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Paramedic Trauma Emergencies > NREMT drug cards > Flashcards

NREMT drug cards Flashcards

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1
Q

Epinephrine

A

Indications: Cardiac arrest, anaphylaxis, bronchospasms
Class: vasopressor/sympathomimetic
Side effects: tachycardia, anxiety, tremors, arrhythmia’s, hypertension
Dose:
Cardiac Arrest-
adult dose- 1mg of 1:10,000 IV/IO push q3-5min until ROSC
Peds dose-0.01mL/kg of 1:10,000 IV/IO push, then 0.01mL /kg IV/IO q 3-5 min

Anaphylaxis-
Adult dose- 0.3-0.5mL SQ/IM 1:1000 q 5-15 min
Peds dose- 0.15-0.3 mg IM less than 30 kg .01mg/kg
Contraindications: none in the emergency setting

 Epi Drip- 2-10 mcg/min
1mg in 250mL using 60gtts
4mcg/min-60gtts
3mcg/min-45gtts
2mcg-min-30gtts
1mcg-min-15gtts
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2
Q

Atropine

A

Indications: Bradycardia, organophosphate poisoning
Class: parasympatholytic ( anticholinergic)
Side effects: palpations, tachycardia, anxiety
Dose:
adult dose-
bradycardia- 0.5-1mg IV q3-5 min max 3mg
poisoning- 1-2mg until effects are reversed
Peds dose:
bradycardia- 0.01-0.03 mg/kg IV
posioning- 0.05 mg/kg IV q10 min PRN to reverse effects

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3
Q

Adenosine (adenocard)

A

indications: symptomatic tachycardia/ SVT
Class: Antiarrhythmic
Side effects: headache, SOB, dizziness, nausea
Dose:
adult dose- 6mg IV- 12 mg IV 1-2 min later
Peds dose- 0.1mg/kg- 0.2mg/kg repeated in 1-2 min

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4
Q

Amiodarone

A

Indications: Vtach/ Vfib
Class: Antiarrhythmic
Side effects: dizziness, nausea/vomiting
Dose:
adult dose- 300mg 1st dose followed by 150mg alternating with epi at shocks in cardiac arrest
Peds dose- 5mg/kg IV/IO 15mg max

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5
Q

Lidocaine

A

Indications: ventricular arrhythmia, PVC’s, V tavh/Vfib
Class: antiarrhythmic
Side effects: bradycardia, hypotension
Dose:
cardiac arrest: 1.0-1.5 mg/kg IV/IO repeat PRN at 0.5-0.75mg/kg up to 3mg/kg
Maintenance dose: 1g mixed in 250 mL bag using a 60gtts set-
4mg/min-60gtts
3mg/min-45gtts
2mg/min-30gtts
1mg/min-15gtts

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6
Q

Mag Sulfate

A

Indications: Torsades/pre-eclampsia, severe asthma
Class: electrolyte
Side Effects: resp depression, diarrhea, hypothermia, muscle weakness
Dose:
Cardiac Arrest: adult dose 1-2g IV push before v tach algorithm
peds dose: 25-50mg/kg/dose IV

Preeclampsia- 4g loading dose followed by 1-4g/hr infusion

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7
Q

Solu-medrol (Methylprednisolone)

A

Indications: anaphalyxis, asthma/COPD, spinal cord injury
Class: Steroid
Side effects: GI bleeding, prolonged wound healing
Dose:
Adult: anaphylaxis/status asthmaticus- 125-150mg IV
Spinal cord injury - 30mg/kg then infuse 5.4 mg/kg/hr
peds: anaphylaxis/status asthmaticus- 1-2mg/kg/dose

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8
Q

Benedryl ( Diphenhydramine)

A

Indications: allergic reactions/ anaphylaxis
Class: antihistamine
Side effects: sedation, dries bronchial secretions, headache, palpations
Dose:
adult dose: 25-50mg
Peds dose: 12.5 mg

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9
Q

Dexamethasone (Decadron)

A

indications: anaphylaxis( after epi and benedryl), asthma, COPD, Cerebral edema
Class: Steroid
Side effects: GI bleeding, prolonged wound healing
Dose:
Adult dose: 4-24mg
peds dose: 0.2-0.5mg/kg

