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EMC 120 Pharm for edit > Medical Exam Medications > Flashcards

Medical Exam Medications Flashcards

1
Q

Succinylcholine MoA

A

Prolongs depolarization of the muscle end plate.

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2
Q

Succinylcholine Indication

A

RSI

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3
Q

Succinylcholine Dose

A

1.5mg/kg

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4
Q

Succinylcholine Onset

A

30-60 seconds

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5
Q

Succinylcholine Duration

A

4-10 minutes

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6
Q

Succinylcholine Contraindication

A

Allergy, HyperK, 7days post crush injury, 24 hours post burn

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7
Q

Rocuronium MoA

A

Non-Depolarizing Neuromuscular Blocker

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8
Q

Rocuronium Indication

A

Paralytic

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9
Q

Rocuronium Dose

A

1mg/kg IV

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10
Q

Rocuronium Onset

A

60 seconds

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11
Q

Rocuronium Duration

A

40-60 minutes

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12
Q

Rocuronium Contraindication

A

Allergy

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13
Q

Etomidate MoA

A

Sedative Hypnotic. Depresses the activity of the brain stem reticular system.

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14
Q

Etomidate Indication

A

RSI; Sedation prior to cardioversion

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15
Q

Etomidate Dose

A

0.3mg/kg

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16
Q

Etomidate Onset

A

10-60 seconds

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17
Q

Etomidate Duration

A

3-5 minutes

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18
Q

Etomidate Contraindications

A

Allergy, Not recommended if pregnant.

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19
Q

Ketamine MoA

A

Dissociative Anesthetic

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20
Q

Ketamine Indication

A

RSI; Excited Delirium

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21
Q

Ketamine Dose

A

1-2mg/kg IV, 4-5mg/kg IM for RSI; 5-10mg/kg IM for Excited Delirium

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22
Q

Ketamine Onset

A

30 seconds IV; 3-4 minutes IM

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23
Q

Ketamine Duration

A

5-10 minutes IV; 12-25 minutes IM

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24
Q

Ketamine Contraindications

A

Severe Hypertension, Severe Hyperthermia (consider cooling)

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25
Q

Toradol MoA

A

Inhibits Prostaglandin synthesis

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26
Q

Toradol Indication

A

Kidney Stones

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27
Q

Toradol Dose

A

15-30mg IV, 30-60mg IM (Half dose if over 65)

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28
Q

Toradol Onset

A

45-60 minutes

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29
Q

Toradol Duration

A

4-6 hours

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30
Q

Toradol Contraindication

A

Allergy to NSAID’s, Bleeding disorders, renal impairment, Nursing Mothers, and any anti-Coagulant use.

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31
Q

Lasix MoA

A

Non-Potassium sparing loop diuretic

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32
Q

Lasix Indication

A

Pulmonary Edema

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33
Q

Lasix Dose

A

20-80mg IV or twice pt’s normal dose

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34
Q

Lasix Onset

A

5-10 minutes for preload reduction, 30 minutes for diuresis onset

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35
Q

Lasix Duration

A

4-6 hours

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36
Q

Lasix Contraindication

A

Hypovolemia, allergy, electrolyte imbalance

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37
Q

Morphine MoA

A

Narcotic Analgesic

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38
Q

Morphine Indication

A

Severe Pain

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39
Q

Morphine Dose

A

2mg q 2min up to 10mg

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40
Q

Morphine Onset

A

5 min IV, 10-30 min IM

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41
Q

Morphine Duration

A

4-5 hours

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42
Q

Morphine Contraindication

A

Allergy, Head drauma, ALOC, BP <100

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43
Q

Fentanyl MoA

A

Narcotic Analgesic

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44
Q

Fentanyl Indication

A

Severe Pain

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45
Q

Fentanyl Dose

A

50mcg IV q 5-10min max 200mcg; 25mcg q 2-3min up to 100mcg for cardiac emergencies

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46
Q

Fentanyl Onset

A

1 minute

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47
Q

Fentanyl Duration

A

30-60 minutes

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48
Q

Fentanyl Contraindications

A

BP <100, Allergy, ICP, ALOC, Liver or Renal insufficiencies

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49
Q

Benadryl MoA

A

H1 blocker

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50
Q

Benadryl Indication

A

Allergic reaction, Anaphylaxis (as an adjunct to epi), Dystonia

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51
Q

Benadryl Dose

A

25-50mg

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52
Q

Benadryl Onset

A

Immediate

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53
Q

Benadryl Duration

A

6-8 hours

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54
Q

Benadryl Contraindications

A

Allergy, Asthma

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55
Q

Epinepharine MoA

A

Beta adrenergic and alpha stimulator

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56
Q

Epinepharine Indication

A

Anaphylatic shock, Cardiac Arrest, Severe allergic reaction, Status Asthmaticus, Bradycardia, Croup, Upper airway obstruction edema

