Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Protocol > Medications > Flashcards

Medications Flashcards

1
Q

Classification of acetaminophen

A

anti-pyretic and analgesic

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

2. Onset and duration of onset

A

Fever reducer, pain blocker

10-30 min, 3-4 hrs

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

Indication of acetaminophen

A

Fever

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

Contraindication of acetaminophen

A

Hypersensitivity

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

Caution of acetaminophen

A

Anemia, Liver disease, renal disease

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

Dosage of acetaminophen

A

Pediatric 15mg/kg oral or rectal

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

Adverse reaction of acetaminophen

A

Nausea, vomiting, rash

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

Acetaminophen protocol reference

A

Medical emergencies, febrile pediatric patient

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

Classification of activated charcoal

A

Gastric decontaminant, absorbent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  1. Action of activated charcoal

2. Onset and duration of activated charcoal

A
  1. Adheres to meds and prohibits absorption in the GI tract

2. Immediate, Unknown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q
  1. Indication of activated charcoal

2. Contraindication

A
  1. Poisoning, overdose, consult poison control prior to administration
  2. DLOC, Ingestion of meds that may lead to abrupt DLOC
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Caution of activated charcoal

A

Renders ipecac inactive, May give ipecac prior to but not after charcoal, Ingestion of corrosives, Fluid and electrolyte abnormalities, Fecal impaction, If gastric lavage is considered

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

Dosage of activated charcoal

A

Adult and pediatric 1gm/kg oral

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

Adverse reaction of activated charcoal

A

Nausea vomiting, black stools, diarrhea, cramping, bloating, constipation

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

Reference in protocol of activated charcoal

A

Medical Emergencies

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

Classification of Adenosine

A

Antiarrhythmic

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

2. Onset and Duration of Adenosine

A
  1. Slows conduction of AV node, may inhibit reentry pathways

2. Immediate, Less than 1 min

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

2. Contraindication

A
  1. Conversion of paroxysmal SVT to sinus rhythm, Wolf-Parkinson-White Syndrome with narrow QRS complex
  2. 2nd & 3rd degree heart block, sick sinus syndrome unless pt has pacemaker, hypersensitivity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Caution of Adenosine

A

May produce transient 1st, 2nd, &3rd degree blocks or systole for 10-15 sec
Asystolic pause longer in pts. on Tegretol or Persantine
Pts. on theophyllines or caffeine may require higher dose
Asthma pts may experience bronchiospasm
May be used with wide QRS complex SVT at direction of base station, but may cause acceleration of the rate

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

Dosage of Adenosine

A

Adult: 6mg rapid IV push. If no response in 1-2 min give 12mg. Rapid push followed by 20ml NaCl bolus and elevate extremity.
Pediatric: .1mg/kg up to 6mg. If no response within 1-2 min, .2mg/kg up to 12mg rapid IV push
IV in AC with 18g or >

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

Adverse reaction of Adenosine

A

Common but transient asystole, bradycardia, hypotension, Cpx, flushing, dyspnea, numbness, tingling in arms, sweating, palpation, nausea

