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Mod 2 - Medications Flashcards

1
Q

Dose / Max / Repeat / Freq for nitroglycerin in 1.1 - Suspected Cardiac Chest Pain?

A

SL: 0.4mg / 1.2mg / 2 repeat / q5min

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2
Q

Dose / Freq of ASA in 1.1 - Suspected Cardiac Chest Pain?

A

Buccal: 160-162mg / once

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3
Q

What is the indication and contraindications for ASA?

A

Indication: 1.1 - Suspected Cardiac Chest Pain

Contra: none

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4
Q

What are indications / contraindications for nitroglycerin in 1.1 - Suspected Cardiac Chest Pain?

A

Indications: 1.1 Cardiac Pain - BP over 90mmHg

Contraindications: HR under 60, hypotension, ED medication use

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5
Q

What is the indication for NS in 1.1 - Suspected Cardiac Chest Pain?

A

BP under 90mmHg

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6
Q

Dose / Max / Repeat / Freq for NS in 1.1 - Suspected Cardiac Chest Pain?

A

IV: 250mL bolus / 1L / 3 repeats / q10min

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7
Q

What is the indication and contraindication for morphine?

A

Indication: 1.1 Cardiac Pain and 3.6 Pain

Contra: Allergy, resp distress, hypotension, CNS depression, head injury

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8
Q

Dose / Max / Repeat / Freq for morphine in 1.1 - Suspected Cardiac Chest Pain?

A

IV: 2.5mg / 15mg / 5 repeats / q5min

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9
Q

What is the indication and contraindication for dimenhydrinate?

A

Indication: 1.1 Suspected Cardiac Pain, 3.6 Pain

Contra: Glaucoma, Chronic lung disease, prostatic hypertrophy

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10
Q

Dose / Max / Repeat / Freq for dimenhydrinate in 1.1 - Suspected Cardiac Chest Pain?

A

IM-IV-PO: 25mg - 50mg / 50mg / once / once

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11
Q

;.[;.[l.[l.What is the indication for salbutamol?

A

Indication:
2.2 SOB asthma/COPD - SOB with wheezing or Hx of asthma/COPD, tachypnea, tachycardia, cyanosis, SpO2 under 95%, difficulty talking, tripoding, accessory muscle use
2.3 & 2.4 Anaphylaxis - signs of anaphylaxis as described in 8.13 of P&P manual

Contra: allergy

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12
Q

Dose / Max for salbutamol MDI in 2.2 - SOB Suggestive of Asthma Mild / Moderate

A

4 - 8 puffs MDI / 24 puffs MDI / 3 repeats / q20min

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13
Q

Number of repeats and time between for salbutamol nebulized in 2.2 - SOB Suggestive of Asthma Mild / Moderate

A

5mg / 15mg / 3 repeats / q20min

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14
Q

What is the indication and contraindication for ipratroprium bromide

A

Indication: 2.2 SOB asthma/COPD

Contra: allergy to atropinics, aerosol components, or the drug itself

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15
Q

Dose / Max / Repeat / Freq for Ipratroprium bromide MDI in 2.2 - SOB Suggestive of Asthma Severe

A

8 puffs / 24 puffs / 3 repeats / q10min

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16
Q

Dose / Max / Repeat / Freq for ipratroprium bromide nebulized in 2.2 - SOB Suggestive of Asthma Severe

A

0.5mg / 1.5mg / 3 repeats / q10min

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17
Q

What is the indication and contraindication for epinephrine?

A

Indication: 2.2 SOB asthma/COPD, 2.3 & 2.4 Anaphylaxis

Contra: none in these situations

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18
Q

Dose / Max / Repeat / Freq for epinephrine 1:1000 in 2.2 - SOB Suggestive of Asthma Severe

A

IM: 0.3mg / 0.3mg / once / once

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19
Q

What is the indication and contraindication for dexamethasone?

A

Indication: 2.2 SOB Asthma or COPD, 2.3 & 2.4 Anaphylaxis Adult and Ped over 30kg and under 30kg.

