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Meds Flashcards

1
Q

ASA

A

I- suspected cardiac CP
C- hypersensitivity to A or NSAIDS, bleeding disorders, or active GI bleeding.
Precautions- mainly GI complaints, N, heartburn
Pharm- onset 1hr, peak-2hrs, duration-4-6hrs
Dose
Chewable 160mg PO

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2
Q

Salbutamol

A 
Bronchodilator 
I- SOB=asthma,  COPD, Anaphylaxis
C- hypersensitivity
AE- palpitations, tachycardia, nervousness, headache, tremor
Pharm- onset- 5-15m, duration-3-6hrs, peak-30-60m
D: A>12 4-8p q20, 5mgNeb q20x3, 
2pq1 severe Asthma 
C 2p q20, 2.5mgNeb q20 allergy
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3
Q

Ipratropium Bromide

A 
Bronchodilator 
I- SOB 
C- hypersensitivity 
Precautions- not for acute bronchospasm
AE- constipation, diarrhea, V, HA, dizziness, dryness of mouth 
Pharm- onset 5-15m, peak 1-2h, lasts 2h
D: 8p or 0.5mg Neb q10
NOT FOR <18 yo
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4
Q

Epi

A 
Adrenaline
I- anaphylaxis, SOB
C- none
AE- tachycardia, arrhythmia, angina, flushing, anxiety, tremor, HA, dizziness, NV in children, dry mouth, acute urinary retention in pts with bladder obstruction, weakness and trembling, wheezing, dyspnoea, hypertension.   Be prepared for CP protocol
D: A 0.3mg IM q5 x3 (x1 asthma) 
C 0.15mg IM q5 x3 (Max 0.5mg)
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5
Q

Dexamethasone

A

Anti-inflammatory
I- SOB, Anaphylaxis
C- allergy to corticosteroids, systemic fungal infections
Precautions- mania, hypomania, depression, psychosis, increase susceptibility to infection
AE- ^bp, salt/ water retention, ^K,Ca excretion, anaphylaxis
D: A 10mg PO/IM/IV X1
C 0.6mg/kg PO/IM/IV (max 10mg)

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6
Q

Diphenhydramine

A

Antihistamine
I- anaphylaxis
C- hypersensitivity, acute asthma, 0 neonate
Precautions- angle-closure glaucoma, urinary obstruction, elderly, paradox an excitation in child
Pharm- onset 1h, duration 6-8h
AE- hypotension, tachy, palpitations, drowsiness, dizziness, coordination
D: A 50mg PO/IM/IV q2-4 (max 400mg)
C 1mg/kg

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7
Q

Fentanyl Lozenge

A

Sublazime
I- pain
C- diabetes, head injury, heart, kidney, liver disease, seizures
SE- itchiness, blurred vision, clumsiness, unsteadiness, constipation, /\ urine output, dizziness, drowsiness, dry mouth, flushing, HA, NV, pinpoint pupils
Precautions- lung disease, dyspnea, driving, stand up slowly to avoid dizziness
D: 800ug cheek q15

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8
Q

Morphine

A

Narc-analgesic
I- CP, pain
C- hypersensitivity, respiratory distress, hypotension, head injury, decreased loc
Precautions- pregnancy, elderly, COPD, intoxicated
If resp depression, decreased LOC refer to opiate OD. If pt goes hypotensive, lie supine, fluid bolus
AE- hypotension, dizziness, sedation and euphoria, NV, resp depression
Pharm- PO <1h, IV 5m, D 2-3h, P 30-60m
D: A 10mg IM q30, 2.5mg IV over 1m q5 prn (dilute with 10ml NS) Max 15mg.
C 0.05mg/kg IV (max 2.5mg) over 1m

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9
Q

Acetaminophen

A

I- mild pain
C- hypersensitivity, known G6PD, liver failure
Precautions- liver toxicity, OD, excessive alcohol
AE- uncommon
Pharm- O <1h, P 10-60m, D 4-6h
D: A 1000mg PO q6h prn
C 15mg/kg PO q6h

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10
Q

Cefoxitin

A

Antibiotic
I- antibiotic protocol
C- hypersensitivity, hypersensitivity to cephalosporin antibiotics
Precautions- hx of allergies, hx of penicillin allergy, associated with C. Diff to cause diarrhea, colitis
AE- diarrhea, generally mild, HA, rash, hives, pruritus, allergy
D: A 2g IM/IV/IO q8

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11
Q

Clindamycin

A

I- Antibiotic - used in place of penicillin allergy
C- Hypersensitivity, liver impairment, DO NOT USE ON NEONATES
Precautions- Hx of ulcerative colitis or Crohn’s
AE- Hypotension, NV, diarrhea, abdo pain, hives, rash, throbophlebitis, irritation at injection site
D: A 600mg IM/IV q8h
C 10mg/kg IM/IV q8h (max 600mg)

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12
Q

Dextrose

A 
I- Hypoglycemic
C- Hyperglycemia 
Precautions- Contact SMA before administering to pt with suspected head injury
D: A 100ml IV bolus
C 2ml/kg IV/hr (max 100ml)
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13
Q

