Medications Flashcards

1
Q

Indications for naloxone (narcan)

A

Respiratory Depression or
Arrest
+ Known or
Suspected
Opiate
Overdose

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2
Q

Indications for albuterol (mdi/nebulizer)

A

Respiratory
Distress with Signs of
Bronchospasm

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3
Q

Indications for epinephrine

A

Known or
Suspected
Anaphylaxis (multisystemic) w/: Respiratory Distress, Airway Problem, Shock

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4
Q

Indications for glucose

A

Altered
Mental Status with
History of Diabetes or
Hypoglycemia

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5
Q

Indications for nitroglycerin

A

Atraumatic
Chest Pain with
Cardiac History

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6
Q

Indications for aspirin

A

Atraumatic
Chest Pain

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7
Q

Indications for activated charcoal

A

Ingested poison

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8
Q

Contra-indications for naloxone(narcan)

A

Medication Expired or
Discolored, Pt. Allergic
Cautions: Cardiac Conditions, Brain Injury or Poly-
Substance Overdose

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9
Q

Contra-indications for albuterol(mdi/nebulizer)

A

Medication Expired or
Discolored (SVN),
Pt. Allergic, Max. Dose already taken,
LOC insufficient

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10
Q

Contra-indications for epinephrine

A

Medication Expired or
Discolored,
Caution:
Cardiac Conditions,
Hypertension

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11
Q

Contra-indications for glucose

A

Medication Expired or
PT. LOC
Insufficient (unable to maintain airway)

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12
Q

Contra-indications for nitroglycerin

A

Med. Expired, Pt.
Allergic, Max.
Dose already taken, insufficient
LOC, Systolic BP
<100, ED Med use w/in 72 Hrs., Head Injury

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13
Q

Contra-indications for aspirin

A

Med. Expired, Pt.
Allergic, Max. Dose already taken, LOC insufficient, <19 y/o, Pregnant, Bleeding/ Disorder, AAA
Cautions: Asthma, Liver Damage

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14
Q

Contra-indications for activated charcoal

A

Any Solvent, Acid or Base
Must contact poison control

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15
Q

Dose for naloxone(narcan)

A

(IN) = 0.2 mg in
0.2 ml
(IM) = 0.4 mg
Med Direction if
Pt <5 y/o- or to exceed Single Dose

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16
Q

Dose for albuterol (mdi/nebulizer)

A

Ask Pt:
How Many Puffs = 1 Dose? &
How Many Doses
Prescribed?
2 Puffs per Dose &
2 Doses is Usual
EMT max. = 2 Doses
2.5mg

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17
Q

Dose for epinephrine

A

Adult: 0.3 mg
Child (<4 y/o):
0.15 mg
Med Direction to exceed Single Dose.
Can give 10 min after bystander Dose.

18
Q

Dose for glucose

A

1 Tube
EMT max. = 2 Doses

19
Q

Dose for nitroglycerin

A

1 Pill or
1 Spray
Min. 5 minute interval between doses, max 3 doses per Episode

20
Q

Dose for aspirin

A

Max. 325 mg in 24 Hours, Non-Coated
Pills or Powder
81 mg pills x4
162 mg pills x2
325 mg pill x1

21
Q

Dose for activated charcoal

A

1 g per kg of Pf. Weight up to
Child max. 25 g
Adult max. 50 g

22
Q

Route for naloxone(narcan)

A

Intranasal
(usual for EMT) or
Intramuscular
1 mg per Nare, via Atomizer

23
Q

Route for albuterol

A

Inhalation

24
Q

Route for epinephrine

A

Intramuscular at
Lateral
Mid-Thigh

25
Route for glucose
Oral (Buccal) Dispense onto longue Depressor, Place between Cheek & Teeth
26
Route for nitroglycerin
Sublingual
27
Route for aspirin
Oral (must be Chewed) Give No or Very Little Water
28
Route for activated charcoal
Ingestion Suspension, Use Opaque Vessel and Straw
29
Action for naloxone (narcan)
Opiate Antagonist (Blocker)
30
Action for albuterol
Bronchodilator
31
Action for epinephrine
Bronchodilator and Vasoconstrictor
32
Action for glucose
Increases Blood Glucose Level
33
Action for nitroglycerin
Vasodilator (Reduces Workload on Heart)
34
Action for aspirin
Platelet Aggregation Inhibitor (Reduces Clotting)
35
Action for activated charcoal
Binds to Poison (Prevents Absorption as Substance Passes Through Digestive System)
36
Side effects for naloxone (narcan)
Agitation/ Combativeness, Tachycardia/ V-Fib/Arrest, HTN, Seizures, N/V/Abd.Cramps, Dyspnea, Pulmonary Edema
37
Side effects for albuterol
Anxiety, Tremors, Palpitations, Headache, Dry Mouth, Sore Throat, Epitaxis, N/V/ Dyspepsia, HTN, Paradoxical Bronchospasm
38
Side effects for epinephrine
Anxiety, Tremors, Headache, N/V, HTN, Tachicardia, Chest Pain, Arrythmias
39
Side effects for glucose
Nausea/Vomiting
40
Side effects for nitroglycerin
"Burning" under tongue, Headache, Lightheadedness, Flushing, N/V, Hypotension, Bradycardia, Cardiovascular collapse
41
Side effects for aspirin
Nausea/Vomiting, Gastric Irrittion, Increased Bleeding
42
Side effects for activated charcoal
Nausea/Vomiting, Black Stools