Pharmacology Flashcards
1
Q
Adenosine (Indications)
A
Indications: Symptomatic Narrow Complex PSVT
2
Q
Adenosine (Class)
A
Antiarrhythmic
3
Q
Adenosine (Size/Concentration)
A
6mg/2ml
4
Q
Adenosine (Dose)
A
1st : 6mg 2nd : 12mg
5
Q
Adenosine (Route)
A
18g AC Fast IVP Follow w/20 ml LR
6
Q
Adenosine (onset/duration)
A
Instant/ Half-life ~6 secs
7
Q
Adenosine (Side effects)
A
Asystole
8
Q
Adenosine (Contraindications)
A
Wide complex tach, WPW
9
Q
Albuterol (Class)
A
Sympathomimetic Bronchodilator
10
Q
Albuterol (Size/concentration)
A
2.5mg in 3ml
11
Q
Albuterol (Dose)
A
2.5mg in nebulizer along with Ipratropium q 5mins PRN
12
Q
Albuterol (Indications)
A
Bronchospasm, Hyper K+
13
Q
Albuterol (Route)
A
Nebulizer
14
Q
Albuterol (Onset/duration)
A
1-15 mins/3-6 hours
15
Q
Albuterol (Side Effects)
A
Tachycardia, HTN, Anxiety, Dizziness
16
Q
Albuterol (Contraindications)
A
No field contraindications
17
Q
Aspirin (Class)
A
Antiplatelet
18
Q
Aspirin (Size/concentration)
A
81mg per tablet
19
Q
Aspirin (Dose)
A
324mg (4 tablets)
20
Q
Aspirin (Indications)
A
Chest Px , Acute MI
21
Q
Aspirin (Route)
A
PO (chew)
22
Q
Aspirin (Onset/duration)
A
5 mins / 24 hours
23
Q
Aspirin (Side effects)
A
Nausea / Bleeding
24
Q
Aspirin (Contraindications)
A
Pre-existing allergy
25
Atropine (Class)
Parasympatholytic
26
Atropine (size/concentration)
1mg/10ml (PRELOAD)
27
Atropine (Dose)
0.5mg - 1.0mg (max. 3mg) PEDS: 0.02mg/kg (min 0.1mg) Organophosphate - 2-5mg q 10-15 mins
28
Atropine (Indications)
Symptomatic Brady, Organophosphate = large dose
29
Atropine (Route)
IV , ETT
30
Atropine (Onset/duration)
2-4 mins / 4 hours
31
Atropine (Side effects)
HA, Dizziness, Confusion
32
Atropine (contraindications)
Caution in MI
33
Calcium Chloride (Class)
Electrolyte
34
Calcium Chloride (Size/concentration)
1g/10ml (Preload)
35
Calcium Chloride (Dose)
1g
36
Calcium Chloride (Indications)
PEA, Hyper K+, Ca Channel Blocker, OD
37
Calcium Chloride (Route)
IVP / Flush Line
38
Calcium Chloride (Onset Duration)
Rapid
39
Calcium Chloride (Side effects)
Extravasation Necrosis
40
Calcium Chloride (Contraindications)
Digitalis toxicity
41
D50 (Class)
Carbohydrate
42
D50 (size/concentration)
25g/50ml (Preload)
43
D50 (Dose)
12.5g - 25g PEDS : D10 - titrate to LOC
44
D50 (Indications)
Hypoglycemia Hyperkalemia
45
D50 (Route)
IVP (if IO must use D10)
46
D50 (Onset/duration)
1-10 mins
47
D50 (Side effects)
Extravasation Necrosis
48
D50 (Contraindications)
Hyperglycemia
49
D10
12.5mg(25ml) of D50 in 250ml D5W
50
Diltiazem (Class)
Ca++ Channel Blocker
51
Diltiazem (size/concentration)
25mg/5ml
52
Diltiazem (Dose)
1st : 20mg @ 10 mins 2nd : 25mg (1/2 the dose if elderly)
53
Diltiazem (Indications)
A-FIB with RVR, SVT when Adenosine is ineffective
54
Diltiazem (Route)
