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Medic One Class #44 > Pharmacology > Flashcards

Pharmacology Flashcards

1
Q

Adenosine (Indications)

A

Indications: Symptomatic Narrow Complex PSVT

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2
Q

Adenosine (Class)

A

Antiarrhythmic

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3
Q

Adenosine (Size/Concentration)

A

6mg/2ml

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4
Q

Adenosine (Dose)

A

1st : 6mg 2nd : 12mg

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5
Q

Adenosine (Route)

A

18g AC Fast IVP Follow w/20 ml LR

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6
Q

Adenosine (onset/duration)

A

Instant/ Half-life ~6 secs

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7
Q

Adenosine (Side effects)

A

Asystole

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8
Q

Adenosine (Contraindications)

A

Wide complex tach, WPW

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9
Q

Albuterol (Class)

A

Sympathomimetic Bronchodilator

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10
Q

Albuterol (Size/concentration)

A

2.5mg in 3ml

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11
Q

Albuterol (Dose)

A

2.5mg in nebulizer along with Ipratropium q 5mins PRN

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12
Q

Albuterol (Indications)

A

Bronchospasm, Hyper K+

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13
Q

Albuterol (Route)

A

Nebulizer

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14
Q

Albuterol (Onset/duration)

A

1-15 mins/3-6 hours

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15
Q

Albuterol (Side Effects)

A

Tachycardia, HTN, Anxiety, Dizziness

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16
Q

Albuterol (Contraindications)

A

No field contraindications

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17
Q

Aspirin (Class)

A

Antiplatelet

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18
Q

Aspirin (Size/concentration)

A

81mg per tablet

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19
Q

Aspirin (Dose)

A

324mg (4 tablets)

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20
Q

Aspirin (Indications)

A

Chest Px , Acute MI

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21
Q

Aspirin (Route)

A

PO (chew)

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22
Q

Aspirin (Onset/duration)

A

5 mins / 24 hours

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23
Q

Aspirin (Side effects)

A

Nausea / Bleeding

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24
Q

Aspirin (Contraindications)

A

Pre-existing allergy

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25
Q

Atropine (Class)

A

Parasympatholytic

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26
Q

Atropine (size/concentration)

A

1mg/10ml (PRELOAD)

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27
Q

Atropine (Dose)

A

0.5mg - 1.0mg (max. 3mg) PEDS: 0.02mg/kg (min 0.1mg) Organophosphate - 2-5mg q 10-15 mins

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28
Q

Atropine (Indications)

A

Symptomatic Brady, Organophosphate = large dose

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29
Q

Atropine (Route)

A

IV , ETT

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30
Q

Atropine (Onset/duration)

A

2-4 mins / 4 hours

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31
Q

Atropine (Side effects)

A

HA, Dizziness, Confusion

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32
Q

Atropine (contraindications)

A

Caution in MI

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33
Q

Calcium Chloride (Class)

A

Electrolyte

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34
Q

Calcium Chloride (Size/concentration)

A

1g/10ml (Preload)

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35
Q

Calcium Chloride (Dose)

A

1g

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36
Q

Calcium Chloride (Indications)

A

PEA, Hyper K+, Ca Channel Blocker, OD

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37
Q

Calcium Chloride (Route)

A

IVP / Flush Line

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38
Q

Calcium Chloride (Onset Duration)

A

Rapid

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39
Q

Calcium Chloride (Side effects)

A

Extravasation Necrosis

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40
Q

Calcium Chloride (Contraindications)

A

Digitalis toxicity

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41
Q

D50 (Class)

A

Carbohydrate

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42
Q

D50 (size/concentration)

A

25g/50ml (Preload)

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43
Q

D50 (Dose)

A

12.5g - 25g PEDS : D10 - titrate to LOC

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44
Q

D50 (Indications)

A

Hypoglycemia Hyperkalemia

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45
Q

D50 (Route)

A

IVP (if IO must use D10)

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46
Q

D50 (Onset/duration)

A

1-10 mins

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47
Q

D50 (Side effects)

A

Extravasation Necrosis

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48
Q

D50 (Contraindications)

A

Hyperglycemia

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49
Q

D10

A

12.5mg(25ml) of D50 in 250ml D5W

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50
Q

Diltiazem (Class)

A

Ca++ Channel Blocker

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51
Q

Diltiazem (size/concentration)

A

25mg/5ml

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52
Q

Diltiazem (Dose)

