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Paramedic Drug Week 07 > Paramedic Dog Week 7 > Flashcards

Paramedic Dog Week 7 Flashcards

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1
Q

Heparin

Class

A

Class:

Anti-Coagulant

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2
Q

Heparin

Mechanism of Action

A

Direct inhibitor of thrombin

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3
Q

Heparin

Indications

A

About Coronary Syndrome

Pulmonary Embolism

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4
Q

Heparin

Contraindications

A

Should not be used unless medically necessary
active bleeding
recent trauma
known hypersensitivity to the drug, beef or pork products

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5
Q

Heparin

Side Effects

A 
Bleeding
Bruising
Confusion
Edema
Fever
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6
Q

Heparin
Dosage and Administration
Adult

A

Loading Dose: 60 units/kg (max 4,000 units iv)

Maintenance: 12 units/kg/hr (max 1,000 units/hr)

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7
Q

Heparin
Dosage and Administration
Pediatric

A

50 units/kg followed by infusion

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8
Q

Heparin
Duration of Action
Onset

A

Onset:

Immediate

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9
Q

Heparin
Duration of Action
Duration

A

Duration:

4-6 hours

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10
Q

Heparin

Special Considerations

A

Heparin is a powerful anticoagulant that requires vigilance after administration

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11
Q

Ondansetron
(Zofran)
Class

A

Class:

Antiemetic

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12
Q

Ondansetron
(Zofran)
Mechanism of Action

A

Blocks the serotonin receptors in the chemoreceptor trigger zone (CTZ), the stomach and the small intestines

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13
Q

Ondansetron
(Zofran)
Indications

A

Nausea

Vomitting

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14
Q

Ondansetron
(Zofran)
Contraindications

A

Known hypersensitivity to the medicine

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15
Q

Ondansetron
(Zofran)
Adverse Reactions

A

Use caution in patients taking serotonin blockers, headaches, lightheadedness, bradycardia, dyspnea, anxiety and dizziness

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16
Q

Ondansetron
(Zofran)
Drug Interactions

A

Amiodarone and other class 3 anti-arrhythmic agents can cause dose related prolongation of the QT interval

17
Q

Ondansetron
(Zofran)
Dosage and Administration
Adult

A

Adult:

4-8mg, IV, IM, IO

18
Q

Ondansetron
(Zofran)
Pediatric

A

Pediatric:

0.15 mg/kg IV

19
Q

Ondansetron
(Zofran)
Onset

A

Onset:

Unknown, but probably 10 to 30 minutes

20
Q

Ondansetron
(Zofran)
Peak Effects

A

Peak Effects:

Unknown

21
Q

Ondansetron
(Zofran)
Duration

A

Duration:

Unknown but the half-life is approximately 4 hours

22
Q

Metoclopramide
(Reglan)
Class

A

Class:

Phenothiazine Antiemetic

23
Q

Metoclopramide
(Reglan)
Mechanism of Action

A

Reduces gastroesophageal reflux

24
Q

Metoclopramide
(Reglan)
Indications

A

Nausea and Vomiting

25
Q

Metoclopramide
(Reglan)
Contraindications

A

GI Bleeding
Bowel Obstructions
Perforation
Hypersensitivity

26
Q

Metoclopramide
(Reglan)
Adverse Reactions

A

Dystonic reactions have been reported, may impair mental and physical ability, drowsiness

27
Q

Metoclopramide
(Reglan)
Drug Interactions

A

anticholinergic drugs and narcotic analgesics antagonize the effects of Reglan on GI motility

28
Q

Metoclopramide
(Reglan)
Dosage and Administration
Adult Intramuscular

A

Adult:

IM: 10-20 mg

29
Q

Metoclopramide
(Reglan)
Dosage and Administration
Adult Intravenous

A

Adult:

10mg slow IV push over 1-2 minutes

30
Q

Metoclopramide
(Reglan)
Dosage and Administration
Pediatric

A

Pediatric:

Rarely Used

31
Q

Metoclopramide
(Reglan)
Onset Intramuscular

A

Onset IM:

10 - 15 Minutes

32
Q

Metoclopramide
(Reglan)
Onset Intravenous

A

Onset IV:

1-3 Minutes

33
Q

Metoclopramide
(Reglan)
Duration

A

Duration

1-2 hours

34
Q

Metoclopramide
(Reglan)
Special Considerations

A

May cause Tardive’s Dyskinesia, an irreversible movement disorder

Paramedic Drug Week 07 (1 decks)

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