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Master so far COPY Flashcards

1
Q

Nitroglycerine actions

A

Reduce preload and afterload
Vasodilation of cerebral and coronary arteries
Generalized smooth muscle relaxation
Onset of action 1-2min

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2
Q

Glucagon action

A

Natural polypeptide hormone secreted by the pancreas. Released to breakdown stored glycogen to glucose and inhibits the synthesis of glycogen from glucose. Acts on
receptor sites similar to those of epinephrine producing catecholamine like effects.

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3
Q

Ondasetron action

A

blocks serotonin receptors in the chemoreceptor trigger zone. It has little effect on vomiting caused by motion sickness.

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4
Q

Narcan dose

A

0.4-2mg IV/IO/IM (may repeat 2-3min prn)
2-2.5mg ETT
Pedi:
0.1mg/kg IV/IO/IM

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5
Q

Dextrose contraindication

A

None in documented hypoglycemia

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6
Q

Amiodarone dose

A

Adult

  • VF/Pulseless V tach: 300mg IV/IO repeat at 150mg after 3 – 5 minutes
  • Wide complex tachycardia: 150mg IV/IO over 10 minutes
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7
Q

Furosemide action

A

Lasix is a rapid acting potent diuretic and antihypertensive that inhibits sodium reabsorption by the kidney. Its vasodilating effects reduce venous return and cardiac workload.

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8
Q

Dextrose dose

A

Adult

25g D50 IV/IO/PO

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9
Q

Thiamine action

A

Thiamine is vitamin B1. It is required for the metabolism of glucose and the production
of ATP. It is not manufactured by the body and must be constantly provided from
ingested foods.

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10
Q

Succinylcholine action

A

Succinylcholine as an ultra short acting neuromuscular blocker with a high affinity for Ach receptor sites

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11
Q

Morphine indication

A

Management of moderate to severe pain

To reduce venous return in pulmonary edema/CHF/AMI

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12
Q

Narcan side effects

A 
Increase BP
Increase respirations
Tachycardia
N/V
Tremors 
Withdrawal symptoms
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13
Q

Atrovent class

A

Parasympatholytic (anticholinergic) bronchodilator

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14
Q

Epinephrine dose

A

Adult
-Cardiac arrest
1mg IV 1:10,000
2-2.5mg ETT 1:1000

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15
Q

Activated charcoal contraindication

A

Uncontrolled airway
Ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol
or methanol

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16
Q

Sodium bicarb dose

A

Adult
1mEq/kg IV/IO, may repeat at half dose every 10 minutes

Pediatrics
Same as adult

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17
Q

Nitroglycerine contraindications

A 
Hypotension
Chest trauma
Head trauma
Brain bleed
Increased ICP
Use of ED drugs 
Hypersensitivity
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18
Q

Albuterol action

A

Selective beta-2 adrenergic bronchodilator causing bronchial smooth muscle relaxation with minimal beta-1 or alpha stimulation. Inhibits histamine release reducing mucus secretion and mucosal edema

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19
Q

Activated charcoal action

A

Activated charcoal is a specially prepared charcoal that when given soon after ingestion of a toxin will adsorb and bind organic toxins from the GI tract

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20
Q

Magnesium sulfate dose

A

Adult

  • Torsades de pointes: 1 – 2g IVP over 1 – 2 minutes
  • Eclamptic seizure: 4 – 5g IVP concurrently with up to 5g IM in each buttock then 4 – 5 g every 4 hours
  • Bronchodilation: 2g IVP
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21
Q

Succinylcholine class

A

Depolarizing neuromuscular blocker

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22
Q

Lidocaine dose

A

Adult
-1 – 1.5mg/kg IV bolus; may repeat doses every 3 – 5 minutes at 0.5 – 0.75mg/kg to a total dose of 3mg/kg. May then start continuous infusion of 1 – 4 mg/min
Use 4mg/ml concentration for infusion
-For endotracheal administration use 2 – 2.5 the loading dose followed by a 10ml NS flush.

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23
Q

Fentanyl class

A

Narcotic analgesic

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24
Q

Sodium bicarb indication

A

Prolonged cardiac arrest
Known hyperkalemia
Tricyclic antidepressants/barbiturates OD
Refractory metabolic acidosis