Slow IVP over at least 2 mins
55
Diltiazem (Onset/duration)
3 mins / 1-3 hours
56
Diltiazem (Side effects)
Bradycardia, Hypotension, Heart block
57
Diltiazem (Contraindications)
WPW, Hypotension with signs of shock
58
Diphenhydramine (Class)
Antihistamine
59
Diphenhydramine (Size/Concentration)
50mg/1ml
60
Diphenhydramine (Dose)
25-50mg PEDS: 1mg/kg
61
Diphenhydramine (Indications)
Allergy, Dystonic reaction
62
Diphenhydramine (Route)
IVP
63
Diphenhydramine (Onset/duration)
1 min/ 4 hours
64
Diphenhydramine (Side Effects)
Drowsiness
65
Diphenhydramine (Contraindications)
No field contraindications
66
DuoDote (Class)
Nerve agent antidote
67
DuoDote (Size/concentration)
2.1mg Atropine + 600mg Pralidoxime
68
DuoDote (Dose)
1 Auto injector. 2 additional rapidly administered PRN
69
DuoDote (Indications)
Organophosphate poisoning
70
DuoDote (Route)
IM
71
DuoDote (Onset/duration)
\<5mins / 1 hour
72
DuoDote (Side Effects)
N/A
73
DuoDote (Contraindications)
No field contraindications
74
EPI 1MG / 10ML (Class)
Sympathomimetic
75
EPI 1MG / 10ML (Size/concentration)
1mg/10ml (Preload)
76
EPI 1MG / 10ML (Dose)
Arrest : 0.5-1.0mg PEDS: 0.01mg/kg
77
EPI 1MG / 10ML (Indications)
Plan A, PEA, Asystole, VF, Shock w/ bradycardia
78
EPI 1MG / 10ML (Route)
IVP / ETT
79
EPI 1MG / 10ML (Onset/Duration)
Rapid / 5mins
80
EPI 1MG / 10ML (Side Effects)
Tachycardia, Anxiety, CVA, HTN
81
EPI 1MG / 10ML (Contraindications)
HTN , MI
82
EPI 1MG / 1ML (Class)
Sympathomimetic
83
EPI 1MG / 1ML (Size/Concentration)
1mg/1ml
84
EPI 1MG / 1ML (Dose)
IM: 0.3-0.5 PEDS: IM 0.15mg
85
EPI 1MG / 1ML (Indications)
Anaphylaxis, Asthma
86
EPI 1MG / 1ML (Route)
IM
87
EPI 1MG / 1ML (Onset/Duration)
Rapid/45mins
88
EPI 1MG / 1ML (Side Effects)
Tachycardia, Anxiety, CVA, HTN
89
EPI 1MG / 1ML (Contraindications)
HTN, MI
90
EPI Drip
Sympathomimetic
91
EPI Drip (Size/Concentration)
8mcg/ml
92
EPI Drip (Dose)
Microdrip: 2mg in 250ml D5W Titrate to SBP 90
93
EPI Drip (Indications)
Anaphylaxis, asthma, hypotension with Bradycardia
94
EPI Drip (Route)
IV infusion, needs it's own line
95
EPI Drip (Onset/duration)
Rapid
96
EPI Drip (Side Effects)
Tachycardia, Anxiety, CVA, HTN
97
EPI Drip (Contraindications)
HTN, MI
98
Etomidate (Class)
Hypnotic
99
Etomidate (Size/concentration)
20mg/10ml (Vial)
100
Etomidate (Dose)
0.2mg/kg
101
Etomidate (Indications)
Induction
102
Etomidate (Route)
IVP
103
Etomidate (Onset/Duration)
30 secs/ 3-5mins
104
Etomidate (Side Effects)
Nausea, Vomiting
105
Etomidate (Contraindications)
No field contraindications
106
Furosemide (Class)
Loop diuretic
107
Furosemide (Size/concentration)
40mg/4ml
108
Furosemide (Dose)
20-40mg Consider higher dose for pt on daily Lasix (up to 160mg)
109
Furosemide (Indications)
CHF, HTN Crisis, Pulmonary Edema.
