Medications Flashcards

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1
Q

Albuterol Sulfate Actions

A

dilates bronchial smooth muscle

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2
Q

Albuterol Sulfate Indications

A

bronchospasm caused by asthma or COPD, pulse less than 130 beats/minutes

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3
Q

Albuterol Sulfate Onset/duration

A

5-15 minutes/2-6 hours

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4
Q

Albuterol Sulfate Side Effects

A

Dizziness, headache, palpitations, chest pain, anxiety, rapid pulse

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5
Q

Albuterol Sulfate Route

A

Inhalation

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6
Q

Albuterol Sulfate Contraindications

A

hypersensitivity to the drugs or its contents

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7
Q

Albuterol Sulfate Dose

A
  1. Nebulizer with oxygen aerolsization - 2.5 mg/3ml over 5-10 minutes via nebulizer with 8-10 Ipm oxygen
  2. Metered dose inhaler - 1 to 2 inhalations
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8
Q

Albuterol Sulfate is supplied via

A

unit dose plastic vial

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9
Q

Albuterol Sulfate Special Considerations

A

monitor heart rate closely

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10
Q

Albuterol Sulfate requires medical command order?

A

yes

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11
Q

Aspirin Actions

A

Inhibits blood clotting action and platelet aggregation

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12
Q

Aspirin Indications

A

chest discomfort suggestive of acute coronary syndrome

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13
Q

Aspirin Onset/duration

A

5 minutes/1-4 hours

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14
Q

Aspirin Side Effects

A

nausea, vomiting, heartburn, dizziness, tinnitus, bronchospasm, GI bleeding

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15
Q

Aspirin Route

A

orally

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16
Q

Aspirin Contraindications

A

male less than 25 years old, female less than 35 years

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17
Q

Aspirin Dose

A

324 mg (4 tablets)

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18
Q

Aspirin is supplied via

A

81 mg chewable tablets

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19
Q

Aspirin Special Considerations

A

use with caution if patient had recent surgery since aspirin can promote bleeding at the surgical site

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20
Q

Aspirin requires medical command?

A

no

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21
Q

DuoNeb - Combivent Actions

A

Albuterol - (Adrenergic bronchodilator, bronchial smooth muscle dilator.) Ipratropium Bromide - (Anticholinergic bronchodilator)

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22
Q

DuoNeb - Combivent Indications

A

Bronchospasm as result of Asthma, COPD, allergic reaction, pulse less than 130 ppm adult

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23
Q

DuoNeb - Combivent Side Effects

A

dizziness, tachycardia, chest pain, palpitations, anxiety, headache, hypertension

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24
Q

DuoNeb - Combivent Route

A

inhalation/nebulized

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25
Q

DuoNeb - Combivent Contraindications

A

hypersensitivity to the drugs or components thereof, pulse rate above 130 ppm. No patient under 12 years of age

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26
Q

DuoNeb - Combivent Dose

A

Albuterol (2.5 mg), Ipratropium Bromide (.5 mg) in 3 ml NS

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27
Q

DuoNeb - Combivent supplied via

A

unit dose plastic vial

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28
Q

DuoNeb - Combivent Special Considerations

A

monitor heart rate, initial dose given per protocol. Second dose per MCP order. For allergic reaction - initial dose requires MCP order.

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29
Q

Epinephrine (EPI-PEN) Actions

A

bronchodilator, increases heart rate and force of contractions

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30
Q

Epinephrine (EPI-PEN) Indications

A

anaphylactic shock, severe allergic reactions

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31
Q

Epinephrine (EPI-PEN) Onset/duration

A

5-15 minutes/1-4 hours

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32
Q

Epinephrine (EPI-PEN) Side Effects

A

anxiety, palpitations, angina, nausea, vomiting, headache, dizziness

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33
Q

Epinephrine (EPI-PEN) Route

A

IM

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34
Q

Epinephrine (EPI-PEN) Contraindications

A

none when used in life-threatening conditions

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35
Q

Epinephrine (EPI-PEN) Dose

A

adult: 0.3 mg, pediatric 0.15 mg

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36
Q

Epinephrine (EPI-PEN) is supplied via

A

pre-loaded auto-injectors

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37
Q

Epinephrine (EPI-PEN) Special Considerations

A

monitor vitals frequently after administration

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38
Q

Epinephrine (EPI-PEN) requires medical command order?

A

yes

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39
Q

Epinephrine (1:1000) Action

A

bronchodilator, increases heart rate and force of contractions

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40
Q

Epinephrine (1:1000) Indications

A

anaphylactic shock, severe allergic reactions

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41
Q

Epinephrine (1:1000) Onset/duration

A

5-15 minutes/1-4 hours

42
Q

Epinephrine (1:1000) Side Effects

A

anxiety, palpitations, angina, nausea, vomiting, headache, dizziness

43
Q

Epinephrine (1:1000) Route

A

IM

44
Q

Epinephrine (1:1000) Contraindications

A

none when used in life-threatening circumstances

45
Q

Epinephrine (1:1000) Dose

A

0.3 mg/ 0.3 ml

46
Q

Epinephrine (1:1000) is supplied via

A

1 mg unit dose ampule

47
Q

Epinephrine (1:1000) Special Considerations

A

monitor vitals frequently after administration

48
Q

Epinephrine (1:1000) Requires medical command order?

