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Paramedic > Important Drug Info > Flashcards

Important Drug Info Flashcards

1
Q

ativan onset

A

1-5 min iv; 15-30 min im

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2
Q

ativan peak

A

15-20 min iv; 2 hr im

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3
Q

ativan duration

A

6-8 hrs

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4
Q

ativan adult dose

A

0.5mg-2mg IV or 1-4mg IM

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5
Q

ativan pedi dose

A

0.05 mg/kg IV

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6
Q

benzo precautions

A

additive effects with other CNS depressants, ETOH

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7
Q

versed onset

A

3-5 min IV, 15 min IM

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8
Q

versed peak

A

20-60 min

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9
Q

versed duration

A

<2hrs IV, 1-6 hrs IM

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10
Q

versed adult dose

A

2-5 mg IV/IM

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11
Q

versed pedi dose

A

0.2 mg/kg slow IV

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12
Q

albuterol onset

A

5-15 min

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13
Q

albuterol peak

A

1-1.5 hrs

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14
Q

albuterol duration

A

3-6 hrs

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15
Q

albuterol contraindications

A

symptomatic tachycardia

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16
Q

albuterol dose

A

2.5 mg in 2.5 mL

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17
Q

albuterol interactions

A

b-blockers blunt effects, MAOI’s and TCA’s potentiate cardiovascular effects

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18
Q

albuterol MOA

A

B2 agonist

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19
Q

atrovent drug class

A

anticholinergic/parasympatholytic

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20
Q

atrovent moa

A

muscarinic Ach-R blocker, dries resp. secretions

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21
Q

atrovent onset

A

varies

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22
Q

atrovent peak

A

1.5-2 hrs

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23
Q

atrovent duration

A

4-6 hrs

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24
Q

atrovent adult dose

A

500 mcg

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25
Q

atrovent pedi dose

A

250-500 mcg

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26
Q

mag sulfate drug class

A

mineral/antidysrhythmic

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27
Q

mag sulfate moa

A

physiological ca+ channel blocker, CNS depression, smooth muscle relaxation

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28
Q

mag onset

A

immediate IV

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29
Q

mag peak

A

varies

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30
Q

mag duration

A

1 hr

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31
Q

mag contraindications

A

3rd degree block, severe hypertension, impaired renal function, hypocalcemia

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32
Q

mag SE

A

flushing, sweating, bradycardia, resp. depression, dysrhythmias, hypotension

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33
Q

mag precautions

A

watch for resp. depression, have cacl2 available

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34
Q

mag interactions

A

digitalis

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35
Q

mag adult asthma dose

A

2g in 100cc NS over 10 min

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36
Q

mag adult VT, VF, Torsades (no pulse) dose

A

2g IV over 1-2 min

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37
Q

mag adult VT/torsades w/ pulse dose

A

1-2g in 50-100 CC NS over 5-60 min

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38
Q

mag eclampsia dose

A

2-4g over 25 min

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39
Q

mag pedi asthma dose

A

25-50 mg/kg over 15-30 min (max of 2g)

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40
Q

mag pedi VT no pulse dose

A

25-50 mg/kg IV (2g max)

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41
Q

mag pedi VT w/ pulse

A

25-50 mg/kg IV over 10-20 min (max 2g)

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42
Q

solu-medrol drug class

A

corticosteroid/immunosuppressant

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43
Q

solu-medrol onset

A

2-6 hrs

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44
Q

solu-medrol peak

A

4-8 days

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45
Q

solu-medrol duration

A

1-5 weeks

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46
Q

solu-medrol SE

A

Prolonged wound healing

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47
Q

solu-medrol adult dose

A

125mg

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48
Q

solu-medrol pedi dose

A

2mg/kg IV (max 80mg)

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49
Q

solu-medrol precautions

A

prolongs wound healing

50
Q

solu-medrol interactions

A

lasix and thiazide diuretics increase K+ loss

51
Q

nitro MOA

A

vasodilator, decreases preload and afterload

52
Q

nitro onset

A

1-3 min SL

53
Q

nitro peak

A

5-10 min SL

54
Q

nitro duration

A

20-30 min SL

55
Q

nitro contraindications

A

systolic under 100; R sided MI, ED drugs in past 48 hrs

56
Q

nitro dose

A

0.4 mg SL q3-5 (max 3 doses or until systolic under 100)

57
Q

nitro interactions

A

B-blockers cause orthostatic hypotension, ETOH causes severe hypotension

58
Q

epi onset

A

<2 min IV; 3-10 min IM

59
Q

epi peak

A

<5 min; 20 min IM

60
Q

epi duration

A

5-10 min IV; 20-30 min IM

61
Q

epi contraindications

A

HTN, tachydysrhythmias, pregnancy

62
Q

epi interactions

A

deactivated by alkali, antidepressants intensify effects, forms PPT with CaCl2 and bicarb

