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All lcems drugs Flashcards

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1
Q

Adenosine (Adenocard) Antiarrhythmic indications

A
  1. · Stable Narrow-Complex Tachycardia
  2. Supraventricular Tachycardia
  3. Paraoxsysmal Supraventricular Tachycardia
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2
Q

Adenosine (Adenocard) Antiarrhythmic contra

A
  1. · Known Atrial Fibrillation or Flutter
  2. 2nd and 3rd Degree Heart Block
  3. Sick Sinus Syndrome
  4. KnownAllergy/Hypersensitivity
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3
Q

Adenosine (Adenocard) Antiarrhythmic adverse affects

A
  1. · Chest Pain
  2. Transient Asystole
  3. Palpitations
  4. Headache
  5. Facial Flushing
  6. Dyspnea
  7. Dizziness
  8. Nausea/Vomiting
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4
Q

Albuterol (Proventil) (Ventolin) Bronchodilator, Selective Beta2 Agonist indications

A
  1. · Reactive Airway Disease
  2. Anaphylaxis
  3. Toxic Fume Inhalation
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5
Q

Albuterol (Proventil) (Ventolin) Bronchodilator, Selective Beta2 Agonist contraindications

A
  1. · Symptomatic Tachycardia
  2. Ischemic Chest Pain KnownAllergy/Hypersensitivity
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6
Q

Albuterol (Proventil) (Ventolin) Bronchodilator, Selective Beta2 Agonis side effects

A
  1. Anxiety
  2. Dizziness
  3. Palpitations
  4. Paradoxical Bronchospasm
  5. Tachycardia
  6. tremors Nausea/Vomiting
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7
Q

Amiodarone (Cordarone) Antiarrhythmic, Sodium, Calcium, and Potassium Channel Blocker indications

A
  1. Ventricular Fibrillation
  2. Wide-Complex Tachycardia
  3. Pulseless Ventricular Tachycardia
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8
Q

Amiodarone (Cordarone) Antiarrhythmic, Sodium, Calcium, and Potassium Channel Blocke contraindications

A
  1. Hypotension
  2. 2nd and 3rd Degree Heart Block
  3. Congestive Heart Failure
  4. Symptomatic Bradycardia
  5. KnownAllergy/Hypersensitivity
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9
Q

Amiodarone (Cordarone) Antiarrhythmic, Sodium, Calcium, and Potassium Channel Blocker side affects

A
  1. AV Conduction Abnormalities
  2. Bradycardia
  3. Headache
  4. Hypotension
  5. Torsade de pointes
  6. Nausea/Vomiting
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10
Q

Aspirin (None) NSAID, Platelet Aggregation Inhibitor, Antipyretic indications

A
  1. Ischemic Chest Pain
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11
Q

Aspirin (None) NSAID, Platelet Aggregation Inhibitor, Antipyretic contraindications

A

· Bleeding Disorders · Gastrointestinal Bleeding · Peptic Ulcer Disease KnownAllergy/Hypersensitivity

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12
Q

Aspirin (None) NSAID, Platelet Aggregation Inhibitor, Antipyretic side effects

A

· Anaphylaxis · Occult Bleeding · Gastrointestinal Irritation · Tinnitus Nausea/Vomiting

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13
Q

Atropine Sulfate (Atropen) Parasympathetic Blocker, Anticholinergic indications

A

· Symptomatic Bradycardia (pulse producing) · Heart Blocks · Organophosphate Poisoning · Nerve Agent Exposure

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14
Q

Atropine Sulfate (Atropen) Parasympathetic Blocker, Anticholinergic contraindications

A

None in Emergency Situations

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15
Q

Atropine Sulfate (Atropen) Parasympathetic Blocker, Anticholinergic side effects

A

· Blurred Vision · Dilated Pupils · Dizziness · Dry Mucus Membranes · Palpitations · Reflex Bradycardia · Tachycardia Nausea/Vomiting

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16
Q

Dextrose (D10%) (D25%) (D50%) (InstaGlucose - oral) Glucose, Caloric Supplement indications

A

· Hypoglycemia

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17
Q

Dextrose (D10%) (D25%) (D50%) (InstaGlucose - oral) Glucose, Caloric Supplemen contraindications

A

· Intracranial Hemorrhage InstaGlucose:InabilitytoProtectAirway (swallowormanagesecretions)

