Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Weapons Specialist > Medications > Flashcards

Medications Flashcards

1
Q

What class is Acetaminphen (Tylenol)

A

CNS agent - Non-narcotci, analgesic, antipyretic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are analgesics?

A

Analgesics are medicines that are used to relieve pain. They are also known as painkillers or pain relievers. Technically, the term analgesic refers to a medication that provides relief from pain without putting you to sleep or making you lose consciousness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

TCCC indications for Acetaminophen (Tylenol)

A

For mild to moderate pain management for a casualty that is still able to fight. Part of the combat wound medication pack (CWMP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Dose for Acetaminophen (Tylenol)

A

325–650 mg PO q4–6h (max: 4 g/d)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Onset/Peak/Duration of Acetaminophen (Tylenol)

A

Onset Varies / Peak 1-3 hours / Duration 3-4 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Contraindications of Acetaminophen (tylenol)

A

Acetaminophen hypersensitivity; use with alcohol; pregnancy category B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Adverse/side effects of acetaminophen (Tylenol)

A

Negligible with recommended dose; rash; acute poisoning: anorexia, nausea, vomiting, dizziness, lethargy, diaphoresis, chills, epigastric or abdominal pain, diarrhea; hepatotoxicity: elevation of liver function tests; hypoglycemia, hepatic coma, acute renal failure; chronic ingestion: neutropenia, pancytopenia, leukopenia, thrombocytopenic purpura, renal damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Acetaminophen (Tylenol) interactions

A

Cholestyramine may decrease absorption; barbiturates, carbamazepine, phenytoin, rifampin, and excessive alcohol use may increase potential for hepatotoxicity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

K-9 Dosage for acetaminophen (Tylenol)

A

DO NOT GIVE

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Mission impact on giving Acetaminophen (Tylenol)?

A

None to minimal mission impact

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What class is Ertapenem (Invanz)

A

Antimicrobial – antibiotic, carbapenem, beta-lactam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

TCCC indications for Ertapenem

A

Recommended for all open combat wounds if unable to take PO meds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Dose for Ertapenem?

A

1 gram IV/IM q24h

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Administration instructions for Ertapenem

A

For IV reconstitute with 10mL NS; for IM 3.2mL 1.0% lidocaine without epinephrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Contraindications for Ertapenem

A

Carbapenem, beta-lactam, or amide-type local anesthetic (ie. Lidocaine) hypersensitivity; pregnancy cat B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adverse/Side Effects for Ertapenem?

A

Injection site phlebitis or thrombosis; asthenia, fatigue, death, fever, leg pain, anxiety, altered mental status, dizziness, headache, insomnia; chest pain, hypo- or hypertension, tachycardia, edema; abdominal pain, diarrhea, acid reflux, constipation, dyspepsia, nausea, vomiting, increased LFTs; cough, dyspnea, pharyngitis, rales, rhonchi, respiratory distress; erythema, pruritus, rash

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Ertapenem Interactions

A

Probenecid decreases renal excretion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Ertapenem Mission Impact

A

GROUNDING medication for personnel on flight status

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What class is Fentanyl?

A

CNS agent - potent narcotic (opiate) agonist

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

TCCC Indications for Fentanyl

A

For moderate to severe pain management for a casualty that IS NOT in shock or respiratory distress and IS NOT at significant risk of developing either condition.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Fentanyl Dose

A

800 mcg oral transmucossally, reassess in 15 min, add a second lozenge in other cheek as necessary.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Fentanyl Administration instructions

A

Document AVPU prior to administration. Place lozenge between the cheek and gum; do not chew lozenge. Recommend taping lozenge-on-a-stick to casualty’s finger as an added safety OR utilizing a safety pin and rubber band to attach the lozenge (under tension) to the patient’s uniform or plate carrier. Monitor for respiratory depression. Administer Nalaxone as reversal if needed. Be prepared to provide ventilatory support with a BVM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Fentanyl Contraindications

A

MAOIs(anti-depressants); myasthenia gravis(disorder that causes weakness to skeletal muscles); pregnancy category C