A

yes

49
Q

Narcan (Naloxone) Action

A

Opioid Antagonist w/o opiate agonist properties

50
Q

Narcan (Naloxone) Indications

A

partial reversal of opiate drug effects, opiate overdose

51
Q

Narcan (Naloxone) Side Effects

A

fever, Chills, Nausea, Vomiting, Diarrhea, Opiate withdrawal

52
Q

Narcan (Naloxone) Route

A

IN via atomizer

53
Q

Narcan (Naloxone) Contraindications

A

hypersensitivity to the drug

54
Q

Narcan (Naloxone) Dose

A

2.0 mg IN (i mg to be given in each nostril)

55
Q

Narcan (Naloxone) is supplied via

A

pre-filled syringe 2.0 mg

56
Q

Narcan (Naloxone) Special Considerations

A

administer enough to reverse respiratory depression and avoid full narcotic withdrawal syndrome

57
Q

Narcone (Naloxone) Requires Medical Command Order?

A

yes

58
Q

Nitroglycerin Action

A

relaxes vascular smooth muscle, causes vasodilation, increases coronary blood flow, and reduces preload

59
Q

Nitroglycerin Indications

A

chest discomfort suggestive of acute coronary syndrome

60
Q

Nitroglycerin Onset/duration

A

1-3 minutes/.5-1 hour

61
Q

Nitroglycerin Side Effects

A

headache, hypotension, nausea, vomiting, rapid pulse

62
Q

Nitroglycerin Route

A

sublingually

63
Q

Nitroglycerin Contraindications

A

blood pressure less than 100 systolic, head trauma, shock, cerebral edema, and hypersensitivity to the drug. Use of Viagra or Levitra in past 24 hours. Use of Cialis in past 72 hours. 12 lead EKG is diagnosed Inferior Wall MI

64
Q

Nitroglycerin Dose

A

0.4 mg

65
Q

Nitroglycerin is supplied via

A

0.4 mg tablets or metered dose spray

66
Q

Nitroglycerin Special Considerations

A

monitor blood pressure before, during, after administration - only stop if pressure falls below 100 systolic

67
Q

Nitroglycerin Requires Medical Command Order?

A

yes

68
Q

Oral Glucose Action

A

increase blood sugar

69
Q

Oral Glucose Indications

A

hypoglycemia, non-traumatic coma of unknown cause

70
Q

Oral Glucose Onset/duration

A

1-3 minutes/unknown

71
Q

Oral Glucose Side Effects

A

none known

72
Q

Oral Glucose Route

A

buccal/oral

73
Q

Oral Glucose Contraindications

A

none if used in emergent setting

74
Q

Oral Glucose Dose

A

15 gm

75
Q

Oral Glucose is supplied via

A

15 gm gel

76
Q

Oral Glucose Special Considerations

A

none

77
Q

Oral Glucose Requires Medical Command Order?

A

no

78
Q

Oxygen Action

A

oxidizes glucose, reverse hypoxemia

79
Q

Oxygen Indications

A

almost all emergency conditions in which hypoxemia is present or may develop

80
Q

Oxygen Onset/duration

A

immediate/variable

81
Q

Oxygen Side Effects

A

may cause irritation to nasal mucous membranes; in rare cases of COPD, may depress respiratory drive

82
Q

Oxygen Contraindications

A

none in the emergency setting

83
Q

Oxygen Dose

A

variable, depending on patient need

84
Q

Oxygen is supplied via

A

compressed gas

85
Q

Oxygen Special Considerations

A

monitor pulse oximetry, especially in medical patients t insure adequate dose

86
Q

Oxygen Requires Medical Command Order?

A

no

87
Q

Tylenol (Acetaminophen) Action

A

non-narcotic analgesic, antipyretic

88
Q

Tylenol (Acetaminophen) Indications

A

fever in pediatric patient > 102F. If acetaminophen has not been given in the last four (4) hours

89
Q

Tylenol (Acetaminophen) Onset/duration

A

15-30 min /4-6 hours

90
Q

Tylenol (Acetaminophen) Route

A

PO

91
Q

Tylenol (Acetaminophen) Contraindications

A

vomiting, known hypersensitivity

92
Q

Tylenol (Acetaminophen) Dose

A

15 mg/kg

93
Q

Tylenol (Acetaminophen) is supplied via

A

oral solutions

94
Q

Tylenol (Acetaminophen) Requires Medical Command Order?

A

BLS requires Med Command Order

95
Q

Zoran (Odansetron) Action

A

antiemetic with serotonin blocking agents

96
Q

Zoran (Odansetron) Indications

A

nausea and vomiting

97
Q

Zoran (Odansetron) Side Effects

A

headache, diarrhea, dizziness

98
Q

Zoran (Odansetron) Route

A

oral dissolving tablet

99
Q

Zoran (Odansetron) Contraindications

A

hypersensitivity to the drug

100
Q

Zoran (Odansetron) Dose

A

4 mg ODT (oral dissolving tablet)

101
Q

Zoran (Odansetron) is supplied via

A

unit dose tablet

102
Q

Zoran (Odansetron) Requires Medical Command Order?

A

no