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Paramedic Drugs > Week 8 Drugs > Flashcards

Week 8 Drugs Flashcards

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0
Q

Alteplase Recombinant, TPA

Pharmacology and Actions

A

TPA promotes fibrinolysis by forming the active proteolytic enzyme plasmin. Plasmin in turn degrades fibrin, fibrinogen and the clot.

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1
Q

Alteplase Recombinant, TPA

Class

A

Fibrinolytic

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2
Q

Alteplase Recombinant, TPA

Indications

A

Fibrinolysis in acute myocardial infraction
Acute ischemic shock
Pulmonary embolism

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3
Q

Alteplase Recombinant, TPA

Contraindications

A 
Internal bleeding 
Aortic emergencies 
Increased intracranial pressure 
Hemorrhagic shock within the past 6 months 
Uncontrolled hypertension
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4
Q

Alteplase Recombinant, TPA

Precautions and Side Effects

A

Internal bleeding
Superficial bleeding
Hemorrhagic stroke

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5
Q

Alteplase Recombinant, TPA

Dosage

A

Adult
MI/CVA: 15mg followed by 0.75mg/kg over 30min, max dose of 50mg, then provide 0.5mg/kg over 60min, max of 35mg.
Pulmonary embolism: 100mg infused over 2 hr
Pedi

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6
Q

Decadron

Class

A

Steroid

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7
Q

Decadron

Pharmacology and Actions

A

Prevents the accumulation of inflammatory cells at the sites of infection; inhibits phagocytosis, lysosomal enzyme releases, and synthesis of selected chemical mediators of inflammation.

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8
Q

Decadron

Indications

A

Anaphylaxis
Asthma
COPD
Acute spinal cord edema

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9
Q

Decadron

Contraindications

A

No absolute contraindications in the emergency setting

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10
Q

Decadron

Precautions and Side Effects

A

Arrhythmias
Hyperglycemia
CHF
Hypertension

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11
Q

Decadron

Dosage

A

Adult
4-24mg IV/IO/IM
Pedi
0.5-1.0mg/kg

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12
Q

Mannitol, Cystosol, Osmitrol

Class

A

Osmotic diuretic

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13
Q

Mannitol, Cystosol, Osmitrol

Pharmacology and Actions

A

Mannitol is an osmotic diuretic that draws water from the Intracellular space into the intravascular space through its hypertonic effects.

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14
Q

Mannitol, Cystosol, Osmitrol

Indications

A

To reduce acute cerebral edema and increased intracranial pressure.

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15
Q

Mannitol, Cystosol, Osmitrol

Contraindications

A 
CHF 
Shock 
Pulmonary edema 
Active intracranial bleeding 
Use with renal failure may result in fluid overload
16
Q

Mannitol, Cystosol, Osmitrol

Precautions and Side Effects

A 
CHF 
Pulmonary edema 
Hypotension 
Hypertension 
Convulsions
17
Q

Mannitol, Cystosol, Osmitrol

Dosage

A

Adult
0.5-2g/kg over 5-10min through an inline filter
Additional doses of 0.25-2g/kg can be given every 4-6hr as needed
Pedi
0.25-2g/kg over 30-60 min

18
Q

Oxytocin, Pitocin

Class

A

Hormone

19
Q

Oxytocin, Pitocin

Pharmacology and Actions

A

Oxytocin is a natural hormone that causes the uterus to contract inducing labor and encouraging delivery of the placenta. Oxytocin also helps to control post partum bleeding through uterine contractions.

20
Q

Oxytocin, Pitocin

Indications

A

To control post partum bleeding

21
Q

Oxytocin, Pitocin

Contraindications

A

Prior to delivery of the baby

Hypersensitivity

22
Q

Oxytocin, Pitocin

Precautions and Side Effects

A

Hypotension
Subarachnoid bleeding
Cardiac arrhythmias
N/V

23
Q

Oxytocin, Pitocin

Dosage

A

Adult
3-10 units IM after the delivery of the placenta
10-20 units in 1000cc D5W or NS IV infusion, titrate to the sensitivity of the bleeding
Pedi
Not indicated for pediatrics

24
Q

Propranolol

Class

A

Beta blocker

25
Q

Propranolol

Pharmacology and Actions

A

Propranolol is a non selective beta blocker affecting both bronchial and cardiac sites. It reduces heart rate, myocardial irritability, contractile forces, cardiac output and blood pressure.

26
Q

Propranolol

Indications

A

PSVT not controlled by vagal maneuvers and adenosine

27
Q

Propranolol

Contraindications

A 
High degree AV blocks
CHF
Cardiogenic shock 
Asthma 
COPD
28
Q

Propranolol

Precautions and Side Effects

A 
Confusion 
Respiratory distress 
AV heart blocks
Hypotension 
Profound bradycardia
29
Q

Propranolol

Dosage

A

Adult
1-3mg slow IVP over 2-5 min, not to exceed 1mg/min (May repeat in 2 min) max dose of 0.1mg/kg
Pedi
0.1mg/kg slow IVP

30
Q

Thiamine

Class

A

Vitamin

31
Q

Thiamine

Pharmacology and Actions

A

Thiamine is vitamin B1. It is required for the metabolism of glucose and the production of ATP. It is not manufactured by the body and must be continually provided by ingested food.

32
Q

Thiamine

Indications

A

Coma of unknown origin
Alcohol induced coma
Delirium tremors

33
Q

Thiamine

Contraindications

A

Hypersensitivity

34
Q

Thiamine

Precautions and Side Effects

A

Weakness
Pulmonary edema
Sweating
N/V

35
Q

Thiamine

Dosage

A

Adult
50-100mg IV/IM/IO
Pedi
10-25mg IV/IM/IO

Paramedic Drugs (9 decks)

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