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Paramedic Training > SFD Medications > Flashcards

SFD Medications Flashcards

Drug card, Guidelines for administration Adult and Ped

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1
Q

Vial: 6mg / 2mL

A

Adenosine (vial)

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2
Q

Fish: 2.5 / 3mL

A

Albuterol (fish)

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3
Q

Tablet: 81 mg

A

Aspirin (ASA) (tablet)

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4
Q

Preload: 1mg / 10mL

A

Atropine (preload)

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5
Q

Preload: 1g / 10mL

A

Calcium Chloride (vial)

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6
Q

Vial: 10mg / 1mL

A

Dexamethasone (vial)

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7
Q

Pre-mix: 25mg / 250mL

A

D10 (concentration)

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8
Q

Vial: 25mg / 5mL

A

Diltiazem (concentration)

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9
Q

Vial: 50mg / 1mL

A

Diphenhydramine (concentration)

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10
Q

Auto Injector: 2.1mg Atropine + 600mg Pralidoxime

A

DuoDote (concentration)

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11
Q

Preload: 1mg / 10mL (1:10/Cardiac)

A

Cardiac Epi preload (concentration)

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12
Q

Vial: 1mg /1mL (1:1)

A

Epi Vial (concentration)

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13
Q

Drip: 2mg / 250 D5W

A

Epi Drip (bag concentration)

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14
Q

Drip: 8mcg / 1mL

A

Epi Drip (drip rate mcg)

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15
Q

Vial: 20mg / 10mL

A

Etomidate (concentration)

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16
Q

Vial: 100mcg / 2mL

A

Fentanyl (concentration)

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17
Q

Vial: 40mg / 4mL

A

Furosemide (concentration)

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18
Q

Fish: 0.5mg / 2.5 mL

A

Ipratropium (concentration)

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19
Q

Vial: 500mg / 5mL

A

Ketamine (concentration - vial)

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20
Q

Pre-mix: 1500mg / 100mL

A

Levetiracetam (concentration)

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21
Q

Preload: 100mg / 5mL

A

Lidocaine (concentration)

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22
Q

Pre-mix: 2g / 50mL

A

Magnesium Sulfate (concentration)

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23
Q

Vial: 5mg / 1mL

A

Midazolam (concentration)

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24
Q

Vial: 0.4mg / 1mL

A

Naloxone (concentration)

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25
Q

Tablet: 0.4mg / tablet

A

Nitroglycerin (concentration)

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26
Q

Vial: 4mg / 4mL

A

Norepinephrine (concentration)

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27
Q

Drip: 8mg / 250 D5W

A

Norepinephrine Drip (bag concentration)

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28
Q

Drip: 32mcg / 1mL

A

Norepinephrine Drip (drip rate mcg)

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29
Q

Vial: 4mg / 2mL

A

Ondansetron (concentration)

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30
Q

Vial: 10 units / 1mL

A

Oxytocin (concentration)

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31
Q

Vial: 1g / 10mL

A

Procainamide (concentration)

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32
Q

Vial: 100mg / 10mL

A

Rocuronium (concentration)

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33
Q

Preload: 50mEq / 50mL

A

8.4% Sodium Bicarbonate (concentration)

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34
Q

How is Dexamethasone given?

A

IV/IO, IM, PO

35
Q

What is the dose of Dexamethasone for adults?

A

10mg, any route

36
Q

What is the dose of Dexamethasone for a child?

A

0.6mg/kg, MAX 10mg, any route - mix with juice for PO

37
Q

Why do you give a CHILD Dexamethasone?

A

Asthma, Croup

38
Q

Why do you give an ADULT Dexamethasone?

A

Asthma, COPD

39
Q

How fast can Dexamethasone help a croup child?

A

10-30 minutes

40
Q

Is Asthma or Croup common in children under 8 months of age?

A

No

41
Q

What class of medication in Dexamethasone?

A

Long-acting corticosteroid

42
Q

What are the 2 contraindications for Dexamethasone?

A

Systemic fungal infection
Known hypersensitivity to glucocorticoids

43
Q

What are the 5 adverse effects of Dexamethasone?

A

Hyperglycemia
Psychiatric disturbance - confusion, agitation, anxiety
Gastritis
Immunosuppression
Adrenal Suppression

44
Q

What class of controlled substances is Fentanyl?

