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Pharmacology general Flashcards

1
Q

Name a depolarizing paralytic

A

Succinylcholine

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2
Q

Parasympathetic stimulation would result in

A

Digestive secretions

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3
Q

What paralytic do hyperkalemic patients receive

A

Rocuronium

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4
Q

Albuterol affects

A

Beta 2 receptors

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5
Q

Dialysis patients undergoing RSI should NOT receive

A

Succinylcholine

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6
Q

Emergency treatment for hypoglycemia includes

A

Glucagon, Oral Glucose, D50, D10, D25

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7
Q

True or false: Romazicon is used as a sedative in RSI

A

False

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8
Q

Name a potent antiarrhythmic that has properties of all four classes (sodium channel blocker, potassium channel blocker, calcium channel blocker, beta-blocker).

A

Amiodarone

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9
Q

Microdrip tubing supplies how many drops per mL?

A

60

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10
Q

Name a nucleotide that slows AV nodal conduction

A

Adenosine

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11
Q

Your patient weighs 190 lbs. They need a bolus of lidocaine which is supplied in a preloaded syringe at 100 mg/5ml. Your dose is 1.5 mg/kg. How much lidocaine should you administer?

A

130 mg

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12
Q

A 72M weighing 170 lbs would receive how much Rocuronium for RSI?

A

7.7

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13
Q

You respond to a 19-year-old patient who has overdosed on her medications. She is combative and has severe tremors.
Vitals: Blood pressure160/100 mmHg, pulse132. Sinus tachycardia on the ECG. What drug class may be causing her symptoms

A

Amphetamines

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14
Q

Midazolam is supplied at 5mg/5mL. How many mL does a patient needing 3mg receive?

A

3

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15
Q

What might an overdose of morphine cause?

A

Hypotension and respiratory depression

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16
Q

What drug must be administered slowly in RSI

A

Fentanyl

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17
Q

Name a loop diuretic

A

Furosemide

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18
Q

What drug has an incredibly short half life?

A

Adenosine. Or Succs

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19
Q

Name an anticholinergic drug

A

Atropine, Atrovent

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20
Q

The time from when a drug is administered to when it reaches an effective concentration is the

A

Onset of action

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21
Q

What’s a concern in a patient taking Viagra

A

Hypotension

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22
Q

Versed dose for a 170 lb patient in RSI

A

6 mg

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23
Q

Vasoconstriction is caused by what receptors

A

Alpha 1

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24
Q

Succinylcholine onset

A

2-3 minutes

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25
Q

Naloxone is a _____ to opioid receptors

A

Antagonist

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26
Q

Amiodarone is a class ___ antidysrhythmic

A

III

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27
Q

What medication is administered for asystole

A

Epinephrine

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28
Q

Cardizem is administered at what rate

A

2 minutes

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29
Q

Aspirin MOA

A

Inhibits platelet aggregation

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30
Q

True or False: Aspirin, acetaminophen, and ibuprofen are all NSAIDs

A

False! Acetaminophen is not a NSAID

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31
Q

Your patient needs 500ml NS. You have a 10 gtts set and need to administer over an hour. What rate do you set?

A

83.3

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32
Q

1000 mg is equal to ____ grams

A

1

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33
Q

esmolol is indicated for what

A

As a beta blocker, it is used for hypertensive emergencies

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34
Q

What medication is used for eclampsia induced seizures

A

Magnesium Sulfate

35
Q

Name a synthetic opioid with agonist and antagonist properties

36
Q

Atropine is

A

A parasympatholytic

37
Q

What medication other than versed can be used for an actively seizing patient

38
Q

Name an adrenergic agonist that can stimulate alpha or beta receptors depending on the dose

39
Q

Name an antidote for diltiazem overdose

A

Calcium Chloride

40
Q

Name an antidote for magnesium sulfate overdose

A

Calcium Chloride

41
Q

Name an antidote for TCA overdose

A

Sodium Bicarbonate

42
Q

Name an antidote for a beta blocker overdose

43
Q

Name an anti-histamine

A

Diphenhydramine

44
Q

Beta 2 adrenergic stimulation leads to bronchodilation

45
Q

Vessel constriction is an effect of the

A

Sympathetic nervous system. Alpha 1

46
Q

The adrenal gland releases

A

Epinephrine and Norepinephrine

47
Q

What drug causes wooden chest syndrome

48
Q

Flumazenil is an antagonist for

A

benzodiazepines

49
Q

Medication considerations in pediatric patients includes

A

A faster metabolic rate than adults

50
Q

Sympathomimetics

A

Mimic the sympathetic nervous system

51
Q

Renin release is an effect of

A

beta 1 stimulation

52
Q

Six rights of medication administration

A

Right medication, Right dose, Right patient, Right time, Right route, Right documentation

53
Q

An antidote for opioid overdose

54
Q

Diphenhydramine and promethazine share the adverse effect of

55
Q

Droperidol causes the adverse effect of

A

QT prolongation and sedation

56
Q

Ketamine may cause _____ in patients

A

hallucinations

57
Q

Propofol and etomidate MOA

A

Modulation of GABA receptors

58
Q

Glucocorticoids do what for asthma patients

A

Act as an anti-inflammatory agent

59
Q

Benzodiazepines MOA

A

Binds to Type A GABA receptors, causing sedation

60
Q

Hydromorphone Hydrochloride MOA

A

Binds to ACh receptors at the neuromuscular junction causing paralysis

61
Q

Alpha 2 receptors cause

A

A decrease in neurotransmitter release

62
Q

What drug treats anxiety and seizures

63
Q

True or false: Montelukast is a type of glucocorticoid

64
Q

What drug dissociates the limbic and cortical systems

65
Q

Angiotensin II causes

A

Widespread vasoconstriction

66
Q

Nalbuphine is an

A

Agonist-Antagonist

67
Q

Reducing afterload in a patient with an MI is good because

A

reduces the workload of the heart, reducing myocardial oxygen consumption.

68
Q

A muscarinic blocking drug is a

A

Parasympatholytic

69
Q

What medications can be given to a patient with asthma

A

Epinephrine, Solumedrol Albuterol, Ipratropium

70
Q

What drugs should be given to a cardiac arrest patient with suspected hyperkalemia

A

Calcium Chloride and Sodium Bicarbonate

71
Q

How do you calculate drug infusion rate based on weight

A

Dose ordered × total volume of bag used × drip factor of IV tubing × weight in kg/total amount of drug dissolved within the bag

72
Q

Glucagon causes

A

glycogenolysis and gluconeogenesis

73
Q

Aminophylline usage may indicate

A

a higher dose of adenosine necessary

74
Q

True or False: Expectorants are not to be used in a patient with asthma

75
Q

Alpha agonist infiltration may cause

A

Tissue necrosis

76
Q

Magnesium Sulfate MOA

A

Cerebral Vasodilation

77
Q

Calcium channel blockers have a greater effect on what phase of ion exchange

78
Q

What drug should not be administered to a hypothermic diabetic patient

79
Q

TXA’s government name is

A

Tranexamic acid

80
Q

TXA must be administered within

A

3 hours of injury

81
Q

D50 is

A

25g of dextrose in 50 ml of NS

82
Q

D25 is

A

25g of dextrose in 100ml NS

83
Q

D10 is

A

25g of dextrose in 250 ml NS

84
Q

D5 is

A

25g of dextrose in 500 ml NS

Paramedic Pharmacology (7 decks)

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