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Ambulance Meds > Medications > Flashcards

Medications Flashcards

1
Q

Ondansetron

A

Zofran
Antiemetic
For nausea/vomiting or prior to pain meds

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2
Q

Midazolam

A 
Versed
Sedative
Indicated for sedation/pain management, drug assisted intubation, and seizures
Contraindicated for glaucoma and coma
IV/IO bolus or IM/IN
Systolic BP must remain >90
Retrograde amnesia effect
Onset 3-`15 mins
Duration 2-6 hours
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3
Q

Medications that must be infused with Alaris pump

A

Dopamine
Epinephrine
Magnesium sulfate
Levophed

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4
Q

Medications that can be administered intranasally

A

Fentanyl
Glucagon
Midazolam
Naloxone

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5
Q

Fentanyl

A

Fentanyl citrate
Opioid analgesic
For pain control or drug assisted intubation
Contraindicated in hypovolemia, hypotension, or head injury
IV/IO/IN
Very rapid onset, lasts 30-60 mins

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6
Q

Morphine

A

Morphine sulfate
Opioid analgesic
Indicated for moderate to severe pain management
Contraindicated for hypotension or head injury
IV/IO Bolus
Rapid onset
Duration 2-7 hours

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7
Q

Ketorolac

A

Pain medication

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8
Q

Ketamine

A

Ketanest, Ketaset, Ketalar
Sedative
For combativeness or drug assisted intubation
IV/IO/IM Bolus
Can give to patients with systolic BP <90
Onset 1-5 mins
Duration 10-15 mins

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9
Q

Lidocaine HCL

A 
Lidocaine hydrochloride
Antiarrhythmic, local anesthetic
Pain management after IO insertion in conscious patients
IV/IO bolus or IV/IO infusion
Rapid onset
Duration 2-4 hours
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10
Q

Atropine

A

To treat bradycardia

Can treat organophosphate exposure

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11
Q

Dopamine

A

IV/IO via Alaris pump

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12
Q

Epinephrine drip

A

IV/IO pump

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13
Q

Amiodarone

A

150 mg/100 mL IV/IO infusion over 10 min

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14
Q

Adenosine

A

6 mg rapid IV/IO + additional 6 mg if needed

Tachycardia

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15
Q

Magnesium sulfate

A

Electrolyte, tocolytic, central nervous system (CNS) depressant, anticonvulsant
Indicated for seizures associated with eclampsia, and to treat Torsades de Pointes, respiratory distress, or wide complex tachycardia
Onset 3-5 mins
Duration 30 mins

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16
Q

Diltiazem

A

0.25 mg/kg IV/IO (25 max) IV push over 5 min

17
Q

Acetaminophen (tablets)

A

Antipyretic

15 mg/kg by mouth (PO)

18
Q

Ibuprofen

A

Advil, Motrin, Nurofen
NSAID, non-narcotic analgesic, antipyretic
Inhibits prostaglandin synthesis (reduces inflammation, pain, and fever)
For fevers >100.2 F or inflammation
Contraindicated for active peptic ulcers and bleeding abnormalities
Onset within 30 mins, peaks at 1.5 hours
Duration up to 5 hours

19
Q

Acetaminophen (suppository)

A

1 if >12

1/2 if 6-12

20
Q

DuoNeb

A

Albuterol sulfate (Albuterol) and ipratropium bromide (Atrovent)
Bronchodilator
Ipratropium bromide produces preferential dilatation of the larger central airways, in
contrast to Albuterol sulfate, which affects the peripheral airways.
Ipratropium also dries mucus secretions.
For bronchial asthma, reversible bronchospasm associated with chronic
bronchitis and emphysema.
Contraindicated if HR>150
Nebulized
Lasts 3-4 hours, peak at 30 min- 2 hours

21
Q

Normal saline

A

Sodium chloride 0.9%
For fluid replacement due to dehydration or hypotension
Use with caution in CHF and dialysis patients
IV/IO bolus, Nebulized, or IV/IO infusion

22
Q

Thiamine

A

B1 vitamin
For Alcoholism, delirium tremens, coma of unknown origin (especially if alcohol or malnourishment may be
involved), and suspected Wernicke or Korsakoff syndrome
IV/IO/IM
Onset within a few hours, peaks in 3-5 days

23
Q

Dopamine

A

Intropin
Renal, mesenteric, and cerebral vasodilation.
Increased cardiac contractility,
cardiac output, and blood pressure.
Peripheral vasoconstriction
For significant hypotension (not secondary to hypovolemia) and symptomatic bradycardia
IV/IO infusion by Alaris pump
Onset within 5 minutes but lasts only 10-15 min

24
Q

Glucagon

A

Increases blood sugar by breaking down glycogen in liver
Inhibits GI motality
Treats hypoglycemia in patients without obtainable IV/IO access
IM/
Max activity within 30 mins
1-2 hour duration
May cause nausea/vomiting
Patients must maintain food intake next 24-48 hours because are at increased risk for hypoglycemia after taking

25
Q

Haloperidol

A 
Haldol
Antipsychotic
To manage acute psychosis and combativeness
Contraindicated for seizure disorders
IV/IO/IM
Peak effectiveness 15-45 mins
Duration 4-8 hours
26
Q

Labetalol

A

Labetalol hydrochloride, Normodyne, Trandate
Decreases BP without reflex tachycardia or significant reduction in HR
For severe hypertension
IV/IO bolus ]
Onset within 5 mins
Duration 3-5 hours

27
Q

Narcan

A 
Naloxone hydrochloride
Synthetic opioid antagonist
IV/IO/IN
Quick onset
Duration 30-60 minutes
Possible withdrawal for narcotic-dependent patients
28
Q

Nitroglycerin

A

Vasodilator
Indicated for chest pain associated with suspected acute MI or angina pectoris
Contraindicated if taken ED drugs in last 24 hours, systolic BP <90, or significant headache
Sublingual
Onset 1-2 mins
Duration up to 30 mins

29
Q

Oxygen

A

Indicated for carbon monoxide poisoning, suspected
hypoxemia, or cardiopulmonary arrest and trauma
Via nasal cannula, nebulizer, non-rebreather mask or
bag-valve mask
Onset within secs

30
Q

Oxytocin

A 
Pitocin
Uterine stimulant
Indicated for postpartum hemorrhage due to uterine atony
IM or IV/IO infusion
Quick onset
Duration of 1 hour after discontinuation
31
Q

Racemic epinephrine

A

Causes vasoconstriction which results in reduced mucosal and submucosal edema, and bronchodilation that reduces airway smooth muscle spasm
Indicated for severe anaphylaxis and croup
Mix with 3 mL normal saline
Nebulized
Onset within 5 minutes
Duration 1-3 hours

32
Q

Sodium bicarbonate

A

Alkalizing agent used to buffer acids present in the
body during and after severe hypoxia.
Indicated for metabolic acidosis due to tricyclic antidepressant overdose
Contraindicated for CHF
IV/IO Bolus
Onset 2-10 mins
Duration 30-60 mins

Ambulance Meds (1 decks)

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