Medical Exam Medications Flashcards
(138 cards)
1
Q
Succinylcholine MoA
A
Prolongs depolarization of the muscle end plate.
2
Q
Succinylcholine Indication
A
RSI
3
Q
Succinylcholine Dose
A
1.5mg/kg
4
Q
Succinylcholine Onset
A
30-60 seconds
5
Q
Succinylcholine Duration
A
4-10 minutes
6
Q
Succinylcholine Contraindication
A
Allergy, HyperK, 7days post crush injury, 24 hours post burn
7
Q
Rocuronium MoA
A
Non-Depolarizing Neuromuscular Blocker
8
Q
Rocuronium Indication
A
Paralytic
9
Q
Rocuronium Dose
A
1mg/kg IV
10
Q
Rocuronium Onset
A
60 seconds
11
Q
Rocuronium Duration
A
40-60 minutes
12
Q
Rocuronium Contraindication
A
Allergy
13
Q
Etomidate MoA
A
Sedative Hypnotic. Depresses the activity of the brain stem reticular system.
14
Q
Etomidate Indication
A
RSI; Sedation prior to cardioversion
15
Q
Etomidate Dose
A
0.3mg/kg
16
Q
Etomidate Onset
A
10-60 seconds
17
Q
Etomidate Duration
A
3-5 minutes
18
Q
Etomidate Contraindications
A
Allergy, Not recommended if pregnant.
19
Q
Ketamine MoA
A
Dissociative Anesthetic
20
Q
Ketamine Indication
A
RSI; Excited Delirium
21
Q
Ketamine Dose
A
1-2mg/kg IV, 4-5mg/kg IM for RSI; 5-10mg/kg IM for Excited Delirium
22
Q
Ketamine Onset
A
30 seconds IV; 3-4 minutes IM
23
Q
Ketamine Duration
A
5-10 minutes IV; 12-25 minutes IM
24
Q
Ketamine Contraindications
A
Severe Hypertension, Severe Hyperthermia (consider cooling)
25
Toradol MoA
Inhibits Prostaglandin synthesis
26
Toradol Indication
Kidney Stones
27
Toradol Dose
15-30mg IV, 30-60mg IM (Half dose if over 65)
28
Toradol Onset
45-60 minutes
29
Toradol Duration
4-6 hours
30
Toradol Contraindication
Allergy to NSAID's, Bleeding disorders, renal impairment, Nursing Mothers, and any anti-Coagulant use.
31
Lasix MoA
Non-Potassium sparing loop diuretic
32
Lasix Indication
Pulmonary Edema
33
Lasix Dose
20-80mg IV or twice pt's normal dose
34
Lasix Onset
5-10 minutes for preload reduction, 30 minutes for diuresis onset
35
Lasix Duration
4-6 hours
36
Lasix Contraindication
Hypovolemia, allergy, electrolyte imbalance
37
Morphine MoA
Narcotic Analgesic
38
Morphine Indication
Severe Pain
39
Morphine Dose
2mg q 2min up to 10mg
40
Morphine Onset
5 min IV, 10-30 min IM
41
Morphine Duration
4-5 hours
42
Morphine Contraindication
Allergy, Head drauma, ALOC, BP <100
43
Fentanyl MoA
Narcotic Analgesic
44
Fentanyl Indication
Severe Pain
45
Fentanyl Dose
50mcg IV q 5-10min max 200mcg; 25mcg q 2-3min up to 100mcg for cardiac emergencies
46
Fentanyl Onset
1 minute
47
Fentanyl Duration
30-60 minutes
48
Fentanyl Contraindications
BP <100, Allergy, ICP, ALOC, Liver or Renal insufficiencies
49
Benadryl MoA
H1 blocker
50
Benadryl Indication
Allergic reaction, Anaphylaxis (as an adjunct to epi), Dystonia
51
Benadryl Dose
25-50mg
52
Benadryl Onset
Immediate
53
Benadryl Duration
6-8 hours
54
Benadryl Contraindications
Allergy, Asthma
55
Epinepharine MoA
Beta adrenergic and alpha stimulator
56
Epinepharine Indication
Anaphylatic shock, Cardiac Arrest, Severe allergic reaction, Status Asthmaticus, Bradycardia, Croup, Upper airway obstruction edema
57
Epinepharine Dose
Cardiac 1mg IV 1:10,000; Anaphalaxis 0.3mg IM 1:1,000
58
Epinepharine Onset
Immediate
59
Epinepharine Duration
1-4 hours
60
Epinepharine Contraindications
chest pain
61
Solu-Medrol MoA
Adrenocortical steroid
62
Solu-Medrol Indication
Asthma/COPD exacerbation; Anaphylaxis
63
Solu-Medrol Dose
125mg IV
64
Solu-Medrol Onset
1-4 hours
65
Solu-Medrol Duration
