intermediate EMT drugs WY Flashcards
atropine sulfate brand name
Atro-Pen
atropine sulfate class
antiarrythmic, anticholinergic
atropine sulfate MOA
blocks action of acetylcholine in peripheral nervous system (PNS)
atropine sulfate indications
sinus bradycardia, heart block, reverse exercise-induced bronchospasms, organophosphate poisoning
atropine sulfate contraindications
known hypersensitivity, narrow-angle glaucoma, tachycardia secondary to cardiac insufficiency. Use with caution in patients with chronic renal, liver, pulmonary, or cardiac disease, intra-abdominal infection, or prostatic hyperplasia
atropine sulfate side effects
tachypnea, tachycardia, drowsiness, dry mouth
atropine sulfate dose
Cardiac: 0.5 to 1 mg every 3-5 mins, max dose 3 mg.
Respiratory: 0.25 to 0.5 mg/kg q.4-6h. nebulized, max dose 2.5 mg
Toxicology: 2 mg IV initial, then 1-2 mg every 10-20 mins until effects observed
amiodarone brand name
Cordarone
amiodarone class
Class III antiarrhythmic
amiodarone MOA
prolongs action potential and refractory period, slows sinus rate, prolonging PR interval; decreases PVR
amiodarone indications
VF/VT; life-threatening arrythmias
amiodarone contraindications
Known hypersensitivity, 2nd and 3rd degree AV blocks. Use caution with history of CHF or thyroid disorder, severe pulmonary or liver disease. NOTE: enters breast milk and can harm neonate
amiodarone side effects
ARDS; CHF; bradycardia; hypotension
amiodarone dose
Pulseless VF/VT: 300 mg IVSP, may repeat 150 mg in 3-5 mins.
Ventricular arrhythmias with pulse: 150 mg IVSP over 10 mins.
lorazepam brand name
Ativan
lorazepam class
benzodiazepine; anticonvulsant; antianxiety
lorazepam MOA
depresses CNS by potentiating GABA (inhibitory neurotransmitter)
lorazepam indications
decrease anxiety, seizure activity
lorazepam contraindications
Known hypersensitivity, pre-existing CNS depression, uncontrolled severe pain, narrow-angle glaucoma, severe hypotension. Use with caution in patients with severe liver, renal, or pulmonary impairment, COPD patients, history of suicide attempts or drug abuse.
lorazepam side effects
apnea, lethargy, drowsiness, slurred speech
lorazepam dose
50 mcg/kg, up to 4 mg
diazepam brand name
Valium
diazepam class
anti-anxiety, sedative/hypnotic
diazepam MOA
depresses the CNS
diazepam indications
sedation, treating seizure activity (uncontrolled seizures and status epilepticus), skeletal muscle relaxant
diazepam contraindications
Known hypersensitivity, severe liver dysfunction, severe pulmonary impairment. Use with caution in patients with severe renal impairment and in patients with history of drug dependence.
diazepam side effects
Respiratory depression, hypotension, dizziness, drowsiness, slurred speech, blurry vision. May cause respiratory arrest.
diazepam dose
5-10 mg IVP, may repeat every 10-15 mins, max dose 30 mg
diphenhydramine brand name
Benadryl, Allerdryl
diphenhydramine class
antihistamine
diphenhydramine MOA
antagonizes effects of histamine at the H1 receptor sites, CNS depressant, anticholinergic
diphenhydramine indications
relief of allergic symptoms caused by histamine release
diphenhydramine contraindications
Known hypersensitivity, asthma. Use with caution in patients with severe liver disease, narrow-angle glaucoma, seizure disorders, prostatic hyperplasia, and peptic ulcers. Geriatric patients more susceptible to adverse drug reactions and anticholinergic effects.
diphenhydramine side effects
chest tightness, hypotension, drowsiness, dizziness, headaches, tinnitus, blurred vision, anorexia, constipation, dry mouth
diphenhydramine dose
IM, IV 25-50 mg q.4h.
sodium bicarbonate class
alkalinizing agent
sodium bicarbonate MOA
Buffers excess acid to return blood to physiological pH. Causes increased urinary elimination of some drugs such as barbiturates and aspirin.
sodium bicarbonate indications
metabolic acidosis; in certain poisoning or overdoses of ethylene glycol, aspirin, and methanol
sodium bicarbonate contraindications
Known hypersensitivity. Don’t give to patients with metabolic or respiratory alkalosis, hypocalcemia, or excessive chloride loss. Use with caution in patients with CHF and kidney insufficiency and in those using corticosteroid therapy.
