Med Cards

Question 0

Decadron

Answer 0

dexamethasone Na PO4
Corticosteroid
Various inflammatory conditions. 
2-24mg IV/IO over 1-2 mins. 
Avoid with concurrent use of ASA

Question 1

Activated Charcoal

Answer 1

Antidote
Oral poisoning/OD.
50-100gm/dose, given orally
Do not give with ipecac. NOT with methanol, cyanide or organophsophate poisoning, ingestion of caustics.

Question 2

Dextrose 50% in Water

Answer 2

D50W
Antihypoglycemic
25g SLOW (10cc/min) IV push into large bore DO NOT INFILTRATE
Do not use with increased ICP or IC hemorrhage.
Carefully monitor for infiltration

Question 3

Valium

Answer 3

diazepam
Benzodiazepine - Skeletal muscle relaxer, acute stress, amnesia.
2-4mg IV/IO slow push, 1-2 minutes
Do not use w/ narrow angle glaucoma, >6mo, allergies.
Expect ataxia, blurred vision, confusion, headache, dec. resp.

Question 4

Benadryl

Answer 4

diphenhydramine HCl
Antihistamine - Use for allergic reactions, anaphylaxis, mild sedative
25-50mg IV/IO/IM over 1-2min. Do not exceed 50mg single dose
Do not use with asthma, pregnancy, nursing, alcohol abuse, glaucoma, MAO inhibitors.

Question 5

Inapsine

Answer 5

droperidol
Antiemetic/acute psychosis.
1.25-2.5mg IV/IO, undiluted over 1-2minutes.
Do not use with known or suspected QT prolongation.
May cause chills, dizziness/hypotension, restlessness, tachycardia

Question 6

Sublimaze

Answer 6

fentanyl citrate
Narcotic analgesic
25-100mcg IV/IO/IM/IN over 1-2min.
Do not use with resp. depression, use caution with TBI
May cause resp. depression, hypotension, sedation, sinus brady.

Question 7

Mazicon or Romazicon

Answer 7

flumazenil
Benzo receptor antagonist
0.2mg IV/IO over 30sec. Max of 1mg
Do not use with increased IC, antidepressant OD, labor.
Only give if positive an OD on benzo has occurred.

Question 8

Glucagon

Answer 8

Antihypoglycemic
0.5-1mg IV/IO/IM for hypoglycemia, 2-3mg IV for beta blocker OD
Use caution with pts lactating, renal/hepatic failure, emaciated, alcoholics
May cause nausea, vomiting, resp. distress, urticaria, hypotension

Question 9

Haldol

Answer 9

haloperidol
Antipsychotic, neuroleptic
2-5mg IM
Do not use with coma, >3yrs, alcohol and barb w/drawal states
May cause EPS, TD, drowsiness, confusion, HTN, EKG changes

Question 10

Dilaudid

Answer 10

hydromorphone HCl
Opiate analgesic
Moderate to severe pain
0.5-2mg IV/IO titrated to pain relief
Do not use with resp. problems, labor, abd trauma.

Question 11

Insulin

Answer 11

Hormone (natural and synthetic)
5-20 units IV, SubQ, or IM followed by 0.1unit/kg/hr infusion
Do not use with hypoglycemia
Use with caution with corticosteroids, dobutamine, epi and thiazides

Question 12

Toradol

Answer 12

ketorolac tromethamine
Short term pain mgmt.
15-30mg IV/IO over 1-2 mins. 30-60mg IM. Equal to 800mg Ibuprofen
Do not use with peptic ulcer, pregnancy or nursing mother, children
May cause drowsiness, dizziness, headache, sweating, edema

Question 13

Ativan

Answer 13

lorazepam
Benzodiazepam
1-2mg IV slowly, up to 4mg for seizures.
Do not use with COPD, sleep apnea, shock, coma, glaucoma
May cause headache, drowsiness, ataxia, dizziness, resp. depression

Question 14

magnesium sulfate

Answer 14

MgSO4
Anticonvulsant, electrolyte
1-2mg IV/IO SLOW push, MUST BE DILUTED TO 20% PRIOR TO IV
Do not use with heart blocks, renal disease, recent MI
Make sure to have CaCl or calcium gluconate (antidotes) on hand

Question 15

Osmitrol

Answer 15

mannitol
Osmotic diuretic
300-500mg IV drip ONLY. 0.5-2g/kg. Not prehospital
Do not use with anuria, CHF, pulmonary edema, preg, dehydration.
Expect headache, nausea, thirst, chills, pulm. edema, acidosis

Question 16

Demerol

Answer 16

meperidine HCl
Opiod analgesic
25-100mg IV/IO q3-4hrs PRN
Do not use with COPD, asthma, kidney disease, glaucoma, hypoTN.
Monitor closely as pt may require assistance with resp.

Question 17

Solu-Medrol

Answer 17

methylprednisolone Na succinate
Corticosteroid
125-250mg slow IV/IO push over 1-2mins
Do not use with systemic fungal infections
May cause headache, HTN. Should not receive immunizations

Question 18

Versed

Answer 18

midazolam
benzodiazepine
0.3mg/kg IV over 30 seconds. IV/IO
Do not use in coma, shock, EtOH intoxication, cherry allergies
Monitor closely as it may cause resp. depression

Question 19

morphine sulfate

Answer 19

Opiod analgesic
2-10mg IV/IO, 5-15mg IM
Do not use with DLOC b/c of head injury, asthma/COPD, hypotension
May cause hypotension, parasymp. increase, bradycardia
Monitor closely, have naloxone ready

Question 20

Narcan

Answer 20

naloxone HCl
Opoid antagonist
0.4-2mg IV/IO slow over 15 sec. May go up to 10mg.
Use caution and titrate up. Pt’s may become violent
will cause acute withdrawal symptoms in an addict

Question 21

Nitrox/N2O2/Entonox

Answer 21

nitrous oxide
Inhalation anesthetic
Given as a 50/50 mix w/O2.
Do not use with any ALOC b/c of head injury, COPD, Pul. Edema.
May cause lightheadedness, drowsiness, nausea/vomiting

Question 22

Zofran

Answer 22

ondansetron
Antiemetic
4-8mg IV/IO over 1-2 mins
May cause agitation, arrhythmias, CP, drowsiness, dizziness.

Question 23

Dilantin

Answer 23

phenytoin
Anticonvulsant
Not given pre-hospital. 15-20mg/kg IV/IO.
Do not use if bradycardic, liver disease
May cause dizziness, ataxia, hypotension, confusion, vfib

Question 24

Phenergan

Answer 24

promehtazine Antiemetic, antihistamine 12.5-25mg IV/IO/IM Do not use with ALOC, jaundice. Use with caution w/ seizure disorders May cause paradoxic excitation in children and elderly

Question 25

Alcaine

Answer 25

``` proparacaine Local anesthetic 1-2 drops in each affected eye q15 mins Do not use with a ruptured globe Relieves eye pain ```

Question 26

Syrup of ipecac

Answer 26

Emetic 15-30mL orally followed by 3 or 4 glasses of water Do not use with decreased LOC, acute MI, pregnancy, >6mo. Will cause vomiting, may cause sweating and fatal cardiotoxic effects if no emesis occurs.

Question 27

Vitamin B1

Answer 27

thiamine Essential mineral 100mg IV/IO May cause anaphylaxis, hypotension, sweating, pulm. edema