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10
Q

Dopamine (Inotropin)

A 
indications: vasopressor support, shock, severe CHF
Class: Vasopressor, sympathomimetic
Side effects: tachycardia, hypertension, headaches
Dose: 
Adult dose: 
400mg in 250mL bag using 60 gtts set
1600mcg/min-60gtts
120mcg/min-45gtts
800mcg/min-30gtts
400mcg/min-1gtts
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11
Q

Norepinepherine (levophed)

A 
indications: Shock, hypotension 
Class: Vasopressor, alpha/bets agonist
Side Effects: hypertension, anxiety, metabolic acidosis
Dose: 
adult dose: 0.5-1 mcg/min IV 
peds dose: 0.1-0.2mcg/kg/min
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12
Q

Versed (Midazolam)

A

indications: intubation, sedation, seizures
Class: Benzodiazepine
Side effects: drowsiness, headache, apnea, arrhythmias
Dose:
Adult dose: 1-5mgIV PRN q 5 min
Peds: sedation-0.05-0.2mg/kg IV
Seizure- 0.1-0.5mg/kg

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13
Q

Etomidate

A

indications: RSI
Class: Anesthetic, hypnotic
Side effects: myoclonic skeletal movements, post op nausea
Dose: 0.3mg/kg

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14
Q

Ketamine

A 
indications: Anesthesia, analgesia 
Class: Asesthetic, anelgesic
Side effects: sedation, hallucinations, increased ICP
Dose: 
Adult: anesthesia-1-4.5mg/kg IV over 1 min 
Pain- 1-2mg/kgIV over 1min
Peds: IV-1-2mg/kg
IM-3-5mg/kg
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15
Q

Valium (Diazepam)

A

indications: Seizures, anxiety, muscle relaxant
Class: Benzodiazepine
Side effects: drowsiness, resp depression, hypotension
Dose:
Adult dose:
status epilepticus: 5-10mg IV
anxiety- 2-5mg IV
premedication for cardioversion- 5-15mgIV
Peds Dose: -.1-0.2 mg/kg

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16
Q

Albuterol

A

indications: Asthma, bronchospasms
Class: sympathomimetic (B2 selective)
Side effects: palpations, anxiety, tachycardia, headache
Dose: 1.25-5mg in 2-3mL NS

17
Q

Atrovent (Ipratropium)

A

indications: bronchiospasm, chronic bronchitis, emphysema
class: Anticholinergic bronchiodilator
Side effects: palpations, dizziness, anxiety, tremors
Dose:
>12y/o- 500mcg in 2.5-3.0mL NS
peds- 124-250mcg in 2.5-3mL NS

18
Q

Racemic Epi

A

indications: croup, bronchospasm, laryngeal edema
Class: bronchodilator, sympathomimetic
Side effects: palpations, anxiety, headache, tachycardia
Dose:
adult dose: 5mL 1% in 5mL NS over 10 min neb
0.25-0.5mL 1% in 2.5mL NS neb

19
Q

Morphine

A

indications: Pain
Class: Narcotic/ Opioid
Side effects: ALOC, resp depression, dizziness, drowsiness
Dose:
Adult dose: 1-4mg IV, 5-10mgIM PRN max 0.2mg/kg
Peds- 0.1-0.2mg/kg

20
Q

Fentanyl

A 
indications: Pain, RSI
Class: Opioid analgesic
Side effects: confusion, apnea, resp depression, laryngospasm, N/V 
Dose: 25-100 mcg IV/IM
RSI- 1-3 mcg/kg
Peds: 1-2 mcg/kg IV/IM
21
Q

Dilaudid ( Hydromorphone)

A 
indications: Pain
Class: Narcotic analgesic
Side effects: Resp depression, dizziness, drowsiness, GI upset
Dose: 
Adult dose: 0.5-4.0 mg q3-4 hours
Peds dose: 0.015 mg/kg
22
Q

Haldol

A

indications: acute psychosis, severe agitation
class: anti psychotic, sedative
Side effects: extrapyramidal symptoms, hypotension, dystonia
Dose:
Adult- 2-5mg IM
Peds- 0.05-0.15 mg/kg

23
Q

Ativan (Lorazepam)

