Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacology > Emergency Medical Technician medications > Flashcards

Emergency Medical Technician medications Flashcards

Comprehensive ICARDS of medications for Emergency Medical Technicians including out of scope

1
Q

What are your indications for aspirin as an Emergency Medical Technician?

A

Myocardial Ischemia and ST elevation myocardial infarction (STEMI)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the contraindications and cautions of aspirin?

A

Contraindications- Known severe allergy and 3rd trimester pregnancy
Cautions- Known bleeding disorder, clinically significant bleeding and worsening of bronchospasm with non-steroidal anti-inflammatory drugs (NSAIDs).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the mechanism of action (MOA) of aspirin?

A

It has antiplatelet, antipyretic, anti-inflammatory and analgesic effects. Out-of-hospital it is administered for its antiplatelet activity.

Aspirin inhibits the enzyme cyclooxygenase which causes a reduction in the formation of prostaglandins and thromboxane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is your routes of administration for aspirin as an Emergency Medical Technician?

A

Per oral (PO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is your dosages for aspirin as an Emergency Medical Technician?

A

300mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the common side effects of aspirin?

A

increased bleeding and indigestion, gastrointestinal ulceration and gastrointestinal bleeding with long term administration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Do you have to call clinical desk to administer aspirin as an Emergency Medical Technician?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are your indications for glucose gel as an Emergency Medical Technician?

A

Hypoglycemia in adults and children provided the patient can safely swallow and hypoglycemia in neonates.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What the cautions and contraindications for glucose gel?

A

None

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is the mechanism of action (MOA) for glucose gel?

A

Glucose gel provides exogenous glucose source that can be easily swallowed and rapidly absorbed.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are your routes of administration for glucose gel as an Emergency Medical Technician?

A

Per oral (PO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are your dosages for glucose gel as an Emergency Medical Technician?

A

10-20 g

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the common side effects of glucose gel?

A

None

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Do you have to call clinical to administer glucose gel as an Emergency Medical Technician?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are your indications for ibuprofen as an Emergency Medical Technician?

A

Mild to moderate pain, usually in combination with paracetamol and moderate to severe pain usually in combination with other medicines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the contraindications and cautions for ibuprofen?

A

Contraindications- Known severe allergy, pregnancy, sepsis, dehydration, shock, clinically significant bleeding and known worsening of bronchospasm following non-steroidal anti-inflammatory drugs (NSAIDs).
Cautions- patient has taken ibuprofen within the last 4 hours, abdominal pain and aged greater than or equal to 75 years, particularly if frail.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is the mechanism of action (MOA) of ibuprofen?

A

It is an non-steroidal anti-inflammatory drug (NSAID) predominantly used for treating pain.
It inhibits the enzyme prostaglandin synthetase reducing prostaglandin production which reduces inflammation, pain and fever.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are your routes of administration for ibuprofen as an Emergency Medical Technician?

A

Per oral (PO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are your dosages for ibuprofen as an Emergency Medical Technician?

A

600mg for an adult over 80 kg
400mg for an adult under 80kg
refer to pediatric drug dose tables for a child.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What are the common side effects of ibuprofen?

A

Renal impairment, increased bleeding and indigestion, gastrointestinal ulceration and gastrointestinal bleeding with long term administration.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Do you need to call clinical to administer ibuprofen as an Emergency Medical Technician?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are your indications for paracetamol as an Emergency Medical Technician?

A

Mild to moderate pain and moderate to severe pain usually in combination with other medicines.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the contraindications and cautions of paracetamol?

A

Contraindications- Known severe allergy
Cautions- Taken paracetamol within the last 4 hours, abdominal pain, known severe liver disease.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the mechanism of action (MOA) for paracetamol?

A

It inhibits the production of prostaglandins resulting in a reduction in pain and fever.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What are your routes of administration for paracetamol as an Emergency Medical Technician?

A

Per oral (PO)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are the common side effects of paracetamol?

A

none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What are your dosages for paracetamol as an Emergency Medical Technician?

A

1500mg for an adult over 80kg
1000mg for an adult under 80kg
refer to pediatric drug dosage table for a child

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Do you have to call clinical desk to administer paracetamol as an Emergency Medical Technician?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What are your indications for adrenaline as an Emergency Medical Technician?

A

Anaphylaxis, severe asthma, stridor causing moderate to severe respiratory distress, clinically significant epistaxis, clinically significant bleeding from a wound.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are the contraindications and cautions for adrenaline?

