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UCH Protocol > Medications > Flashcards

Medications Flashcards

1
Q

What is the action of albuterol

A

Selective beta 2 adrenergic receptor agonist

Broncodialator and positive chronotrope

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2
Q

What does it mean if a drug is a positive chronotrope?

Albuteral is an example

A

May change the heart rate and rhythm by affecting the electrical conduction system of the heart and the nerves that influence it

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3
Q

Why would albuterol be a potential treatment for hyperkalemia

Paramedic shit but good to know

A

It causes potassium to move across cell membranes inside cells. This lowers serum ptassium concentration

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4
Q

What is the onset time for albuterol

What the duration of the treatment

A

5-15 min after inhalation

Duration of 3-4 hours

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5
Q

Albuterol indications?

A

Bronchospasms

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6
Q

Contraindications for albuterol

A

Severe tachycardia is a relative contraindication

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7
Q

Adverse reactions of albuterol

A

-Tachycardia
-Palpations
-Dysrhythmias

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8
Q

Drug interactions for albuterol

A

-Sympathomimetics may exacerbate advers cardiovascular effects
-Beta blockers may antagonize albuterol

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9
Q

What are sympathomimetics?

A

Drugs that stimulate the sympathetic nervous system

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10
Q

Single neb dose for albuterol and flow rates

A

2.5 mg in 3ml of solution at a flow rate of 6-8lpm

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11
Q

In the ambulance is albuterol premixed?

A

No, it comes premized. One dose is one little container

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12
Q

Continuous nebulizer dose with flow rates

A

Place 3 premixed containers of albuterol (2.5mg/3ml) for a total dose of 7.5mg/9ml into nebulizer and run continuous at 6-8lpm

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13
Q

How many times can you repeat a sigle neb dose of albuterol?

For an adult

A

May repeat twice for a total of 3 doses

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14
Q

Can you repeat a continuous neb dose?

A

No

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15
Q

Are the doseages different for albuterol in pediatrics?

A

No. same dose, same flow rates, same total doseages

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16
Q

How many times can you repeat a dose of albuterol through an MDI

2 answers

Pediatrics and adults

A

3 total doses for all age ranges

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17
Q

When would you consider an in line nebulizer treatment

A

CPAP or endotracheal intubation

18
Q

What is the description of zofran?

Hint - Its a whole lot of fancy words and receptors

A

Selective seritonin 5-HT3 receptor antagonist antiemetic

19
Q

What is an Antiemetic?

A

Treats nausea and vomiting

20
Q

Contraindicaitons for zofran

Hint - 1 is a fancy paramedic thing and the other one is a precaution

When can you use zofran under said precaution

A
  • Prolonged QT interval
  • Use with caution in first trimester pregnancy and should be reserved for only those patients with severe dehydration and intractable vomiting
21
Q

What drug can paramedics give IV for N/V

This is only for style points

A

Reglan

10 extra points for being a nerd

22
Q

How many times can you repeat a zofran dose for an adult?

How long after initial dose can you repeat?

A

Repeat once

After 10 min

23
Q

What age ranges can you give 4mg of zofran PO/ODT/IV/IM?

A

Adult and pediatrics greater than or equal to 4 years old

24
Q

Can you repeat zofran dose for pediatrics of any age?

A

No

25
Q

Dose of zofran for pediatrics 6 moths to 4 years old?

PO/ODT/IV

A

2mg

26
Q

If you are considering zofran for a pediatric patient <6 months what do you need to do prior to administration?

A

Contact base on this one

27
Q

Can you give aspirin for patients already taking anticoagulants?

A

Yes

28
Q

Dose for aspirin

A

324 mg PO
(4 81mg tablets)

29
Q

Action of aspirin

A

Platelet inhibitor

It is also an analgesic and antipyretic

30
Q

If a drug has analgesic properties what does that mean?

Ex - Aspirin

A

Relieve pain

31
Q

If a drug has antipyretic properties what does that mean?

Ex - aspirin

A

Used to prevent or lower fevers

32
Q

Diphenhydramine dose for adults

Benadryl

A

50 mg PO

33
Q

Adverse reactions of epinephrine

A
  • Tachycardia and tachydysrhythmia
  • Hypertension
    Anxiety
  • Potential angina pectoris
34
Q

Drug interactions of epinephrine

Style points

A

Sodium bicarbonate

35
Q

Dose of epinephrine for adult IM

Can you repeat the dose?

A

0.3 mg of 1:1000 solution

repeat x1

36
Q

what are the 6 rights

A

-Drug
-documentation
-dose
-route
-time
-patient

37
Q

Pediatric dose for epinephrine IM without auto injector

precise med math equation

And dirty math way

A

0.01mg/kg

0.15 mg for <25kg

0.3mg for >25kg

38
Q

What is the concentation of epinephrine IM

A

1:1000

39
Q

Concentration for epinephrine IV

Paramedic shit

Style points

A

1:10,000

40
Q

Why is the IM concentraiton for Epinephrine higher than IV concentration?

Critical thinking style points

A

IV goes straight through the system IM is absorbed and loses potency through the process.

41
Q

What are the internal dose related causes of epinephrine

(4)

A
  • Increased HR
  • Myocardial contractility and oxygen demand
  • Peripheral Vasoconstriction
    -Bronchodilation
42
Q
A

UCH Protocol (3 decks)

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