110
Furosemide (Route)
IVP
111
Furosemide (Onset/Duration)
Diuresis 15-30 mins
112
Furosemide (Side Effects)
Hypotension, Dizziness
113
Furosemide (Contraindications)
Hypotension, Sepsis
114
Hydroxocobalamin (Class)
Cyanide Antidote
115
Hydroxocobalamin (Size/concentration)
5g Powder in 250ml vial (must dilute with 200ml LR)
116
Hydroxocobalamin (Dose)
Adult: 5g over 15 mins PEDS: 70mg/kg over 15 mins Dilute w/200ml LR (max .5g)
117
Hydroxocobalamin (Indications)
Suspected Cyanide poison and Lactate \>8mmol/L
118
Hydroxocobalamin (Route)
IV infusion
119
Hydroxocobalamin (Onset/duration)
\<5 mins / Half-life 6 Days
120
Hydroxocobalamin (Side effects)
Hypertension, anaphylaxis
121
Hydroxocobalamin (Contraindications)
No field contraindications
122
Ipratropium (Class)
Bronchodilator
123
Ipratropium (Size/concentration)
0.5mg/2.5ml
124
Ipratropium (Dose)
0.5mg in Nebulizer along with Albuterol (See Albuterol) q 20mins x3 PRN
125
Ipratropium (Indications)
Bronchospasm
126
Ipratropium (Route)
Nebulizer
127
Ipratropium (Onset duration)
1-15 mins/ 3-6 hrs
128
Ipratropium (Side effects)
Tachycardia, HTN, Anxiety, Dizziness
129
Ipratropium (Contraindications)
No field contraindications
130
Ketamine (Class)
Hypnotic / Analgesia / Sedation
131
Succinylcholine (class)
Depolarizing Neuro-Muscular Blocker
132
Succinylcholine (size/concentration)
200mg/10/ml
133
Succinylcholine (dose)
2mg/kg
134
Succinylcholine (indications)
RSI Short Term Paralysis
135
Succinylcholine (route)
IVP
136
Succinylcholine (onset/duration)
1min/5min
137
Succinylcholine (side effects)
Apnea, Bradycardia, Hyper K+
138
Succinylcholine (contra-indications)
Renal Failure, Hyper K+, Malignant Hyperthermia, Neuromuscular Disease
139
Sodium Bicarbonate (class)
Electrolyte, Antacid
140
Sodium Bicarbonate (size/concentrations)
50mEq/50ml
141
Sodium Bicarbonate (dose)
CPR - 25mEq q other CPR cycle Hyper K+ - 50mEq
142
Sodium Bicarbonate (indications)
Plan A, Hyper K+, TCA, Crush injury
143
Sodium Bicarbonate (Route)
IVP
144
Sodium Bicarbonate (Onset/Duration)
Rapid
145
Sodium Bicarbonate (side effects)
Extravation Necrosis, tetany
146
Sodium Bicarbonate (contra-indications)
Calcium in line
147
Rocuronium (class)
Non Depolarizing Neuro-Muscular Blocker
148
Rocuronium (size/concentration)
100mg/10ml
149
Rocuronium (dose)
Paralysis: 1.0mg/kg
150
Rocuronium (indications)
RSI
151
Rocuronium (route)
IVP
152
Rocuronium (onset/duration)
1min/40min
153
Rocuronium (side effects)
Apnea
154
Rocuronium (contra-indications)
No Field contra-indications
155
Ketamine (Size/Concentration)
100mg/ml (Hypnotic) 20mg/20ml (Analgesia) 200mg/8ml (Sedation)
156
Ketamine (Dose)
IM: 5mg/kg MAX. 500mg (Hypnotic) Pain: 0.2mg/kg Sedation/ETI: 2mg/kg
157
Ketamine (Indications)
Excited delirium Pain Sedation
158
Ketamine (Route)
IM IV(must dilute)
159
Ketamine (Onset/duration)
1-4 mins/ 12-25 mins (IM) 1 min / 15-30 mins (IV)
160
Ketamine (Side Effects)
Emergence reactions (IM) Apnea (IV)
161
Ketamine (Contraindications)
No field contraindications (IM) Undiluted IV = Severe hypertension
162
Lidocaine (Class)
Antiarrhythmic
163
Lidocaine (Size/Concentration)
100mg/5ml (Preload)
164
Lidocaine (Dose)
100mg or 1-1.5mg/kg
165
Lidocaine (Indications)
VF, VT Plan A
166
Lidocaine (Route)
IVP
167
Lidocaine (Onset/Duration)
3 mins/ 10-20 mins
168
Lidocaine (Side Effects)
Convulsions, Bradycardia
169
Lidocaine (Contraindications)
High degree block Vent. rhythms \<100
170
Magnesium Sulfate (Class)
Electrolyte
171
Magnesium Sulfate (Size/Concentration)
1mg / 2ml
172
Magnesium Sulfate (Dose)
VF/VT: 2g Eclampsia: 4g over 20 mins Status Asthmaticus: 2g over 10 mins
173
Magnesium Sulfate (Indications)
Refractory VF/VT Torsades Eclampsia Status asthmaticus
174
Magnesium Sulfate (Route)
IVP, Microdrip
175
Magnesium Sulfate (Onset Duration)
Rapid / 30 mins
176
Magnesium Sulfate (Side Effects)
Hypotension
177
Magnesium Sulfate (Contraindications)
Heart Block
178
Midazolam (Class)
Benzodiazepine
