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Paramedic Drugs > misc meds > Flashcards

misc meds Flashcards

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1
Q 
name/class
benzocaine spray
A

hurricane

topical anesthetic

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2
Q 
name/class
hurricane
A

benzocaine spray

topicaal anesthetic

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3
Q

description
benzocaine spray
hurricane

A

stabilizes neuronal membrane which blocks the initiation and conduction of nerve impulses

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4
Q

indications
benzocaine spray
hurricane

A

used as a lubricant and topical anesthetic to facilitate passage of diagnostic and treatment devices. suppresses the pharyngeal and tracheal gag reflex

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5
Q

dosage/route
benzocaine spray
hurricane

A

0.5-1 second spray,repeat as needed

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6
Q

pedi dosage/route

A

0.25-0.5 second spray, repeat as needed

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7
Q 
name/class
thiamine
A

thiamine

vitamin

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8
Q

description

thiamine

A

thiamine is vitamin b1 which is required to convert glucose to energy. it is not manufactured by the body and must be constantly provided from injested food

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9
Q

indications

thiamine

A

chronic aoholism with associated coma
coma of unknown origin
delirium tremens

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10
Q

contraindictions

thiamine

A

none

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11
Q

precautions

thiamine

A

known hypersensitivity to the drug

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12
Q

dosage/route

thiamine

A

100 mg IV/IM

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13
Q

pedi dosage/route

thiamine

A

10-25 mg IV/IM

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14
Q 
name/class
sodium bicarbonate
A

NaHCO3

alkalizing agent

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15
Q 
name/class
NaHCO3
A

sodium bicarbonate

alkalizing agent

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16
Q

description
sodium bicarbonate
NaHCO3

A

sodium bicarbonate provides vascular bicarbonate to assist the buffer system in reducing the effects of metabolic acidosis and in the treatment of some overdoses

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17
Q

Indications
Sodium Bicarbonate
NaHCO3

A

tricyclic antidepressent and barbiturate overdose, refractory acidosis or hyperkalemia

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18
Q

contraindictions
Sodium Bicarbonate
NaHCO3

A

none when used in severe hypoxia or late cardiac arrest

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19
Q

precautions
Sodium Bicarbonate
NaHCO3

A

may cause alkalosis if given in too large a quanity. it may also deactivate vasopressors and may precipitate with calcium chloride

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20
Q

dosage/route
Sodium Bicarbonate
NaHCO3

A

1 mEq/kg IV, then 0.5 mEq/kg/10 min

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21
Q

pedi dosage/route
Sodium Bicarbonate
NaHCO3

A

same as adult

1 mEq/kg IV, then 0.5 mEq/kg/10 min

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22
Q 
name/class
timopatic
A

timopatic

beta blocker

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23
Q

description

timopatic

A

timopatic is a non selective beta adrenergic receptor blocking agent

24
Q

indications

timopatic

A

HTN, MI, Elevated ocular pressure

25
Q

Contraindictions

timopatic

A 
asthma
severe COPD
sinus brady
2nd/3rd degree AV Block
cardiogenic shock
26
Q

precautions

timopatic

A

readily absorbed

27
Q

dosage/route

timopatic

A

opthalmic: one dropper eye BID

28
Q 
name/class
tetracaine
A

opthalmic

anesthetics

29
Q 
name/class
opthalmic
A

tetracaine

anesthetics

30
Q

description
tetracaine
ophthalmic

A

after topical application to the eye, local anesthetics penetrate to sensory nerve endings in the corneal tissue. these medications block both the initiation and conduction of nerve impulses by
the neuronal membranes permeability to sodium ions. this reversibility stabilizes the membrane and inhibits depolarization resulting in the failure of a propagated action potential and subsequent conduction blockade

31
Q

indications
tetracaine
ophthalmic

A

eye injuries or foreign objects

32
Q

contraindictions
tetracaine
ophthalmic

A

hypersensitivity

33
Q

dosage/route
tetracaine
ophthalmic

A

1-2 drops in each eye

34
Q 
name/class
phenytoin
A

dilantin

anti convulsant

35
Q 
name/class
dilantin
A

phenytoin

anti convulsant

36
Q

description
phenytoin
dilantin

A

phenytoin is a derivative related to phenobarbital that reduces the spread of electrical discharges in the motor cortex and inhibits seizures it also has antidysrhythmias properties that counteract the effect of digitalis

37
Q

indications
phenytoin
dilanti

A

seizures
status epilepticus
cardiac dysrthythmias secondary to digital toxicity

38
Q

contraindictions
phenytoin
dilantin

A

seizures due to hypoglycemia
sinus bradycardia
heart block
adams stroke syndrome

39
Q

precautions
phenytoin
dilantin

A 
hepatic or renal impairment
alcoholism
cardiogenic shock
elderly
bradycardia
respiratory depression
40
Q

seizures dosage/route
phenytoin
dilantin

A

status epilepticus: 10-15 mg/kg slow IV no more than 50 mg/min

41
Q

pedi seizures dosage/route
phenytoin
dilantin

A

8-10 mg/kg slow IV

42
Q

dysrhythmias dosage/route
phenytoin
dilantin

A

100 mg slow IV(over 5 min) to a maximum 1000 mg

43
Q

pedi dysrhythmias dosage/route
phenytoin
dilantin

A

3-5 mg/kg slow IV

44
Q 
name/class
mannitol
A

osmitrol

osmotic diuretic

45
Q 
name/class
osmitrol
A

mannitol

osmotic diuretic

46
Q

description
mannitol
osmitrol

A

mannitol is an osmotic diuretic that draws water into the intravascular space through it’s hypertonic effects then causes diuresis

47
Q

indications
mannitol
osmitrol

A

cerebral edema

48
Q

contraindictions
mannitol
osmitrol

A

hypersensitivity
pulmonary edema
severe dehydration

49
Q

precautions
mannitol
osmitrol

A

must give slow with filter tubing

50
Q

dosage/route
mannitol
osmitrol

A

1.5 to 2 g/kg slow IV

51
Q

pedi dosage/route
mannitol
osmitrol

A

0.25 to 0.5 g/kg over 60 min

52
Q 
name/class
calcium chloride
A

calcium chloride

electrolyte

53
Q

description

calcium chloride

A

calcium chloride increases myocardial contractile force and increases ventricular automaticity

54
Q

indications

calcium chloride

A

hyperkalemia
hypercalcemia
hypermagnesemia
calcium channel blocker toxicity

55
Q

precautions

calcium chloride

A

it may precipitate toxicity in patients taking digoxin, ensure the IV line is in a large vein and flushed before and after using calcium

56
Q

dosage/route

calcium chloride

A

5-10cc of(10% solution/ 1g-10cc)/10 min as needed or 8 mg/kg

Paramedic Drugs (12 decks)

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