57
Q

Epinepharine Dose

A

Cardiac 1mg IV 1:10,000; Anaphalaxis 0.3mg IM 1:1,000

58
Q

Epinepharine Onset

A

Immediate

59
Q

Epinepharine Duration

A

1-4 hours

60
Q

Epinepharine Contraindications

A

chest pain

61
Q

Solu-Medrol MoA

A

Adrenocortical steroid

62
Q

Solu-Medrol Indication

A

Asthma/COPD exacerbation; Anaphylaxis

63
Q

Solu-Medrol Dose

A

125mg IV

64
Q

Solu-Medrol Onset

A

1-4 hours

65
Q

Solu-Medrol Duration

A

7 days

66
Q

Solu-Medrol Contraindication

A

Allergy

67
Q

Albuterol MoA

A

Beta 2 Agonist

68
Q

Albuterol Indication

A

Bronchospasm, Allergic Reaction, Asthma, COPD, Hyper K, Crush Injury

69
Q

Albuterol Dose

A

2.5mg in 3cc NS nebulized

70
Q

Albuterol Onset

A

5 minutes

71
Q

Albuterol Duration

A

3-4 hours

72
Q

Albuterol Contraindications

A

Allergy, Tachycardia

73
Q

Atrovent MoA

A

Acetylcholine Antagonist

74
Q

Atrovent Indication

A

Bronchospasm due to reactive airway diseases

75
Q

Atrovent Dose

A

0.5mg nebulized

76
Q

Atrovent Onset

A

15-30 minutes

77
Q

Atrovent Duration

A

5-7 hours

78
Q

Atrovent Contraindications

A

Allergy

79
Q

Magnesium Sulfate MoA

A

Replaces magnesium, interferes with acetylcholine release at the myoneural junction

80
Q

Magnesium Sulfate Indication

A

Seizures, Torsades de Pointes, Respiratory distress, Ventricular arrhythmias due to dig toxicity and tricyclic overdoses

81
Q

Magnesium Sulfate Dose

A

Antiarrhythmic 2mg IV, Eclampsia 2-4mg IV

Slow Push

82
Q

Magnesium Sulfate Onset

A

1-2 minutes

83
Q

Magnesium Sulfate Duration

A

30 minutes

84
Q

Magnesium Sulfate Contraindications

A

Renal failure, Hypocalcemia

85
Q

D50 MoA

A

Replaces Glucose levels

86
Q

D50 Indications

A

Hypoglycemia, Crush Injury

87
Q

D50 Dose

A

50ml of D50 (25g)

88
Q

D50 Onset

A

Immediate

89
Q

D50 Duration

A

Unknown

90
Q

D50 Contraindications

A

Increased ICP, Hyperglycemia

91
Q

Oral Glucose MoA

A

Absorbed in intestine, replaces sugar levels

92
Q

Oral Glucose Indications

A

Hypoglycemia

93
Q

Oral Glucose Dose

A

“One Tube”

94
Q

Oral Glucose Onset

A

30-60 minutes

95
Q

Oral Glucose Duration

A

“Hours”

96
Q

Oral Glucose Contraindications

A

Unconsciousness, unable to swallow

97
Q

Glucagon MoA

A

Causes the liver to release glycogen which is converted to glucose

98
Q

Glucagon Indication

A

Hypoglycemia, Beta-Blocker or Calcium Channel blocker OD

99
Q

Glucagon Dose

A

1mg IM

100
Q

Glucagon Onset

A

1 minute IV; 10 minutes IM

101
Q

Glucagon Duration

A

25 minutes IV; 30 minutes IM

102
Q

Glucagon Contraindications

A

Allergy

103
Q

NTG MoA

A

Dilates coronary arteries

104
Q

NTG Indications

A

Chest pain, CHF with pulmonary edema

105
Q

NTG Dose

A

0.4mg SL

106
Q

NTG Onset

A

1-3 minutes

107
Q

NTG Duration

A

30-60 minutes

108
Q

NTG Contraindications

A

Allergy, BP less than 100, Use of ED drugs

109
Q

Lidocaine MoA

A

Somehow prevents increased ICP (maybe)

110
Q

Lidocaine Indication

A

Increased ICP

111
Q

Lidocaine Dose

A

1.5mg/kg

112
Q

Lidocaine Onset

A

Immediate

113
Q

Lidocaine Duration

A

10-20 minutes

114
Q

Lidocaine Contraindications

A

Allergy, Heart blocks

115
Q

Atropine MoA

A

Decreases Body secreations

116
Q

Atropine Indication

A

Organophosphate Poisoning

117
Q

Atropine Dose

A

1mg IV q 1 minute up to 10mg

118
Q

Atropine Onset

A

Immediate

119
Q

Atropine Duration

A

4 hours

120
Q

Atropine Contraindication

A

None for Organophosphate (I think)

121
Q

Versed MoA

A

Hypnotic sedative amnesiac anticonvulsant

122
Q

Versed Indication

A

Seizures, Sedation

123
Q

Versed Dose

A

2mg increments to a max of 0.1mg/kg or 10mg (whichever is less)

124
Q

Versed Onset

A

1.5-5 min IV, 2-6 min IN, 15min IM

125
Q

Versed Duration

A

2-6 hours

126
Q

Versed Contraindications

A

Allergy

127
Q

Valium MoA

A

Depresses the central nervous system

128
Q

Valium Indication

A

Seziure, Sedation

129
Q

Valium Dose

A

2-10mg IV/IO/IM

130
Q

Valium Onset

A

1-5 minutes

131
Q

Valium Duration

A

15-60 minutes

132
Q

Valium Contraindications

A

Allergy, CNS depressant use

133
Q

Prednisone MoA

A

Decreases inflammation

134
Q

Prednisone Indication

A

Reactive Airway Disease

135
Q

Prednisone Dose

A

60mg PO

136
Q

Prednisone Onset

A

unknown

137
Q

Prednisone Duration

A

Unknown

138
Q

Prednisone Contraindications

A

Systemic fungal infections

EMC 120 Pharm for edit (13 decks)

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