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Paramedic Class 47 Drug List > Trauma and Pain Control > Flashcards

Trauma and Pain Control Flashcards

1
Q

Fentanyl trade name?

A

Sublimaze

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2
Q

Fentanyl classification?

A

Opioid Analgesic

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3
Q

Fentanyl actions?

A

Combines with receptor sites in the brain to produce potent analgesic effects

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4
Q

Fentanyl onset/duration?

A

IV: 1-2 min / 30-60 min

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5
Q

Fentanyl indications?

A

Pain control, sedation for invasive airway procedures, pain control for right-sided myocardial infarction

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6
Q

Fentanyl Contraindications?

A

Respiratory depression, hypotension, head injury, cardiac dysrhythmias, myasthenia gravis, hypersensitivity

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7
Q

Fentanyl side effects?

A

Respiratory depression, bradycardia, hypotension or hypertension, nausea and vomiting, chest wall rigidity

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8
Q

Fentanyl Route of admission?

A

IV, IO, IM, IN

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9
Q

Fentanyl adult dose?

A

50-100mcg (max initial dose of 100mcg), slow over 1-2 min every 1-2 hours for pain control

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10
Q

Fentanyl peds dose?

A

1-2mcg/kg

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11
Q

Fentanyl supply?

A

100mcg/2mL

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12
Q

Fentanyl special consideration?

A

Do not mix with Amiodarone as it may cause profound bradycardia, sinus arrest, and hypotension

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13
Q

Hydromorphone trade name?

A

Dilaudid

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14
Q

Dilaudid classification?

A

Opioid Agonist, Analgesis

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15
Q

Dilaudid Actions?

A

Inhibits pain pathways altering perception and response to pain

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16
Q

Dilaudid onset/duration?

A

5 min / 3-5 hours in nondependent patients

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17
Q

Dilaudid indications?

A

Moderate to severe pain management, burns, analgesia

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18
Q

Dilaudid contraindications?

A

Hypersensitivity, head injury or head trauma, hypotension, respiratory depression, asthma, GI obstruction

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19
Q

Dilaudid side effects?

A

Respiratory depression, altered LOC, bradycardia, nausea and vomiting, constricted pupils, drowsiness, hypotension, seizures, hallucinations, agitation, and delirium

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20
Q

Dilaudid route of administration?

A

IV/IO, IM

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21
Q

Dilaudid adult dose?

A

0.015mg/kg ; max initial dose 2mg

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22
Q

Dilaudid peds dose?

A

There isn’t one

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23
Q

Dilaudid supply?

A

1mg/1ml prefilled syringe

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24
Q

Dilaudid special considerations?

A

in patients 65 years or older administer half the normal dose and titrate to their pain tolerance

