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Paramedic Drugs > Indications > Flashcards

Indications Flashcards

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1
Q

acetaminophen

A

Pain (adult)
Fever (pediatric)

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2
Q

activated charcoal

A

Poisonings and overdoses
(including after patient has evacuated poisons)

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3
Q

adenosine

A

Stable, regular, narrow-complex SVT

Narrow-complex reentry tachycardia

Diagnostically for stable, regular, monomorphic wide-complex tachycardia

Considered for unstable narrow-complex reentry tachycardia (while preparing for
cardioversion)

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4
Q

albuterol

A

Bronchospasm

Hyperkalemia

Inhaled airway/respiratory irritants

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5
Q

amiodorone

A

● V-fib and pulseless v-tach in cardiac arrest after defibrillation and epinephrine
● Stable, regular narrow-complex tachycardia (if the rhythm persists despite vagal
maneuvers or adenosine, or the tachycardia is recurrent)
● A-Fib with RVR without preexcitation
● A-Fib with RVR and A-Flutter refractory to first-line treatments
● Stable wide-complex tachycardia
● Unstable V-Tach refractory to cardioversion
● Polymorphic V-tach with a normal QT interval

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6
Q

aspirin

A

New-onset chest discomfort suggestive of ACS

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7
Q

atropine sulfate

A

Hemodynamically unstable bradycardia

Acetylcholinesterase inhibitor poisonings

RSI in pediatrics

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8
Q

calcium chloride

A

Hypocalcemia

Hyperkalemia/magnesemia

Overdose: beta blocker, calcium channel blocker

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9
Q

calcium gluconate

A

● Hypocalcemia
● Hyperkalemia/magnesemia
● Overdose: beta blocker, calcium channel blocker
● Topical use in hydrofluoric acid burns

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10
Q

dexamethasone

A

● Anaphylaxis
● Asthma exacerbation
● Acute mountain sickness (AMS)
● High altitude cerebral edema (HACE)
● Blunt spinal cord injury
● Croup
● Elevated ICP
● Shock management

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11
Q

dextrose

A

● Hypoglycemia
● Acutely altered mental status secondary to suspected hypoglycemia
● Coma or seizure of unknown origin
● Status epilepticus
● Pre-treatment for crush injury

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12
Q

diazepam

A

● Uncontrolled shivering associated with hyperthermia
● Active seizures
● Chemical restraint (pediatric)
● Acetylcholinesterase inhibitor poisoning

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13
Q

diltiazem

A

● Stable narrow-complex tachycardia that is refractory to vagal maneuvers or adenosine
● A-Fib with RVR or A-Flutter without preexcitation

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14
Q

diphenhydramine hydrochloride

A

● Symptomatic allergic reaction
● Adjunct to epinephrine in anaphylaxis
● Dystonic/extrapyramidal symptoms secondary to phenothiazines
● Nausea/vomiting
● Chemical restraint

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15
Q

dopamine hydrochloride

A

● Hypotension with low cardiac output states, such as cardiogenic or septic shock
● Hypotension post-ROSC
● Symptomatic bradycardia
● Crush injury

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16
Q

epinephrine

A

● Cardiac arrest
● Bradycardia
● Shock
● Anaphylaxis
● Severe allergic reactions
● Severe refractory wheezing
● Croup/bronchiolitis

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17
Q

etomidate

A

● Premedication for RSI, transcutaneous pacing, or synchronized cardioversion

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18
Q

fentanyl citrate

A

● Pain management
● Anesthesia adjunct

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19
Q

flumazenil

A

● Respiratory depression secondary to benzodiazepine overdose

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20
Q

furosemide

A

● Heart failure
● Pulmonary edema
● Hypertensive crisis

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21
Q

glucagon

A

● Altered mental status when hypoglycemia is suspected
● Symptomatic bradycardia from beta blocker or calcium channel blocker OD

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22
Q

glucose, oral

A

Conscious patients with suspected hypoglycemia

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23
Q

haloperidol

A

● Acute psychosis
● Agitated or violent behavior

24
Q

hydromorphone

A

Pain management

25
Q

hydroxocobalamin

A

Cyanide poisoning

26
Q

ibuprofen

A

Pain management
Fever

27
Q

ipratropium bromide

A

Persistent bronchospasm
COPD exacerbation
Toxic inhalation (in conjunction with albuterol)

