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Paramedic Class 47 Drug List > Respiratory Drugs > Flashcards

Respiratory Drugs Flashcards

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1
Q

Albuterol classification?

A

Bronchodilator
sympathomimetic
beta-2 agonist

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2
Q

Albuterol onset/duration?

A

5-8 min after inhalation/ 2-6 hours after inhalation

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3
Q

Albuterol indications?

A

Bronchial asthma, reversible bronchospasms associated with chronic bronchitis or emphysema with wheezing, hyperkalemia, anaphylaxis

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4
Q

Albuterol contraindications?

A

Hypersensitivity

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5
Q

Albuterol side effects?

A

Cardiac dysrhythmias, termors, dizziness, nervousness, headaches, anxiety, palpations, nausea, and tachycardia

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6
Q

Albuterol adult dose?

A

2.5 mg in 3mL, nebulized until med is gone. May repeat up to 3 total doses

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7
Q

Albuterol peds dose?

A

2 yo and older: same as adult

Less than 2 yo: give 1/2 of adult dose, 1.5 mL (1.25mg)

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8
Q

Albuterol supply?

A

2.5mg in 3mL of NS

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9
Q

Albuterol trade name?

A

Proventil, Ventolin

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10
Q

Benadryl generic name?

A

Diphenhydramine

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11
Q

Benadryl classification?

A

Antihistamine

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12
Q

Benadryl actions?

A

blocks histamine from reacting with H1 and H2 receptors in the blood stream during allergic reactions

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13
Q

Benadryl onset/durations

A

1-3 hours / 6-12 hours

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14
Q

Benadryl indications?

A

Anaphylaxis, allergic reactions, acute extrapyramidal reactions

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15
Q

Benadryl contraindications?

A

acute asthmatic attack, hypersensitivity, nursing mothers

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16
Q

Benadryl side effects?

A

drowsiness, confusion, hypotension, dry mouth, wheezing and palpations. In large doses, tachycardia and hypertension may occur.

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17
Q

Benadryl adult dose?

A

1mg/kg up to 50mg IV,IM,PO

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18
Q

Benadryl peds dose?

A

0.5 mg to 1 mg/kg up to 25 mg IV,IM,PO

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19
Q

Benadryl supply?

A

50mg/1ml vitals, ampules, and refilled syringes

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20
Q

Etomidate trade name?

A

Amidate

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21
Q

Etomidate classification?

A

Nonbarbituate hypnotic, anesthetic

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22
Q

Etomidate actions?

A

short acting drug that acts at the level of the reticular activating system to produce anesthesia

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23
Q

Etomidate onset/duration?

A

< 1 min / 5-10 min

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24
Q

Etomidate indications ?

A

premedication for tracheal intubation or cardioversion

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25
Q

Etomidate contraindications?

A

hypersensitivity

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26
Q

Etomidate side effects?

A

Nausea and vomiting, hypotension, difficulty breathing, apnea, involuntary muscle movement

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27
Q

Etomidate adult dose?

A

0.2-0.6 mg/kg (often 0.3 mg/kg) IV over 30-60 seconds, limit 1 dose

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28
Q

Etomidate supply?

A

2mg/mL vials

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29
Q

Ipratropium trade name?

A

Atrovent

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30
Q

Ipratropium classification?

A

Anticholinergic, bronchodilator

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31
Q

Ipratropium actions?

A

Inhibits interactions of acetylcholine at receptor sites on bronchial smooth muscle, resulting in decreased levels of cyclic guanosine monophosphate and bronchodilation.

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32
Q

Ipratropium onset/duration?

A

< 15min/ 2-4 hours

33
Q

Ipratropium indications?

A

SOB cause by bronchoconstriction, persistent bronchospasms, COPD exacerbation

34
Q

Ipratropium contraindications?

A

Hypersensitivity to Ipratropium, atropine, peanuts and/or soy products

35
Q

Ipratropium side effects?

A

Nausea and vomiting, cramps, coughing, headaches, tachycardia, dry mouth, blurred vision, anxiety

36
Q

Ipratropium adult dose?

A

0.5 mg in 2.5mL NS via pipe nebulizer at 8LPM. May repeat twice as needed. Can be administered with Albuterol.

37
Q

Ipratropium peds dose?

A

0.5mg in 2.5mL NS via mask nebulizer at 10LPM. May repeat twice as needed. Can be administered with Albuterol.