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18
Q

Dextrose (D10%) (D25%) (D50%) (InstaGlucose - oral) Glucose, Caloric Supplemen Side effects

A

· Extravasation Injury · Hyperglycemia · Tissue Necrosis · Thrombophlebitis ReboundHypoglycemia

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19
Q

Diltiazem (Cardizem) Calcium Channel Blocker Indications

A

· Atrial Fibrillation with Rapid Ventricular Response · Atrial Flutter · Refractory Paroxysmal Supraventricular Tachycardia

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20
Q

Diltiazem (Cardizem) Calcium Channel Blocker contraindications

A

· Hypotension/Hypoperfusion · 2nd and 3rd Degree Heart Block · Ventricular Tachycardia · Wolfe-Parkinson White Syndrome KnownAllergy/Hypersensitivity

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21
Q

Diltiazem (Cardizem) Calcium Channel Blocker Side effects

A

· Asystole · Bradycardia · Dizziness · Heart Blocks · Hypotension Nausea/Vomiting

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22
Q

Diphenhydramine (Benadryl) Antihistamine (H1), Anticholinergic, Antiemetic indications

A

· Allergic Reactions · Anaphylaxis · Motion Sickness/Nausea · Dystonia/Extrapyramidal Symptoms (EPS)

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23
Q

Diphenhydramine (Benadryl) Antihistamine (H1), Anticholinergic, Antiemetic contraindications

A

Known Allergy/Hypersensitivity

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24
Q

Diphenhydramine (Benadryl) Antihistamine (H1), Anticholinergic, Antiemetic Side effects

A

· Central Nervous System Depression · Palpitations · Tachycardia · Thickened Bronchial Secretions Nausea/Vomiting