A

Contraindications- none
Cautions- myocardial ischemia and tachydysrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What is the mechanism of action (MOA) of adrenaline?

A

Adrenaline predominantly agonizes alpha 1, beta 1 and beta 2 receptors.
Alpha 1 stimulation causes smooth muscle contraction, vasoconstriction, glycogenolysis and gluconeogenesis
Beta 1 stimulation causes an increase in inotropy (cardiac contractility), chronotropy (heart rate) and dromotropy (speed of electrical conduction through the heart).
Beta 2 stimulation causes smooth muscle relaxation, skeletal muscle vasodilation, bronchodilation and reduction in histamine release through stabilisation of mast cell membranes.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are your routes of administration for adrenaline as an Emergency Medical Technician?

A

Intramuscular (IM)(anaphylaxis, severe asthma), nebulised (stridor causing moderate to severe respiratory distress), intranasal (IN)(Clinically significant epistaxis) and topical (Clinically significant bleeding from a wound).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What are your dosages for adrenaline administration as an Emergency Medical Technician?

A

0.5mg intramuscular undiluted for an adult. For a child refer to pediatric drug dosage table.
5mg nebulised undiluted
0.2mg intranasal per bleeding nostril diluted to 1:10,000 with 0.9% sodium chloride for an adult. For a child refer to pediatric drug dosage table.
Any amount of solution diluted to 1:10,000 with 0.9% sodium chloride for topical.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What are the common side effects of adrenaline administration?

A

Tachycardia, tachydysrhythmia, myocardial ischemia, Ventricular ectopy, hypertension, nausea, vomiting, tremor, anxiety, sweating and hyperglycemia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

Do you have to call clinical desk to administer adrenaline as an Emergency Medical Technician?

A

No

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What are your indication for midazolam as an Emergency Medical Technician?

A

Generalised seizures lasting longer than 5 minutes or are recurrent.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What are the contraindications and cautions for midazolam administration?

A

Contraindications- known severe allergy, aged less than 12 years (Not applicable to indications for Emergency Medical Technicians)
Cautions- Altered level of consciousness, respiratory depression, signs of shock, concurrent administration of opiates or ketamine and aged greater than or equal to 75 particularly if frail.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What is the mechanism of action (MOA) of midazolam?

A

It is a benzodiazepine.
It enhances the activity of gamma-aminobutyric acid (GABA) at GABA receptors within the central nervous system resulting in anticonvulsant activity, sedation, amnesia, anxiolysis and muscle relaxation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What are your routes of administration for midazolam as an Emergency Medical Technician?

A

Intramuscular (IM)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What are your dosages for midazolam administration as an Emergency Medical Technician?

A

10mg for an adult.
Refer to pediatric drug dose table for a child.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What are the common side effects of midazolam?

A

Sedation, respiratory depression, hypotension and amnesia.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

Do you have to call clinical desk for midazolam administration as an Emergency Medical Technician?

A

Yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What are your indications for ceftriaxone administration as an Emergency Medical Technician?

A

Suspected meningococcal septicaemia

44
Q

What are the contraindications and cautions for ceftriaxone?

A

Contraindications- anaphylaxis to cephalosporins
Cautions- none

45
Q

What is the mechanism of action for ceftriaxone?

A

It is a cephalosporin antibiotic with broad activity against gram-negative and positive bacteria. It inhibits production of the bacterial cell wall causing bacteria to die.

46
Q

What are your routes of administration for ceftriaxone as an Emergency Medical Technician?

A

Bilateral intramuscular (IM)

47
Q

What are your dosages for ceftriaxone administration as an Emergency Medical Technician?

A

2g diluted with 0.9% sodium chloride following the procedure in the clinical procedures an guidelines resulting in 1g diluted to 5mL in 2 syringes (2g/10mL) for an adult. Refer to pediatric drug dosage table for a child.

48
Q

What are the common side effects of ceftriaxone?

A

None

49
Q

Do you have to call clinical desk for ceftriaxone administration as an Emergency Medical Technician?

A

Yes

50
Q

What are the contraindications and cautions for glyceryl trinitrate?

A

Contraindications- Known severe allergy, systolic blood pressure less than 110 mmHg, heart rate less than 40/min, heart rate greater than 150/min and ventricular tachycardia.
Cautions- STEMI, frail, signs of shock, dysrhythmia, phosphodiesterase inhibitor administration with the last 24 hours and known aortic or mitral stenosis.

