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Paramedic Class 27 > Drug Memorization N-Z > Flashcards

Drug Memorization N-Z Flashcards

1
Q

Narcan (Naloxone) Indication

A

Opiate OD

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2
Q

Narcan (Naloxone) Contraindication

A

Hypersensitivity

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3
Q

Narcan (Naloxone) Dose

A

04.mg to max 2mg

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4
Q

Narcan (Naloxone) Side Effects

A

Dysrhythmias
N/V
HTN
Tachycardia
Violent behavior

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5
Q

Nitroglycerine (Nitrostat) indications

A

Chest pain or cardiac origin.
Pulmonary edema associated with CHF

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6
Q

Nitroglycerine (Nitrostat) Contraindications

A

Systolic BP <90
Increased intracranial pressure
ED drugs
Extreme bradycardia/tachycardia

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7
Q

Nitroglycerine (Nitrostat) Dose

A

1 spray 0.4mg or 1 tablet sublingual 0.4mg

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8
Q

Nitroglycerine (Nitrostat) Side Effects

A

Hypotension
HA
Reflex tachycardia
N/V
Diaphoresis

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9
Q

Nitrous Oxide indication

A

A&O pt w/ pain (kidney stones, thermal burns, AMI, labor, Fractures)

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10
Q

Nitrous Oxide Contraindication

A

Decompression sickness
COPD
chest trauma
abdominal distention
Altered LOC

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11
Q

Nitrous Oxide Dose

A

Self Dose

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12
Q

Nitrous Oxide Side Effects

A

Hypotension
Dizziness

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13
Q

Norcuron (Vecuronium) indications

A

Long term muscle paralysis to facilitate endotracheal intubation

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14
Q

Norcuron (Vecuronium) Contraindications

A

Hypersensitivity

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15
Q

Norcuron (Vecuronium) Dose

A

IV/IO
0.1mg/kg
Onset 30 seconds, duration 30-40 minutes

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16
Q

Norcuron (Vecuronium) Side Effects

A

Hypotension or hypertension
Tachycardia or bradycardia
Patients with neuromuscular disease - multiple sclerosis.
Hepatic or renal impairment.

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17
Q

Pavulon (Pancuronium) indications

A

Long term muscle paralysis to facilitate endotracheal intubation.

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18
Q

Pavulon (Pancuronium) contraindications

A

Hypersensitivity

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19
Q

Pavulon (Pancuronium) Dose

A

IV/IO
0.04-0.1mg/kg
Onset 30 seconds
Duration 180 minutes

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20
Q

Pavulon (Pancuronium) side effects

A

Hypotension or hypertension
tachycardia or bradycardia
Patients with neuromuscular disease - MS
hepatic or renal impairment.

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21
Q

Phenergan (Promethazine) indication

A

Persistent vomiting
GI problems
Allergic reactions
(Better than zofram if patient is already vomiting.)

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22
Q

Phenergan (Promethazine) contraindication

A

Hypersensitivity
Comatose states
Altered LOC

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23
Q

Phenergan (Promethazine) dose

A

12.5mg to max of 25mg

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24
Q

Phenergan (Promethazine) side effects

A

Drowsiness/sedation
dystonic reaction
Necrosis

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25
Q

Pralidoxime Chloride (2-PAM) indication

A

Second drug given for the treatment of poisoning due to organophosphate pesticides and chemical nerve agents. (after atropine)
Primary indication for pralidoxime administration is muscle weakness or respiratory depression in these patients.

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26
Q

Pralidoxime Chloride (2-PAM) contraindication

A

No absolute contraindications

27
Q

Pralidoxime Chloride (2-PAM) dose

A

600mg (1 autoinjector) 1800mg (3 autoinjectors) - standing order.

28
Q

Pralidoxime Chloride (2-PAM) Side effects

A

Tachycardia, laryngospasm, muscle rigidity if IV and infused too quickly
Mild to moderate pain at the injection site
Blurred or double vision, dizziness, loss of coordination, headache drowsiness, hypertension, and tachycardia.

29
Q

Pronestyl (Procainamide) indication

A

Suppress ectopy in ventricular tissue and reduce ventricular dysrhythmias such as:
Refractory and recurrent Vfib
Pulseless Vtach
Stable monomorphic or polymorphic Vtach w/ a pulse
Wide complex tachydysrhythmias of uncertain type.
Malignant refractory PVCs
I-C suppress ectopy in atrial tissue and reduce supra ventricular dysrhythmias such as PACs, PAT, afib, aflutter, and WPW.