A

1st : 20mg @ 10 mins 2nd : 25mg (1/2 the dose if elderly)

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53
Q

Diltiazem (Indications)

A

A-FIB with RVR, SVT when Adenosine is ineffective

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54
Q

Diltiazem (Route)

A

Slow IVP over at least 2 mins

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55
Q

Diltiazem (Onset/duration)

A

3 mins / 1-3 hours

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56
Q

Diltiazem (Side effects)

A

Bradycardia, Hypotension, Heart block

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57
Q

Diltiazem (Contraindications)

A

WPW, Hypotension with signs of shock

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58
Q

Diphenhydramine (Class)

A

Antihistamine

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59
Q

Diphenhydramine (Size/Concentration)

A

50mg/1ml

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60
Q

Diphenhydramine (Dose)

A

25-50mg PEDS: 1mg/kg

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61
Q

Diphenhydramine (Indications)

A

Allergy, Dystonic reaction

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62
Q

Diphenhydramine (Route)

A

IVP

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63
Q

Diphenhydramine (Onset/duration)

A

1 min/ 4 hours

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64
Q

Diphenhydramine (Side Effects)

A

Drowsiness

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65
Q

Diphenhydramine (Contraindications)

A

No field contraindications

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66
Q

DuoDote (Class)

A

Nerve agent antidote

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67
Q

DuoDote (Size/concentration)

A

2.1mg Atropine + 600mg Pralidoxime

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68
Q

DuoDote (Dose)

A

1 Auto injector. 2 additional rapidly administered PRN

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69
Q

DuoDote (Indications)

A

Organophosphate poisoning

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70
Q

DuoDote (Route)

A

IM

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71
Q

DuoDote (Onset/duration)

A

<5mins / 1 hour

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72
Q

DuoDote (Side Effects)

A

N/A

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73
Q

DuoDote (Contraindications)

A

No field contraindications

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74
Q

EPI 1MG / 10ML (Class)

A

Sympathomimetic

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75
Q

EPI 1MG / 10ML (Size/concentration)

A

1mg/10ml (Preload)

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76
Q

EPI 1MG / 10ML (Dose)

A

Arrest : 0.5-1.0mg PEDS: 0.01mg/kg

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77
Q

EPI 1MG / 10ML (Indications)

A

Plan A, PEA, Asystole, VF, Shock w/ bradycardia

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78
Q

EPI 1MG / 10ML (Route)

A

IVP / ETT

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79
Q

EPI 1MG / 10ML (Onset/Duration)

A

Rapid / 5mins

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80
Q

EPI 1MG / 10ML (Side Effects)

A

Tachycardia, Anxiety, CVA, HTN

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81
Q

EPI 1MG / 10ML (Contraindications)

A

HTN , MI

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82
Q

EPI 1MG / 1ML (Class)

A

Sympathomimetic

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83
Q

EPI 1MG / 1ML (Size/Concentration)

A

1mg/1ml

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84
Q

EPI 1MG / 1ML (Dose)

A

IM: 0.3-0.5 PEDS: IM 0.15mg

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85
Q

EPI 1MG / 1ML (Indications)

A

Anaphylaxis, Asthma

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86
Q

EPI 1MG / 1ML (Route)

A

IM

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87
Q

EPI 1MG / 1ML (Onset/Duration)

A

Rapid/45mins

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88
Q

EPI 1MG / 1ML (Side Effects)

A

Tachycardia, Anxiety, CVA, HTN

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89
Q

EPI 1MG / 1ML (Contraindications)

A

HTN, MI

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90
Q

EPI Drip

A

Sympathomimetic

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91
Q

EPI Drip (Size/Concentration)

A

8mcg/ml

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92
Q

EPI Drip (Dose)

A

Microdrip: 2mg in 250ml D5W Titrate to SBP 90

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93
Q

EPI Drip (Indications)

A

Anaphylaxis, asthma, hypotension with Bradycardia

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94
Q

EPI Drip (Route)

A

IV infusion, needs it’s own line

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95
Q

EPI Drip (Onset/duration)

A

Rapid

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96
Q

EPI Drip (Side Effects)

A

Tachycardia, Anxiety, CVA, HTN

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97
Q

EPI Drip (Contraindications)

A

HTN, MI

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98
Q

Etomidate (Class)

A

Hypnotic

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99
Q

Etomidate (Size/concentration)

A

20mg/10ml (Vial)

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100
Q

Etomidate (Dose)

