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Paramedic Class 47 Drug List > Respiratory Drugs > Flashcards

Respiratory Drugs Flashcards

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
Etomidate contraindications?
hypersensitivity
26
Etomidate side effects?
Nausea and vomiting, hypotension, difficulty breathing, apnea, involuntary muscle movement
27
Etomidate adult dose?
0.2-0.6 mg/kg (often 0.3 mg/kg) IV over 30-60 seconds, limit 1 dose
28
Etomidate supply?
2mg/mL vials
29
Ipratropium trade name?
Atrovent
30
Ipratropium classification?
Anticholinergic, bronchodilator
31
Ipratropium actions?
Inhibits interactions of acetylcholine at receptor sites on bronchial smooth muscle, resulting in decreased levels of cyclic guanosine monophosphate and bronchodilation.
32
Ipratropium onset/duration?
< 15min/ 2-4 hours
33
Ipratropium indications?
SOB cause by bronchoconstriction, persistent bronchospasms, COPD exacerbation
34
Ipratropium contraindications?
Hypersensitivity to Ipratropium, atropine, peanuts and/or soy products
35
Ipratropium side effects?
Nausea and vomiting, cramps, coughing, headaches, tachycardia, dry mouth, blurred vision, anxiety
36
Ipratropium adult dose?
0.5 mg in 2.5mL NS via pipe nebulizer at 8LPM. May repeat twice as needed. Can be administered with Albuterol.
37
Ipratropium peds dose?
0.5mg in 2.5mL NS via mask nebulizer at 10LPM. May repeat twice as needed. Can be administered with Albuterol.
38
Ipratropium supply?
0.5mg in 2.5mL NS
39
Methylprednisolone trade name?
Solu-medrol
40
Solu-Medrol classification?
Glucocorticoid
41
Solu-Medrol actions?
Decreases inflammation; an adrenal corticoid steroid that suppress migration of polymophpnuclear leukocytes and reverses increase cap permeability.
42
Solu-Medrol onset/duration ?
1-2 hours/ 8-24 hours
43
Solu-Medrol indications?
Anaphylaxis, bronchodilator unresponsive asthma
44
Solu-Medrol contraindications?
GI bleeding, diabetes mallitus, or severe infection
45
Solu-Medrol side effects?
Headache, hypertension, hypokalemia, alkalosis
46
Solu-Medrol adult dose?
2mg/kg up to 125mg IV or 40-125mg IV
47
Solu-Medrol peds dose?
2mg/kg IV (max 60mg)
48
Solu-Medrol supply?
20, 40, 80mg/mL; 125mg/2mL
49
Rocuronium trade name?
Zemuron
50
Rocuronium actions?
competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis
51
Rocuronium classification?
non-depolarizing neuromuscular blocker
52
Rocuronium onset/duration ?
1 min/ 26-40 min (peak: 4 min)
53
Rocuronium indications?
chemical paralysis for airway placement, ongoing chemical paralysis for mechanically ventilated pts
54
Rocuronium contraindications?
hypersensitivity (consider risk of not being able to place the airway)
55
Rocuronium side effects?
apnea, tachycardia, hypertension, anaphylaxis, dysrhythmias
56
Rocuronium adult dose?
0.6-1.2mg/kg IV; often ordered as 1mg/kg initially, then 0.5mg/kg for subsequent doses
57
Rocuronium supply?
10mg/mL solution in 5mL and 10mL vials
58
Succinylcholine trade name?
Anectine
59
Succinylcholine classification?
Depolarizing Neuromuscular blocker
60
Succinylcholine actions?
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
Succinylcholine onset/duration ?
< 1 min/ 5-10 min
62
Succinylcholine indications?
Premed for tracheal intubation, terminating laryngospasm, muscle relaxation
63
Succinylcholine contraindication?
hypersensitivity, burns or crush injuries > 72 hours old, muscular dystrophy, acute rhabdomyolysis
64
Succinylcholine side effects?
hypotension, respiratory depression, bradycardia, allergic reaction, excessive salivation, malignant hyperthermia
65
Succinylcholine adult dose?
0.3-1.1 mg/kg (25-75 mg) over 10-30 seconds IV
66
Succinylcholine RSI dose?
1-1.5 mg/kg IV/IO
67
Succinylcholine supply?
20, 100 mg/mL
68
Vecuronium trade name ?
Norcuron
69
Vecuronium classification?
non-depolarizing neuromuscular blocker
70
Vecuronium actions?
Competitively blocks acetylcholine at the neuromuscular junction, resulting in chemical paralysis
71
Vecuronium onset/duration?
2.5-3 min/ 30-40 min (peak: 3-5 min)
72
Vecuronium indications?
Chemical paralysis for airway placement, ongoing chemical paralysis for mechanically ventilated pts
73
Vecuronium contraindications?
Hypersensitivity (consider risks for failed airway placement)
74
Vecuronium side effects?
apnea, tachycardia, hypertension, anaphylaxis, dysrhythmias
75
Vecuronium adult dose?
0.08-0.1 mg/kg IV
76
Vecuronium peds dose?
same dose as adults
77
Vecuronium supply?
1 mg/mL solution in 10mL and 20mL vials
77
Vecuronium supply?
1 mg/mL solution in 10mL and 20mL vials

Paramedic Class 47 Drug List (11 decks)

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