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25
Toradol generic name?
Ketorlac
26
Toradol classification?
NSAID
27
Toradol actions?
Anti-inflammatory drug that also exhibits peripherally acting nonnarcotic analgesic activity by inhibiting prostaglandin synthesis
28
Toradol onset/duration?
Within 10 min / 6-8 hours
29
Toradol indications?
Short-term pain management (<5 days) of moderate to severe pain
30
Toradol contraindications?
Hypersensitivity, allergies to aspirin or other NSAIDs, bleeding disorders, renal failure, active peptic ulcer disease. (may increase bleeding so think of other pain management drugs associated with kidney stones.
31
Toradol side effects?
Anaphylaxis, edema, sedation, bleeding disorder, rash, nausea, headache
32
Toradol route of admission?
IV, IM
33
Toradol adult dose?
IV: 15mg over 1 min IM: 30mg
34
Toradol supply?
15 or 30mg in 1ml or 60mg in 2mL
35
Toradol special considerations?
Reduce dose when giving to a patient over 65
36
Morphine Sulfate trade name?
Duramorph, Astamorph
37
Morphine classification?
Narcotic, opioid analgesic
38
Morphine actions?
Powerful pain killer. It's also an arterial and venodilator that pools blood and decreases both preload and after load of the heart. This decreases the workload on the heart that decreases myocardial oxygen demand. It is a CNS depressant which helps alleviate anxiety.
39
Morphine onset/duration?
5-10 min, peaks in 20 min / 4-5 hours
40
Morphine indications?
Chest pain unrelieved by nitro. Severe (non-cardiac) pain
41
Morphine contraindications?
Hypotension, head injury, abdominal injury or pain
42
Morphine side effects?
Respiratory depression, hypotension, nausea, and vomiting
43
Morphine route of administration?
IV slow push, IM (do not give IM to cardiac chest pain patients)
44
Morphine adult dose?
STEMI: 2-4mg IV, may give additional at 2-8mg at 5-15 min Unstable Angina / NSTEMI: 1-5mg IV, only if pain is not reduced by nitrates Pain: IM- 0.1mg/kg; max dose 15mg IV,IO- 0.1mg/kg; max dose 10mg
45
Morphine peds dose?
0.1-0.2mg/kg slow IVP; max dose 15mg
46
Morphine supply?
10mg/1ml prefilled syringes
47
Morphine special considerations?
May worsen bradycardia or heart block in inferior MI
48
Ondansetron trade name?
Zofran
49
Zofran classifications?
Antiemetic
50
Zofran Actions?
Blocks the serotonin 5-HT3 receptors found in the chemoreceptor trigger zone and peripherally at vagal nerve terminals in the intestines
51
Zofran onset/duration?
Within 30 min/ 3-6 hours
52
Zofran indications?
Nausea and vomiting
53
Zofran contraindications?
Hypersensitivity, GI obstruction, Liver disease, prolonged QT syndrome
54
Zofran side effects?
Flushing, hiccups, dizziness, constipation, headache, drowsiness, dry mouth
55
Zofran route of administration?
PO, IV, IM, SL
56
Zofran adult dose?
IV: 4mg, injected over 30 seconds IM: 4mg PO: 4mg tablets
57
Zofran supply?
4mg/2ml vials 2mg/ml vials 4mg tablets
58
Sodium Bicarbonate trade name?
There isn't one
59
Sodium Bicarbonate classification?
Alkalinizing agent, electrolyte replacement
60
Sodium Bicarbonate actions?
Neutralizes excess acid in the blood and interstitial fluid. Returns blood to a normal pH by increasing the availability of the bicarbonate ion
61
Sodium Bicarbonate onset/duration?
Rapid/ 8-10 min
62
Sodium Bicarbonate indications?
Pre-exisiting metabolic acidosis associated with cardiac arrest, shock, and DKA. Hyperkalemia. To promote the excretion of some types of barbiturate and salicylate overdoses. Tricyclic antidepressant overdoses and crush injuries.
63
Sodium Bicarbonate contraindications?
Hypokalemia. Conditions in which a patient cannot handle an increased salt load, such as CHF to renal failure. Metabolic alkalosis.
64
Sodium Bicarbonate side effects?
Increases intravascular volume. Lowers serum potassium. Raises the arterial carbon dioxide levels. Inactivates catecholamines. Metabolic alkalosis. Tissue necrosis if infiltrated at the IV site.
65
Sodium Bicarbonate route of administration?
IV, IV infusion
66
Sodium Bicarbonate adult dose?
IV: 1 mEq/kg crush injuries- IVP: 1 mEq/kg
67
Sodium Bicarbonate peds dose?
IV, IO: 1 mEq/kg per dose
68
Sodium Bicarbonate supply?
prefilled syringes of 50 mL containing 1 mEq/mL (8.4%)
69
Sodium Bicarbonate special considerations?
Flush the IV line well when using Sodium Bicarbonate before and after epi or calcium chloride
70
Tranexamic Acid generic name?
TXA
71
TXA classification?
Antifibrinolytic
72
TXA actions?
Synthetic amino acid (lysine) that blocks plasminogen from being converted too the enzyme plasmin. Plasmin works to break down already formed blood clots in a process known as fibrinolysis
73
TXA onset/duration?
unknown/ 7-8 hours
74
TXA indications?
Major trauma with severe blood loss
75
TXA contraindications?
Hypersensitivity, Thromboembolic disorders
76
TXA side effects?
Nausea and vomiting, joint pain, headaches, hypotension, thrombus
77
TXA route of administration?
IV drip
78
TXA adult dose?
1 gram in 100 mL NS over 10 min
79
TXA supply?
Different concentrations, refer to your medical control

Paramedic Class 47 Drug List (11 decks)

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