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Paramedic Class 47 Drug List > EMT Drugs > Flashcards

EMT Drugs Flashcards

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1
Q

Aspirin trade name?

A

Bayer, St. Joseph, ASA

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2
Q

Aspirin classification?

A

Antipyretic, analgesic, antiplatelet

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3
Q

Aspirin actions?

A

Reduces platelet aggression to minimize myocardial infarct size. Will also increase bleeding times.

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4
Q

Aspirin onset/duration?

A

15-30min / 4-6 hours, antiplatelet effects may persist 4-10 days

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5
Q

Aspirin indications?

A

New onset chest pain considered being cardiac on origin. Myocardial infarction or prevention of myocardial infarction

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6
Q

Aspirin contraindications?

A

Bleeding disorders including active GI bleed and stomach ulcers. Hypersensitivity to salicylates. Hemorrhagic stroke.

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7
Q

Aspirin side effects?

A

Nausea, vomiting, GI bleeding, peptic ulcer, rash, urticaria, and bronchospasm. Toxic levels (>300 mcg/ml), tinnitus, headache, dizziness, confusion, hyperpyrexia, and metabolic acidosis

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8
Q

Aspirin route of admin?

A

PO

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9
Q

Aspirin adult dose?

A

81 to 325 mg

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10
Q

Aspirin peds dose?

A

Not indicated in pre-hospital setting

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11
Q

Aspirin supply?

A

325 mg tablets, 81 mg (baby aspirin) tablets

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12
Q

Epi 1:1000 trade name?

A

Adrenaline

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13
Q

Epi 1:1000 classification?

A

Endogenous catecholamine; sympathomimetic

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14
Q

Epi 1:1000 actions?

A

Epi contains both alpha, beta-1, and beta-2 properties. It is both a positive chronotropic and inotropic drug as well as a potent bronchodilator

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15
Q

Epi 1:1000 onset/duration?

A

IM: 5-10 min

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16
Q

Epi 1:1000 indications?

A

Acute allergic reaction, anaphylaxis

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17
Q

Epi 1:1000 contraindication?

A

Hypersensitivity

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18
Q

Epi 1:1000 side effects?

A

Tachycardia, headache, nausea, and vomiting, restlessness, weakness, dysrhythmias, hypertension, precipitation of angina pectoris

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19
Q

Epi 1:1000 route of admin?

A

IM, ETT, IV/IO infusion

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20
Q

Epi 1:1000 adult dose?

A

Anaphylaxis:
0.3-0.5 mg IM
Every 5-15 min

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21
Q

Epi 1:1000 supply?

A

1mg/1ml ampules

1mg/1ml in 30ml vials

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22
Q

Epi 1:1000 special considerations?

A

Epi is light sensitive

23
Q

Naloxone trade name?

A

Narcan

24
Q

Narcan classification?

A

Narcotic (opiate) antagonist

25
Q

Narcan actions?

A

Specific antidote for narcotic agents. Effective on counteracting the effects of an overdose from any of these agents by binding with narcotic receptor sites

26
Q

Narcan onset/duration?

A

< 2 min / 30-120 min

27
Q

Narcan indications?

A

Narcotic overdose or coma of unknown origin

28
Q

Narcan contraindications?

A

Known hypersensitivity to the drug

29
Q

Narcan side effects?

A

May precipitate acute narcotic withdrawal syndrome; may cause cardiac dysrhythmias, chills, vomiting, and flash pulmonary edema

30
Q

Narcan route of admin?

A

IV, IM, IO, ETT, or IN

31
Q

Narcan adult dose?

A

IN: I mL per nostril; max cumulative IN dose 12mg
IV,IM,IO: 0.4mg-2mg repeated every 2-3 min as necessary up to 15mg
ETT: 2-2.5mg times the IV dose added to NS for a total volume of 10mL in a syringe. May be redosed up to max 15mg

32
Q

Narcan peds dose?

A

IV,IO: 0.1mg/kg up to 2mg. May repeat in 5 min

ETT: 2-3 times the IV dose

33
Q

Narcan supply?

A

Prefilled syringe 2mg/2mL

or 0.4mg/ml vials

34
Q

Nitroglycerin trade name?

A

Nitrostat

Nitrolingual spray

35
Q

Nitro classification?

A

Antianginal, nitrate

36
Q

Nitro actions?

A

Relaxes smooth muscle of coronary arteries and veins. This reduces preload on the heart and increase perfusion to ischemic myocardial tissue

37
Q

Nitro onset/duration?

A

1-3 min /IV: 3-5 min SL: about 25 min

38
Q

Nitro indications?

A

Acute coronary syndrome (ACS), chest pain due to angina pectoris; CHF and pulmonary edema

39
Q

Nitro contraindications?

A

Increased ICP, hypotension (systolic less than 90), erectile dysfunction medication such as Viagra, Cialis, Levitra taken within the past 24 hours, or known right ventricle infarct

40
Q

Nitro side effects?

A

Headache, hypotension, syncope

41
Q

Nitro route of admin?

A

SL spray, tablets, IV infusion

42
Q

Nitro adult dose for chest pain?

A

Tablets: 0.4mg SL every 5 min up to 3 tablets
Spray: 1-2 sprays (0.4mg/dose) every 5 min; max 5 sprays in 15 min
IV infusion: 10mcg/min
(infusion mixture): 5mL (25mg) in 250mL NS to equal a 100 mcg/ml concentration

43
Q

Nitro adult dose for PE?

A 
tablets: 
2 tablets (0.8mg dose) every 5 min up to 3 doses, if SBP > 160.
3 tablets (1.2mg dose) every 5 min up to 3 doses, if SBP > 200.
44
Q

Oral glucose classification?

A

Monosaccharide, carbohydrate

45
Q

Oral glucose actions?

A

after absorption of the GI tract, glucose is distributed into the tissues and provides a prompt increase in circulating blood sugar.

46
Q

Oral glucose onset/duration?

A

10 min

47
Q

Oral glucose indications?

A

Hypoglycemia

48
Q

Oral glucose contraindications?

A

Hyperglycemia

49
Q

Oral glucose side effects?

A

Nausea

50
Q

Oral glucose route of admin?

A

PO

51
Q

Oral glucose adult dose?

A

15-45 grams

52
Q

Oral glucose supply?

A

37.5 grams prefilled tubes

53
Q

Oral glucose special considerations?

A

Do not give to pt with an altered LOC. Pt must be able to protect their own airway.

54
Q

Oxygen adult and peds dose?

A

24%-100% depending on the liter flow and delivery method

Paramedic Class 47 Drug List (11 decks)

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