A

0.2mg/kg

101
Q

Etomidate (Indications)

A

Induction

102
Q

Etomidate (Route)

A

IVP

103
Q

Etomidate (Onset/Duration)

A

30 secs/ 3-5mins

104
Q

Etomidate (Side Effects)

A

Nausea, Vomiting

105
Q

Etomidate (Contraindications)

A

No field contraindications

106
Q

Furosemide (Class)

A

Loop diuretic

107
Q

Furosemide (Size/concentration)

A

40mg/4ml

108
Q

Furosemide (Dose)

A

20-40mg Consider higher dose for pt on daily Lasix (up to 160mg)

109
Q

Furosemide (Indications)

A

CHF, HTN Crisis, Pulmonary Edema.

110
Q

Furosemide (Route)

A

IVP

111
Q

Furosemide (Onset/Duration)

A

Diuresis 15-30 mins

112
Q

Furosemide (Side Effects)

A

Hypotension, Dizziness

113
Q

Furosemide (Contraindications)

A

Hypotension, Sepsis

114
Q

Hydroxocobalamin (Class)

A

Cyanide Antidote

115
Q

Hydroxocobalamin (Size/concentration)

A

5g Powder in 250ml vial (must dilute with 200ml LR)

116
Q

Hydroxocobalamin (Dose)

A

Adult: 5g over 15 mins PEDS: 70mg/kg over 15 mins Dilute w/200ml LR (max .5g)

117
Q

Hydroxocobalamin (Indications)

A

Suspected Cyanide poison and Lactate >8mmol/L

118
Q

Hydroxocobalamin (Route)

A

IV infusion

119
Q

Hydroxocobalamin (Onset/duration)

A

<5 mins / Half-life 6 Days

120
Q

Hydroxocobalamin (Side effects)

A

Hypertension, anaphylaxis

121
Q

Hydroxocobalamin (Contraindications)

A

No field contraindications

122
Q

Ipratropium (Class)

A

Bronchodilator

123
Q

Ipratropium (Size/concentration)

A

0.5mg/2.5ml

124
Q

Ipratropium (Dose)

A

0.5mg in Nebulizer along with Albuterol (See Albuterol) q 20mins x3 PRN

125
Q

Ipratropium (Indications)

A

Bronchospasm

126
Q

Ipratropium (Route)

A

Nebulizer

127
Q

Ipratropium (Onset duration)

A

1-15 mins/ 3-6 hrs

128
Q

Ipratropium (Side effects)

A

Tachycardia, HTN, Anxiety, Dizziness

129
Q

Ipratropium (Contraindications)

A

No field contraindications

130
Q

Ketamine (Class)

A

Hypnotic / Analgesia / Sedation

131
Q

Succinylcholine (class)

A

Depolarizing Neuro-Muscular Blocker

132
Q

Succinylcholine (size/concentration)

A

200mg/10/ml

133
Q

Succinylcholine (dose)

A

2mg/kg

134
Q

Succinylcholine (indications)

A

RSI Short Term Paralysis

135
Q

Succinylcholine (route)

A

IVP

136
Q

Succinylcholine (onset/duration)

A

1min/5min

137
Q

Succinylcholine (side effects)

A

Apnea, Bradycardia, Hyper K+

138
Q

Succinylcholine (contra-indications)

A

Renal Failure, Hyper K+, Malignant Hyperthermia, Neuromuscular Disease

139
Q

Sodium Bicarbonate (class)

A

Electrolyte, Antacid

140
Q

Sodium Bicarbonate (size/concentrations)

A

50mEq/50ml

141
Q

Sodium Bicarbonate (dose)

A

CPR - 25mEq q other CPR cycle Hyper K+ - 50mEq

142
Q

Sodium Bicarbonate (indications)

A

Plan A, Hyper K+, TCA, Crush injury

143
Q

Sodium Bicarbonate (Route)

A

IVP

144
Q

Sodium Bicarbonate (Onset/Duration)

A

Rapid

145
Q

Sodium Bicarbonate (side effects)

A

Extravation Necrosis, tetany

146
Q

Sodium Bicarbonate (contra-indications)

A

Calcium in line

147
Q

Rocuronium (class)

A

Non Depolarizing Neuro-Muscular Blocker

148
Q

Rocuronium (size/concentration)

A

100mg/10ml

149
Q

Rocuronium (dose)

A

Paralysis: 1.0mg/kg

150
Q

Rocuronium (indications)

