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Pre-Paramedic Pharm Study Guide > (PHARM) Study Guide Exam (3) Chapters 6, 7, 8, 13, 15 > Flashcards

(PHARM) Study Guide Exam (3) Chapters 6, 7, 8, 13, 15 Flashcards

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1
Q

(for pain management).

Dose of fentanyl?

Dose of Morphine:?

A

Dose is 1mcg/kg given in incremental doses of 25-50mcg. May
repeat every 5 min to a max of 200mcg total

Dose is 2-5mg increments IV until pain is relieved MAX of 20mg

only administer if blood pressure is >90 sbp

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2
Q

What is the drug and dose for IV treatment of seizures

A

(Lorazepam)

1st line drug for IV administration. Dose is 0.1 mg/kg SIVP. Max
single dose is 4mg

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3
Q

What is the drug and dose for IM treatment of seizures

A

(Midazolam)

: 1ST line drug for IM/IN administration. Dose is 0.2 mg/kg IM/IN.
if less than 40kg max dose is 5mg. If more than 40kg max dose is 10mg.

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4
Q

Dose of fentanyl? (for pain management).

A

50-100mcg

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5
Q

Dose of morphine? (for pain management).

A

2-4mg

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6
Q

Midazolam

A

1ST line drug for IM/IN administration. Dose is 0.2 mg/kg IM/IN.

if less than 40kg max dose is 5mg.

If more than 40kg max dose is 10mg.

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7
Q

Lorazepam

A

1st line drug for IV administration. Dose is 0.1 mg/kg SIVP.

Max
single dose is 4mg

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8
Q 
GENERIC NAME (ATROPINE) 
What is Trade Name?

Classification for (ATROPINE)

A

NONE

Anticholinergic •Parasympathetic blocker• Antidote

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9
Q 
Generic Name (EPINEPHRINE) 
What is Trade Name?

Classification for (EPINEPHRINE)

A

Adrenalin

Sympathomimetic

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10
Q 
Generic Name(DIPHENHYDRAMINE) 
What is Trade Name?

Classification for (DIPHENHYDRAMINE)

A

Benadryl

•Antihistamine• Anticholinergic

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11
Q

Generic Name Methylprednisolone
What is Trade name?

Classification for Methylprednisolone

A

Solu-Medrol®

  • Corticosteroid
  • Glucocorticoid
  • Anti-inflammatory
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12
Q

Generic Name Midazolam

Classification for Midazolam

A

Versed®

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic
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13
Q

Generic Name Lorazepam
What is Trade Name?

Classification for Lorazepam?

ADULT DOSAGES?

A

Ativan

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic

ADULT DOSAGES
• Seizure IV/IO: 2.0 to 5.0 mg over 2 minutes
• Seizure IM: 2.0 to 5.0 mg
• Procedural sedation IV/IO: 2.0 mg over 2 minutes
• Procedural sedation IM: 4.0 mg
• Maximum dosage: 10 mg

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14
Q 
Generic Name (DIAZEPAM) 
What is Trade Name?

Classification for (DIAZEPAM)

Adult Dose?

A

Valium

•Benzodiazepine• Anticonvulsant• Sedative• Hypnotic

ADULT DOSAGES
• 2.0 mg increments over 2 minutes

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15
Q

Generic Name Midazolam

Classification for Midazolam

ADULT DOSAGES?

A

Versed®

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic

ADULT DOSAGES
• Seizure IV/IO: 0.1 mg/kg
• Maximum dosage: 4.0 mg
• Seizure IM: 0.2 mg/kg
• Maximum dosage: 10 mg

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16
Q

Generic Name Lorazepam
What is Trade Name?

Classification for Lorazepam?

ADULT DOSAGES?

A

Ativan

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic

ADULT DOSAGES
• Seizure IV/IO: 2.0 to 5.0 mg over 2 minutes
• Seizure IM: 2.0 to 5.0 mg
• Procedural sedation IV/IO: 2.0 mg over 2 minutes
• Procedural sedation IM: 4.0 mg
• Maximum dosage: 10 mg

17
Q

(Anaphylaxis)
Epinephrine 1:1000:

Diphenhydramine

Solu-medrol

A

Epinephrine 1:1000: 1ST line medication for anaphylaxis.
Dose is 0.3-0.5mg
IM injection

Dose is 50mg IV/IM

Dose is 125mg IV/IM

18
Q

What is chronotropic

A

The heart rate and rhythm

19
Q

What is dromotropic

A

Affects the conduction speed

(in fact the magnitude of delay) in the AV node,

20
Q

What is inotropic

A

Affect the force of cardiac contraction

21
Q

What class of drug is used for seizures?

A

Benzodiazepines.

22
Q

What is the most common cause of death from anaphylaxis

A

(Drugs) such as penicillin

Insect Bites

23
Q

First line medication for cardiac arrest?

A

epinephrine

24
Q

What is status epilepticus ?

A

A Single seizure lasting longer than 5min. or

Having more than one seizure within a 5 minute period
with no full recovery in-between seizures.

If left untreated permanent brain damage or death may
occur.

25
Q

What chemicals is released during anaphylaxis?

A

Histamine, Serotonin, Bradykinin

26
Q

(Stable) VS (Unstable) Angina

A

typically occurs during stress or

activity. .. Usually lasts 2 to 5 min, no more than 20
min. .. then resolves with rest.

Chest pain/discomfort that occurs with minimal
exertion or at rest
Caused by coronary artery spasm at rest
• Pain is often severe
• Occurs between midnight and early morning hours

27
Q

What is an NSAID?

what is a common one given in the hospital?

A

Nonsteroidal Anti-Inflammatory Drugs.

Aspirin and ibuprofen

28
Q

Common NSAID used IV in the hospital

(for kidney stones)?

A

Ketorolac (Toradol

29
Q

Propofol

A

(mothers milk)

Sedative agent administered to intubated patients being
transported from one facility to another

30
Q

(Effects) and (Antidote) of tricyclic antidepressant overdose

A

Depressed level of consciousness
Wide-complex cardiac arrhythmias
Hypotension
Seizures

If patient has wide-complex QRS rhythm, treat with

sodium bicarbonate 
(helps resolve metabolic acidosis)
31
Q

Antiemetics

A

Treat nausea and vomiting
 Common adverse effects of narcotic administration

32
Q

Treatment for organophosphate poisoning

A

Must secure airway

Use atropine
 Reverses effects of muscarinic receptors

Use pralidoxime for nicotinic effects

33
Q

What is anterograde amnesia?,

what drugs cause it?

A

The inability to recall events that occur after the onset of amnesia.

34
Q

What are analgesics?

A

compounds that relieve pain.

35
Q

Why are antiemetics sometimes necessary in the treatment of pain?

What is an antiemetic drug we carry?

A

To reduce vomiting.

Ondansetron (Zofran®)

36
Q

What is the antidote for beta-blocker overdose

A

Glucagon

37
Q

First line drug for sever Anaphylaxis and the Adult IM dose

A

Epi- 0.3-0.5 IM

38
Q

Effect morphine has on vasculature and why it lowers blood pressure

A

release of histamine which causes vasodilation lowers blood pressure

Pre-Paramedic Pharm Study Guide (4 decks)

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