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paramedic > jfrd drugs and indications > Flashcards

jfrd drugs and indications Flashcards

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1
Q

rescue unit narcotic min and max

A 
Minimum
 Etomidate/Amidate - 60 mg
 Fentanyl - 200 mcg
 Ketamine - 500 mg
 Midazolam - 15 mg
 Maximum
 Etomidate/Amidate - 100 mg
 Fentanyl - 400 mcg
 Ketamine - 1500 mg
 Midazolam - 25 mg
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2
Q

pain management drug

A

fentanyl

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3
Q

fentanyl dose

A

1mcg/kg max single dose 100mcg

may repeat in 10

max dose 200mcg

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4
Q

fentanyl contraindications

A

respiratory depression

systolic less than 90

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5
Q

crush injury drug(s)

A

sodium bicarb

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6
Q

sodium bicarb for crush injury dose

A

1meq/kg

*Life threatening dysrhythmias, peaked T waves or widening QRS complex-Calcium Chloride 5 mg/kg (Max dose 500 mg) IV/IO over 2 minutes

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7
Q

max dose fentanyl for burn

A

400mcg

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8
Q

eye trauma drug and dose

A

tetracaine 2 drops per eye

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9
Q

stemi drugs

A

aspirin and nitro

*fentanyl for pain

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10
Q

aspirin dose

A

324mg

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11
Q

nitro dose

A

0.4mg SL

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12
Q

max fentanyl dose for stemi

A

200mcg

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13
Q

hypotensive chest pain drug

A

dopamine

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14
Q

dopamine hypotensive dose

A

5-10 mcg/kg/min

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15
Q

BGL ≤50

A

dextrose 12.5g D50

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16
Q

BGL ≤50 with no IV access

A

glucagon 1mg IM

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17
Q

heart failure/pulmonary edema drug and dose

A

nitro 0.4mg SL

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18
Q

heart failure/pulmonary edema drug and dose with CPAP in place

A

nitropaste 1”

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19
Q

V Fib/pulseless V tach drugs

A

Epi

Amidarone

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20
Q

V Fib/pulseless V tach drug doses

A 
Epi 1mg (1:10,000)
Amiodarone 300mg repeat at 150mg
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21
Q

Torsades de Pointes, Polymorphic VT, or refractory VF/VT drug

A

mag sulfate

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22
Q

Torsades de Pointes, Polymorphic VT, or refractory VF/VT drug and dose

A

mag sulfate 2G

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23
Q

H&T
Hyperkalemia drug
*dialysis

A

Calcium chloride 5 mg/kg max of 500

*precaution when mixed with sodium bicarb due to crystallization

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24
Q

H&T

Hypovolemia treatment

A

fluid challenge 2L

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25
Q

H&T

Hypoxia treatment

A

100% o2

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26
Q

H&T
Hydrogen ion
*acidosis

A

Sodium Bicarbonate 1 mEq/kg IV/IO

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27
Q

H&T

Hyperthermia/Hypothermia treatment

A

cool/warm as needed

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28
Q

H&T

tension pneumo treatment

A

needle decompress

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29
Q

H&T
toxins treatment drugs
Narcotic & calcium channel blocker

A

narcotic-narcan 2mg

calcium channel-Calcium Chloride 5 mg/kg IV/IO
Max dose 500 mg

30
Q

Asystole drug

A

1mg epi every 3-5minutes

31
Q

post rosc care sedation drug

A

midazolam

32
Q

midazolam sedation dose

A

2-5mg

33
Q

hypotension without bradycardia drug and dose

A

dopamine 5-10mcg/kg/min

34
Q

If rhythm was converted with defibrillation prior to administering initial Amiodarone dose-drug and dose?

A

150 mg Amiodarone in 100cc intravenous fluid bag over 10 mins

35
Q

Bradycardia with hypotension (systolic BP <90 mmHg)

drug and dose

A

Atropine 0.5 mg IV/IO every 5 to minutes

36
Q

max atropine dose

A

3 mg

37
Q

if brady persists after atropine consider what drug and dose?

A

dopamine 5-10mcg/kg/min

38
Q

Stable V tach or runs of v tach (≥pvcs)

A

Amiodarone 150 mg in 100 mL intravenous fluid bag over 10 mins

39
Q

Tach with Narrow regular QRS (SVT) drug and doses

A

Adenosine 6 mg rapid IV (may attempt Vagal maneuvers before administration of Adenosine). If Adenosine 6mg unsuccessful, administer Adenosine 12 mg rapid IV

