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EMS Accelerated 2020 (Book Flashcards) > Medication Chart > Flashcards

Medication Chart Flashcards

1
Q

Oxygen:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: None
  2. Mechanism: Increases oxygen concentration
  3. Indication: Dyspnea, Shock, SpO2 <94%
  4. Contraindication: None if used responsibly
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2
Q

Oxygen:

  1. Route
  2. Dose
  3. Side effect
  4. Call in?
A
  1. Route: Inhalation
  2. Dose: 0 to 15 lts
  3. Side effect: Vaso-constriction
  4. Call in? Standing
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3
Q

Oral Glucose:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Glutose, Insta-glucose
  2. Mechanism: Increases circulating glucose levels
  3. Indication: Known and/or suspected hypoglycemia.
    BGL <70 md/dl
  4. Contraindication: Inability to swallow and/or follow directions
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4
Q

Oral Glucose:

  1. Route
  2. Dose
  3. Side effect
  4. Call-in?
A
  1. Route: Buccal
  2. Dose: 15 to 25 gms
  3. Side effect: None
  4. Call-in? Yes
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5
Q

Activated Charcoal:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Super-Char, InstaChar, Actidose, LiquiChar
  2. Mechanism: Binds to ingested toxin
  3. Indication: Ingestion of poison/toxins
  4. Contraindication: Inability to follow directions and/or swallow. Acids/ Alkaline
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6
Q

Activated Charcoal:

  1. Route
  2. Dose
  3. Side effect
  4. Call in?
A
  1. Route: Ingestion
  2. Dose: 1 gm/kg
  3. Side effect: Tarry bowel movements
  4. Call in? Yes

⚠️ Caution!! Be careful about aspiration.

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7
Q

Aspirin (ASA):

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Bayer, Bufferin
  2. Mechanism: Decreases platelet aggregation
  3. Indication: Chest discomfort
  4. Contraindication: Allergic to ASA. Previously taken daily dose.
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8
Q

Aspirin (ASA):

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Ingestion
  2. Dose: 325 mgs or 4 X 81 mg baby ASA to 324 mg
  3. Side effect: Upper GI & ulcer irritation
  4. Call-in: Yes
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9
Q

Metered Dose Inhaler (MDI), Small-Volume Nebulizer:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Proventil, Ventolin, Alupent, Metaprel, Serevent
  2. Mechanism: Relaxes bronchiole, dilates lower airways
  3. Indication: Dyspnea, Prescribed MDI
  4. Contraindication: Max dose has been taken
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10
Q

Metered Dose Inhaler (MDI), Small-Volume Nebulizer (SVN)

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Inhalation
  2. Dose: 2 – 3 puffs depending on Medical Direction
  3. Side effect: Tachycardia, tremors, dry mouth, N/V
  4. Call-in: Yes
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11
Q

Nitroglycerin:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Nitrostat
  2. Mechanism: Dilates blood vessels decreasing cardiac workload
  3. Indication: Chest discomfort, Pt. is prescribed
  4. Contraindication: ED Medication within 24 hrs, B/P less than 90 mmHg systolic
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12
Q

Nitroglycerin:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Sub-lingual
  2. Dose: Max 3 doses of 0.4 mg, 3 – 5 mins apart
  3. Side effect: Headache, drop in B/P, bitter or burning taste
  4. Call-in: Yes
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13
Q

Epinephrine:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Adrenalin, Epi-pen, Epi-pen Jr.
  2. Mechanism: Sympathetic nervous response mimic
  3. Indication: Anaphylaxis, Pt. is prescribed
  4. Contraindication: None if true life threat (anaphylaxis)
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14
Q

Epinephrine:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Intra-muscular (IM)
  2. Dose: 0.3 mg adult, 0.15 mg pedi
  3. Side effect: Tachycardia, Dizziness, N/V, HA, CP, Pale
  4. Call-in: Administer in life threat, call-in post
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15
Q

Albuterol:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Proventil, Ventolin
  2. Mechanism: Relaxes bronchiole, dilates lower airways
  3. Indication: Dyspnea
  4. Contraindication: Underlying cardiac conditions
    (relative)
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16
Q

Albuterol:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Nebulized inhalation
  2. Dose: 2.5 mg Albuterol in 3.0 ml saline
  3. Side effect: Tachycardia, tremors, dry mouth, N/V
  4. Call-in: Yes
17
Q

Ondansetron:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Zofran
  2. Mechanism: Decreases nausea
  3. Indication: Nausea
  4. Contraindication: None if used correctly
18
Q

Ondansetron:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Orally dissolving tablet (ODT)
  2. Dose: 4.0 mg tablet
  3. Side effect: Fatigue, dizziness, HA, flushing, hiccups
  4. Call-in: Yes
19
Q

Naloxone:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Narcan
  2. Mechanism: Competitive opioid site receptive antagonist
  3. Indication: Respiratory depression in suspected opioid user
  4. Contraindication: Underlying cardiac conditions (relative), Known hypersensitivity to medication
20
Q

Naloxone:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Intra-nasal (IN)
  2. Dose: 0.5 mg titrate up to 2.0 mg total
  3. Side effect: None if no opioids on board/tachycardia, N/V, Pulmonary Edema
  4. Call-in: Yes
21
Q

Dextrose 50:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: D50
  2. Mechanism: Increase circulation glucose
  3. Indication: Hypoglycemia
  4. Contraindication: None listed
22
Q

Dextrose 50:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: IV
  2. Dose: Not listed
  3. Side effect: Not listed
  4. Call-in: No
23
Q

Phenylephrine:

  1. Trade name:
  2. Mechanism:
  3. Indication:
  4. Contraindication:
A
  1. Trade name: Deconex
  2. Mechanism: Vasoconstriction of nasal mucosa
  3. Indication: Epistaxis
  4. Contraindication: Avoid droplets into eyes, pupil will dilate
24
Q

Phenylephrine:

  1. Route:
  2. Dose:
  3. Side effect:
  4. Call-in?
A
  1. Route: Intra-nasal (IN)
  2. Dose: 2 sprays into affected naris(es)
  3. Side effect: None
  4. Call-in: Yes
25
Q

What medications do you need to call-in?

A
  • Metered Dose Inhaler
  • Epinephrine (administer if life-threatening, call post)
  • Aspirin
  • Albuterol
  • Nitroglycerin
  • Small volume nebulizer
  • Phenylephrine
  • Ondansetron
  • Oral glucose
  • Naloxone

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EMS Accelerated 2020 (Book Flashcards) (44 decks)

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