sodium bicarbonate side effects
edema, irritation at IV site
sodium bicarbonate dose
1 mEq/kg
levalbuterol brand name
Xopenex
levalbuterol class
adrenergic, bronchodilator
levalbuterol MOA
binds to beta2 adrenergic receptors in airway smooth muscle, causing bronchodilation
levalbuterol indications
short-term use for bronchodilation due to reversible airway disease
levalbuterol contraindications
Hypersensitivity to albuterol. Use with caution in patients with hypertension, coronary insufficiency, arrhythmias, history of seizures, hypokalemia, or diabetes.
levalbuterol side effects
paradoxical bronchospasm, tachycardia, anxiety, dizziness, headache, hyperglycemia
levalbuterol dose
0.63 mg via nebulization 3 times daily. Get baseline vitals prior to administering and watch for wheezing.
fentanyl brand name
Sublimaze
fentanyl class
opioid analgesic
fentanyl MOA
binds to opiate receptors in CNS, altering response to and perception of pain
fentanyl indications
severe pain, analgesia maintenance in the intubated patient
fentanyl contraindications
Known hypersensitivity. Use with caution in patients with diabetes; severe renal, pulmonary, liver, or cardiac disease; increased ICP, undiagnosed abdominal pain. Avoid in patients who have received MAOIs in the past 14 days, may cause potentially fatal reaction. Do not use with other CNS depressants.
fentanyl side effects
apnea, respiratory depression, bronchospasm, laryngospasm, arrhythmias, hypotension, confusion, nausea and vomiting
fentanyl dose
0.5 to 1 mcg/kg *Be prepared to manage airway and/or provide reversal agent. Use continuous monitoring.
morphine sulfate brand name
Astramorph, Duramorph
morphine sulfate class
opioid analgesic
morphine sulfate MOA
binds to opiate receptors in CNS, altering perception of and response to pain
morphine sulfate indications
severe pain, pulmonary edema, pain with AMI
morphine sulfate contraindications
Known hypersensitivity. Avoid in patients hypersensitive to tartrazine, bisulfates, ETOH. Use with caution in patients with head trauma, increased ICP, abdominal pain, renal/liver dysfunction, pulmonary disease, history of substance abuse. Use with caution in patients using MAOIs within last 14 days.
morphine sulfate side effects
respiratory depression, hypotension, confusion , constipation, physical/psychological dependence
morphine sulfate dose
4-10 mg IV/IM/SQ
furosemide brand name
Lasix
furosemide class
loop diuretic
furosemide MOA
inhibits reabsorption of sodium and chloride in the distal renal tubule and the loop of Henle; increases excretion of H2O, sodium, chloride, magnesium, and calcium, and potassium
furosemide indications
Edema due to heart failure, liver impairment, or renal disease. Can be used to treat hypertension.
furosemide contraindications
Known hypersensitivity, hepatic encephalopathy, anuria. Do not give to patients with severe liver disease or diabetes mellitus. Note: Geriatric patients may have increased risk of hypotension and electrolyte imbalance at normal doses.
furosemide side effects
dehydration, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, hypocalcemia, metabolic acidosis
furosemide dose
20-40 mg IVSP or 2 times the amount the patient is already on
heparin sodium brand name
Heparin
heparin sodium class
anticoagulant, antithrombotic
heparin sodium MOA
potentiates inhibitory effect of antithrombin on factor Xa and thrombin
heparin sodium indications
used prophylactically for the treatment of various thrombotic disorders
heparin sodium contraindications
Known hypersensitivity. Should not be given to patients with uncontrolled bleeding, severe thrombocytopenia, or open wounds. Use extreme caution in patients with uncontrolled hypertension, bacterial endocarditis, bleeding disorders, hemorrhage, or stroke.
heparin sodium side effects
bleeding, anemia, thrombocytopenia
heparin sodium dose
Varies depending on protocol. Generally, 5000 IU loading dose IVSP, then 800 to 1200 IU/hr. Note: Continually monitor for evidence of bleeding.
vasopressin brand name
Pitressin
vasopressin class
antidiuretic hormone
vasopressin MOA
In high doses, acts as a nonadrenergic peripheral vasoconstrictor.
vasopressin contraindications
Known hypersensitivity. Should not be given to patients with chronic renal failure or to those who are hypersensitive to beef or pork. Use with caution in patients with history of seizures, asthma, heart failure, migraine headaches, and renal impairment.
vasopressin side effects
MI, angina, dizziness, abdominal cramps, diarrhea
vasopressin dose
40 units IV