50
Q

What are your indications for glyceryl trinitrate as an Emergency Medical Technician?

A

Myocardial ischaemia, cardiogenic pulmonary odema, control of hypertension associated with autonomic dysreflexia and STEMI.

51
Q

What is the mechanism of action for glyceryl trinitrate?

A

It is a vasodilator. It acts on vascular smooth muscle to cause venous and arterial vasodilation with predominant effect being on the veins.
The mechanism is not clear it appears to result in the formation of nitric oxide which is a vasodilator. It causes a reduction in preload which reduces ventricular filling and cardiac output which reduces myocardial oxygen demand, arterial dilation reducing afterload which reduces the force the left ventricle has to overcome to eject blood reducing myocardial oxygen demand and dilation of coronary arteries which may increase coronary blood supply although this is not usually clinically significant.

52
Q

What are your routes of administration for glyceryl trinitrate as an Emergency Medical Technician?

A

Sublingual (SL)

53
Q

What are your dosages for glyceryl trinitrate administration as an Emergency Medical Technician?

A

0.4mg with exception of cardiogenic pulmonary oedema which is 0.8mg.

54
Q

What are the common side effects of glyceryl trinitrate administration?

A

Hypotension, flushing, headache, tachycardia, light-headed

55
Q

Do you have to call clinical desk for glyceryl trinitrate administration as an Emergency Medical Technician?

A

No

56
Q

What are the indications for methoxyflurane administration as an Emergency Medical Technician?

A

Moderate to severe pain particularly when there will be a significant delay in opiate pain relief.

57
Q

What are the contraindications and cautions for methoxyflurane administration?

A

Contraindications- known severe allergy, personal or family history of malignant hyperthermia, known renal impairment, methoxyflurane administered with in the last week.
Cautions- aged greater than or equal to 75 years particularly if frail, pre-eclampsia, administration within a confined space and acute exacerbation of chronic pain.

58
Q

What is the mechanism of action (MOA) of methoxyflurane?

A

It is an inhaled analgesic with an unclear mechanism of action.

59
Q

What are your routes of administration of methoxyflurane as an Emergency Medical Technician?

A

Inhaled

60
Q

What are the common side effects of methoxyflurane?

A

Sedation and light-headed.

61
Q

What are your dosages for methoxyflurane administration as an Emergency Medical Technician?

A

3mL

62
Q

Do you have to call clinical desk to administer methoxyflurane as an Emergency Medical Technician?

A

No

63
Q

What are your indications for loratadine administration as an Emergency Medical Technician?

A

Minor allergic reactions confined to skin involvement and prominent itch associated with anaphylaxis provided all systemic signs have resolved.

64
Q

What are the contraindications and cautions for loratadine?

A

Contraindications- known severe allergy and aged less than one year.
Cautions- pregnancy

65
Q

What is the mechanism of action for loratadine?

A

It is a non-sedating antihistamine.
It antagonises peripheral histamine receptors blocking the action of histamine reducing itching and redness.

66
Q

What are the routes of administration for loratadine as an Emergency Medical Technician?

A

Per oral (PO)

67
Q

What are the dosages for loratadine administration as an Emergency Medical Technician?

A

10 mg for adult or child aged greater than 12 years.
5mg for children aged 1-11 years.

68
Q

What are the common side effects of loratadine administration?

A

None

69
Q

Do you have to call clinical desk to administer loratadine as an Emergency Medical Technician?

A

No

70
Q

What are the contraindications and cautions for prednisone/prednisolone?

A

Contraindications- known severe allergy
Caution- Less than 5 years for bronchospasm associated with asthma

70
Q

What are the indications for prednisone/prednisolone administration as an Emergency Medical Technician?

A

Bronchospasm associated with asthma or chronic obstructive pulmonary disease, croup, prominent rash associated with anaphylaxis provided all systemic signs have resolved and minor allergy associated with rash.

71
Q

What is the mechanism of action (MOA) of prednisone/prednisolone?

A

Prednisone is a prodrug metabolised to prednisolone in the liver.
It is a corticosteroid with anti-inflammatory and immunosuppressant actions. It inhibits the production of inflammatory mediators such as prostaglandins and leukotrienes resulting in a reduction in the inflammatory and immune response.

72
Q

What are the routes of administration for prednisone/prednisolone as an Emergency Medical Technician?

