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Paramedic Drugs > endocrine/anti-emetics > Flashcards

endocrine/anti-emetics Flashcards

1
Q 
name/class
dextrose 50% in water
A

D50W

carbohydrate

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2
Q 
name/class
D50W
A

dextrose 50 in water

carbohydrate

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3
Q

description
dextrose 50% in water
D50W

A

Dextrose is a simple sugar that the body can rapidly metabolize to create energy

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4
Q

indications
dextrose 50% in water
D50W

A

Hypoglycemia

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5
Q

contraindictions
dextrose 50% in water
D50W

A

none in hypoglycemia

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6
Q

precautions
dextrose 50% in water
D50W

A

increased ICP determine blood glucose level before administration. ensure good venous access

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7
Q

dosage/route
dextrose 50% in water
D50W

A

25g D50W(50 mL) IV

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8
Q

pedi dosage/route
dextrose 50% in water
D50W

A

2-4 mL/kg of 25% IV (over 1 year)

10% solution for under 1 year

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9
Q 
name/class 
glucagon
A

Gluca Gen

Hormone, Anti-hypoglycemia

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10
Q 
name/class
Gluca Gen
A

glucagon

Hormone, Anti-hypoglycemia

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11
Q

description
glucagon
Gluca Gen

A

glucagon is a protein secreated by pancreatic cells that cause a breakdown of stored glycogen into glucose

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12
Q

indications
glucagon
Gluca Gen

A

hypoglycemia without IV access to reverse beta-blocker and calcium channel blocker overdose

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13
Q

contraindication
glucagon
Gluca Gen

A

none

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14
Q

precautions
glucagon
Gluca Gen

A

cardiovascular or renal impairment. effective only if there are sufficent stores of glycogen in the liver

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15
Q

dosage/route hypoglycemia
glucagon
Gluca Gen

A

1 mg IM/SC repeat/ 5-20 min

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16
Q

pedi dosage/route hypoglycemia
Glucagon
Gluca Gen

A

0.1 mg/kg IM/SC/IV for child < 10 kg

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17
Q

dosage/route beta blocker overdose/calcium channel blocker od
glucagon
Gluca Gen

A

3 mg IV over 1 min

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18
Q

pedi dosage/route beta blocker overdose/calcium channel blocker od
glucagon
Gluca Gen

A

50-150 mcg/kg IV over 1 min

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19
Q 
Name/class
oxytocin
A

pitocin

hormone

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20
Q 
name/class
pitocin
A

oxytocin

hormone

21
Q

description
oxytocin
pitocin

A

oxytocin is a natural occuring horomone that causes the uterus to contract, thereby inducing labor, encouraging delivery of the placenta, and controlling postpartum hemorrhage

22
Q

contraindictions
oxytocin
pitocin

A

hypersensitivity, prehospital administration delivery of the infant or infants

23
Q

precaution
oxytocin
pitocin

A

before delivery may induce uterine rupture and fetal dysrhythmias, hypertension, intercranial bleeding, or asphyxia. Uterine tone, ECG, and vital signs should be monitored during administration

24
Q

dosage/route
oxytocin
pitocin

A

3-10 units IM after delivery of the placenta. 10-20 units in 1000 mL of D5W or NS IV titrated to effect

25
Q 
name/class
Reglan
A

Metoclopromide

Antiemetic

26
Q 
name/class
metoclopramide
A

reglan

antiemetic

27
Q

description
metoclopramide
reglan

A

metoprolol is a beta-adrenergic blocking agent that reduces heart rate, cardiac output, and BP

28
Q

indications
metoclopramide
reglan

A

nausea

vomitting

29
Q

contraindictions
metoclopramide
reglan

A

hypersensitivity, seizure disorders, GI obstruction or perforation, and breast cancer

30
Q

precautions
metoclopramide
reglan

A

CHF, hypokalemia, renal impairment, GI hemorrhage, intermittent porphyria

31
Q

dosage/route
metoclopramide
reglan

A

10-20 mg IM; 10 mg slow slow IV(over 2-4 min)

32
Q

pedi dosage/route
metoclopramide
reglan

A

1-2 mg/kg/dose

33
Q 
name/class
promethazine
A

phenergan

antiemetic

34
Q 
name/class
phenergan
A

promethazine

antiemetic

35
Q

description
phenergan
promethazine

A

promethazine is an anticholinergic agent that enhances the effects of analgesics and is a potent antiemetic

36
Q

indications
phenergan
promethazine

A

nasea and vomitting , motion sickness,to enhance the effects of analgesics and to induce sedation

37
Q

contraindictions
phenergan
promethazine

38
Q

precautions
phenergan
promethazine

A

hepatic, respiratory or cardiac impairment. asthma, hypertension, elderly, or debilitated patients

39
Q

dosage/route
phenergan
promethazine

A

12.5-25 mg IV/IM/PR

40
Q

pedi dosage/route
phenergan
promethazine

A

0.5 mg/kg IV/IM/PR

41
Q 
name/class
compazine
A

prochlorperazine

antiemetic

42
Q 
name/class
prochlorperazine
A

compazine

antimetic

43
Q

indications
prochlorperazine
compazine

A

severe nausea and vomiting or acute psychosis

44
Q 
name/class
zofran
A

zofran

antiemetic

45
Q

description

zofran

A

selective blocking agent of the serotonin 5-HT3 receptor type

46
Q

indications

zofran

A

prevention of nausea and intractible vomiting

47
Q

contraindictions

zofran

48
Q

precautions

zofran

A

may mask a progressive ileus and/or gastric distension, long QT syndrome

49
Q

dosage/route

zofran

A

4 mg IVP or single 4 mg tablet ODT

Paramedic Drugs (12 decks)

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