Indications And Field Use Flashcards

0
Q

Analgesia (Burns, trauma, MI, renal colic)

A

Fentanyl

Morphine

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1
Q

Alcoholism, delirium tremens
Coma of unknown origin
Suspected Wernicke or korsakoff syndrome
Severe congestive heart failure

A

Thiamine (Betalin)

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2
Q

Antidote for opioid overdose

A

Naloxone (Narcan)

Nalmefene (Revex)

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3
Q

Symptomatic hypoglycemia when IV is delayed

A

Glucagon

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4
Q

Acute spinal cord trauma

A

Methylprednisolone sodium Succinate (Solu-Medrol)

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5
Q

Nausea and vomiting

A

Ondansetron (Zofran)

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6
Q

Postpartum hemorrhage due to uterine atony

A

Oxytocin (Pitocin, Syntocin)

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7
Q

Facilitation of nasotracheal intubation

A

Phenylephrine nasal spray (Neo-synephrine nasal spray)

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8
Q

Pre-existing metabolic acidosis

A

Sodium bicarbonate

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9
Q

Overdose of aspirin

A

Sodium bicarbonate

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10
Q

Cardiac arrest after other interventions and ventilation is adequate

A

Sodium bicarbonate

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11
Q

Grand mal seizures

Status epilepticus

A

Diazepam (Valium)
Lorazepam (Adivan)
Midazolam hydrochloride (versed)

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12
Q

Transient analgesia/amnesia for medical procedures such as fracture reduction, cardioversion, pacing

A

Diazepam (Valium)

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13
Q

Agitation/excited delirium

A
Lorazepam (Adivan) 
Midazolam hydrochloride (versed)
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14
Q

Sedation

A

Midazolam hydrochloride (versed)

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15
Q

Atrial fibrillation and atrial flutter with rapid ventricular response

A

Verapamil (Isoptin, Calan, Verelan)

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16
Q

Phenothiazine reactions

A

Diphenhydramine (Benadryl)

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17
Q

Introduction to RSI

A

Etomidate
Succinylcholine
Fentanyl citrate

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18
Q

Therapy of oral ingestion of toxic substances

A

Activated charcoal (Charcola, Actidose-Aqua)

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19
Q

Short term treatment of duodenal ulcer

A

Cimetidine
Ranitidine
Famotidine

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20
Q

Reactive airway disease: acute exacerbation of bronchial asthma

A

Dexamethasone sodium phosphate (Decadron)

Methylprednisolone sodium Succinate (Solu-Medrol)

21
Q

Cerebral edema

A

Dexamethasone sodium phosphate (Decadron)

22
Q

Known hypoglycemia

A

Dextrose 50%

23
Q

ALOC

A

Dextrose 50%

24
Q

Seizures of unknown

A

Dextrose 50%

25
Q

Hyperkalemia

A

Dextrose 50%

26
Q

Hypotension unresponsive to other therapy

A

Epinephrine

27
Q

Croup

A

Racemic epinephrine

28
Q

Chronic obstructive lung disease, chronic bronchiolitis, bronchial asthma

A

Racemic epinephrine

29
Q

Pulmonary edema

A

Bumetanide (Bumex)
Furosemide (Lasix)
Morphine sulfate (Cardiogenic)

30
Q

Congestive heart failure

A

Bumetanide (Bumex)
Furosemide (Lasix)
Nitroglycerin (Nitrostat) CHF with pulmonary edema

31
Q

Calcium channel blocker OD

A

Calcium chloride

32
Q

Torsades De Pointes

A

Magnesium sulfate

33
Q

Suppression of ventricular arrhythmias (v-tach, v-fib, PVC’s)

A

Lidocaine (Xylocaine)

34
Q

Treats bronchospasms

A
Albuterol sulfate (Proventil, Ventolin) 
Ipratropium bromide (Atrovent) 
Epinephrine (severe bronchospasms)
35
Q

Hemodynamically significant hypotension in the absence of Hypovolemia

A

Dopamine (Intropin)

36
Q

Anaphylaxis

A

Epinephrine
Dexamethasone sodium phosphate (Decadron)
Diphenhydramine (Benadryl) 2nd line

37
Q

Cardiac arrest v-fib/Pulseless v-tach; asystole PEA

A

Epinephrine

38
Q

Bradycardia, refractory with hypotension

A

Epinephrine

39
Q

Chest pain

A

O2
Acetylsalicylic acid, aspirin (Bufferin, Anacin)
Nitroglycerin (Nitrostat)

40
Q

Myocardial Infarction

A

Acetylsalicylic acid, aspirin, (Bufferin, Anacin)

Nitroglycerin (Nitrostat)

41
Q

Unstable angina

A

Acetylsalicylic acid, aspirin, (Bufferin, Anacin)

Nitroglycerin (Nitrostat)

42
Q

Pain from musculoskeletal trauma, burns, AMI

A

Nitrous oxide

43
Q

SVT

A

Adenosine (Adenocard) no known a-fib, a-flutter
Diltiazem (Cardizem) 2nd line
Verapamil (Isoptin, Calan, Verelan)

44
Q

Wide complex tachy unresponsive to lidocaine

A

Adenosine (Adenocard)

45
Q

V-fib/Pulseless v-tach refractory to lidocaine and Amiodarone

A

Magnesium sulfate

Vasopressin

46
Q

Treatment of defibrillation refractory v-fib/Pulseless v-tach, polymorphic v-tach, wide complex tachy

A
Amiodarone 
Bretylium Tosylate (Bretylol)
47
Q

Control Hemodynamically stable v-tach when cardio version unsuccessful

A

Amiodarone

48
Q

SVT and PSVT rate control in a-fib and a-flutter

A

Amiodarone

49
Q

Lidocaine allergy

A

Bretylium Tosylate (Bretylol)

50
Q

Symptomatic bradycardias

A

Atropine sulfate

Dopamine

51
Q

Acetylcholinesterase inhibitor poisoning

A

Atropine sulfate