A

Per oral (PO)

73
Q

What are the dosages for prednisone/prednisolone administration as an Emergency Medical Technician?

A

40mg for an adult.
Refer to the pediatric drug dosage table for a child.

74
Q

What are the side effects of prednisone/prednisolone administration?

A

Fatigue, sodium and water retention and gastrointestinal reflux.

75
Q

Do you have to call clinical desk to administer prednisone/prednisolone as an Emergency Medical Technician?

A

No

76
Q

What are the indications for salbutamol administration as an Emergency Medical Technician?

A

Bronchospasm secondary to asthma or COPD, prominent bronchospasm secondary to airway burns, smoke inhalation or chest infection, release syndrome following crush injury and known or suspected hyperkalaemia with ECG changes.

77
Q

What are the contraindication and cautions for salbutamol administration?

A

Contraindications- Known severe allergy
Cautions- none

78
Q

What is the mechanism of action (MOA) of salbutamol?

A

It is a bronchodilator. It agonises beta 2 receptors.

79
Q

What are the routes of administration for salbutamol as an Emergency Medical Technician?

A

Nebulised and metered dose inhaler (MDI)

80
Q

What are the dosages for salbutamol administration as an Emergency Medical Technician?

A

5mg nebulised
1 puff (100mcg) of a metered dose inhaler (MDI) followed by six breaths up to six times.

81
Q

What are the common side effects of salbutamol administration?

A

Tremor and tachycardia

82
Q

What are in indications for ipratropium administration as an Emergency Medical Technician?

A

Bronchospasm secondary to asthma or COPD and prominent bronchospasm secondary to airway burns, smoke inhalation or chest infection.

83
Q

Do you have to call clinical desk to administer salbutamol as an Emergency Medical Technician?

A

No

84
Q

What is the mechanism of action of ipratropium?

A

It is a bronchodilator. It is and anticholinergic agent with predominantly antimuscarinic activity. It antagonises acetylcholine receptors causing vagal inhibition resulting in bronchodilation.

85
Q

What are the contraindications and cautions for ipratropium administration?

A

Contraindications- known severe allergy
Cautions- none

86
Q

What are your routes of administration for ipratropium as an Emergency Medical Technician?

A

Nebulised

87
Q

What are your dosages for ipratropium administration as an Emergency Medical Technician?

A

0.5mg

88
Q

What are the common side effects of ipratropium administration?

A

tachycardia, dry mouth and blurred vision.

89
Q

Do you have to call clinical desk to administer ipratropium as an Emergency Medical Technician?

A

No

90
Q

What are the indications for glucagon administration as an Emergency Medical Technician?

A

hypoglycaemia when the patient cannot safely swallow and IV access cannot be obtained.

91
Q

What is the mechanism of action (MOA) of glucagon?

A

It increases the blood glucose level by stimulating glycogenolysis predominantly within the liver.

92
Q

What are the contraindications and cautions for glucagon?

A

Contraindications- Known severe allergy
Cautions- none

93
Q

What are your routes of administration for glucagon as an Emergency Medical Technician?

A

Intramuscular (IM)

94
Q

What are your dosages for glucagon administration as an Emergency Medical Technician?

A

1mg for an adult or child aged greater than or equal to 5 years
0.5mg for a child aged less than 5 years

95
Q

What are the common side effects of glucagon administration?

A

None

96
Q

What are your indications for ondansetron as an Emergency Medical Technician?

A

Clinically significant nausea and/or vomiting

97
Q

Do you have to call clinical desk to administer glucagon as an Emergency Medical Technician?

A

No

98
Q

What are the contraindications for ondansetron administration?

A

Contraindications- Known severe allergy, less than 1 year old, suspected serotonin syndrome.
Cautions- none

99
Q

What is the mechanism of action (MOA) for ondansetron?

A

It is an antiemetic.
It antagonises serotonin receptors centrally in the brain and peripherally in the gastrointestinal tract resulting in a reduction in nausea and vomiting.

100
Q

What are your routes of administration for ondansetron as an Emergency Medical Technician?

A

Intramuscular (IM)

101
Q

What are your dosages for ondansetron administration as an Emergency Medical Technician?

A

4mg in a adult.
Refer to pediatric drug dose table for a child

102
Q

What are the common side effects of ondansetron administration?

A

Headache and flushing

103
Q

Do you have to call clinical desk for ondansetron administration as an Emergency Medical Technician?

A

No

Pharmacology (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions