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Paramedic Drugs > Week 6 Drugs > Flashcards

Week 6 Drugs Flashcards

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0
Q

Amiodarone Cordarone

Pharmacology and Actions
AIS

A
  • Prolongs the action potential and refractory period.
  • Inhibits adrenergic stimulation.
  • Slows the sinus rate, increases PR and QT intervals, and decreases peripheral vascular resistance.
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1
Q

Amiodarone Cordarone

Class

A

Antiarrhythmic

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2
Q

Amiodarone Cordarone

Indications

A

V-Fib/Pulseless V tach

Wide complex tachycardia with pulse

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3
Q

Amiodarone Cordarone

Contraindications

A 
Hypersensitivity 
Cardiogenie shock 
Bradycardia 
AV blocks 
Liver disease
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4
Q

Amiodarone Cordarone

Precautions and Side Effects

A 
Hypotension 
Bradycardia 
Cardiogenie shock
Headache/Dizziness 
AV Block
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5
Q

Amiodarone Cordarone

Dosage

A

Adult
V-Fib/Pulseless V tach: 300mg IV/IO repeat at 150mg after 3-5 min
Wide complex tachycardia: 150mg IV/IO over 10 min
Post resuscitation maintenance: 1mg/min over 6 hr
Max dose: 2.2g IV/IO over 24 hr
Pedi
VF/Pulseless V tach: 5mg/kg IV/IO
Wide complex tachycardia: 5mg/kg IV/IO over 20-60 min
Max dose : 15mg/kg

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6
Q

Magnesium Sulfate

Class

A

Electrolyte

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7
Q

Magnesium Sulfate

Pharmacology and Actions
AD

A
  • acts as a physiological calcium channel blocker, CNS depressant and anti-convulsant
  • depresses the function of smooth, skeletal and cardiac muscles.
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8
Q

Magnesium Sulfate

Indications
HTEA

A

Hypomagnesaemia
Trosades de pointers
Eclamptic seizure
Adjunctive treatment in moderate to severe acute asthma

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9
Q

Magnesium Sulfate

Contraindications

A

Hypocalcaemia
Heart block
Myocardial damage
Anuria

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10
Q

Magnesium Sulfate

Precautions and Side Effects

A

ALOC
Hypotension
Heart block
Hypocalcemia

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11
Q

Magnesium Sulfate

Dosage

A

Adult
Torsades de pointes: 1-2g IVP over 1-2 min
Eclamptic seizure: 4-5g IVP concurrently with up to 5g IM in each buttock then 4-5g every 4 hr
Bronchodilation: 2g IVP
Pedi
Torsades de pointes: 25-50mg/kg/dose max dose of 2g
Bronchodilation: 25mg/kg/dose max 2g

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12
Q

Pralidoxime 2 PAM

Class

A

Cholinesterase reactivator

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13
Q

Pralidoxime 2 PAM

Pharmacology and Actions
RDR

A
  • Reactivates the cholinesterase inhibited by phosphate esters displacing the enzyme from its receptor sites.
  • restores normal functions of neuromuscular transmission.
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14
Q

Pralidoxime 2 PAM

Indications

A

Organophosphate poisoning

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15
Q

Pralidoxime 2 PAM

Contraindications

A 
Severe cardiac disease
Peptic ulcer 
Asthma
Myocardial infraction 
Hypersensitivity to procainamide/procaine
16
Q

Pralidoxime 2 PAM

Precautions and Side Effects
THD

A

Tachycardia
Hypertension
Dizziness

17
Q

Pralidoxime 2 PAM

Dosage

A

Adult
1-2g in 250-500ml NS infused over 15-30 min; if no IV access is available then 1-2g IM/SC
Pedi
20-40mg/kg IV/IM/SC

18
Q

Sodium Bicarbonate

Class

A

Alkalinizing agent

19
Q

Sodium Bicarbonate

Pharmacology and Actions
RPR

A
  • Raisesthe pH of blood plasma by buffering excess hydrogen ions.
  • Provides vascular bicarbonate to assist the buffer system, reducing the effects of metabolic acidosis and in the treatment of some overdose.
20
Q

Sodium Bicarbonate

Indications
PKTR

A

Prolonged cardiac arrest
Known hyperkalemia
Tricyclic antidepressant/barbiturates OD
Refractory metabolic acidosis

21
Q

Sodium Bicarbonate

Contraindications

A

None in the emergency setting

22
Q

Sodium Bicarbonate

Precautions and Side Effects

A

Extracellular alkalosis
Cardiac arrhythmias
Decreased cerebral and cardiac functioning

23
Q

Sodium Bicarbonate

Doses

A

Adult
1mEp/kg IV/IO, may repeat at half dose every 10 min
Pedi
Same as adult

24
Q

Verapamil Calan, Isoptin

Class

A

Calcium channel blocker

25
Q

Verapamil Calan, Isoptin

Pharmacology and Actions
SC

A
  • Slows AV conduction and suppresses reentry dysrhythmias.

- Causes dilation of the coronary arteries and reduces the oxygen demand of the heart.

26
Q

Verapamil Calan, Isoptin

Indications

A

SVT refractory to adenosine
Atrial flutter
Atrial fibrillation

27
Q

Verapamil Calan, Isoptin

Contraindications

A 
Hypotension 
Cardiogenie shock 
Heart block 
Congestive heart failure 
WPW syndrome with atrial fibrillation
28
Q

Verapamil Calan, Isoptin

Precautions and Side Effects

A 
Hypotension 
Heart block 
CHF
Headache
Dizziness
29
Q

Verapamil Calan, Isoptin

Doses

A

Adult
2.5-5.0mg pushed over 2-3 min may repeat at double dose every 15-30 min to a max total dose of 20mg
Pedi
Newborn-1year: 0.1-0.2mg/kg slow IVP to a max of 2mg
1-15 years old: 0.1-0.3mg/kg slow IVP to a max of 5mg

Paramedic Drugs (9 decks)

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