63
Q

aspirin moa

A

cox inhibitor, platelet aggregation inhibitor

64
Q

aspirin onset

A

5-30 min

65
Q

aspirin peak

A

15-120 min

66
Q

aspirin duration

A

1-4 hrs

67
Q

morphine onset

A

imm IV, 15-30 IM

68
Q

morphine peak

A

20 min IV, 30-60 IM

69
Q

morphine duration

A

2-7 hrs

70
Q

morphine contraindications

A

hypotension/hypovolemia, COPD, hypersensitivity to morphine, codeine, percodan

71
Q

morphine adult dose

A

2-10mg initial then 2mg q3-5min

72
Q

morphine pedi dose

A

0.1mg/kg

73
Q

morphine interactions

A

additive effects with CNS depression

74
Q

zofran onset

A

10-30 min

75
Q

zofran peak

A

unknown

76
Q

zofran duration

A

unknown

77
Q

zofran adult dose

A

4mg

78
Q

zofran pedi dose

A

0.1mg/kg

79
Q

adenosine drug class

A

class V antidysrhythmic

80
Q

adenosine MOA

A

slow AV conduction

81
Q

adenosine onset

A

imm.

82
Q

adenosine peak

A

imm.

83
Q

adenosine duration

A

30-45 sec

84
Q

adenosine contraindications

A

2/3rd degree block, sick sinus syndrome, chemical induced SVT

85
Q

adenosine adult dose

A

6mg then 12mg then 12mg

86
Q

adenosine pedi dose

A

0.1mg/kg (max 6mg) then 0.2mg/kg (max 12mg)

87
Q

epi moa

A

a1, b1, b2 agonist, blocks destruction of mast cells

88
Q

epi drip dose

A

2-10 mcg/min

89
Q

amiodarone class

A

class III, K+ channel blocker

90
Q

amiodarone moa

A

prolongs cardiac action potential duration, refractory period

91
Q

amiodarone onset

A

immed.

92
Q

amiodarone SE

A

prolonged PR, QRS, QT intervals

93
Q

amiodarone VT with pulse dose

A

150mg over 10 min

94
Q

amiodarone pedi dose

A

5mg/kg, max 300mg

95
Q

amiodarone VT w/ pulse pedi dose

A

5mg/kg over 20-60 min max 300mg

96
Q

atropine moa

A

ach-r antagonist, parasympathetic inhibition; positive chronotropy but no inotropic effect

97
Q

atropine onset

A

immed.

98
Q

atropine peak

A

2-4 min

99
Q

atropine duration

A

4 hrs

100
Q

atropine bradycardia dose

A

.5 mg q3-5 min max 3mg

101
Q

atropine RSI dose

A

.5-1mg

102
Q

atropine OP OD dose

A

2-5 mg

103
Q

atropine pedi bradycardia dose

A

0.02mg/kg min 0.1 max 0.5mg

104
Q

atropine pedi RSI dose

A

0.02mg/kg

105
Q

atropine OP OD dose pedi

A

0.02-0.05mg/kg

106
Q

atropine contraindications

A

ineffective for 2nd degree type II/3rd degree blocks

107
Q

atropine precautions

A

don’t give less than 0.1mg (pedi) or 0.5mg (adult)

108
Q

cardizem moa

A

slows av conduction, ca2+ channel blocker, decrease inotropy

109
Q

cardizem onset

A

3min

110
Q

cardizem duration

A

1-3 hrs

111
Q

cardizem indications

A

rapid a-fib, a-flutter, PSVT refractory to adenosine

112
Q

cardizem SE

A

N+V, dizziness, HA, bradycardia, heart block, hypotension, asystole

113
Q

cardizem dose

A

15, 20, or 25mg

114
Q

cardizem precautions

A

not for pedi!, may cause hypotension, have cacl2 available

115
Q

cardizem contraindications

A

do not give to Pt’s getting IV b blockers

116
Q

calcium chloride moa

A

increases myocardial contractility and ventricular automaticity

117
Q

cacl2 indications

A

hyperkalemia, hypocalcemia, ca+ channel blocker OD, crush syndrome, hypermagnesemia, CA due to suspected hyperkalemia

118
Q

cacl2 SE

A

bradycardia, dysrhythmias, N+V, syncope, CA

119
Q

cacl2 adult dose

A

500-1000mg

120
Q

cacl2 pedi dose

A

20mg/kg

121
Q

cacl2 precautions

A

tissue necrosis

122
Q

cacl2 interactions

A

forms PPT with bicarb

Paramedic (17 decks)

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