1 agonist increases HR.

Cardiac Shock / Neurogenic Shock / Septic shock following 2000 cc NS
A: 1-30mcg/min IV,IO infusion, titrate until BP >90
P: .1-2mcg/kg/min IV, IO infusion, titrate to normal BP

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15
Q

Calcium Chloride

A

Calcium Chloride

Mineral / Electrolyte
Raises AP threshold for cardiac cells. Increases extracellular calcium concentration.

NO: Digoxin

Hyperkalemia / CA2 OD
A: 1g Slow IV, IO over 5 min
P: 20mg/kg slow IV,IO

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16
Q

Dextrose 10%

A

Dextrose 10%

Carbohydrate

Hypoglycemia
A: 25g slow IV, IO
P: .5-1g/kg slow IV, IO

17
Q

Glucagon / Glucagen

A

Glucagon / Glucagen

Hormone
Allows glucose to be released.

Hypoglycemia / Food Bolus
A: 1mg IM q15 
P: .02mg/kg IM (MAX 1mg)
B-blocker / Ca2-channel OD
A: 5mg IV, IO
P: .05mg/kg IV,IO
18
Q

Metoclopramide / Reglan

A

Metoclopramide / Reglan

Antiemetic / Dopamine Receptor Agonist

Nausea / Vomiting 
A: 5-10 mg IV,IO over 15 min. Or IM. 
P: NO
Migraine 
A: 10mg IV,IO over 15 min. Or IM
P: NO
19
Q

Sodium Bicarbonate

A

Sodium Bicarbonate

Alkalinizing agent / electrolyte

NA OD (Aspirin, Benadryl, Cocaine) / Crush Syndrome / Metabolic Acidosis / Hyper K
A: 2mEq/kg (initial) IV,IO
P: 2mEq/kg (initial) IV,IO

20
Q

Diphenhydramine / Benadryl

A

Diphenhydramine / Benadryl

Antihistamine
H1 / H2 antagonist. Blocks histamine release.

Alergic reaction, Anaphylaxis, Dystonic reaction
A: 25-50mg IV, IO, IM, PO
P: 1mg/kg IV,IO,IM,PO

21
Q

Famotidine / Pepcid

A

Famotidine / Pepcid

Antihistamine
Reduces gastric secretions.

Allergic reaction / Anaphylaxis
A: 20mg slow IV,IO
P: .4mg/kg slow IV,IO

22
Q

Naloxone / Narcan

A

Naloxone / Narcan

Opioid Antagonist / Antidote
Competitive opiate receptor antagonist.

Opioid induced resp depression
A: .04mg-2mg IV,IO,IM or .4mg-4mg IN. q5
P: .1mg/kg IV,IO,IM or .4mg-4mg IN. q5

23
Q

Haloperidol / Haldol

A

Haloperidol / Haldol

Butyrophenone Antipsychotic / Neuroleptic
D1/D2 antagonist.

NO: CNS Depressants
Agitation secondary to shock

Psych episode / restraint
A: 5-10mg IM
P: 1-3mg IM

24
Q

Ketamine / Ketalar

A

Ketamine / Ketalar

Sedative / Hypnotic / Analgestic / Anesthetic
Non competitive NMDA-R antagonist.

Induction / Sedation 
A: 2mg/kg slow IV/IO
P: 2mg/kg slow IV/IO
Delirium / Restraint 
A: 2mg/kg slow IV/IO. 4-5mg/kg IM.
P: 2mg/kg slow IV/IO. 4-5mg/kg IM.
Analgesia
A: .1-.3mg/kg slow IV/IO
P: .5-2mg/kg
25
Q

Lorazepam / Ativan

A

Lorazepam / Ativan

Benzo / Anticonvulsant / Sedative / Hypnotic / Anxiolytic

Seizure / Sedation / Withdrawl
A: 2-4mg Slow IV,IO,IM q5-10 
P: .05-.1mg/kg Slow IV,IO,IM 
Premed / Anxiety / Restraint / Hyperthermia
A: .5-1mg Slow IV,IO or 1-4 IM 
P: .05mg/kg (max 2mg) Slow IV,IO,IM
26
Q

Midazolam / Versed

A

Midazolam / Versed

Benzo / Anticonvulsant / Sedative / Hypnotic / Anxiolytic

NO: Hypotension

Seizures
A: 5mg Slow IV,IO,IN q5. 10mg IM q10
P: .2mg/kg Slow IV,IO,IM,IN
Sedation / Withdrawal / Premed / Anxiety / Restraint / Hyperthermia
A: 5mg slow IV,IO,IM,IN q5
P: .2mg/kg Slow IV,IO,IM,IN
27
Q

Racemic Epi

A

Racemic Epi

Sympathomimetic
A and B agonist.

NO: Do not give if PT does not have stridor at rest.

Croup
A: NOT INDICATED
P: 5mg 1:1000 epi in 2.5/3ml NS NEB

28
Q

PT Assessment

A

PPE / hazards / stretcher
Clues / # PTs / Resources
Noi vs Moi / Cspine
GI / Hi!

Hemorage / A and O / ABC
Lungs
OPQRST / AMPLE

29
Q

Rocuronium

A

Rocuronium

Non-Depolaring neuromuscular blocker.

RSI / Paralysis
A: 1mg/kg IV,IO
P: 1mg/kg IV,IO

30
Q

Succinylcholine

A

Succinylcholine

Depolarizing neuromuscular blocker

NO: Eye injury, Hyper K, Burns Over 24 Hour

RSI / Paralysis
A: 1.5mg/kg IV,IO
P: 1mg/kg IV,IO

31
Q

Ketorolac / Toridol

A

Ketorolac / Toridol

NSAID
Anti-inflamitory, anti-pyretic

NO: Pregnancy, Peptic Ulcer, Renal Insufficiency, Fractures, Unknown abdominal pain.

Pain Managment
A: 15-30mg IV,IO,IM
P: NO

32
Q

Acetaminophen / Tylenol

A

Acetaminophen / Tylenol

Antipyretic / Analgesic

NO: Liver Failure

Pain / PEDI FEVER
A: 1g IV,IO over 15min or 1g PO
P: 15mg/kg PO

33
Q

Lidocaine / Xylocaine

A

Lidocaine / Xylocaine

Antidysrhythmic

WCT
A: 1mg/kg IV/IO
P: 1mg/kg IV/IO q15
IO Anesthetic
A: .5mg/kg (MAX 40mg)
P: .5mg/kg (MAX 40mg)
34
Q

Etomidate / Amidate

A

Etomidate / Amidate

Sedative / Hypnotic

Induction for RSI
A: .3mg/kg IV,IO (MAX 40) over 30 sec
P: .3mg/kg IV,IO (MAX 40) over 30 sec

Paramedic (2 decks)

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