ALS Medication Flashcards Preview

Paramedic San Diego Protocols > ALS Medication > Flashcards

Flashcards in ALS Medication Deck (158)
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1

Sodium Bicarbonate (Bicarb, NaHCO2)
Onset

2-10 minutes

2

Dextrose/ Glucose (50%, D50/ 10%, D10, D10W)
Side effects

• Local venous irritation/ infection

• Hyperglycemia

3

Cyanide KIT
Side effects

Amyl Nitrate
- Hypertension, tachycardia, palpitations, syncope, headache and nausea
Sodium Thiosulfate
- Cirrhosis of liver
- Congestive heart failure
- Renal function impairment
Hydroxocobalamin
- Mild increase in Blood pressure
- Reddish orange skin color which clears over days

4

Amiodarone Hydrochloride ( Cordarone, Pacerone, Nexterone)
Onset

Minutes

5

Midazolam (Versed)
Contraindications

NONE

6

Epinephrine (Adrenalin, EPI)
Side effects

• Anxiety / restlessness
• Palpitations / tachyarrhythmias
• Ventricular irritability
• Increased myocardial Oxygen demand
• Hypertension
• Angina

7

Albuterol (Priventil, Ventilin)
Class

Bronchodilator: Sympathomimetic (Beta-2 specific)

8

Lidocaine (2% xylocaine)
Duration

10-20 minutes

9

Atrovent (Ipratropium Bromide)
Class

Bronchodilator: anticholinergic

10

Atrovent (Ipratropium Bromide)
Contraindications

NONE

11

Lidocaine (2% xylocaine)
Class

Anti-arrhythmic / Anesthetic

12

Naloxone (Narcan)
Contraindications

NONE

13

Fentanyl Citrate
Side effects

• Respiratory depression / Apnea
• Decreased LOC
• Transient Hypotension
• Nausea / Vomiting / Dizziness
• Muscular rigidity
• Bradycardia

14

Fentanyl Citrate
Contraindications

NONE

15

Adenosine(Adenocard)
Duration

1-2 minutes

16

Fentanyl Citrate
Onset

< 1 to 2 minutes

17

Ketamine (Ketalar)
Requirements

• > or equal too 15 years old
AND with GCS of 15
AND not pregnant
AND no known or suspected alcohol or drug intoxication
And have not received opioid analgesic in past 6 hours
(Prior to Medic arrival)

18

Ketamine (Ketalar)
Class

Anesthetic / Analgesic

19

Dopamine Hydrochloride(Intropin)
Contraindications

NONE

20

Dopamine Hydrochloride(Intropin)
Action

• At low and medium doses, Selectively dilates blood vessels supplying the brain, kidneys, heart and GI tract.

• At medium to high doses, Increases cardiac output by improving contractility and stroke volume, thereby increasing blood pressure.

• At high doses, causes vasoconstriction and increased heart rate.

21

Naloxone (Narcan)
Side effects

• Acute withdrawal symptoms
• Nausea / vomiting
• Tachycardia / hypertension

22

Epinephrine (Adrenalin, EPI)
Action

• On the Bronchi: bronchodilation (Beta-2)
• On the peripheral vasculature: vasoconstriction (Alpha)
• On the heart:
-Increased heart rate (Beta-1) / chronotropic
-Increased contractility / Inotropic
-Increased AV conduction/ dromotropic
-Increased automaticity / dromotropic

23

Atrovent (Ipratropium Bromide)
Action

• Antagonizes the action of acetylcholine, preventing the interaction of acetylcholine with muscarinic receptors in bronchial smooth muscles causing bronchodilation

• Dries respiratory tract secretions

24

Nitroglycerin ( NTG,Nitro)
Action

• Produces vasodilation by relaxing systemic venous & arterial vessels, thereby:
• Decreasing preload & afterload
• Decreasing myocardial workload
• Decreasing myocardial Oxygen consumption
• Dilates coronary arteries

25

Amiodarone Hydrochloride ( Cordarone, Pacerone, Nexterone)
Contraindications

• Hypotension

• 2nd and 3rd degree heart block

• idioventricular rhythms

26

Diphenhydramine(Benadryl)
Class

Antihistamine

27

Ketamine (Ketalar)
Onset

IV 30 seconds
IN 2 minutes

28

Sodium Bicarbonate (Bicarb, NaHCO2)
Side effects

• Electrolyte / PH imbalances

29

Morphine sulfate (MS, M50,)
Class

Opioid
Narcotic Analgesic

30

Albuterol (Priventil, Ventilin)
Contraindications

• None in adults

• PEDS: for croup/strider (Nebulized saline / epinephrine is indicated)