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25
Epinephrine (Adrenalin) (EpiPen) (EpiPen, Jr) Sympathomimetic, Alpha & Beta Adrenergic Agonist Indications
· CardioPulmonary Arrest · Anaphylaxis · Reactive Airway Disease · Pediatric Croup · Bradycardia · Shock
26
Epinephrine (Adrenalin) (EpiPen) (EpiPen, Jr) Sympathomimetic, Alpha & Beta Adrenergic Agonist Contraindications
· Anxiety · Chest Pain · Headache · Palpitations · Tachycardia · Tremors · Ventricular Ectopi Nausea/Vomiting
27
Fentanyl (Sublimaze) Narcotic Analgesic Indications
· Pain Management
28
Fentanyl (Sublimaze) Narcotic Analgesic Contraindications
· Intoxication · Pregnancy · Stroke KnownAllergy/Hypersensitivity
29
Fentanyl (Sublimaze) Narcotic Analgesic Side effects
· Bradycardia · Hypotension · Rigid Chest Wall Syndrome Nausea/Vomiting
30
Glucagon (Glucagen) Pancreatic Hormone Indications
Hypoglycemia without vascular access
31
Glucagon (Glucagen) Pancreatic Hormone Contraindications
Known Allergy/Hypersensitivity
32
Glucagon (Glucagen) Pancreatic Hormone Side effects
· Hypotension · Palpitations · Tachycardia · Nausea/Vomiting
33
Hydroxocobalamin (Cyanokit) Cyanide Poisoning Antidote Indications
· Smoke Inhalation · Suspected or Known Cyanide Poisoning
34
Hydroxocobalamin (Cyanokit) Cyanide Poisoning Antidote Contraindications
None in Emergency Situations
35
Hydroxocobalamin (Cyanokit) Cyanide Poisoning Antidote Side effects
· Headache · Chromaturia (Red Urine) · Erythemia/Skin Rash · Facial Flushing · Diarrhea Nausea/Vomiting
36
Ipratropium Bromide (Atrovent) (Duoneb – when premixed with Albuterol) Bronchodilator, Anticholinergic Indications
· Reactive Airway Disease · Anaphylaxis · Toxic Fume Inhalation
37
Ipratropium Bromide (Atrovent) (Duoneb – when premixed with Albuterol) Bronchodilator, Anticholinergic contraindications
Known Allergy/Hypersensitivity
38
Ipratropium Bromide (Atrovent) (Duoneb – when premixed with Albuterol) Bronchodilator, Anticholinergic Side effects
· Blurred Vision · Coughing · Chest Pain · Dizziness · Dry Mucus Membranes · Palpitations · Paradoxical Bronchospasm · Tachycardia · Tremors Nausea/Vomiting
39
Ketamine (Ketalar) Dissociative Anesthetic, Sedative, Analgesic Indications
· Excited Delirium Syndrome (ExDS) · Procedural Sedation
40
Ketamine (Ketalar) Dissociative Anesthetic, Sedative, Analgesic Contraindications
· Catecholamine Depleted States (Cardiogenic Shock, Cardiac Transplant Candidate) KnownAllergy/Hypersensitivity
41
Ketamine (Ketalar) Dissociative Anesthetic, Sedative, Analgesic side effects
· Emergence Phenomenon · Hypersalivation · Laryngospasm · Transient Hypertension · Transient Tachycardia Nausea/Vomiting
42
Lidocaine (Xylocaine) Anesthetic, Antiarrhythmic Indications
· Intraosseous Anesthetic
43
Lidocaine (Xylocaine) Anesthetic, Antiarrhythmic Contraindications
· 2nd and 3rd Degree Heart Block · Bradycardia KnownAllergy/Hypersensitivity
44
Lidocaine (Xylocaine) Anesthetic, Antiarrhythmic Side effects
· Confusion · Facial Flushing · Injection Site Burning/Pain · Muscle Spasms · Seizures Nausea/Vomiting
45
Magnesium Sulfate (none) Intracellular Electrolyte, Calcium Channel Blocker Indications
· Torsades de Pointes · Reactive Airway Disease · Eclampsia Seizure
46
Magnesium Sulfate (none) Intracellular Electrolyte, Calcium Channel Blocker Contraindications
2nd and 3rd Degree Heart Block · Patients on Digitalis KnownAllergy/Hypersensitivity
47
Magnesium Sulfate (none) Intracellular Electrolyte, Calcium Channel Blocker Side effects
· Central Nervous System Depression · Hypotension · Respiratory Depression Nausea/Vomiting
48
Methylprednisolone (Solumedrol) Glucocorticoid Steroid Indications
· Reactive Airway Disease · Anaphylaxis
49
Methylprednisolone (Solumedrol) Glucocorticoid Steroid Contradindications
Known Hypersensitivity
50
Methylprednisolone (Solumedrol) Glucocorticoid Steroid Side effects
· Dizziness · Hypertension · Gastrointestinal Irritation · Vertigo · Nausea/Vomiting
51
Midazolam (Versed) Benzodiazepine, Anticonvulsant, Sedative Indications
· Seizure Disorders · Excited Delirium Syndrome Emergence
52
Midazolam (Versed) Benzodiazepine, Anticonvulsant, Sedative Contraindications
· Hypotension KnownAllergy/Hypersensitivity
53
Midazolam (Versed) Benzodiazepine, Anticonvulsant, Sedative Side effects
· Bradycardia · Bronchospasm · Central Nervous System Depression · Laryngospasm · Hypotension Nausea/Vomiting
54
Naloxone (Narcan) (Evzio) Narcotic Antagonist Indications
