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Paramedic School 2024 > Medications > Flashcards

Medications Flashcards

1
Q

Classes of Albuterol

A

Beta 2 Agonist
Sympathomimetic Bronchodilator

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2
Q

Mechanism of Action for Albuterol

A

Relaxes bronchial smooth muscle

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3
Q

Pharmacokinetics of Albuterol

A

onset w/I 5 to 15 minutes

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4
Q

Indications of Albuterol

A

bronchial asthma
COPD/Emphysema/Chronic Bronchitis
Crush Syndrome (greater than 4hrs)
Bronchospasm

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5
Q

Contraindication of Albuterol

A

Known Hypersensitivity
Tachydysrhythmias

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6
Q

Adverse Effects of Albuterol

A

Tachycardia
Tremors
Anxiety
Palpitations
Dry mouth
throat irritation

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7
Q

Albuterol Dosage for adults

A

2.5-5 mg via NEB

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8
Q

Albuterol dosage for Peds

A

2 yrs old/ >20 kg 2.5 mg (Atrovent 0.5mg)
< 2 yrs old/<20 kg 1.25 mg Atrovent 0.25mg)

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9
Q

Classes of Atrovent

A

Anticholinergic
Bronchodilator

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10
Q

Mechanism of action or Atrovent

A

Inhibits interaction of acetylcholine at receptor sites on bronchial smooth muscles

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11
Q

Indications of Atrovent

A

Bronchial asthma
COPD/Emphasema/Chronic Bronchitis
Anaphylaxis
Burns
Toxic Inhalation

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12
Q

Another name for Albuterol

A

Proventil and Ventolin

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13
Q

Contraindication of Atrovent

A

Known Hypersensitivity

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14
Q

Adverse Effects of Atrovent

A

Tachycardia
Nausea & Vomiting
Headache
Blurred Vision

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15
Q

Atrovent Dosage for Adults

A

0.5 mg NEB w/ 2.5 mg albuterol
(No repeat dose)

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16
Q

Atrovent dosage for PEDs

A

2 years old & > 20 kg 0.5mg w/ 2.5mg albuterol NEB
less than 2 years old or < 20 kg 0.25mg w/ 1.25mg albuterol NEB

