Medications Simplified Flashcards

1
Q

Albuterol Indications

A

Albuterol Indications

Dyspnea with bronchoconstriction

(sign = wheezing)

(May have Hx of asthma, COPD)

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2
Q

Albuterol Contra

A

Albuterol Contraindications: - hypersensitivity - dysrrhythmias

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3
Q

Albuterol Warnings

A

Albuterol Warnings: - heart disease - HTN - seizure - diabetes - pregnancy - hyperthyroidism

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4
Q

Albuterol Adult Dose

A

Albuterol Adult Dose: 2.5 mg

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5
Q

Albuterol Ped. Dose

A

Albuterol Ped. Dose: 0.15 mg/kg (WI: 2.5 mg)

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6
Q

Albuterol Actions

A

Albuterol Actions: Bronchodilation via Beta-2 agonism Duration ~4-6 hrs.

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7
Q

Albuterol Side Effects

A

Albuterol Side Effects: - anxiety - tremors - dizziness - bronchospasms - chest pain - tachycardia - HTN - arrhythmias - N/V

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8
Q

Albuterol Form/Route

A

Albuterol Form/Route: Liquid Inhalation via SVN at 6-8 LPM

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9
Q

Atrovent Indications

A

Atrovent Indications: Dyspnea associated with bronchoconstriction (sign = wheezing) (May have Hx of COPD, asthma)

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10
Q

Atrovent Contra

A

Atrovent Contra: Hypersensitivity

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11
Q

Atrovent Warnings

A

Atrovent Warnings: Should not be used as primary agent.

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12
Q

Atrovent Adult Dose

A

Atrovent Adult Dose: 500 mcg

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13
Q

Atrovent Ped. Dose

A

Atrovent Ped. Dose: 250 - 500 mcg

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14
Q

Atrovent Actions

A

Atrovent Actions: Bronchodilation via parasympathetic antagonism

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15
Q

Atrovent Side Effects

A

Atrovent Side Effects: - blurred vision - eye pain - tachycardia - palpitation - HA - dry mouth - aggravates COPD

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16
Q

Atrovent Form/Route

A

Atrovent Form/Route: Liquid Inhalation via SVN at 6-8 LPM

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17
Q

Epinephrine Indications

A

Epinephrine Indications: Anaphylaxis Severe dyspnea

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18
Q

Epinephrine Contra

A

Epinephrine Contra: None

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19
Q

Epinephrine Warnings

A

Epinephrine Warnings: - tachycardia - COPD - pregnancy - HTN - CHF

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20
Q

Epinephrine Adult Dose

A

Epinephrine Adult Dose: > 30 kg 0.3 - 0.5 mg 1:1000 Epi-Pen: 0.3 mg 1:1000

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21
Q

Epinephrine Ped. Dose

A

Epinephrine Ped. Dose: < 30 kg 0.01 mg/kg 1:1000 Max: 0.5 mg Epi-Pen Junior: 0.15 mg 1:2000

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22
Q

Epinephrine Action

A

Epinephrine Action: bronchodilation vasoconstriction via sympathatic agonism (sympathomimetic)

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23
Q

Epinephrine Side Effects

A

Epinephrine Side Effects: +HR +RR anxiety pallor dizziness chest pain headache N/V burning at the site

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24
Q

Epinephrine Form/Route

A

Epinephrine Form/Route: Liquid IM or SC

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25
Q

Aspirin Indications

A

Aspirin Indications: Angina Chest pain of suspected cardiac origin Myocardial infarction

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26
Q

Aspirin Contra

A

Aspirin Contra: Hypersensitivity Unconscious Can’t Swallow GI bleeding Stomach ulcer Current use of blood thinners

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27
Q

Aspirin Adult Dose

A

Aspirin Adult Dose: 160 - 325 mg (2 - 4 x 81 mg tablets) Max dose of 325 mg

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28
Q

Aspirin Ped. Dose

A

Aspirin Ped. Dose: Contact Medical Control

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29
Q

Aspirin Action

A

Aspirin Action: Inhibits clotting via inhibiting platelet aggregation

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30
Q

Aspirin Side Effects

A

Aspirin Side Effects: N/V GI Irritation and bleeding with overuse

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31
Q

Aspirin Form/Route

A

Aspirin Form/Route: Tablet PO

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32
Q

NTG Indications

A

NTG Indications: AMI Angina CHF HTN Chest pain of suspected cardiac origin

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33
Q

NTG Contra

A

NTG Contra: Hypersensitivity SBP < 90 mmHg Head Injury ED Meds w/in 48 hrs

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34
Q

NTG Adult Dose

A

NTG Adult Dose: 0.4 mg q 5 mins MAX 3 doses

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35
Q

NTG Ped. Dose

A

Contact Med Control

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36
Q

NTG Actions

A

NTG Actions: Vasodilation Dilating coronary arteries (as NO does)

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37
Q

NTG Side Effects

A

NTG Side Effects: - headache - hypotension - N/V - palpitations - dizziness - flushing - burning under tongue