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Fentanyl Adverse/Side Effects

A

Sedation, euphoria, dizziness, diaphoresis, delirium, convulsions; bradycardia, hypotension, circulatory depression, cardiac arrest; miosis, blurred vision; nausea, vomiting, constipation, ileus; muscle and thoracic muscle rigidity; urinary retention, rash; laryngospasm, bronchoconstriction, respiratory depression or arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Fentanyl Interactions

A

Alcohol and other CNS depressants potentiate effects; MAOIs may precipitate hypertensive crisis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Fentanyl mission impact

A

Casualty weapons, communications and sensitive equipment should be secured. GROUNDING medication for personnel on flight status.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What class is Ketamine?

A

Nonbarbiturate anesthetic, dissociative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

what are nonbarbiturates?

A

Nonbarbiturate sedatives are medications derived from certain other compounds which have potent sedative properties like barbiturates. These sedatives have a rapid onset and very short duration of action, ideal for deep sedation during short procedures, in combination with analgesics.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

TCCC Indications of Ketamine

A

For moderate to severe pain management for a casualty that IS in hemorrhagic shock or respiratory distress or is at significant risk of developing either condition. Also a useful adjunct to reduce the amount of opioids required to manage pain.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

Ketamine Dose

A

50 - 100 mg IM or IN, Repeat doses q30min prn IM or IN (max: 4 g/d)
OR
20 mg slow IV or IO, Repeat doses q20min prn IV or IO (max: 4g/d)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

Ketamine Onset/Duratoin

A

IM – Onset in 3-4 minutes / Duration 12-25 minutes
IV – Onset in 30 seconds / Duration 5-10 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

Ketamine administration Instructions

A

Document AVPU prior to administration.
IV Ketamine should be administered slowly over 1 minute.
End points: Control of pain or development of nystagmus (rhythmic bac-and-forth movement of eyes).
Be prepared to suction as Ketamine can increase secretions.
Be prepared to provide ventilatory support with a BVM.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

Ketamine contraindications

A

Head injury (may worsen severe TBI)(somewhat debunct),
Hypersensitivity to ketamine,
Pregnancy Category B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

Ketamine Adverse/side effects

A

Hypertension, Respiratory Depression, Emergence Reactions (delirium, hallucinations, confusion), Increased Intra-cranial pressure, Increased intra-ocular pressure

35
Q

Ketamine Interactions

A

Effects of ketamine are increased when combined with other analgesics or muscle relaxants

36
Q

Ketamine Mission Impact

A

Casualty weapons, communications and sensitive equipment should be secured. GROUNDING medication for personnel on flight status.

37
Q

What class is Meloxicam (Mobic)

A

NSAID; COX2 Inhibitor, anti-inflammatory, analgesic, antipyretic

38
Q

TCCC indications for Meloxicam (Mobic)

A

For mild to moderate pain management for a casualty that is still able to fight as a component of the Combat Wound Medication Pack (CWMP)

39
Q

Meloxicam (mobic) dose?

A

7.5-15mg PO daily

40
Q

Meloxicam (Mobic) contraindications

A

NSAID or salicylate hypersensitivity; rhinitis, urticaria, angioedema, asthma; severe renal or hepatic disease; pregnancy category C (1st/2nd trimester) and category D (3rd trimester)

41
Q

Adverse/side effects of Meloxicam (Mobic)

A

Edema, flu-like syndrome, pain; abdominal pain, diarrhea, dyspepsia, flatulence, nausea, constipation, ulceration, GI bleed; anemia; arthralgia; dizziness, headache, insomnia; pharyngitis, upper respiratory tract infection, cough; rash, pruritus; urinary frequency, UTI

42
Q

Meloxicam (Mobic) interactions

A

May decrease effect of ACE inhibitors and diuretics; may increase lithium levels and toxicity; aspirin may increase GI bleed risk; warfarin and herbals (feverfew, garlic, ginger, ginkgo) may increase bleeding.

