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Paramedic Class 47 Drug List > Psychiatric Drugs > Flashcards

Psychiatric Drugs Flashcards

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1
Q

Diazepam trade name?

A

Valium

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2
Q

Valium classification?

A

Benzodiazepine

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3
Q

Valium actions?

A

Crosses the blood-brain barrier in the cerebral motor cortex to suppress seizure activity and cause CNS slowing. It will stop active seizure, but it does not prevent them. Does not have any analgesic properties.

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4
Q

Valium onset/duration?

A

IV: 1-5 min
IM: 15-30 min
IV/IM: 15-60 min

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5
Q

Valium indications?

A

acute anxiety, alcohol withdrawal, cocaine overdose, seizures, status epilepticus, sedation prior to cardioversion or transcutaneous pacing

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6
Q

Valium contraindications?

A

CNS depressant, hypotension, respiratory depression, hypersensitivity, alcohol intoxication

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7
Q

Valium side effects?

A

Respiratory depression, hypertension, confusion, nausea, vomiting, drowsiness, blurred vision

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8
Q

Valium route of administration?

A

IVP (slow)

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9
Q

Valium adult dose for seizures?

A

5mg over 2 min IV every 5-10 min as needed

(max dose of 30mg) or 10mg IM

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10
Q

Valium adult dose for cardioversion or transcutaneous pacing?

A

5-15mg IV, 5-10 min before procedure

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11
Q

Valium peds dose for 30 days-5 years old?

A

0.2-0.5mg slow IV every 2-5 min

max dose of 5 mg

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12
Q

Valium peds dose for >5 years old?

A

1mg IV every 2-5 min

max dose of 10mg

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13
Q

Valium supply?

A

5mg/mL or 10mg/2mL vials

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14
Q

Valium special considerations?

A

Reduce dose by 50% in geriatric population.

Flumazenil (Romazicon) is the anti-dose

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15
Q

Haloperidol trade name?

A

Haldol

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16
Q

Haldol classification?

A

Antipsychotic

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17
Q

Haldol actions?

A

Blocks the dopamine receptors in the brain that are responsible for mood and behavior

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18
Q

Haldol onset/duration?

A

IM: 30-60 min / 12-24 hours

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19
Q

Haldol indications?

A

Acute psychotic episodes, sedation of agitated patient

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20
Q

Haldol contraindications?

A

CNS depression, coma, hypersensitivity, pregnancy, Parkinson’s disease

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21
Q

Haldol side effects ?

A

Dystonia, hypotension, orthostatic hypotension, nausea, vomiting

22
Q

What to administer for dystonia?

A

25-50mg of Benadryl

23
Q

Haldol route of administration?

A

IV, IM

24
Q

Haldol adult dose?

A

5mg IV, injected over 30 seconds

10mg IM

25
Q

Haldol supply?

A

5mg/mL

26
Q

Ketamine trade name?

A

Ketalar

27
Q

Ketamine classification?

A

Nonbarbituate anesthetic

28
Q

Ketamine actions?

A

Acts on the limbic system and cortex to block afferent transmissions of impulse associated with pain perception. produces short-acting amnesia without muscular relaxation.

29
Q

Ketamine onset/duration?

A

less than 30 seconds / 5-10 min up to 1-2 hours

30
Q

Ketamine indications?

A

Analgesia, treatment for severe agitation (excited delirium), procedural sedation

31
Q

Ketamine contrindications?

A

Uncontrolled hypertension and known hypersensitivity. Avoid in patients with schizophrenia.

32
Q

Ketamine side effects?

A

Hypertension, tachycardia, hallucinations, delusions, explicit dreams, respiratory depression

33
Q

Ketamine route of administration?

A

IV, IO, IM, IN

34
Q

Ketamine adult dose of excited delirium?

A

4mg/kg IM, IN

35
Q

Ketamine adult dose for moderate pain?

A

0.5mg/kg IN; max initial dose 25mg

max cumulative dose of 100mg

36
Q

Ketamine adult dose for severe pain?

A

0.25mg/kg IM,IV,IO; max initial dose of 25mg

max cumulative dose of 100mg

37
Q

Ketamine peds dose for excited delirium?

A

> 2 years: 1mg/kg IV over 1 min or 3mg/kg IM

38
Q

Ketamine supply?

A

100mg/mL in 5 mL vials

39
Q

Midazolam trade name?

A

Versed

40
Q

Versed classification?

A

Benzodiazepine

41
Q

Versed actions?

A

Short acting benzodiazepine which produces CNS depression with some amnesic effects. It easily crosses the blood-brain barrier to cause deep sedation. It is 3 to 4 times as potent as Valium. It has no analgesic effects.

42
Q

Versed onset/duration?

A

1-3 min / 2-6 hours

43
Q

Versed indications?

A

Generalized seizures, status epilepticus, sedation prior to cardioversion or intubation

44
Q

Versed contraindication?

A

Hypersensitivity, pregnancy, patients in shock or coma, known ETOH ingestion, and respiratory depression. Use with caution in patients with respiratory diseases such as COPD and CHF.

45
Q

Versed side effects?

A

Respiratory depression and/or arrest is possible if given rapid IVP. Hypotension and tachycardia, especially in older adults.

46
Q

Versed route of administration?

A

IN, IV, IO, deep IM

47
Q

Versed adult dose?

A

IN: 0.2mg/kg; max dose of 10mg
Slow IV: 0.1mg/kg up to 10mg (usually start at 1-2.5mg)
Deep IM: 10mg (0.2mg/kg) Consider lower dose of patients with respiratory disease or patients older than 60

48
Q

Versed peds dose?

A

0.05-0.1 mg/kg up to 5mg

49
Q

Versed supply?

A

2, 5, 10mL vials (1mg/mL)

1, 2, 5, 10mL vials (5mg/mL)

50
Q

Versed special considerations/

A

Flumazenil (Mazicon) is used to reverse side effects

Paramedic Class 47 Drug List (11 decks)

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