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TCCC > TCCC Medications > Flashcards

TCCC Medications Flashcards

1
Q

What should be used for battlefield anesthesia in the patient with mild to moderate pain?

A

Tylenol (2 - 650mg tabs)

Meloxicam 15mg

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2
Q

What can be used for moderate to severe pain in the patient who is not in shock?

A

oral transmucosal fentanyl citrate (OTFC) 800 microunits

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3
Q

What can be sued for moderate to sever pain in the patient who is in shock or respiratory distress?

A

Ketamine (50mg IM/IN or 20mg IV)

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4
Q

How often can repeat doses of Ketamine be given via IM or IN?

A

q30min

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5
Q

How often can repeat doses of ketamine be given via IV or IO?

A

q20min

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6
Q

What is the end point of ketamine administration?

A

Control of pain or development of nystagumus

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7
Q

What should be documented prior to administering ketamine or opioids?

A

mental status using AVPU

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8
Q

What is the usual dose of IV Morphine?

A

5mg q10min

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9
Q

Over how much time should IV ketamine be given?

A

over 1 minute

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10
Q

What is the TCCC drug of choice for nausea?

A

Ondansetron 4mg ODT/IV/IO/IM

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11
Q

What are the morphine and fentanyl contraindications?

A

Hypovolemic shock
Respiratory distress
Unconsciousness
Severe Head injury

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12
Q

What antibiotic should be given to the casualty who can still tolerate PO medications?

A

Moxifloxacin 400mg PO

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13
Q

What class of medication is moxifloxacin?

A

Fluroquinolone

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14
Q

What antibiotic should be given to the casualty who cannot tolerate PO medications?

A

Ertapenem 1gm IM/IV

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15
Q

What is the brand name of Ertapenem?

A

Invanz

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16
Q

What medications are found in the combat wound pack?

A

Moxifloxacin 400mg tab
Meloxicam 15mg tab
Acetaminophen 1300mg caplets

17
Q

What is the infusion time when administering Ertapenem via IV?

A

30 min infusion time in 10ml of 0.9% NaCl

18
Q

What should be used to dilute Ertapenem if administering IM?

A

3.2cc lidocaine

19
Q

What is the dose of tranexamic acid?

A

1gm

20
Q

How is tranexamic acid administered?

A

in 100 ml of normal saline or LR, over 10 minutes via IV infusion

21
Q

What fluid cannot be used to administer tranexamic acid?

A

Hextend

22
Q

Tranexamic acid must be given within how many hours of a casualty’s injuries?

A

within 3 hours

23
Q

What are some possible side effects of Tranexamic acid?

A

N/V/D
Visual disturbances
Increase in post injury blood clots
Hypotension if given too rapidly

24
Q

How much intravascular expansion does 500ml of 6% hetastarch yield?

A

600-800ml

25
Q

What is the max dose of Hextend?

A

1000ml

TCCC (3 decks)

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