· Opioid Overdose
55
Naloxone (Narcan) (Evzio) Narcotic Antagonist Contraindications
· Advanced Airway Management Known Allergy/Hypersensitivity
56
Naloxone (Narcan) (Evzio) Narcotic Antagonist Side effects
· Cardiac Arrhythmias · Pulmonary Edema · Seizures · Skeletal Tremors · Violent Behavior Nausea/Vomiting
57
Nitroglycerin (Nitrostat) (Nitrobid) (Nitropaste) (Tridal) Vasodilator, Antianginal, Smooth Muscle Relaxant indications
· Acute Coronary Syndromes · Unstable Angina · STEMI · Congestive Heart Failure/Pulmonary Edema
58
Nitroglycerin (Nitrostat) (Nitrobid) (Nitropaste) (Tridal) Vasodilator, Antianginal, Smooth Muscle Relaxant Contraindications
· Hypotension (SBP \<90mmHg) · Severe bradycardia or tachycardia · Right Ventricular Infarct · Erectile Dysfunction Medication intake in the past 48 hours KnownAllergy/Hypersensitivity
59
Nitroglycerin (Nitrostat) (Nitrobid) (Nitropaste) (Tridal) Vasodilator, Antianginal, Smooth Muscle Relaxant Side effects
· Dizziness · Facial Flushing · Headache · Hypotension · Palpitations Nausea/Vomiting
60
Ondansetron (Zofran) Antiemetic, Serotonin Antagonist Indications
· Nausea/Vomiting
61
Ondansetron (Zofran) Antiemetic, Serotonin Antagonist contraindications
· Prolonged QT Syndrome KnownAllergy/Hypersensitivity
62
Ondansetron (Zofran) Antiemetic, Serotonin Antagonist Side effects
· Hypotension · Tachycardia · Extrapyramidal Syndrome · Facial Flushing · Fever · Headache · Seizure Prolonged QTInterval
63
Pralidoxine (2-Pam) (Protopam Chloride) (Duodote – when premixed with Atropine) Nerve Agent Antidote Indications
· Nerve Agent Exposure · Organophosphate Poisoning
64
Pralidoxine (2-Pam) (Protopam Chloride) (Duodote – when premixed with Atropine) Nerve Agent Antidote Contraindications
None in Emergency Situations
65
Pralidoxine (2-Pam) (Protopam Chloride) (Duodote – when premixed with Atropine) Nerve Agent Antidote Side effects
· Blurred Vision · Dilated Pupils · Dizziness · Dry Mucus Membranes · Palpitations · Tachycardia Nausea/Vomiting
66
Sodium Bicarbonate (none) Alkanlinizing Buffer Agent Indications
· CardioPulmonary Arrest · Metabolic Acidosis · Tricyclic Overdose KnownHyperkalemia
67
Sodium Bicarbonate (none) Alkanlinizing Buffer Agent Contraindications
Alkalosis
68
Sodium Bicarbonate (none) Alkanlinizing Buffer Agent Side effects
· Metabolic Acidosis May crystallize in IV solutions when mixedwith Epinephrine
69
Thiamine (Vitamin B1) Carbohydrate Metabolite INdications
· Adults with evidence of alcohol abuse or signs of malnourishment prior to the administration of Dextrose
70
Thiamine (Vitamin B1) Carbohydrate Metabolite Contraindications
Known Allergy/Hypersensitivity
71
Thiamine (Vitamin B1) Carbohydrate Metabolite Side effects
None
72
acute pain Fentanyl -audlt
1mcg/kg IV, IO, IM, IN; repeat q 10minutes PRN
73
acute pain Fentanyl pedi
: Fentanyl 0.5mcg/kg IV, IO, IM, IN; repeat q 10minutes PRN
74
Intraosseous (EZ-IO) Device Comfort: Lidocaine
40mg IO over 2minutes; allow to dwell in IO space for 60seconds, followed by 5 – 10 mL normal saline flush
75
Pediatric: Lidocaine
0.5mg/kg (40mg maximum) IO over 2minutes; allow to dwell in IO space for 60seconds, followed by 2.5 – 5mL normal saline flush
76
Magnesium Sulfate
2gm in 100cc D5W IV Infusion over 10 minutes
77
Pediatric: Magnesium Sulfate
50mg/kg in 100cc D5W IV Infusion over 10 minutes
78
Methylprednisolone
125mg SIVP
79
Pediatric: Methylprednisolone
2mg/kg SIVP (maximum dose 125mg)
80
Dyphenhydramine dose for allergic reaction/anaphylaxis/motion sickness ## Footnote **Adult**
50 mg iv/im
81
Dyphenhydramine dose for allergic reaction/anaphylaxis/motion sickness ## Footnote **Pediatric**
1 mg /kg /iv/im
82
Dyphenhydramine dose for Dystonia/extrapyramidal symptoms
50 mg iv/io
83
Dextrose/ D10 ## Footnote **Indications**
Hypoglycimia
84
Dextrose/ D10 ## Footnote **contraindications**
1. Intracranial hemmorage 2. Instaglucose:inability to protect airway( swallow or manage secretions)
85
Dextrose/ D10 ## Footnote **side effects**
1. Extravasation injury 2. Hyperglycemia 3. Tissue necrosis 4. thrombophlebitis 5. rebound hypoglycemia
86
Dextrose/ D10 ## Footnote **dose**
* 125- 250 ml ( 12.5 grams- 25 grams) * Titrated to effect and stop after bgl is over 60 and mentation has returned.
87
Oral glucose ## Footnote **Dose**
15- 30 grams po
88
Thiamine **Dose**
100 mg iv/im

lcems phase one (5 decks)

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