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

Reference in protocol of Adenosine

A

Cardiac emergencies and pediatric cardiac arrest guide

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

Classification of Afrin

A

Adrenergic sympathomimetic

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

2. Duration of Afrin

A
  1. < 5 min

2. < 12 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
1. Indication of Afrin | 2. Contraindication of Afrin
1. Prep for nasotracheal intubation, control epistaxsis | 2. hypersensitivity
26
Caution of Afrin
children < 6 years
27
Dosage of Afrin
2-3 sprays in each nostril
28
Adverse Reaction of Afrin
Headache, drowsiness, Insomnia, Palpitations, Hypertension, rebound congestion Burning stinging sneezing if exceed dosage
29
Reference in Protocol of Afrin
General Principles (nasal intubation)
30
Classification of Albuterol
Bronchodilator, beta-2 selective, sympathetic agonist
31
Action of Albuterol
Relax bronchial and uterine smooth muscle by acting on beta adrenergic receptors Causes K+ influx into the cell
32
1. Onset of Albuterol | 2. Duration of Albuterol
1. 5-15 min | 2. 3-6 hrs
33
1. Indication of Albuterol | 2. Contraindication of Albuterol
1. Wheezing, allergic reaction, asthma Suspected Hyperkalemia Crush Injury Syndrome 2. Hypersensitivity
34
Caution of Albuterol
``` Cardiovascular disease Rx tricyclics Elderly require lower dose Monitor HR Lung sounds before and after Beta-blockers may blunt effect ```
35
Dosage and administration of Albuterol
Adult: 2.5mg in 3ml NS SVN continuously Pediatric: < 6 mo. 1.25mg in 3 ml NS SVN continuously, >6 mo. 2.5mg in 3 ml NS SVN If assisting with inhaler instruct pt. to clear throat, exhale fully, put mouthpiece in place and inhale deeply.
36
Adverse Reaction of Albuterol
Tremor, Nervousness, Dizzy, Headache, Tachycardia, Palpitations, Hypertension, Nausea, Vomiting, Ventricular Arrhythmias
37
Reference in Protocol of Albuterol
Shock (anaphylactic), Respiratory (diff breath), Medical (renal dialysis-hyperkalemia), Environmental (toxic inhalations and allergic reactions), Traumatic (crush injury syndrome)
38
Classification of Amiodarone
Antiarrhythmic
39
Action of Amiodarone
Rate control in a variety of atrial and ventricular tachyarrythmias
40
1. Onset of Amiodarone | 2. Duration of Amiodarone
1. Immediate | 2. up to 40 days
41
1. Indication of Amiodarone | 2. Contraindication of Amiodarone
1. Shock Refractory/VF pulseless VT - Polymorphic VT/wide complex tachycardia of unknown origin - Control of hemodynamically stable VT when cardioversion is unsuccessful - Acceptable for termination of ectopic or multifocal atrial tachycardia with preserved LV function - Used for rate control in treatment of a fib or flutter when other testaments are unsuccessful 2. Hypersensitivity - Cardiogenic shock with marked sinus bradycardia, 2nd or 3rd degree AV block unless a pacemaker is available
42
Caution of Amiodarone
- May produce vasodilation and hypotension - May have negative inotropic effects and prolong QT interval - Renal failure, terminal elimination is long (1/2 life up to 40 days)
43
Dosage and Administration of Amiodarone
1. Cardiac Arrest: a. 300mg IV/IO push, consider repeating 150mg in 3-5 min. b. max dose 2.2g IV/IO in 24 hrs c. Pediatric: 5mg/kg IV/IO push, up to max of 300mg, may repeat up to daily dose of 15mg/kg 2. Wide Complex Tachycardia a. Rapid infusion of 150mg IV/IO over 10 min b. May repeat every 10 min as needed
44
Adverse reaction of Amiodarone
Vasodilation, Hypotension, Bradycardia
45
Reference in Protocol of Amiodarone
Cardiac Emergencies (see AHA handbook)
46
Classification of Aspirin
Non steroidal anti-inflammatory
47
Action of Aspirin
Inhibits platelet aggregation in pts. with suspected MI
48
1. Onset of Aspirin | 2. Duration of Aspirin
1. 5-30 min | 2. Decreasing by 1/7th over 7 days
49