A

RSI

151
Q

Rocuronium (route)

A

IVP

152
Q

Rocuronium (onset/duration)

A

1min/40min

153
Q

Rocuronium (side effects)

A

Apnea

154
Q

Rocuronium (contra-indications)

A

No Field contra-indications

155
Q

Ketamine (Size/Concentration)

A

100mg/ml (Hypnotic) 20mg/20ml (Analgesia) 200mg/8ml (Sedation)

156
Q

Ketamine (Dose)

A

IM: 5mg/kg MAX. 500mg (Hypnotic) Pain: 0.2mg/kg Sedation/ETI: 2mg/kg

157
Q

Ketamine (Indications)

A

Excited delirium Pain Sedation

158
Q

Ketamine (Route)

A

IM IV(must dilute)

159
Q

Ketamine (Onset/duration)

A

1-4 mins/ 12-25 mins (IM) 1 min / 15-30 mins (IV)

160
Q

Ketamine (Side Effects)

A

Emergence reactions (IM) Apnea (IV)

161
Q

Ketamine (Contraindications)

A

No field contraindications (IM) Undiluted IV = Severe hypertension

162
Q

Lidocaine (Class)

A

Antiarrhythmic

163
Q

Lidocaine (Size/Concentration)

A

100mg/5ml (Preload)

164
Q

Lidocaine (Dose)

A

100mg or 1-1.5mg/kg

165
Q

Lidocaine (Indications)

A

VF, VT Plan A

166
Q

Lidocaine (Route)

A

IVP

167
Q

Lidocaine (Onset/Duration)

A

3 mins/ 10-20 mins

168
Q

Lidocaine (Side Effects)

A

Convulsions, Bradycardia

169
Q

Lidocaine (Contraindications)

A

High degree block Vent. rhythms <100

170
Q

Magnesium Sulfate (Class)

A

Electrolyte

171
Q

Magnesium Sulfate (Size/Concentration)

A

1mg / 2ml

172
Q

Magnesium Sulfate (Dose)

A

VF/VT: 2g Eclampsia: 4g over 20 mins Status Asthmaticus: 2g over 10 mins

173
Q

Magnesium Sulfate (Indications)

A

Refractory VF/VT Torsades Eclampsia Status asthmaticus

174
Q

Magnesium Sulfate (Route)

A

IVP, Microdrip

175
Q

Magnesium Sulfate (Onset Duration)

A

Rapid / 30 mins

176
Q

Magnesium Sulfate (Side Effects)

A

Hypotension

177
Q

Magnesium Sulfate (Contraindications)

A

Heart Block

178
Q

Midazolam (Class)

A

Benzodiazepine

179
Q

Midazolam (Size/Concentration)

A

5mg / 1ml

180
Q

Midazolam (Dose)

A

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
Q

Midazolam (Indications)

A

Sedation, Convulsions

182
Q

Midazolam (Route)

A

IVP, IM, Nasal

183
Q

Midazolam (Onset/Duration)

A

2-5 mins / 1-2 hours

184
Q

Midazolam (Side Effects)

A

Respiratory depression, Nausea

185
Q

Midazolam (Contraindications)

A

No field contraindications

186
Q

Morphine Sulfate (Class)

A

Benzodiazepine

187
Q

Morphine Sulfate (Size/Concentration)

A

10mg/1ml

188
Q

Morphine Sulfate (Dose)

A

2+2mg to 20mg for pain

189
Q

Morphine Sulfate (Indications)

A

Pain, Anxiolytic

190
Q

Morphine Sulfate (Route)

A

IVP

191
Q

Morphine Sulfate (Onset/Duration)

A

5 mins/ 2-7 hours

192
Q

Morphine Sulfate (Side Effects)

A

Respiratory depression, nausea

193
Q

Morphine Sulfate (Contraindications)

A

Pre-existing allergy

194
Q

Naloxone (Class)

A

Narcotic antagonist

195
Q

Naloxone (Onset/Duration)

A

0.4mg/ml

196
Q

Naloxone (Dose)

A

0.2+0.2mg, up to 0.8mg IV 0.4mg IV

197
Q

Naloxone (Indications)

A

Narcootic OD

198
Q

Naloxone (Route)

A

IVP, IM

199
Q

Naloxone (Onset/Duration)

A

3 mins / 30 mins

200
Q

Naloxone (Side Effects)