40
Q

A Flutter & A Fib with sustained heart rates >140 drug and dose

A

Amiodarone 150 mg in 100 mL intravenous fluid bag over 10 mins

41
Q

unstable tach treatment

A

synchronized cardiovert

42
Q

sedation for cardiovert drug and dose

A

Ketamine 1 mg/kg IV/IO

43
Q

SVT cardiovert Joules

A

50

work up to 200

44
Q

Narrow irregular QRS cardiovert joules

A

120

work up to 200

45
Q

Wide regular QRS cardiovert joules

A

100

work up to 200

46
Q

unstable brady drug and dose

A

atropine 0.5 mg

47
Q

after fluids, atropine, and pacing for unstable brady consider what drug and dose

A

dopamine 5-10 mcg/kg/min

48
Q

pneumonia drugs and doses

A

albuterol 5mg
atrovent 0.5mg
*nebulized

49
Q

subsequent neb treatment drug and dose

A

albuterol 5mg

50
Q

Wheezing (mild distress) drugs and doses

A

albuterol 5mg
atrovent 0.5mg
*nebulized

51
Q

Moderate Distress - Wheezes/decreased breath sounds/accessory muscle use drugs and doses

A

albuterol 5mg
atrovent 0.5mg
*nebulized

Magnesium Sulfate 2 grams IV in 100 mL of intravenous fluid

Solu-Medrol 125 mg IV

52
Q

Solumedrol dose

A

125 mg

53
Q

Severe Distress - Wheezes/stridor/decreased breath sounds with little or no air movement/accessory muscle use/tripoding

Drugs/doses/treatment

A

Epinephrine 1:1000 0.3 - 0.5 mg IM
(0.3 mg appropriate for >50 years old)

CPAP with neb treatment

albuterol 5mg
atrovent 0.5mg
*nebulized

Magnesium Sulfate 2 grams IV in 100 mL of intravenous fluid

Solu-Medrol 125 mg IV

54
Q

malnourished alcohol illness drug and dose

A

thiamine 100mg

55
Q

allergic reaction Mild/Moderate reaction without respiratory compromise drugs and doses

A

Benadryl 25 mg IV/IM

Solu-Medrol 125 mg IV

56
Q

allergic reaction Moderate reaction with respiratory compromise drugs and doses

A

Benadryl 25 mg IV/IM
Albuterol 5 mg and Atrovent 0.5 mg. Subsequent nebulizer treatments will contain only Albuterol 5 mg
Solu-Medrol 125 mg IV

57
Q

Severe reaction/Anaphylaxis (severe respiratory distress and/or cardiovascular compromise) drugs and doses

A
  • Epinephrine 1:1,000 0.3 - 0.5 mg IM. (0.3 mg appropriate for >50 years old)
  • May repeat once after 15 minutes if needed, at different site
  • Albuterol 5 mg and Atrovent 0.5 mg. Subsequent nebulizer treatments will contain only Albuterol 5 mg
  • Benadryl 25 mg IV/IO/IM
  • Solu-Medrol 125 mg IV/IO
  • If hypotensive after fluid administration, administer:
  • Dopamine 5-10 mcg/kg/min IV/IO and titrate to systolic BP of 90 mmHg
58
Q

Conscious and alert patient with BGL <60 mg/dL drug and dose

A

glucose paste 15G (1 tube)

59
Q

Decreased level of consciousness with BGL <60 mg/dL drug and dose

A

D50W 25 grams IV/IO

repeat at 12.5G

60
Q

nose bleed treatment

A

Neo-Synephrine 2 sprays

61
Q

nausea/vomiting drug and dose

A

Zofran 4 mg IV

62
Q

active seizures drug

A

midazolam

63
Q

midazolam for seizures dose

A

2-5mg max of 10

64
Q

combative pt drug with no iv access drug and dose

A

ketamine 4mg/kg im

65
Q

combative pt with iv access drug and dose

A

midazolam 2-5mg

66
Q

Organophosphate exposure drugs

A

duodote kit

atropine 2-4mg no max dose

67
Q

Calcium Channel Blocker toxicity drug and dose

A

Calcium Chloride 5 mg/kg IV/IO (Max dose 500 mg) over 2 minutes

68
Q

Tricyclic Antidepressant overdose with hypotension, ALOC, tachycardia, seizures, ventricular arrhythmias or a wide QRS complex drug and dose

A

Sodium bicarb 1meq/kg

69
Q

seizures of eclampsia drug and doses

A

mag sulfate 4G

midazolam secondary to mag 2-5mg

70
Q

ASTHMA, ANAPHYLAXIS, SHOCK sedation intubation drug and dose

A

Ketamine 2 mg/kg IV/IO

71
Q

all other sedation intubation drug and dose

A

Etomidate 0.5 mg/kg

72
Q

if ketamine/etomidate not successful at completing sedation (e.g., trismus, combative) and systolic BP is greater than 100 mm/Hg, administer drug and dose

A

midazolam 2-5mg

paramedic (7 decks)

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