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38
Q

NTG Form/Route

A

NTG Form/Route: Tablet or Liquid SL

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39
Q

Activated Charcoal Indications

A

Activated Charcoal Indications: Ingested poisons (best within 1-1.5 hrs)

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40
Q

Activated Charcoal Contra

A

Activated Charcoal Contraindications: Hypersensitivity Unconscious/ALOC Can’t swallow Ingestion of strong acid or alkali, petroleum distillate

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41
Q

Activated Charcoal Adult Dose

A

Activated Charcoal Adult Dose: 25 - 50 g 1 g/kg

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42
Q

Activated Charcoal Ped. Dose

A

Activated Charcoal Ped. Dose: 12.5 - 25 g 1 g/kg

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43
Q

Activated Charcoal Actions

A

Activated Charcoal Actions: Adsorption

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44
Q

Activated Charcoal Side Effects

A

Activated Charcoal Side Effects: - N/V - black stool - diarrhea

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45
Q

Activated Charcoal Form/Route

A

Activated Charcoal Form/Route: Suspension Oral

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46
Q

Naloxone Indications

A

Naloxone Indications: Narcotics overdose

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47
Q

Naloxone Contra

A

Naloxone Contra: Hypersensitivity

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48
Q

Naloxone Warnings

A

Naloxone Warnings: May cause withdrawal symptoms

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49
Q

Naloxone Adult Dose

A

Naloxone Adult Dose: > 20 kg OR > 5 years old 1 - 2 mg q 5 mins Titrated to effect (WI: 0.4 mg initial dose, protocol dependent)`

50
Q

Naloxone Ped. Dose

A

Naloxone Ped. Dose: < 20 kg 0.1 mg/kg Max 2 mg

51
Q

Naloxone Action

A

Naloxone Action: Prevents CNS/respiratory depression via opioid antagonism

52
Q

Naloxone Side Effects

A

Naloxone Side Effects: - chest pain - SOB - irregular heart beat - seizure - N/V - anxiety

53
Q

Naloxone Form/Route

A

Naloxone Form/Route: Liquid IV, IM, SC, IN

54
Q

Oral Glucose Indications

A

Oral Glucose Indications: Hypoglycemia

55
Q

Oral Glucose Contra

A

Oral Glucose Contra: Hypersensitivity Unconscious Unable to swallow

56
Q

`Oral Glucose Adult Dose

A

Oral Glucose Adult Dose: 15 - 30 grams

57
Q

Oral Glucose Ped. Dose

A

Oral Glucose Ped. Dose: 15 grams (WI: 15-30g)

58
Q

Oral Glucose Action

A

Oral Glucose Action: Increases blood glucose

59
Q

Oral Glucose Side Effects

A

Oral Glucose Side Effects: N/V

60
Q

Oral Glucose Form

A

Oral Glucose Form: Gel Buccal

61
Q

Glucagon Indications

A

Glucagon Indications: Hypoglycemia

62
Q

Glucagon Contra

A

Glucagon Contra: Hypersensitivity

63
Q

Glucagon Warnings

A

Glucagon Warnings: Adrenal tumor Renal disease CVD

64
Q

Glucagon Adult Dose

A

Glucagon Adult Dose: > 20 kg 1 mg

65
Q

Glucagon Ped. Dose

A

Glucagon Ped. Dose: < 20 kg 0.5 mg OR 0.1 mg/kg (MAX 1.0 mg)

66
Q

Glucagon Action

A

Glucagon Action: Increases blood GLU by causing release of stored liver glycogen

67
Q

Glucagon Side Effects

A

Glucagon Side Effects: - N/V - tachycardia

68
Q

Glucagon Form/Route

A

Glucagon Form/Route: Liquid IM

69
Q

D50 Indications

A

D50 Indications: Hypoglycemia

70
Q

D50 Contra

A

D50 Contra: Hypersensitivity Brain Injury

71
Q

D50 Adult Dose

A

D50 Adult Dose: 25 g (in 50 ml) 0.5 g/kg

72
Q

D50 Ped. Dose

A

D50 Ped. Dose: 0.5 g/kg OF D25: dilute 1:1 with Normal Saline consider D12.5 or D10 for neonates