Contraindication: allergy to corticosteroids, systemic fungal infection.

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20
Q

Dose / Max / Repeat / Freq for Dexamethasone in 2.2 - SOB Suggestive of Asthma Severe

A

IM-IV-PO: 10mg / 10mg / once / once

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21
Q

Dose / Max / Repeat / Freq for epinephrine 1:1000 in 2.3 - Anaphylaxis Adult > 30kg?

A

IM: 0.3mg / 0.9mg / 3 repeat / q5min

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22
Q

What is the indication and contraindication for diphenhydramine

A

Indication: 2.3 and 2.4 Anaphylaxis, 4.4 Hostile / Violent patient

Contra: Allergy, acute asthma

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23
Q

Dose / Max / Repeat / Freq diphenhydramine in 2.3 - Anaphylaxis Adult > 30kg?

A

IM-IV-PO: 50mg / 400mg / 8 repeats / q2-4hrs

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24
Q

Dose / Max / Repeat / Freq for Dexamethasone in 2.3 - Anaphylaxis Adult > 30kg?

A

IM-IV-PO: 10mg / 10mg / once / once

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25
Q

Dose / Max / Repeat / Freq for epinephrine 1:1000 in 2.4 - Anaphylaxis Adult & Children < 30kg?

A

IM: 0.15mg / 0.45mg / 3 repeat / q5min

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26
Q

Dose / Freq for diphenhydramine in 2.4 - Anaphylaxis Adult & Children < 30kg?

A

IM-IV-PO: 1mg/kg / q6-8hr

27
Q

Dose / Max / Repeat / Freq for dexamethasone in 2.4 - Anaphylaxis Adult & Children < 30kg?

A

IM-IV-PO: 0.6mg/kg / 10mg / once / once

28
Q

What are the indications and contraindications for TXA?

A

Indication:
3.4 TXA Protocol - massive hemorrhage with BP under 90 OR HR over 110.

Contra:
Clotting conditions, allergy.
but not really.

29
Q

Dose / Max / Repeat / Freq for TXA in 3.4 - Tranexamic Acid?

A

IV-IO: 2g / 2g / once / once

30
Q

What is the indication and contraindication for fentanyl lozenge?

A

Indication: 3.6 Pain protocol where incomplete pain control or more potent meds are not available.

Contra: COPD/Asthma, resp depression, head injury, allergy, GI obstruction, surgical abdominal condition

32
Q

What is the indication and contraindication for ketamine?

A

Indication: 3.6 Pain where morphine is contraindicated

Contra: Allergy

33
Q

Dose / Max / Repeat / Freq for ketamine in 3.6 - Pain Class B?

A

25mg / 100mg / 3 repeat / q20min
50mg / 100mg / 1 repeat / q30min

34
Q

Dose / Max / Repeat / Freq for morphine in 3.6 - Pain?

A

2.5mg IV-IO / 15mg in 30min / 5 repeat in 30min / q5min
10mg IM (last resort) / 15mg in 30min / 1 per 30min / q30min

35
Q

What is the indication and contraindication for midazolam?

A

Indication: 3.6 Pain, 4.2 Seizure, 4.4 Hostile/violent patient

Contra: allergy

36
Q

Dose / Max / Repeat / Freq of midazolam in 3.6 Pain?

A

IM-IV-IO: 2mg / 8mg / 3 repeats / q10min

37
Q

What is the indication and contraindication for ibuprofen?

A

Indication: 3.6 Pain

Contra: Bleeding, allergy to ASA/NSAIDS, GI ulcer, liver impairment, kidney impairment, hyperkalemia, lupus, pregnancy

38
Q

Dose / Max / Repeat / Freq for ibuprofen in 3.6 - Pain?

A

800mg PO / 2400mg / 2 repeat / q8hr

39
Q

What is the indication and contraindication for meloxicam?

A

Indication: 3.6 Pain

Contra: Asthma, allergy to NSAIDs

40
Q

Dose / Max / Repeat / Freq for meloxicam in 3.6 - Pain?