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25
Thiamine dose
Adult 50 – 100mg IV/IO/IM Pediatrics: 10 – 25mg IV/IO/IM
26
Atropine class
Parasympatholytic/anticholinergic
27
Fentanyl action
A potent short acting narcotic agonist used for its analgesic properties. Fentanyl does not cause the vasodilation associated with morphine and so may be acceptable for use in hypovolemic patients.
28
Narcan class
Narcotic antagonist
29
Beta blocker OD
Glucagon
30
Aspirin contraindications
Hypersensitivity Active gastro-intestinal bleed Acute asthma attack Bleeding disorder
31
Thiamine indication
Coma of unknown origin Alcohol induced coma Delirium tremens
32
Atrovent dose
Adult 500 mcg in 3 ml saline via nebulizer Pediatric 250 mcg in 3 ml saline via nebulizer
33
Amiodarone side effect
``` Hypotension Bradycardia Cardiogenic shock Headache/dizziness AV block ```
34
Morphine dose
``` Adult -Pain management 2.5 – 15mg IV/IO 5 – 20mg IM/SC -Pulmonary edema/CHF/AMI 1 – 2mg IV/IO every 6 – 10 minutes ```
35
Morphine class
Narcotic Analgesic
36
Furosemide dose
Adult -40-120mg slow IV Pediatric -1mg/kg slow IV push
37
Adenosine indication
PSVT (Refractory to vagal maneuvers) | Stable wide complex tachycardia thought to be reentry SVT
38
Albuterol side effect
``` Tremors/anxiety/dizziness Headache/diaphoresis Angina/palpitations Tachycardia CNS stimulation Hypertension ```
39
Ondasetron dose
Adult 4mg IVP/PO. Max dose of 8mg. Pediatric 4mg IVP/PO
40
Adenosine contraindication
Second or third degree AV block | Poison or drug induced tachycardia
41
Atrovent indication
Asthma (in combination with other bronchodilators) | COPD
42
Nitroglycerine dose
0.4mg tablet or spray, not for pedi
43
Glucagon dose
Adult - Hypoglycemia: 1.0 unit IM/SC (may repeat as needed 5 – 20 minutes) - Beta-blocker OD: 2 – 3 units IV/IO over 2 – 5 minutes
44
Fentanyl dose
Adult - 25 – 100mcg slow IV/IO over 2 – 3 minutes - 1.0mcg/kg slow IV/IO over 2 – 3 minutes
45
Diphenhydramine dose
Adult | 25 – 50mg IV/IM/PO
46
Glucagon indication
To increase blood sugar levels in hypoglycemia without vascular access Beta-blocker overdose
47
Dextrose class
Carbohydrate
48
Morphine action
Morphine is a natural opium alkaloid that acts on the opiate receptors in the brain. Provides both analgesic and sedative effects. Vasodilatation, reduction of venous return and decrease of myocardial oxygen demand
49
Furosemide class
Non-potassium sparing loop diuretic
50
Morphine side effect
``` Respiratory distress Bradycardia Palpitation Hypotension Cardiac arrest ```
51
Diphenhydramine class
Antihistamine
52
Dopamine indication
Cardiogenic shock (pulmonary edema with NON-HYPOVOLEMIC hypotension) Anaphylaxis refractory to epinephrine and fluid boluses Bradycardia refractory to atropine and pacing Shock states with Hemodynamically significant hypotension in the ABSENCE of Hypovolemia (sepsis, neurogenic shock). Crush injury
53
Diphenhydramine contraindication
Asthma and other lower respiratory diseases
54
Aspirin action
Aspirin produces analgesia and reduces inflammation and fever by inhibiting the production of prostaglandins. It decreases platelet aggregation.
55
Epinephrine indication
To restore cardiac rhythms in a cardiac arrest event Allergic reaction/Anaphylaxis Bradycardia refractory to dopamine
56
Calcium channel blocker OD
Calcium chloride
57
Midazolam dose
Adult 1 – 2.5mg slow IV/IO 0.07 – 0.08mg/kg IM (typical max of 5mg)
58
Nitroglycerine indications
Angina Chest pain Pulmonary edema
59
Tricyclic antidepressant OD
Sodium bicarb
60
Ondasetron class
Antiemetic
61
Adenosine dose
Adult 6mg rapid IVP w/ 10ml followed by 12mg Pedi 0.1mg/kg rapid IVP w/ 10ml followed by 0.2mg/kg
62
Diazepam dose
``` Seizures 5 – 10 mg IV/IO/IM Anxiety 2 – 5 mg IV/IM Premedication 5 – 15 mg IV/IO ```
63
Aspirin dose
160-325mg PO, not for pedi
64
Succinylcholine contraindication
``` Family history of malignant hyperthermia Glaucoma Penetrating eye trauma Liver disease Significant burns older than 24 hours ```
65
Calcium chloride indication
Hyperkalemia Hypocalcemia Hypermagnesemia Calcium channel blocker OD
66
Glucagon contrindication
Hypersensitivity to glucagon or protein compounds | Glucagon is only effective if there are glycogen stores in the liver
67
Albuterol dose
Adult | 2.5 – 5.0mg via nebulizer (repeat PRN)
68
Adenosine action
Slows conduction time through the AV node and interrupts the reentry pathways of the AV node and SA node. Half life of <10 seconds and does not cause a decrease in blood pressure.
69
Midazolam class
Sedative/hypnotic

Pharm final (28 decks)

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