Dimenhydrinate

A

Gravol
I- Cardiac CP, pain
C- Glaucoma, chronic lung disease, difficulty in urination due to prostatic hypertrophy
Precautions- Use of alcohol should be avoided, occupational hazard (drowsy), should not be used with other sedatives - contact SMA
AE- drowsiness, dizziness, dry mouth, excitement in children, nausea
Pharm- O 30-60m, D 4-6h, P 60-120m
D: A 25-50mg PO/IM/IV/IO (max 400mg in 24h)
C 15-50mg, consult MO
Not recommended for children under 1 yo

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14
Q

Fluorescein

A

I- Eye injury
C- ruptured globe
SE- local irritation, short-term blurry vision, stinging
Precautions- brief discoloration to skin if touched
D: paper to eye, blink to cover cornea, 2gtts

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15
Q

Glucose Gel

A

I- Hypoglycemia
C- nil
Precautions- unconscious pt
D: 1 tube

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16
Q

Glucagon

A 
I- Hypoglycemia
C- hypersensitivity, adrenal tumor
SE- NV
Precautions- solution should not be used unless it is clear and of a watery consistency
D: 1mg SC
C 0.5mg SC
17
Q

Haloperidol

A

I- Hostile/ violent pt
C- pts with severe CNS depression, hx of spastic disorder/ Parkinson’s disease, hypersensitivity
Precautions- orthostatic hypertension, hx or seizures, severe hepatic/renal impairment
D: 5mg IM/IV/IO q10 x2
Can be given with Midazolam

18
Q

Ibuprofen

A

Anti-inflammatory
I- mild/ mod pain
C- hypersensitivity, allergy to NSAIDS, peptic ulcer, active IBS
Precautions- dehydrated pts, impaired renal function, heart failure, liver dysfunction, diuretics, anti coagulants, elderly, systemic lupus erythematous
AE- N, diarrhea, epigastric pain, abdo cramps, heartburn, bloating/ flatulence, dizziness, HA, nervousness, rash, pruritis, tinnitis, anaemia, decreased appetite, edema, or fluid retention
Pharm- O <1h, P 60-90m, D 4-6h
D: A 800mg PO q8h (max 2400mg)
C 10mg/kg PO q8h

19
Q

Odansatron

A

Zofran
I- anti emetic for pain protocol
C- hypersensitivity
Precautions- pts with congenital long QT syndrome
Pharm- selective 5-HT3 receptor antagonist, HL C<15 2-7h, A 3-7h
AE- HA, malaise/fatigue, constipation
D: 8mg PO/IM/IV/IO q8h

20
Q

Meloxicam

A

I- Pain
C- hypersensitivity, hx of asthma, urticaria, reaction after NSAID, post coronary bypass graft
Precautions- increased risk of fatal heart attack or stroke, if used long term/ high dose, avoid drinking to avoid GI bleeding
Pharm- O 60m, D 24h, P 4-5h
AE- cardio thrombotic event, GI bleeding, ulcer/ perforation, hepatoxicity, hypertension, HF, edema, renal toxicity, hyperkalemia, anaphylaxis, serious skin reactions, hematoxicity
D: 15mg PO once

21
Q

Ketamine

A

I- Pain
C- hypersensitivity
Precautions- acute psychosis, CVD, increase ocular pressure
AE- catalepsy, bolus can cause transient decrease in ventilation, diplopia/ nystagmus, tachycardia, ^BP
Pharm- O IV 30sec, IM 3-4m, Nas <10m, D IV 5-10m, IM 12-25m, Nas >3h
D: 50mg IM/IN q30 x2
25mg IV/IO q20 x4 in 2h
Stop at nystagmus, agitation, delirium, combativeness,

22
Q

TXA

A

I- TXA
C- DVT, PE, stroke, hypersensitivity, hematuria
Precautions- <18yo
AE- dizziness, NVD, decreased BP, allergic dermatitis, impaired color vision
Pharm- promotes clotting by stopping breakdown of clotting factors
D: draw ml of TXA (1g), slow push IV/IO over 10m, q1h 1ml (max2g)

23
Q

Nitrogen

A

I- CP
C- hypersensitivity, hypotension, ED meds, V24C48L24
Precautions- hypotension, BP q5-10
Pharm- O 1-2m, P 4-10m, D 30-60m
AE- hypotension, HA, fainting, dizziness, weakness, face flushing, burning sensation on tongue
D: 0.4mg SL q5m (3 doses every 30m)

24
Q

Narcan

A

I- NOD, unconscious NYD
C- hypersenstivity
Precautions- short half life 30m, monitor pt for more dosing
Pharm- IV 2-3m, D <60m
D: A 0.4mg IV q3m (max 5mg)
0.8mg SC/IM q3m - contact SMA for more dosing

25
Q

Moxifloxacin

A 
I- Antibiotic, eyes
C- hypersensitivity to moxy/ quinolone 
Precautions- seizures, NSAIDS
AE- abdo pain, HA, NVD
D: 400mg PO once

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