38
Q

Ipratropium supply?

A

0.5mg in 2.5mL NS

39
Q

Methylprednisolone trade name?

A

Solu-medrol

40
Q

Solu-Medrol classification?

A

Glucocorticoid

41
Q

Solu-Medrol actions?

A

Decreases inflammation; an adrenal corticoid steroid that suppress migration of polymophpnuclear leukocytes and reverses increase cap permeability.

42
Q

Solu-Medrol onset/duration ?

A

1-2 hours/ 8-24 hours

43
Q

Solu-Medrol indications?

A

Anaphylaxis, bronchodilator unresponsive asthma

44
Q

Solu-Medrol contraindications?

A

GI bleeding, diabetes mallitus, or severe infection

45
Q

Solu-Medrol side effects?

A

Headache, hypertension, hypokalemia, alkalosis

46
Q

Solu-Medrol adult dose?

A

2mg/kg up to 125mg IV or 40-125mg IV

47
Q

Solu-Medrol peds dose?

A

2mg/kg IV (max 60mg)

48
Q

Solu-Medrol supply?

A

20, 40, 80mg/mL; 125mg/2mL

49
Q

Rocuronium trade name?

A

Zemuron

50
Q

Rocuronium actions?

A

competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis

51
Q

Rocuronium classification?

A

non-depolarizing neuromuscular blocker

52
Q

Rocuronium onset/duration ?

A

1 min/ 26-40 min (peak: 4 min)

53
Q

Rocuronium indications?

A

chemical paralysis for airway placement, ongoing chemical paralysis for mechanically ventilated pts

54
Q

Rocuronium contraindications?

A

hypersensitivity (consider risk of not being able to place the airway)

55
Q

Rocuronium side effects?

A

apnea, tachycardia, hypertension, anaphylaxis, dysrhythmias

56
Q

Rocuronium adult dose?

A

0.6-1.2mg/kg IV; often ordered as 1mg/kg initially, then 0.5mg/kg for subsequent doses

57
Q

Rocuronium supply?

A

10mg/mL solution in 5mL and 10mL vials

58
Q

Succinylcholine trade name?

A

Anectine

59
Q

Succinylcholine classification?

A

Depolarizing Neuromuscular blocker

60
Q

Succinylcholine actions?

A

Binds to receptors for acetycholine, line nondepolarizing blockers. However, bc they cause depolarization of the muscular membrane. they often lead to fasciculations and muscular contractions

61
Q

Succinylcholine onset/duration ?

A

< 1 min/ 5-10 min

62
Q

Succinylcholine indications?

A

Premed for tracheal intubation, terminating laryngospasm, muscle relaxation

63
Q

Succinylcholine contraindication?

A

hypersensitivity, burns or crush injuries > 72 hours old, muscular dystrophy, acute rhabdomyolysis

64
Q

Succinylcholine side effects?

A

hypotension, respiratory depression, bradycardia, allergic reaction, excessive salivation, malignant hyperthermia

65
Q

Succinylcholine adult dose?

A

0.3-1.1 mg/kg (25-75 mg) over 10-30 seconds IV

66
Q

Succinylcholine RSI dose?

A

1-1.5 mg/kg IV/IO

67
Q

Succinylcholine supply?

A

20, 100 mg/mL

68
Q

Vecuronium trade name ?

A

Norcuron

69
Q

Vecuronium classification?

A

non-depolarizing neuromuscular blocker

70
Q

Vecuronium actions?

A

Competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis

71
Q

Vecuronium onset/duration?

A

2.5-3 min/ 30-40 min (peak: 3-5 min)

72
Q

Vecuronium indications?

A

Chemical paralysis for airway placement, ongoing chemical paralysis for mechanically ventilated pts

73
Q

Vecuronium contraindications?

A

Hypersensitivity (consider risks for failed airway placement)

74
Q

Vecuronium side effects?

A

apnea, tachycardia, hypertension, anaphylaxis, dysrhythmias

75
Q

Vecuronium adult dose?

A

0.08-0.1 mg/kg IV

76
Q

Vecuronium peds dose?

A

same dose as adults

77
Q

Vecuronium supply?

A

1 mg/mL solution in 10mL and 20mL vials

77
Q

Vecuronium supply?

A

1 mg/mL solution in 10mL and 20mL vials

Paramedic Class 47 Drug List (11 decks)

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