Emergency Drugs Flashcards

1
Q

Requirements for an Emergency drug

A

short onset

administered that facilitates rapid onset

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2
Q
  • used in hospital for transpo & dispensing of emergency medicines.
  • conveniently positioned throughout hospitals
A

E-Cart
Crash cart
Code cart

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3
Q

Where are medications intubation located in e-cart?

A

usually at top of cart for easy access

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4
Q

Where are Intravenous lines located in e-cart?

A

In a separate drawer from materials needed to maintain IV

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5
Q

Where are procedure drawer located in e-cart?

A

bottom drawer where pre-packed kits are here.

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6
Q

Most important emergency drug used for anaphylactic reaction.

A

Epinephrine

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7
Q

Properties for Epinephrine?

A
  • Potent bronchodilator
  • Reverse bronchospasm
  • It elevates blood pressure
  • stimulates myocardium increasing heart rate
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8
Q

What does epinephrine do with edema?

A

Epinephrine prevents fruther edema from developing that could lead to airways obstruction.

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9
Q

Recommendation dose for Epinephrine

A

Minimally one preloaded SELF-INJECTING SYRINGE (preferably 2) or two 1 ml AMPULES of epinephrine 1:1000

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10
Q

Used for non-life threathening allergy.

A

Injectible Histamine-Blocker

Diphenhydramine HCL

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11
Q

Recommendation dose for Injectible Histamine-Blocker/ Diphenhydramine HCL

A

two 1 mL ampules or

vial 50mg/mL (for diphenhydramine)

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12
Q

Used for acture episodes of Angina Pectoris or 1st ever chest pain for the patient.

A

Nitroglycerin

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13
Q

Contraindication of Nitroglycerin

A

Low blood pressure: light-headed, dizziness, systolic bp LESS THAN 100 mmHg.

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14
Q

Recommendation dose for Nitroglycerin

A

1 metered-dose inhaler or
1 bottle of sublingual tablets
(usually 0.4mg per tablet or puff.)

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15
Q

Usef for mgt. of bronchospasm (acute asthmatic attack)

A

Bronchodilator or Albuterol

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16
Q

Recommendation dose for Bronchodilator or Albuterol

A

1 albuterol metered-dose inhaler

SPACER should be available to aid adminis from albuterol MDI in children and some adults.

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17
Q

Used for suspected myocardial infarction. used to limit enlargement of blood clot occuring in a coronary artery.

A

Aspirin

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18
Q

Recommendation dose for Aspirin

A

1 or 2 packets of chewable 325 mg non-enteric coated aspirin

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19
Q

Used for hypoglycemia

A

Antihypoglycemic aids

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20
Q

Contraindication for antihypoglycemic aids

A

Depressed conciousness or unconciousness

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21
Q

Place a liquid or gel antihypoglycemic aid into the mouth of an unconcious person. True or False.

A

False. Never do that! It will contraindicate.

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22
Q

Recommendation dose for Antihypoglycemic aids

A

one tube of glucose gel and

one 12-ounce bottle of orange juice/non-diet soft drink

23
Q

Indicated for sinus rhythm of PSVT (paroxysymal supraventricular tachycardia) and associated with accessory bypass tracts (Wolff-Parkinson-White Syndrome)

A

Adenosine

24
Q

Dose of Adenosine

A

6mg/2ml prefilled syringe

12mg/4ml prefilled syringe

25
Q

Used for Bronchospasm associated with Asthma and COPD

A

Aminophylline

26
Q

OTC drug used for mgt. of angina pectoris and cyanide poisoning

A

Amyl Nitrite

27
Q

Used for muscarinic poisoning and bradycardia.

A

Atropine Sulfate

28
Q

Used for suspected hyperkalaemic cardiac arrest, severe hyperkalaemia, calcium channel blocker toxicity, hypotension associated with magnesium infusion administration.

A

Calcium Gluconate

29
Q

Used for irregular heartbeat (Chronic Atrial Fibrillation)

A

Digoxin

30
Q

Indicated in adults and pediatrics for the treatment of edema associated with congestive heart failure, cirrhosis of the liver and renal disease, including the nephrotic syndrome

A

Furosemide

31
Q

An anti-coagulant that as an emergency drug it is used for atrial fibrillation with embolization and treatment of acute and chronic consumption coagulopathies.

A

Heparin

32
Q

a corticosteroid used for anaphylaxis

A

Hydrocortisone

33
Q

An overdriving pacing in cases of intermittent torsades de pointes when magnesium is ineffective and intractable bradycardia.

A

Isoproterenol

34
Q

Used for adults and pedia patients as a source of electrolytes, calories and water for hydration.

A

Lactated Ringer’s Solution

35
Q

For sustained ventricular tachycardia

A

Lidocaine

36
Q

Used for immediate control of life-threatening convulsions in the treatment of severe toxemias

A

Magnesium Sulfate

37
Q

Used for reducing swelling and pressure in the eye or around the brain

A

Mannitol

38
Q

Used for prevention and treatment of acute hypotension due to hemorrhage, shock associated with brain damage due to trauma/ tumor.

A

Metaraminol Bitartrate

39
Q

Used to reverse opioid overdose.

A

Nalorphone Hydrochloride

40
Q

Used to treate high blood pressure and to control angina.

A

Nicardipine

41
Q

Indicated for severe cardiogenic shock, neurogenic shock, inotropic support and hemodynamically significant hypotension with low total peripheral resistance.

A

Norepinephrine

42
Q

Indicated for adults and pedia patients as a source of electrolyes and water for hydration.

A

0.9% sodium chloride

43
Q

Utilized for sterile irrigation of body cavities, tissue or wounds, indwelling urethral catherers, surgical drainage tubes and for washing, rinsing or soaking surgical dressings, instruments and laboratory specimens. It can also be used as a diluent or vehicle for drugs used for irrigation.

A

Normal Saline for Irrigation

44
Q

Used as an anticonvulsant for seizure control and medically induced comas

A

Pentobarbital

45
Q

A long-acting barbiturate used for the mgt. of acute seizures associated with status epilepticus, eclampsia, meningitis, tetanus, and etc.

A

Phenobarbital

46
Q

Indicated for hypotension caused by shock or anesthesia. An opthalmic solution to dilate pupils and induce vasoconstriction.

A

Phenylephrine

47
Q

Used to restore the normal clotting factor of patients with anti-coagulant induced hypoprothrombinemia deficiency that limits absorption of vitamin K.

A

Phytonadione

48
Q

Used internally for relieving respiratory distress. An antidote in poisoning by CNS depressants, especially barbiturates.

A

Picrotoxin

49
Q

Indicated for anticoagulant overdose such as heparin and nadroparin

A

Protamine Sulfate

50
Q

Usef for asthmatic bronchospasm

A

Salbutamol

51
Q

Used as an IV fluid replacement

A

Saline for injection

52
Q

Used to prevent and treat wheezing, shortness of breath and chest tightness caused by asthma, chronic bronchitis and emphysema

A

Terbutaline

53
Q

Treatment of paroxysmal spuraventricular tachycardia prophylaxis

A

Verapamil Hydrochloride

54
Q

Used as a diluent for parenteral injections. Vehicle for reconstitution.

A

Water for injection