30
Q

Pronestyl (Procainamide) contraindication

A

TCA overdose
previous use of amioderone
2nd and 3rd degree heart block.

31
Q

Pronestyl (Procainamide) dose

A

IV infusion
20 - 30mg/min IV infusion titrate to effect
Max dose up to 17mg/kg
Add 1 gram procainamide to 250ml NS use 10 gets/min drop set.

32
Q

Pronestyl (Procainamide) side effects

A

Hypotension
2nd or 3rd degree AV block
Widening of the QRS complex

33
Q

Racemic Epi (vaponefrin) indication

A

Acute bronchospasm in reactive airway disease such as:
acute asthma attack
acute exacerbation of COPD
Allergic reaction unresponsive to other treatment
Croup

34
Q

Racemic Epi (vaponefrin) contraindication

A

Hypersensitivity
Pregnancy (except in life threatening situation)
Racemic Epinephrine epiglottitis

35
Q

Racemic Epi (vaponefrin) dose

A

Inhaled/nebulized:
0.5ml of 2.25% solution in 2.5ml NS every 4 hours prn.

36
Q

Racemic Epi (vaponefrin) Side effects

A

Tachycardia
Restlessness/nervousness/tremors
Hypertension

37
Q

Sodium Bicarbonate indications

A

TCA OD
hyperkalemia or acidosis
prolonged CPR
DKA
Rhabdomyolysis
compartment syndrome

38
Q

Sodium Bicarbonate contraindications

A

alkalosis
PE
abdominal pain w/ unknown origin
hypocalcemia

39
Q

Sodium Bicarbonate dose

A

1mEq/kg

40
Q

Sodium Bicarbonate side effects

A

acidosis
hypoxia
tissue sloughing
seizures
hypernatremia
inc. PCO2

41
Q

Succinylcholine indications

A

To facilitate intubation

42
Q

Succinylcholine contraindications

A

Burn injuries within 12 hours.
Inability to control airway
acute rhabdomyolysis.

43
Q

Succinylcholine dose

A

Relax 0.3-1.1mg/kg
RSI 1-1.5mg/kg

44
Q

Succinylcholine Side effects

A

Respiratory depression
bradycardia
dysrhythmias
allergic reaction

45
Q

Terbutaline indication

A

acute bronchospasm in reactive airway disease such as acute asthma attack, acute exacerbation of COPD, and allergic reaction unresponsive to other treatment.

46
Q

Terbutaline contraindications

A

Hypersensitivity and pregnancy (except in life threatening situation.)

47
Q

Terbutaline dose

A

Subcutaneous:
0.25mg subQ may repeat once in 15 min if no response.

48
Q

Terbutaline side effects

A

Tachycardia
restlessness/nervousness/tremors
hypertension

49
Q

Thiamine indication

A

Vitamin required to convert glucose to energy. Must be ingested, body does not manufacture.

50
Q

Thiamine contraindication

A

History of sensitivity to thiamine or to any of the ingredients in this drug is a contraindication.

51
Q

Thiamine dose

A

IVP/IM
50mg IVM may repeat total of 100mg

52
Q

Thiamine side effects

A

none

53
Q

Verapamil indication

A

SVT
aflutter w/RVR
afib
atrial tachycardia
unstable angina

54
Q

Verapamil contraindication

A

Hypersensitivity
bradycardia

55
Q

Verapamil dose

A

initial: 2.5-5mg

repeat 5-10mg bolus every 15 minutes

56
Q

Verapamil side effects

A

dizziness
headache
N/V
hypotension
bradycardia

57
Q

Zemuron (Rocuronium) indications

A

Long term muscle paralysis to facilitate endotracheal intubation

58
Q

Zemuron (Rocuronium) contraindications

A

Hypersensitivity

59
Q

Zemuron (Rocuronium) dose

A

IV/IO
1mg/kg
onset 60-90 seconds and lasts 45-70 minutes

60
Q

Zemuron (Rocuronium) side effects

A

Hypotension or hypertension
Tachycardia or bradycardia
Patients with neuromuscular disease - MS
Hepatic or renal impairment.

61
Q

Zofran (ondansetron) indication

A

Prevention of N/V

62
Q

Zofran (ondansetron) contraindication

A

Hypersensitivity
Pedi <2 years of age
No not administer phenergan and zofran to the same pt.

63
Q

Zofran (ondansetron) dose

A

2mg to max of 4mg

64
Q

Zofran (ondansetron) side effects

A

dizziness
burning at injection site
drowsiness

Paramedic Class 27 (11 decks)

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