7 days
66
Solu-Medrol Contraindication
Allergy
67
Albuterol MoA
Beta 2 Agonist
68
Albuterol Indication
Bronchospasm, Allergic Reaction, Asthma, COPD, Hyper K, Crush Injury
69
Albuterol Dose
2.5mg in 3cc NS nebulized
70
Albuterol Onset
5 minutes
71
Albuterol Duration
3-4 hours
72
Albuterol Contraindications
Allergy, Tachycardia
73
Atrovent MoA
Acetylcholine Antagonist
74
Atrovent Indication
Bronchospasm due to reactive airway diseases
75
Atrovent Dose
0.5mg nebulized
76
Atrovent Onset
15-30 minutes
77
Atrovent Duration
5-7 hours
78
Atrovent Contraindications
Allergy
79
Magnesium Sulfate MoA
Replaces magnesium, interferes with acetylcholine release at the myoneural junction
80
Magnesium Sulfate Indication
Seizures, Torsades de Pointes, Respiratory distress, Ventricular arrhythmias due to dig toxicity and tricyclic overdoses
81
Magnesium Sulfate Dose
Antiarrhythmic 2mg IV, Eclampsia 2-4mg IV
| Slow Push
82
Magnesium Sulfate Onset
1-2 minutes
83
Magnesium Sulfate Duration
30 minutes
84
Magnesium Sulfate Contraindications
Renal failure, Hypocalcemia
85
D50 MoA
Replaces Glucose levels
86
D50 Indications
Hypoglycemia, Crush Injury
87
D50 Dose
50ml of D50 (25g)
88
D50 Onset
Immediate
89
D50 Duration
Unknown
90
D50 Contraindications
Increased ICP, Hyperglycemia
91
Oral Glucose MoA
Absorbed in intestine, replaces sugar levels
92
Oral Glucose Indications
Hypoglycemia
93
Oral Glucose Dose
"One Tube"
94
Oral Glucose Onset
30-60 minutes
95
Oral Glucose Duration
"Hours"
96
Oral Glucose Contraindications
Unconsciousness, unable to swallow
97
Glucagon MoA
Causes the liver to release glycogen which is converted to glucose
98
Glucagon Indication
Hypoglycemia, Beta-Blocker or Calcium Channel blocker OD
99
Glucagon Dose
1mg IM
100
Glucagon Onset
1 minute IV; 10 minutes IM
101
Glucagon Duration
25 minutes IV; 30 minutes IM
102
Glucagon Contraindications
Allergy
103
NTG MoA
Dilates coronary arteries
104
NTG Indications
Chest pain, CHF with pulmonary edema
105
NTG Dose
0.4mg SL
106
NTG Onset
1-3 minutes
107
NTG Duration
30-60 minutes
108
NTG Contraindications
Allergy, BP less than 100, Use of ED drugs
109
Lidocaine MoA
Somehow prevents increased ICP (maybe)
110
Lidocaine Indication
Increased ICP
111
Lidocaine Dose
1.5mg/kg
112
Lidocaine Onset
Immediate
113
Lidocaine Duration
10-20 minutes
114
Lidocaine Contraindications
Allergy, Heart blocks
115
Atropine MoA
Decreases Body secreations
116
Atropine Indication
Organophosphate Poisoning
117
Atropine Dose
1mg IV q 1 minute up to 10mg
118
Atropine Onset
Immediate
119
Atropine Duration
4 hours
120
Atropine Contraindication
None for Organophosphate (I think)
121
Versed MoA
Hypnotic sedative amnesiac anticonvulsant
122
Versed Indication
Seizures, Sedation
123
Versed Dose
2mg increments to a max of 0.1mg/kg or 10mg (whichever is less)
124
Versed Onset
1.5-5 min IV, 2-6 min IN, 15min IM
125
Versed Duration
2-6 hours
126
Versed Contraindications
Allergy
127
Valium MoA
Depresses the central nervous system
128
Valium Indication
Seziure, Sedation
129
Valium Dose
2-10mg IV/IO/IM
130
Valium Onset
1-5 minutes
131
Valium Duration
15-60 minutes
132
Valium Contraindications
Allergy, CNS depressant use
133
Prednisone MoA
Decreases inflammation
134
Prednisone Indication
Reactive Airway Disease
135
Prednisone Dose
60mg PO
136
Prednisone Onset
unknown
137
Prednisone Duration
Unknown
138
Prednisone Contraindications
Systemic fungal infections