A

Vomiting, withdrawal symptoms

201
Q

Naloxone (Contraindications)

A

No field contraindications

202
Q

Nitroglycerin (Class)

A

Vasodilator

203
Q

Nitroglycerin (Size/Concentration)

A

0.4mg/Tablet

204
Q

Nitroglycerin (Dose)

A

0.4mg q 5 mins (if SBP is >100)

205
Q

Nitroglycerin (Indications)

A

Angina, MI, Pulmonary edema

206
Q

Nitroglycerin (Route)

A

Sublingual tablet

207
Q

Nitroglycerin (Onset/Duration)

A

1-3 mins/10 mins

208
Q

Nitroglycerin (Side Effects)

A

Hypotension, HA

209
Q

Nitroglycerin (Contraindications)

A

RV MI, ED Drugs, Hypotension, Cerebral Edema

210
Q

Norepinephrine (Class)

A

Sympathomimedic

211
Q

Norepinephrine (Size/Concentration)

A

4mg/ 4ml

212
Q

Norepinephrine (Dose)

A

8mg in 250 ml D5W Titrate to SBP ~90

213
Q

Norepinephrine (Indications)

A

Shock

214
Q

Norepinephrine (Route)

A

IV Microdrip, needs its own line

215
Q

Norepinephrine (Onset/Duration)

A

Rapid/ 1-2 mins

216
Q

Norepinephrine (Side Effects)

A

Dysrhythmias, HTN, Necrosis @ site

217
Q

Norepinephrine (Contraindications)

A

Relative: Active bleeding secondary to trauma

218
Q

Ondansetron (Class)

A

Antiemetic

219
Q

Ondansetron (Size/Concentration)

A

4mg/2ml

220
Q

Ondansetron (Dose)

A

4mg slow IVP over 1-2 mins PEDS: 0.1mg/kg up to max 4mg Slow IVP over 2 mins

221
Q

Ondansetron (Indications)

A

Nausea, Vomiting

222
Q

Ondansetron (Route)

A

SLow IVP, IM

223
Q

Ondansetron (Onset/Duration)

A

1 min/4 hour half life Duration much longer

224
Q

Ondansetron (Side Effects)

A

HA, Drowsiness, Dry Mouth

225
Q

Ondansetron (Contraindications)

A

Not effective against motion sickness, Prolonged QT Syndrome

226
Q

Oxytocin (Class)

A

Hormone

227
Q

Oxytocin (Size/Concentration)

A

10 units/1ml

228
Q

Oxytocin (Dose)

A

10u in ml LR IVP, Dilute 40u in 1000ml LR

229
Q

Oxytocin (Indications)

A

Postpartum bleeding

230
Q

Oxytocin (Route)

A

IVP, IV microdrip

231
Q

Oxytocin (Onset/Duration)

A

Rapid/ 1 hour

232
Q

Oxytocin (Side/Effects)

A

Nausea, Vomiting

233
Q

Oxytocin (Contraindications)

A

No field contraindications

234
Q

Phenobarbital (Class)

A

Barbiturate

235
Q

Phenobarbital (Size/Concentration)

A

130mg/1ml

236
Q

Phenobarbital (Dose)

A

260mg may repeat 1x PEDS: 20mg/kg

237
Q

Phenobarbital (Indications)

A

Status epilepticus Refractory to Midazolam

238
Q

Phenobarbital (Route)

A

Slow IVP

239
Q

Phenobarbital (Onset/Duration)

A

3-5 mins / 88 hour half-life

240
Q

Phenobarbital (Side Effect)

A

Apnea, bradycardia, CNS effects

241
Q

Phenobarbital (Contraindications)

A

No field contraindications

242
Q

Procainamide (Class)

A

Antiarrhythmic

243
Q

Procainamide (Size/Concentration)

A

130mg/ml

244
Q

Procainamide (Dose)

A

VF/VT arrest - 300mg IVP x3 Not Arrest - 50mg/min Hold if QRS widens 50% Max. 17mg/kg

245
Q

Procainamide (Indicatios)

A

Refractory VF, Wide complex tachycardia, WPW, Plan A

246
Q

Procainamide (Route)

A

IVP

247
Q

Procainamide (Onset/Duration)

A

Rapid/ 3-6 hours

248
Q

Procainamide (Side Effects)

A

Hypotension , widening QRS

249
Q

Procainamide (Contraindications)

A

Heart Block, Torsades

Medic One Class #44 (7 decks)

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