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Pharmacology II > Exam 5 - Emergency Kit > Flashcards

Exam 5 - Emergency Kit Flashcards

1
Q

Name the level 1 (basic critical drugs)

A
  1. Endogenous catecholamine (Epinephrine)
  2. Histamine blocker
  3. Oxygen
  4. Vasodilater (Nitroglycerin)
  5. Bronchodilator
  6. Anti-hypoglycemic
  7. Fibrinolytic
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2
Q

Which level 1 basic critical drug is used for respiratory distress?

A

Endogenous catecholamine

Oxygen

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3
Q

Name the indications of Endogenous catecholamine

A

Rapid relief of hypersensitivity reactions

Anaphylaxis

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4
Q

Name the two Histamine blockers found in an emergency kit

A
  1. diphenhydramine (Benadryl)

2. chlorpheniramine (Chlor-Trimeton)

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5
Q

What are the indications for histamine blockers?

A

Used for allergic reactions
Angioedema
Anaphylaxis

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6
Q

What is the indication for oxygen use?

A

Used for any emergency situation where respiratory distress is evident

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7
Q

Name the drug considered a Vasodilator found in emergency kits

A

Nitroglycerin

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8
Q

What are the indications for nitroglycerin?

A

Prophylaxis

Management and treatment of patients with angina

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9
Q

Name the drug considered a bronchodilator found in emergency kits

A

albuterol (beta 2 agonist) inhaler

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10
Q

Indications for albuterol

A

Used for relief of bronchospasm in patients with COPD

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11
Q

Name a few examples of Anti-hypoglycemics used in emergency kits

A

Orange juice
Cake icing in tube
Regular soft drinks
Glucose = paste, tablets

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12
Q

What is the fibrinolytic found in emergency kits

A

Chewable aspirin

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13
Q

Indication for chewable aspirin when in emergency

A

Pre-hospital admission drug for MI

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14
Q

List the Level 2 (Often in basic kits too) drugs

A
  1. Respiratory stimulant
  2. Histamine blocker
  3. Analgesic
  4. Anticonvulsant
  5. Anti-hypertensive
  6. Anti-hypoglycemic
  7. Glucocorticoid (anti-inflammatory)
  8. Vasoconstrictor
  9. Anticholinergic
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15
Q

Name the level 2 Respiratory stimulants

A

Aromatic ammonia

Spirits of ammonia (Smelling salts)

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16
Q

What is the indication of the level two respiratory stimulants

A

Treatment of fainting (***NOT respiratory depression caused by opioids)

17
Q

Name the level 2 Histamine Blocker found in emergency kits

A

diphenhydramine (oral administration)

18
Q

Indication for level 2 histamine blocker

A

mild allergic reactions

angioedema

19
Q

What is the level 2 analgesic often found in kits

A

Morphine sulfate

20
Q

Indication for Level 2 analgesic

A

Used for pain/anxiety with MI

21
Q

Name the Level 2 anticonvulsant often found in kits

A

diazepam (valium)

22
Q

Indication for Level 2 Anticonvulsant

A

Used for status epileptics and severe recurrent convulsive seizers

23
Q

Indications for Level 2 Anti-hypertensive

A

Anti-anginal

Used for treatment of tachycardia and hypertension

24
Q

Name the level 2 Anti-hypertensive drugs found in kits

A

Beta blockers such as esmolol and labetalol

25
Q

Name the Level 2 anti-hypoglycemic drugs found in kits

A

glucagon HCl

50% Dextrose

26
Q

Indication of Level 2 glucocorticoid (anti-inflammatory)

A
  • treatment of adrenocortical insufficiency
  • treatment of shock
  • control of severe or incapacitating allergic conditions that are intractable to conventional treatment of asthma and allergic reactions
27
Q

Name the level 2 glucocorticoid

A

hydrocortisone sodium succinate (Solu-cortef)

28
Q

Name the level 2 vasoconstrictor

A

methoxamine (Vasoxyl)

29
Q

Indication for the level 2 vasoconstrictor

A

support or maintenance of blood pressure

30
Q

Indications for the Level 2 anticholinergic

A

Used as antisialagogue for pre anesthesia

  • restore heart rate and arterial pressure when vagal stimulation causes sudden decrease in pulse rate and cardiac action
  • lessen degree of AV heart block
  • Overcome severe bradycardia and syncope due to hyperactive carotid sinus reflex
31
Q

Name the Level 2 anticholinergic

A

atropine

32
Q

List the Level 3 drugs (advanced cardiac life-support drugs)

A
  1. Alkalinizing agent
  2. Analgesic
  3. Anti-dysrhythmic
  4. Anti-cholinergic
  5. Calcium salt
  6. Endogenous catecholamine (Epinephrine)
33
Q

List the Level 3 Anti-dysrhythmic drugs

A
  1. lidocaine (Xylocaine)
  2. bretylium tosylate (Bretylol)
  3. Procainamide (Pronestyl)
  4. Verapamil (Calan)
34
Q

Name the Level 3 Alkalinizing agents

A

Sodium bicarbonate

35
Q

Indications for sodium bicarbonate

A

Documented pre-existing metabolic acidosis

  • Not frequently used due to many adverse effects
  • Used after other interventions
36
Q

Indications for Level 3 Analgesic drugs

A

treatment of anxiety/pain due to MI

Manage pain unresponsive to non-opioid analgesics

37
Q

What is the drug of choice for suppression of ventricular tachycardia and ventricular fibrillation?

A

lidocaine (Xylocaine)

38
Q

What is the indication of calcium salt

A

treatment of acute hyperkalemia, hypocalcemia or calcium channel blocker toxicity

39
Q

Name the Level 4 (antidotes)

A 
Benzodiazepine Antagonist (flumazenil)
Opioid antagonist (naloxone, naltrexone)

Pharmacology II (24 decks)

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