28
Q

ketamine

A

Procedural sedation
Agitated or violent behavior
Pain management

29
Q

ketorolac tromethamine

A

Pain management
Febrile seizures (pediatric)

30
Q

labetolol

A

Moderate hypertension (SBP 160-179, DBP 100-109)

Severe hypertention (SBP @ least 180, DBP @ least 110)

31
Q

lidocaine hydrochloride

A

V-Fib and pulseless V-Tach
● Stable pulsing V-Tach
● Stable polymorphic V-Tach with normal baseline QT interval (when ischemia is
treated and electrolyte imbalance is corrected)
● Stable polymorphic V-Tach with baseline QT interval prolongation (if Torsades
de Pointes is suspected)
● PVCs in MI or myocardial contusion, to prevent R-on-T
● Pain control in conscious IO
● Increased ICP during intubation

32
Q

lorazepam

A

●Uncontrolled shivering associated with hyperthermia/heat exposure
● Active seizures
● Chemical restraint
● Anxiety/sedation (procedural sedation for intubation, cardioversion and TCP)
● Acute alcohol withdrawal symptoms

33
Q

magnesium sulfate

A

● Torsades de Pointes
● Recurrent or refractory V-Tach (pulsing and pulseless) and V-Fib
● Post-infarct, to decrease dysrhythmias
● Severe bronchoconstriction with impending respiratory failure
● Status asthmaticus
● Maternal seizure: after 20 weeks of pregnancy OR postpartum

34
Q

mannitol

A

●ICP reduction in neurologic emergencies (i.e., cerebral edema)
●Promote diuresis for excretion of toxic substances and metabolites

35
Q

methylprednisolon sodium succinate

A

●Anaphylaxis
●Severe Allergic Reaction
●Asthma that is refractory to other treatments

36
Q

midazolam hydrochloride

A

●Uncontrolled shivering associated with hyperthermia/heat exposure
● Active seizures
● Chemical restraint
● Sedation for cardioversion, TCP and intubation
●Poisoning/overdose (stimulants)

37
Q

morphine sulfate

A

Pain management

38
Q

naloxone hydrochloride

A

Opioid-induced respiratory depression

39
Q

nitroglycerin

A

●Ischemic chest pain
●Acute and symptomatic hypertension
●Heart failure
●Pulmonary edema

40
Q

norepinephrine bitartrate

A

●Neurogenic shock
●Hypotension refractory to fluid resuscitation

41
Q

ondansetron hydrochloride

A

Nausea and vomiting

42
Q

oxygen

A

Dyspnea, shortness of breath, hypoxia, etc

43
Q

oxytocin

A

Postpartum hemorrhage refractory to fundal massage

44
Q

phenylephrine

A

●Epistaxis
●Reduce bleeding during NT intubation

45
Q

pralidoxime

A

Organophosphate and nerve gas poisoning

46
Q

procainamide hydrochloride

A

●Stable monomorphic V-Tach with normal QT interval
● Stable wide-complex tachycardia of unknown origin
● V-Fib and pulseless V-Tach
● Reentry SVT uncontrolled by vagal maneuvers and adenosine if BP is stable
● A-Fib with a rapid ventricular rate in patients with WPW

47
Q

promethazine hydrochloride

A

Nausea and vomiting

48
Q

rocuronium

A

Paralytic for RSI

49
Q

sodium bicarbonate

A

● Cardiac arrest due to suspected hyperkalemia or TCA overdose
● QRS prolongation in known or suspected TCA overdose
● Crush syndrome
● Severe hyperkalemia

50
Q

succinylcholine chloride

A

Paralytic for RSI

51
Q

terbutaline sulfate

A

Premature labor contractions
Asthma/COPD/Bronchospasm

52
Q

thiamine hydrochloride

A

Administration of dextrose or glucagon in the alcoholic or malnourished patient

53
Q

tranexamic acid

A

● Blunt or penetrating trauma with hemodynamic compromise
● Bleeding

54
Q

vecuronium bromide

A

Paralytic in RSI

55
Q

verapamil hydrochloride

A

● Stable narrow-complex tachycardia (if the rhythm persists despite vagal maneuvers and /or adenosine, or if the tachycardia is recurrent)
● A-Fib with RVR or A-Flutter without preexcitation

56
Q
A

Paramedic Drugs (11 decks)

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