A

15mg PO / 15mg / once / once

41
Q

Dose / Max / Repeat / Freq for acetaminophen in 3.6 - Pain?

A

POL 1g / 4g / 3 repeat / q6hr

42
Q

What is the indication and contraindication for acetaminophen?

A

Indication: 3.6 - Pain Protocol
Contra: Allergy, G6PD deficiency, liver failure

43
Q

Dose / Max / Repeat / Freq for ondansetron in 3.6 - Pain?

A

8mg IV-IM-PO / 24mg / 2 repeat / q8hr

44
Q

Dose / Max / Repeat / Freq for dimenhydrinate in 3.6 - Pain?

A

50mg IV-IM-PO / 300mg / 5 repeat / q4hr

45
Q

What is the indication and contraindication for ondansetron?

A

Indication: N/V in 3.6 Pain or 3.8 Eye Injury

Contra: allergy

46
Q

Dose / Max / Repeat / Freq for ondansetron in 3.8 - Eye Injury?

A

IV-IO-PO: 8mg / 24mg / 2 repeat / q8hr

47
Q

What is the indication and contraindication for 3% hypertonic saline?

A

Indication:
3.10 Severe TBI - signs of brain herniation

Contra: no indication

48
Q

What are signs of brain herniation that would indicate 3% hypertonic saline?

A
  • Dilated / unreactive / asymmetrical pupils
  • Decreasing GCS
  • Cushing’s Triad
  • Extensor Posturing
49
Q

Dose / Max / Repeat / Freq for 3% hypertonic saline in 3.10 Severe TBI?

A

250mL IV bolus over 20min / 500mL / once / 3hrs

50
Q

What is the indication and contraindication for naloxone?

A

Indication: 4.1 Narcotic Overdose, 4.6 Unconscious NYD

contra: allergy

51
Q

Dose / Max / Repeat / Freq for naloxone in 4.1 - Narcotic Overdose Adult?

A

IV: 0.4mg / 5mg / 11 repeat / q3min prn
IM-SC: 0.8mg / 5mg / 5 repeat / q3min prn
IN: 4mg / 20mg / 5 repeat / q3min prn

52
Q

Dose / Max / Repeat / Freq for midazolam in 4.2 - seizure?

A

IV-IO: 5mg loading, 2.5mg on repeat / Until ceasing of seizure / “” / q5min
IN: 5mg loading, 2.5mg repeat / Until ceasing of seizure / “” / q5min

53
Q

Dose / Max / Repeat / Freq for cefoxitin in 4.3 - Antibiotic Adult?

A

IV-IO-IM: 2g / 6g / 2 repeat / q8hr

54
Q

What is the indication and contraindication for cefoxitin?

A

Indication: 4.3 Antibiotic Protocol
Contra: Hypersensitivity or allergy to cefoxitin or penicillin

55
Q

Dose / Max / Repeat / Freq for clindamycin in 4.3 - Antibiotic Adult?

A

IV-IO-IM: 600mg / 1800mg / 2 repeat / q8hr

56
Q

What is the indication and contraindication for clindamycin

A

Indication: 4.3 Antibiotic Protocol
Contra: Allergy, liver impairment, <1mo old

57
Q

What is the indication and contraindication for moxifloxacin?

A

Indication: 3.8 Eye Injury, 4.3 Antibiotic protocol

Contra: allergy to moxi or other quinolones

58
Q

Dose / Max / Repeat / Freq for moxifloxacin in 4.3 - Antibiotic Adult?

A

PO: 400mg / 400mg / once daily / q24hr

59
Q

Dose / Max / Repeat / Freq for midazolam in 4.4 - Hostile / violent Patient

A

IM-IV-IO: 2mg / 4mg / once / once

60
Q

What is the indication and contraindication for haliperidol?

A

Indication: 4.4 Hostile/violent Patient

Contra: Severe CNS depression, history of spastic disorders

61
Q

Dose / Max / Repeat / Freq for haliperidol in 4.4 - Hostile / violent Patient?

A

IM-IV-IO: 5mg / 10mg / once / once

QL5 (13 decks)

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