43
Q

Mission impact of Meloxicam (Mobic)

A

None to minimal

44
Q

k9 dosage of meloxicam (mobic)

A

DO NOT GIVE

45
Q

What class is Morphine Sulfate (MSO4)?

A

CNS agent - narcotic (opiate) agonist; analgesic

46
Q

TCCC indications for Morphine

A

Alternative to OTFC moderate to severe pain management for a casualty that IS NOT in shock or respiratory distress and IS NOT at significant risk of developing either condition.

47
Q

Morphine Dose?

A

5 mg IV/IO, Reassess in 10 min, repeat dose every 10 min as necessary to control severe pain.

48
Q

Onset/Peak/Duration of Morphine?

A

IV – Onset in 5-20 minutes / Peak in 20 minutes / Duration 4-5 hours

49
Q

Morphine administration instructions

A

Document AVPU prior to administration. Monitor for respiratory depression. Administer Nalaxone as reversal if needed. Be prepared to provide ventilatory support with a BVM.

50
Q

Contraindications for Morphine

A

Opiate hypersensitivity; increased ICP; seizures; acute alcoholism; acute bronchial asthma, chronic pulmonary disease, severe respiratory depression; chemical-irritant induced pulmonary edema; BPH; diarrhea due to poisoning until toxic material has been eliminated; undiagnosed acute abdominal conditions; following biliary tract surgery and surgical anastomosis; pancreatitis; acute ulcerative colitis; severe liver or renal insufficiency; hypothyroidism; pregnancy category B

51
Q

Adverse/Side effects of Morphine

A

Pruritus, rash, urticaria, edema, anaphylactoid reaction; sweating, skeletal muscle flaccidity; cold, clammy skin, hypothermia; euphoria, insomnia, disorientation, visual disturbances, dysphoria, paradoxic CNS stimulation (restlessness, tremor, delirium, insomnia), convulsions; decreased cough reflex, drowsiness, dizziness, deep sleep, coma; miosis; bradycardia, palpitations, syncope; flushing of face, neck, and upper thorax; orthostatic hypotension, cardiac arrest; constipation, anorexia, dry mouth, biliary colic, nausea, vomiting, elevated LFTs; urinary retention or urgency, dysuria, oliguria, reduced libido or potency; severe respiratory depression or arrest; pulmonary edema

52
Q

Morphine Interactions

A

CNS depressants, sedatives, barbiturates, alcohol, benzodiazepines, and TCAs potentiate CNS depressant effects; MAOIs may precipitate hypertensive crisis; phenothiazines may antagonize analgesia; herbals (Kava-kava, valerian, St. John’s wort) may increase sedation.

53
Q

Mission impact of Moprhine

A

Casualty weapons, communications and sensitive equipment should be secured. GROUNDING medication for personnel on flight status.

54
Q

what class is Moxifloxacin (Avelox)

A

Anitmicrobial - antibiotic; fluoroquinolone

55
Q

TCCC indications for Moxifloxacin (Avelox)

A

Recommended for all open combat wounds if unable to take PO meds as a component of the Combat Wound Medication Pack (CWMP)

56
Q

Dose of Moxifloxacin (Avelox)

A

400mg PO qd

57
Q

Onset/Peak/Durations of Moxifloxacin (Avelox)

A

Onset Varies / Peak 1-3 hours / Duration 3-4 hours

58
Q

Contraindications of Moxifloxacin (Avelox)

A

Quinolone hypersensitivity; hepatic insufficiency; syphilis; arrhythmias; myocardial ischemia or infarction; QTc prolongation, hypokalemia, or those receiving Class IA or Class III antiarrhythmic drugs; pregnancy category C.

59
Q

Adverse/Side effects of Moxifloxacin (Avelox)

A

Dizziness, headache, peripheral neuropathy, nausea, diarrhea, abdominal pain, vomiting, taste perversion, abnormal LFTs, dyspepsia, tendon rupture.