73
Q

D50 Actions

A

D50 Actions: Increases blood glucose

74
Q

D50 Side Effects

A

D50 Side Effects: - N/V - Tissue necrosis with infiltrated IV

75
Q

D50 Form/Route

A

D50 Form/Route: Liquid IV SLOW PUSH

76
Q

Normal Saline Indications

A

Normal Saline Indications: Fluid loss Dehydration

77
Q

Normal Saline Contra

A

Normal Saline Contra: None

78
Q

Normal Saline Warnings

A

Normal Saline Warnings: CHF Cardiac overload

79
Q

Normal Saline Adult Dose

A

Normal Saline Adult Dose: 20 ml/kg Reassess every 500 ml bolus

80
Q

Normal Saline Ped. Dose

A

Normal Saline Ped. Dose: 20 ml/kg Reassess every 250 ml bolus

81
Q

Normal Saline Actions

A

Normal Saline Actions: Adds fluid volume

82
Q

Normal Saline Side Effects

A

Normal Saline Side Effects: dyspnea edema if over-administered

83
Q

Normal Saline Form/Route

A

Normal Saline Form/Route: Liquid IV

84
Q

Oxygen Indication

A

Oxygen Indication: Hypoxoia

85
Q

Oxygen Contra

A

Oxygen Contra: None

86
Q

Oxygen Warnings

A

Oxygen Warnings: Rare side effects: - oxtox - atelectasis - apnea

87
Q

Oxygen Adult Dose

A

Oxygen Adult Dose: titrate to 95% SpO2

88
Q

Oxygen Ped. Dose

A

Oxygen Ped. Dose: titrate to 95% SpO2

89
Q

Oxygen Actions

A

Oxygen Actions: Increases O2 concentration

90
Q

Oxygen Side Effects

A

Oxygen Side Effects: None

91
Q

Oxygen Form/Route

A

Oxygen Form/Route: Gas Inhalation

92
Q

Nitrous Oxide Indications

A

Nitrous Oxide Indications: Isolated musculoskeletal trauma or Chest pain if protocol allows

93
Q

Nitrous Oxide Contra

A

Nitrous Oxide Contra: CNS depression Head injury

94
Q

Nitrous Oxide Adult Dose

A

Nitrous Oxide Adult Dose: Self-administered w/ 50% O2

95
Q

Nitrous Oxide Ped. Dose

A

Nitrous Oxide Ped. Dose: Contact Medical Control

96
Q

Nitrous Oxide Actions

A

Nitrous Oxide Actions: CNS depressant

97
Q

Nitrous Oxide Side Effects

A

Nitrous Oxide Side Effects: Respiratory depression Altered Mental Status (AMS) N/V

98
Q

Nitrous Oxide Form/Route

A

Nitrous Oxide Form/Route: Gas Inhalation

99
Q

Nerve Agent Antidote Kit Indications

A

Nerve Agent Antidote Kit Indications: Suspected organophosphate nerve agent exposure (e.g. tabun, sarin, VX)

100
Q

Nerve Agent Antidote Kit Contraindications

A

Nerve Agent Antidote Kit Contraindications: None

101
Q

Nerve Agent Antidote Kit Adult Dose

A

Nerve Agent Antidote Kit Adult Dose: 2mg Atropine 600 mg Pralidoxamine

102
Q

Nerve Agent Antidote Kit Ped. Dose

A

Nerve Agent Antidote Kit Ped. Dose: Not Available

103
Q

Nerve Agent Antidote Kit Actions

A

Nerve Agent Antidote Kit Actions: Anticholinergic

104
Q

Nerve Agent Antidote Kit Side Effects

A

Nerve Agent Antidote Kit Side Effects: HA N/V Dizziness Tachycardia Drowsiness Hypertension Pain at injection site

105
Q

Nerve Agent Antidote Kit Form & Route

A

Nerve Agent Antidote Kit Form & Route: Liquid IM (Autoinjector)

106
Q

Acetaminophen Indications

A

Acetaminophen Indications: Pain Fever

107
Q

Acetaminophen Contra

A

Acetaminophen Contra: Hypersensitivity

108
Q

Acetaminophen Adult Dose

A

Acetaminophen Adult Dose: 650 - 1000 mg q 4 - 6 hr MAX: 4000 mg / 24 hr FDA recommends < 3 g

109
Q

Acetaminophen Ped. Dose

A

Acetaminophen Ped. Dose: 10 - 15 mg/kg q 4 - 6 hr MAX: 40 mg/kg/24 hr

110
Q

Acetaminophen Action

A

Acetaminophen Action: Increases pain threshold Inhibits pyrogens

111
Q

Acetaminophen Side Effects

A

Acetaminophen Side Effects: Hepatotoxic at large doses

112
Q

Acetaminophen Form/Route

A

Tablet or Liquid PO or PR

113
Q

Ibuprofen Indications

A

Ibuprofen Indications: Pain Fever

114
Q

Ibuprofen Contra

A

Ibuprofen Contra: Hypersensitivity

115
Q

Ibuprofen Adult Dose

A

Ibuprofen Adult Dose: 200 - 400 mg q 6 - 8 hr MAX 3200 mg / 24 hr

116
Q

Ibuprofen Ped. Dose

A

Ibuprofen Ped. Dose: 5 - 10 mg/kg q 6-8 hr

117
Q

Ibuprofen Actions

A

Ibuprofen Actions: Inhibits inflammatory response (NSAID)

118
Q

Ibuprofen Side Effects

A

Ibuprofen Side Effects: Gastric irritation

119
Q

Ibuprofen Form/Route

A

Ibuprofen Form/Route: Tablet or Liquid PO or PR

120
Q
A