A

Schedule 2

45
Q

What class of mediation is Fentanyl?

A

Opioid-agonist / Narcotic analgesic

46
Q

How many times more potent is Fentanyl to Morphine?

A

100 times

47
Q

What is the onset of effect for Fentanyl?

A

Immediate

48
Q

When does Fentanyl have its peak analgesic and respiratory effect?

A

5 minutes

49
Q

How long is the duration of effect for Fentanyl with ADULTS?

A

30-60 minutes

50
Q

What 4 conditions are appropriately treated with Fentanyl?

A

MI
Acute Px
Post intubation sedation
Air hunger

51
Q

Is there a max dose of Fentanyl for adults or children?

A

No

52
Q

What are the 4 effects of Fentanyl administration that are dose dependent?

A

Respiratory depression
Sedation
Hypotension
Nausea

53
Q

What is the incremental dosing of Fentanyl in ADULT Pts?

A

Increments - 25-50mcg q 5-10 min to effect

54
Q

What is the incremental dosing for Fentanyl in PED Pts?

A

Increments - 1mcg/kg max 50mcg single dose q 5 min to effect

55
Q

What syringe should be used to dose PEDs with Fentanyl?

A

1mL

56
Q

What syringe should be used to dose ADULTS with Fentanyl?

A

3mL

57
Q

What is the contraindication to Fentanyl?

A

Pre-existing allergy

58
Q

What are the routes of administration for Fentanyl?

A

IV, IM (double), IN (atomizer)

59
Q

What condition is appropriately treated with Levetiracetam (Keppra)?

A

Status Epilepticus, Intubated Sz Pt

60
Q

Which is harder on blood pressure - Morphine or Fentanyl?

A

Morphine

61
Q

Does Morphine cause histamine release?

A

Yes

62
Q

Fentanyl mcg/mL and vial size

A

50mcg/mL
2mL vial

63
Q

Will Peds or adults metabolize opioids faster and require more frequent and higher total dosages?

A

Peds

64
Q

Zofran’s generic name?

A

Ondansetron

65
Q

What is the effective half-life of Zofran?

A

4 hrs

66
Q

Ondansetron treats:

A

Nausea and vomiting

67
Q

What type of N/V does Ondansetron not work for?

A

Motion sickness

68
Q

What is the adult dose for Ondansetron?

A

4mg

69
Q

Can Zofran be repeated?

A

Yes, after 15 minutes a second 4mg dose can be given.

70
Q

Can Zofran impact a Pt’s EKG?

A

Yes, it can prolong the QTc.

71
Q

Who should NOT receive Zofran for N/V?

A

Prolonged QTc
Motion sickness
Anaphylaxis

72
Q

What conditions is Zofran commonly prescribed for?

A

Chemotherapy related nausea
Hyperemesis from pregnancy
Post-op nausea
Persistent nausea

73
Q

Ondansetron route(s) of administration?

A

slow IV
IM

74
Q

What type of medication is Zofran?

A

Antiemetic

75
Q

What are the side effects of Ondansetron?

A

Headache
Drowsiness
Dry mouth

76
Q

What is the time of onset for Zofran?

A

1 minute

77
Q

What is the Ped Dose for Zofran?

A

0.1mg/kg up to 4mg

78
Q

How slowly should Zofran be given IV?

A

Over 2 minutes

79
Q

What are the contraindications for Keppra?

A

Hypersensitivity

80
Q

What type of medication is Keppra?

A

Anticonvulsant

81
Q

What is the onset time for Levetiracetam?

A

5 to 30 minutes

82
Q

What is the half life of Keppra?

A

12 hrs

83
Q

What is the Adult dosing for Keppra?

A

1,500mg (1 bag), may repeat once

84
Q

What is the Pediatric dosing for Keppra?

A

Plan S:
Adult = 1,500mg, may repeat if additional Sz or intubated (max 3,000mg)
Peds = 30mg/kg, may repeat for additional Sz or intubation (max of 60mg/kg /if child is big enough, use adult dosing)

Drug card: 60mg/kg max dose for all ages - 30mg/kg per dose.

Paramedic Training (4 decks)

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