A

indications: anxiety, alcohol withdrawl, seizures, status epilepticus. premedication for cardioversion,
Class:Bendodiazepine, anxiolytic
side effects: resp depression, hypotension, diziness, drowsiness, lethargy,N/V
Dose:
Adult dose- 2-4mg IM -0.5-2.0mg IV
Peds dose- 0.3-0.1 mg/kg for preprocedure sedation
0.1mg/kg slow IV push seizures

24
Q

Succinycholine

A

indications: RSI
Class: paralytic
Side effects: bronchospasm, hypotension, excessive salvation
Dose- 1-2 mg/kg IV over 10-30 sec
maintenance- 0.04-0.07 mg/kg PRN max dose 150 mg

25
Q

Rocuronium

A 
indications: RSI
Class: paralytic
Side effects: bronchospasm, hypotension, excessive salvation 
Dose: 0.6-1.2 mg/kg 
maintenance-0.1-0.2 mg/kg/hr
26
Q

Vecuronium

A 
indications: RSI
Class: Paralytic
Side effects:  bronchospasm, hypotension, excessive salvation 
dose: 0.1mg/kg
maintenance- 0.01-0.05 mg/kg/hr
27
Q

Aspirin

A

indications: chest pain, signs of recent ischemic stroke
Class: platelet inhibitor, anti-inflammatory
side effects- heartburn, vomiting, wheezing
Dose- 150-325mg PO chewed
not recommended for children

28
Q

D50, D25, D10

A

indications: hypoglycemia
class: carbohydrate
side effects: local venous irritation
Dose:
adult dose- 25g 50mL
peds dose- 2mL of 25% solution slow IV

29
Q

Glucagon

A

indications: hypoglycemia, beta blocker overdose
class: hormone
Side effects: nausea, vomiting, hypotension
Dose:
Adult- 0.5-1mg IM PRN q 20 min
beta blocker OD- 3mg IV PRN q 10 min
Peds dose: 0.03-0.1mg/kg PRN q 20 min 1 mg max

30
Q

Sodium Bicarb

A

indications: prolonged cardiac arrest, metabolic acidosis, antidepressant, barbiturate or aspirin OD,
Class: antacid
Side effects: alkalosis, edema, hypernatremia
Dose: 1mEq/kg IV followed by 0.5mEq 10 min

31
Q

TXA

A

indications:

32
Q

Narcan

A 
indications: narcotic OD
Class narcotic antagonist
Side effects: GI upset, pulmonary edema, hypotension, tachycardia 
Dose: 
0.4-2mg 
peds dose: 0.01-0.1mg/kg
33
Q

Nitro

A

indications: chest pain, CHF
Class: antianginal, nitrate
side effects: dizziness, headache, hypotension
Contraindicated for right ventricular infarct
Dose:
sublingual: 1 tab/spray- 0.4mg q5min
topical: 1-2cm on hair free skin (chest)
infusion: mix 50mg in 500mL NS/D5W (100mcg/mL)

34
Q

Phenergan (promethazine)

A

indications: Nausea/vomiting, sedation to potentiate analgesics
Class: antihistamine, anti emetic, sedative
Side effects: drowsiness, resp depression
Dose:
adult dose: 12.5-25mg
peds dose- 0.5mg/kg

35
Q

Zophran (ondansteron)

A

indications: nausea/vomiting
Class: anti-emetic
side effects: diarrrhea, headache, fever, constipation
Dose: 4mg slow IV push

36
Q

Furosemide (lasix)

A

indications: pulmonary edema, CHF
Class: diuretic
side effects: hypotension, hyperglycemia, hypokalemia
Dose: 0.5-1mg.kg (typically 40-100mg) IV

37
Q

Mannitol

A

indications: acute cerebral edema
class: osmotic diuretic
side effects: headache, confusion, pulmonary edema, tachycardia
dose: 0.5-2g/kg slow IV

38
Q

Oxytocin

A

indications: postpartum vaginal bleeding
class: hormone
side effects: arrhythmia, H2O intoxication
dose: 3-10 units IM post delivery
drip-mix 10-40 units with 1000mL NS or D5W and infuse at 10-40mcg/min titrate to uterine response

Paramedic Trauma Emergencies (23 decks)

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