179
Midazolam (Size/Concentration)
5mg / 1ml
180
Midazolam (Dose)
Sedation: 1mg-2.5mg (5mg Nasal) Convulsion 10mg IM or 5mg IV ETOH withdrawal 0.2mg/kg PEDS: Sedation: 0.1mg/kg IV or Nasal Convulsions: 0.2mg/kg IM or Nasal
181
Midazolam (Indications)
Sedation, Convulsions
182
Midazolam (Route)
IVP, IM, Nasal
183
Midazolam (Onset/Duration)
2-5 mins / 1-2 hours
184
Midazolam (Side Effects)
Respiratory depression, Nausea
185
Midazolam (Contraindications)
No field contraindications
186
Morphine Sulfate (Class)
Benzodiazepine
187
Morphine Sulfate (Size/Concentration)
10mg/1ml
188
Morphine Sulfate (Dose)
2+2mg to 20mg for pain
189
Morphine Sulfate (Indications)
Pain, Anxiolytic
190
Morphine Sulfate (Route)
IVP
191
Morphine Sulfate (Onset/Duration)
5 mins/ 2-7 hours
192
Morphine Sulfate (Side Effects)
Respiratory depression, nausea
193
Morphine Sulfate (Contraindications)
Pre-existing allergy
194
Naloxone (Class)
Narcotic antagonist
195
Naloxone (Onset/Duration)
0.4mg/ml
196
Naloxone (Dose)
0.2+0.2mg, up to 0.8mg IV 0.4mg IV
197
Naloxone (Indications)
Narcootic OD
198
Naloxone (Route)
IVP, IM
199
Naloxone (Onset/Duration)
3 mins / 30 mins
200
Naloxone (Side Effects)
Vomiting, withdrawal symptoms
201
Naloxone (Contraindications)
No field contraindications
202
Nitroglycerin (Class)
Vasodilator
203
Nitroglycerin (Size/Concentration)
0.4mg/Tablet
204
Nitroglycerin (Dose)
0.4mg q 5 mins (if SBP is \>100)
205
Nitroglycerin (Indications)
Angina, MI, Pulmonary edema
206
Nitroglycerin (Route)
Sublingual tablet
207
Nitroglycerin (Onset/Duration)
1-3 mins/10 mins
208
Nitroglycerin (Side Effects)
Hypotension, HA
209
Nitroglycerin (Contraindications)
RV MI, ED Drugs, Hypotension, Cerebral Edema
210
Norepinephrine (Class)
Sympathomimedic
211
Norepinephrine (Size/Concentration)
4mg/ 4ml
212
Norepinephrine (Dose)
8mg in 250 ml D5W Titrate to SBP ~90
213
Norepinephrine (Indications)
Shock
214
Norepinephrine (Route)
IV Microdrip, needs its own line
215
Norepinephrine (Onset/Duration)
Rapid/ 1-2 mins
216
Norepinephrine (Side Effects)
Dysrhythmias, HTN, Necrosis @ site
217
Norepinephrine (Contraindications)
Relative: Active bleeding secondary to trauma
218
Ondansetron (Class)
Antiemetic
219
Ondansetron (Size/Concentration)
4mg/2ml
220
Ondansetron (Dose)
4mg slow IVP over 1-2 mins PEDS: 0.1mg/kg up to max 4mg Slow IVP over 2 mins
221
Ondansetron (Indications)
Nausea, Vomiting
222
Ondansetron (Route)
SLow IVP, IM
223
Ondansetron (Onset/Duration)
1 min/4 hour half life Duration much longer
224
Ondansetron (Side Effects)
HA, Drowsiness, Dry Mouth
225
Ondansetron (Contraindications)
Not effective against motion sickness, Prolonged QT Syndrome
226
Oxytocin (Class)
Hormone
227
Oxytocin (Size/Concentration)
10 units/1ml
228
Oxytocin (Dose)
10u in ml LR IVP, Dilute 40u in 1000ml LR
229
Oxytocin (Indications)
Postpartum bleeding
230
Oxytocin (Route)
IVP, IV microdrip
231
Oxytocin (Onset/Duration)
Rapid/ 1 hour
232
Oxytocin (Side/Effects)
Nausea, Vomiting
233
Oxytocin (Contraindications)
No field contraindications
234
Phenobarbital (Class)
Barbiturate
235
Phenobarbital (Size/Concentration)
130mg/1ml
236
Phenobarbital (Dose)
260mg may repeat 1x PEDS: 20mg/kg
237
Phenobarbital (Indications)
Status epilepticus Refractory to Midazolam
238
Phenobarbital (Route)
Slow IVP
239
Phenobarbital (Onset/Duration)
3-5 mins / 88 hour half-life
240
Phenobarbital (Side Effect)
Apnea, bradycardia, CNS effects
241
Phenobarbital (Contraindications)
No field contraindications
242
Procainamide (Class)
Antiarrhythmic
243
Procainamide (Size/Concentration)
130mg/ml
244
Procainamide (Dose)
VF/VT arrest - 300mg IVP x3 Not Arrest - 50mg/min Hold if QRS widens 50% Max. 17mg/kg
245
Procainamide (Indicatios)
Refractory VF, Wide complex tachycardia, WPW, Plan A
246
Procainamide (Route)
IVP
247
Procainamide (Onset/Duration)
Rapid/ 3-6 hours
248
Procainamide (Side Effects)
Hypotension , widening QRS
249
Procainamide (Contraindications)
Heart Block, Torsades