60
Q

Moxifloxacin (Avelox) Interactions

A

Iron, zinc, antacids, aluminum, magnesium, calcium, sucralfate decrease absorption; atenolol, cisapride, erythromycin, antipsychotics, TCAs, quinidine, procainamide, amiodarone, sotalol may prolong QTC interval; may cause false positive on opiate screening tests.

61
Q

Moxifloxacin (Avelox) Mission Impact

A

GROUNDING medication for personnel on flight status.

62
Q

What class is Naloxone (Narcan)

A

CNS agent - Narcotic (Opiate) Antagonists

63
Q

TCCC indications for Naloxone (Narcan)

A

For narcotic opiate overdose and reversal of effects, including respiratory depression, sedation, and hypotension.

64
Q

Dose for Naloxone (Narcan)

A

0.4–2.0 mg IV, repeat q2–3min up to 10 mg prn

65
Q

Onset/Peak/Duration of Naloxone (Narcan)

A

IV – Onset in 1-2 minutes / Peak in 5-15 minutes / Duration 45 minutes or longer

IM – Onset in 2-5 minutes / Peak in 5-15 minutes / Duration 45 minutes or longer

66
Q

Administration instructions of Naloxone (Narcan)

A

Have available when administering opioids. Titrate to effect to manage negative opioid effects, but use caution that pain is still managed.

67
Q

Contraindications of Naloxone (Narcan)

A

Non-opioid drug respiratory depression; pregnancy category B

68
Q

Adverse/Side effects of naloxone (Narcan)

A

Analgesia reversal, tremors, hyperventilation, drowsiness, sweating; increased BP, tachycardia; nausea, vomiting.

69
Q

Naloxone (Narcan) Interactions

A

Reverses analgesic effects of narcotic (opiate) agonists and agonist-antagonists.

70
Q

Mission impact of Naloxone (Narcan)

A

GROUNDING medication for personnel on flight status

71
Q

What class is Ondanestron (Zofran) Tablet and Injection?

A

GI agent – 5-HT3 antagonist, antiemetic

72
Q

TCCC Indications for Ondanestron (Zofran) Tablet and Injection

A

For prevention and management of nausea and vomiting associated with pain management medications

73
Q

Dose of Ondanestron (Zofran) Tablet and Injections

A

tablet - 4 mg ODT PO q8h PRN (max: 8 mg in an 8 hour period)

Injection - 4 mg q8h PRN (max: 8 mg in an 8 hour period)

74
Q

Contraindications of Ondanestron (Zofran) Tablet and injection

A

Hypersensitivity to ondansetron; pregnancy category B

75
Q

Adverse/Side effects to ondanestron (Zofran) Tablet and injection

A

Dizziness, light-headedness, headache, sedation; diarrhea, constipation, dry mouth

76
Q

Ondanestron (Zofran) Interactions tablet and injection

A

Rifampin may decrease ondansetron levels

77
Q

Mission impact of Ondanestron (Zofran) Tablet and Injection

A

GROUNDING medication for personnel on flight status

78
Q

What class is TXA

A

Antifibrinolytic

79
Q

TCCC Indications for TXA

A

For patients anticipated to need significant blood transfusion; hemorrhagic shock, one or more major amputations, penetrating torso trauma, or evidence of severe bleeding.

80
Q

Dose for TXA

A

1 gram in separate 100cc of NS or LR slow IV push over 10 min. Do not administer in same bag as blood products or Hextend. Administer a second infusion of 1 gram after 500cc fluid challenge.

81
Q

Administration Instruction of TXA

A

Administer as soon as possible but not later than 3 hours after injury. Ensure documentation on casualty card and/or attach/write on patient’s chest wall.

82
Q

Contraindications for TXA

A

subarachnoid hemorrhage, active intravascular clotting, Pregnancy Category B.

83
Q

Adverse/Side effects of TXA

A

Blurred vision or impaired color vision. Gastrointestinal disturbances (nausea, vomiting, diarrhea) may occur but disappear when the dosage is reduced. Hypotension has been observed when intravenous injection is too rapid. To avoid this response, the solution should not be injected more rapidly than 100mg per minute.

Weapons Specialist (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions