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Paramedic Drugs > Week 4 Drugs > Flashcards

Week 4 Drugs Flashcards

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0
Q

Activated Charcoal
Actidose
Pharmacology and Actions

A

Activated charcoal is a specially prepared charcoal that when given soon after ingestion of a toxin will absorb and bind organic toxins from the GI tract

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1
Q

Activated Charcoal
Actidose
Class

A

Adsorbents

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2
Q

Activated Charcoal
Actidose
Indications

A

Acute ingested poisoning

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3
Q

Activated Charcoal
Actidose
Contraindications

A
  • uncontrolled airway

- ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol or methanol

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4
Q

Activated Charcoal
Actidose
Precautions and Side Effects

A
  • vomiting
  • abdominal cramping
  • abdominal bloating
  • constipation
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5
Q

Activated Charcoal
Actidose
Dosage

A

1 g/kg mixed with 6-8 ounces water PO or NG tube

Pediatric: same as adult dosing

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6
Q

Diphenhydramine
Benadryl
Class

A

Antihistamine

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7
Q

Diphenhydramine
Benadryl
Pharmacology and Actions

A
  • Diphenhydramine blocks histamine release, thereby reducing bronchoconstriction, vasodilation and edema.
  • It stops central cholinergic activity
  • prolongs the action of dopamine by inhibiting its reap take and storage.
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8
Q

Diphenhydramine
Benadryl
Indications

A

Anaphylaxis,
allergic reactions
dystonic reactions

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9
Q

Diphenhydramine
Benadryl
Contraindications

A

Asthma

other lower respiratory diseases

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10
Q

Diphenhydramine
Benadryl
Precautions and Side Effects

A
  • drowsiness
  • tachycardia
  • dizziness
  • hypertension/hypotension
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11
Q

Diphenhydramine
Benadryl
Dosage

A
  • Adult: 25-50 mg IV/IM/PO
  • Pedi (6-12 years old): 12.5-25 mg IV/IM/PO
  • Pedi (under 6 years old): 2-5 mg/kg IV/IM not to exceed 25 mg
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12
Q

Digoxin
Lanoxin
Class

A

Cardiac Glycoside

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13
Q

Digoxin
Lanoxin
Pharmacology and Actions

A
  • Digoxin is a rapidly acting cardiac glycoside used in the treatment of CHF and rapid atrial dysrhythmias.
  • increases the force and velocity of myocardial contraction and cardiac output.
  • decreases conduction through the AV node thus decreasing heart rate.
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14
Q

Digoxin
Lanoxin
Indications

A

Increase cardiac output in CHF

stabilize supra ventricular tachy dysrhythmias

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15
Q

Digoxin
Lanoxin
Contraindications

A
  • ventricular fibrillation

- ventricular tachycardia except due to CHF

16
Q

Digoxin
Lanoxin
Precautions and side effects

A
  • Hypotension
  • AV block
  • Drowsiness
17
Q

Digoxin
Lanoxin
Dosage

A
  • Adult: 0.25 to 0.5 mg slow IVP

- Pedi: 10 to 50 mcg/kg slow IVP

18
Q

Furosemide
Lasix
Class

A

Non-potassium sparing loop diuretic

19
Q

Furosemide
Lasix
Pharmacology and Actions

A
  • rapid acting potent diuretic
  • anti-hypertensive that inhibits sodium reabsorption by the kidney.
  • vasodilating reduce venous return and cardiac workload.
20
Q

Furosemide
Lasix
Indications

A
  • Congestive heart failure

- Pulmonary edema

21
Q

Furosemide
Lasix
Contraindications

A
  • Hypersensitivity to sulfonamides
  • Hepatic coma
  • Pregnancy (except in life threatening emergencies)
22
Q

Furosemide
Lasix
Precautions and Side Effects

A
  • Postural hypotension
  • Dizziness
  • Hypovolemia
  • Circulatory collapse
23
Q

Furosemide
Lasix
Dosage

A

40-120 mg slow IV

Pediatric: 1 mg/kg slow IV push

24
Q

Furosemide
Lasix
How Supplied

A

40 mg in 4 ml

25
Q

Vecuronium
Norcuron
Class

A

Non-depolarizing neuromuscular blocking agent

26
Q

Vecuronium
Norcuron
Pharmacology and Actions

A
  • Onset of 1-3 minutes
  • Duration 30-60 minutes
  • Minimal effect on heart rate and blood pressure
  • Vecuronium competes with acetylcholine for cholinergic receptor sites
  • sedative like versed must be given with Vecuronium
27
Q

Vecuronium
Norcuron
Indications

A

To maintain muscular paralysis following successful rapid sequence induction (RSI) intubation

28
Q

Vecuronium
Norcuron
Contraindications

A
  • Hypersensitivity

- Inability to control the airway (non-incubated patients)

29
Q

Vecuronium
Norcuron
Precautions and Side Effects

A
  • Only use after successful intubation, Vecuronium should not be used as the initial paralytic
  • wheezing
  • aspiration
  • dysrhythmias
  • bradycardia
  • sinus arrest
  • hypertension/hypotension
  • increased intracranial pressure
30
Q

Vecuronium
Norcuron
Dosage

A

Adult: 0.1 mg/kg, max single dose of 10mg. May repeat in 30-40 minutes as needed to maintain paralysis

Pedi: same as adult

31
Q

Vecuronium
Norcuron
How Supplied

A

10 mg/10 ml vials

Paramedic Drugs (9 decks)

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