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17
Q

Another name for Atrovent

A

Ipratropium Bromide

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18
Q

Another name for Zofran

A

Ondansetron Hydrochloride

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19
Q

Class of Zofran

A

Anti-emetic

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20
Q

Mechanism of Action of Zofran

A

Is a seletive 5-HT3 serotonin

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21
Q

Indication for zofran

A

Control & prevent nausea and vomiting

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22
Q

Contraindication for zofran

A

known hypersensitivity
prolonged qt syndrome

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23
Q

Adverse effects for zofran

A

GI symptoms
headaches, fevers, blurred visions

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24
Q

Adult dosage of zofran

A

4 mg undiluted slow IV
4mg ODT tablet dissolved in mouth

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25
PEDS dosage for zofran
0.1 mg/kg undiluted slow IV (max 4mg) 2 or greater 4mg ODT in mouth less than 2 2 mg ODT in mouth
26
Another name for narcan
Naloxone
27
Class for Narcan
Narcotic Antagonist
28
Mechanism of Action FOR narcan
Reverse all effects due to opioid agents
29
Contraindications of narcan
Newborn/neonates of addicted mothers
30
Adverse effects of narcan
None
31
Adult dosage of narcan
0.4mg-2.0 mg IV/IO/IM or 2mg/2mL Intranasal
32
PEDS dosage for narcan
0.1 mg/kg IVP/IO/IM/IN (Max dose of up to 0.5 mg//kg may be repeated to maintain respiratory activity)
33
Another name for Solu-Medrol
Methylprednisone
34
Class for Solu-Medrol
Corticosterioid Anti-inflammatory
35
Mechanism of actions for Solu-medrol
Stabilize cellular and intracellular membranes
36
Indications for Solu-Medrol
Allergic reaction Anaphylaxis Asthma COPD
37
Contraindication of Solu-Medrol
Hypersensitivity Systemic Fingal Infection Premature Infant
38
Adverse Effect of Solu-Medrol
None from a single dose
39
Adult Dosage for Solu-Medrol
125 mg slow (IV,IO,IM)
40
PEDS dosage for Solu-Medrol
2mg/kg slow (IV,IO,IM) Max 125mg
41
CLASS of Magnesium Sulfate
Electrolyte Antidysrhythmic Anticonvulsant CNS Depressant Smooth muscle relaxer
42
Indications of Magnesium Sulfate
Preeclampsia/Eclampsia -Torsades des Pointes Refractory V-Fib Pulseless Ventricular Tachycardia Status Asthmaticus
43
Contraindications of Magnesium Sulfate
Myasthenia Gravis Impaired Renal Function
44
Adult Doasage for Magnesium Sulfate
-Eclampsia seizure (4g diluted in 50mL NS Slow IV Infusion over 5-10min) -Torsades Des Pointes w/ Pulse (2g diluted in 50 mL slow IVP over 10 minutes) -Refractory VF & Torsades Des Pointes w/o pulse (1-2g diluted in 50 Maslow IVP over 2 min)
45
PEDS dosage for Magnesium Sulfate
Refractory VF & Torsades Des Pointes (25-50mg/kg diluted in 50mL slow IVP pushed over 2 minutes)
46
Another name for Aspirin
ASA- Acetylsalicylic Acid
47
Class for Aspirin
Antiplatlet Antipyretic Analgesic Anti-Inflammatory
48
mechanism of Action of aspirin
-Prolongs bleeding time -Inhibits the clotting by decreasing the platelet aggregation
49
Indications of aspirin
-Chest pains of suspected cardiac origin -acute Coronary syndrome (with or w/o chest pains)
50
Contraindication of aspirin
-Allergy to aspirin -Bleeding
51
Adverse effects of aspirin
-allergic reaction -bleeding
52
Doasage of aspirin
81-324mg
53
Another name for benadryl
Diphenhydramine Hydrochloride
54
Class of Benadryl
antihistamine
55
Mechanism of action for benadryl
H1 receptor antagonist blocking histamine from binding
56
Indication for Benadryl
Allergic reaction Anaphylasix Dystonic reactions Chemical restraint
57
Contraindication for benadryl
Known allergy to Benadryl Acute asthma exacerbation
58
Adverse effect of benadryl
Drowsiness Loss of coordination Blurred vision Headache Hypotension Tachycardia Palpitations Thickening of bronchial secretions
59
Adult dosage of Benadryl
25-50mg slow IV/IO/IM
60
PEDS dosage for Benadryl
1mh/kg slow IV,IO/IM (Max 25 mg)
61
Another name for Epinephine
Epi, Adrenalin
62
Class for Epinephrine
-Adrenergic Catecholamine -Sympathomimetic
63
Mechanism of Action for Epinephrine
Cause fight or flight response
64
Indications for Epi
-Cardiac arrest -Anaphylaxis -Bronchial Asthma -Respiratory strider -Symptomatic bradycardia -ROSC return of spontaneous circulation
65
Contraindication of EPi
Hypertension None in cardiac settings
66
Adverse Effects in Epi
Tachydysrhythmis Hypertension Induce early labor in pregnant women Headache Nervousness Tremors/shakes
67
Adult Dosage for Epi
(Anaphylaxis Shock/Asthma) -Severe Anaphylaxis (0.1mg (1:10,000)slow IV/IO infusion over 5 minutes) Adult 0.3-0.5mg(1:1,000)SQ/IM
68
PEDS dosage for Epi
0.01mg/kg (1:1,000) SQ/IM Max single dose 0.3mg
69
Another name for Lasix
Furosemide
70
Class for lasix
Loop Diuretic
71
Mechanism for action for lasix
Inhibits the reabsorbtion of sodium chloride in the look of Henle proximal of the kidneys
72
Indications for lasix
CHF Pulmonary edema
73
Contraindication of lasix
Hypovelemia/dehydration -Hypokalemia/Electrolyte depletion
74
Adverse effects of lasix
Hypotension Electrolyte imbalances
75
Dosage for lasix
0.5-1mg/kg IV/IO (40 mg if not taking lasix, 80mg/kg if taking lasix)
76
Class of Morphine sulfate
Narcotic analgesic
77
Mechanism of action for morphine sulfate
-Decreases pain receptors -decreases respiratory effort -decreases LV after load
78
Indication for morphine sulfate
Acute MI Burns Isolated injuries Pulmonary edema
79
Contraindication of morphine sulfate
Head injury Multiple system trauma COPD w/ compromised respiratory effort Sensitivity to morphine, codeine,etc.
80
Adverse effect of morphine sulfate
-Respiratory depression -AMS -Nausea&vomiting -bronchspasm -itch
81
Adult dosage for morphine sulfate
2-10mg slow IV/IO/IM
82
PEDS dosage for morphine sulfate
Isolated injury 0.1mg/kg slow IV or IM (Max 10mg)
83
Another name for Nitroglycerin
Nitrostat Tridil
84
Class for Nitro
Nitrate Vasodilator
85
Mechanism of action for Nitro
-Vasodilator effect on vein more than arteries -Decreases right heart return (preload) by venuspooling
86
Indication of Nitro
Treatment for Angina CHF Acute pulmonary edema
87
Contraindication for Nitro
Hypersensitivity PEDS under 12 Viagra w/i the last 24 hrs Cialis w/i the last 48 hrs Asymptomatic hypertension BP below 90 systolic Right side MI
88
Adverse effect of Nitro
Headache Hypotension Nausea and vomiting Dizziness Decreased LOC
89
Adult dosage for Nitro
Chest Pains-0.4mg SL administered every 3-5 minutes Pulmonary Edema/CHF- low dose 0.4mg SLx3 doses Nitro paste 1 inch applied to chest wall
90

Paramedic School 2024 (4 decks)

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