1. Indication of Aspirin | 2. Contraindication of Aspirin
1. Suspected ischemic chest Px 2. Allergy to salicylates - active ulcer disease - asthma - hemorrhagic stroke
50
Caution of Aspirin
Pts. taking anticoagulation therapy
51
Dosage and administration of Aspirin
Adult: 162mg if already taking ASA, 324mg if not already taking ASA Pediatric: Contact MBCH
52
Adverse Reaction of Aspirin
Hypersensitivty
53
Reference in Protocol of Aspirin
Cardiac Emergencies (Chest discomfort and possible ACS, AHA handbook)
54
Atropine Classification
Parasympathetic blocker, anticholinergic
55
Atropine Action
``` Cardiac: 1. Chronotropic effect of Increase SA node rate by blocking vagus nerve 2. Positive inotropic effect in AV Node Non-Cardiac: 1. decrease body secretions 2. dilate pupils and eye paralysis 3. Decrease bladder tone and increase urinary retention 4. CNS Stimulant ```
56
Atropine 1.Onset 2.Duration
1. Immediate IV | 2. 4 Hrs
57
Atropine Indication
1. Bradycardia with HYPOTN, AMS, PVC, Cpx, 2. 2nd, 3rd heart block, asystole but not very effective 3. Organophosphate, Nerve agent poisoning 4. Pre-medication for pediatric intubations
58
Atropine Contraindication
1. Afib/flutter 2. HR>60 3. Bradycardia due to ICP (stroke/trauma)
59
Atropine Use with Caution
1. Do not mix with sodium bicarb | 2. Be certain bradycardia not due to hypoxia or ICP
60
Atropine Dosage and Administration
1. Bradycardia Adult: .5mg IV every 3-5 min as needed, not to exceed .04mg/kg, ET 1mg diluted in 10ml NS Ped: .02mg/kg, min = 0.1mg, max single dose = 0.5mg, max total dose = 1mg Adolescent single dose = 1mg, max total = 2mg ET = .05mg/kg in 5ml NS 2. Poisoning Adult: 1mg every 1 min until Sy clear, up to 10mg, If using MARK1 kit give up to 3 sets of meds Ped: <12yo .5mg IV/IO every 1 min. until Sy clear, max total 10mg. RSI = .02mg/kg, min dose = .1mg, max dose = .5mg
61
Atropine Adverse Reaction
Cardiac: tachy, palpitations, V-Fib | Non Cardiac: Dry mouth, diplopia, restless, irritability, AMS, injection site px
62
Atropine Reference
Cardiac Environmental RSI Pediatric Cardiac Arrest Guide
63
Calcium Chloride Classification
Electrolyte
64
Calcium Chloride Action
1. Regulate cell permeability to sodium and potassium | 2. Increases force of myocardial and muscle contraction
65
Calcium Chloride 1. Onset 2. Duration
1. Immediate | 2. 30min-2hrs
66
Calcium Chloride Indication
1. bradycardia 2nd to dialysis and hyperkalemia with peaked T-waves, prolonged QRS, low P-waves 2. Calcium channel block or beta blocker OD 3. Antidote for Mag Sulfate 4. Crush Injury Syndrome
67
Calcium Chloride Contraindication
1. V-fib 2. Digitalis intoxication 3. Hypercalcemia
68
Calcium Chloride Use with Caution
Extravasation | Flush line prior to giving in conjunction with sodium bicarb
69
Calcium Chloride Dosage and Administration
Adult: 500-1000mg (5-10ml) IV/IO Ped: 20mg/kg IV/IO Push Slowly
70
Calcium Chloride Adverse Reaction
Bradycardia, Asystole, V-fib
71
Calcium Chloride Reference
Cardiac Medical (Renal) Trauma (Crush)
72
Diltiazem Classification
Calcium Channel Blocker
73
Diltiazem Action
Slows AV node conduction
74
Diltiazem 1.Onset 2.Duration
1. 3 min | 2. 1-3 hrs
75
Diltiazem Indication
1. Symptomatic A-fib/flutter | 2. PSVT (narrow complex)
76
Diltiazem Contraindication
1. Sick Sinus Syndrome 2. 2nd or 3rd degree block 3. A-fib w/ WPW or short PR syndrome 4. SBP <90 5. Cardiogenic Shock 6. Wide Complex Tachycardia 7. Avoid use on patients taking beta blockers
77
Diltiazem Use with Caution
Hypotension, impaired renal and hepatic function
78
Diltiazem Dosage and Administration
Adult: initial dose- 15-20mg IV over 2 min. Second dose after 15 min, if needed is 20-25mg IV over 2 min. Ped: Contact MBCH
79
Diltiazem Adverse Reaction
Bradycardia, Cpx, Syncope, Ventricular Arrhythmia, V-fib, dizzy, HA, dry mouth
80
Diltiazem Reference
Cardiac

Protocol (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions