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Paramedic Pharmacology > Civilian Medications > Flashcards

Civilian Medications Flashcards

(105 cards)

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1
Q

What is the trade name of ___

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2
Q

___ is a part of what drug class

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3
Q

What is the MOA of ___

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4
Q

For what is ___ indicated?

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5
Q

___ is contraindicated in…

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6
Q

What are common side effects of ___

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7
Q

What are precautions of ___

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8
Q

___ interacts with

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9
Q

What is the adult dose of ___

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10
Q

What is the pediatric dose of ___

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11
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What is the onset of ___

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12
Q

What is the trade name of Whole Blood?

A

LTOWB+

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13
Q

Whole Blood is a part of what drug class

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Blood Component

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14
Q

What is the MOA of Whole Blood

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Provides White blood cells, red blood cells, platelets, and clotting factors

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15
Q

For what is Whole Blood indicated?

A

Trauma with (possible) blood loss
And Hemorrhagic shock

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16
Q

Whole Blood is contraindicated in…

A

Non consent
Lack of vascular access
Non compatible

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17
Q

What are common side effects of Whole Blood

A

Pulmonary edema, Pain, Fever, Headache, Flushing,

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18
Q

What are precautions of Whole Blood

A

Administration of other drugs

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19
Q

Whole Blood interacts with

A

Lactated Ringers

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20
Q

What is the adult dose of Whole Blood

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1 Unit

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21
Q

What is the pediatric dose of Whole Blood

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22
Q

What is the trade name of Packed Red Blood Cells

A

RBCs, PRBCs

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23
Q

Packed Red Blood Cells is a part of what drug class

A

Blood Component

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24
Q

What is the MOA of Packed Red Blood Cells

A

The influx of red blood cells increase the body’s oxygen transport capabilities

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25
For what is Packed Red Blood Cells indicated?
Severe Anemia
26
Packed Red Blood Cells is contraindicated in…
Anemia that can be treated with other methods Incompatible blood type Non consent Lack of vascular access Non compatible
27
What are common side effects of Packed Red Blood Cells
Purpura, Circulatory overload, Acute lung injury, Hypersensitive reactions
28
What are precautions of Packed Red Blood Cells
Administration of other drugs
29
What is the adult dose of Packed Red Blood Cells
1 unit over 1-2 hr
30
What is the pediatric dose of Packed Red Blood Cells
10-15 ml/kg
31
What is the onset of Packed Red Blood Cells
Immediate
32
What is the trade name of Fresh Frozen Plasma
FFP, Octoplase
33
Fresh Frozen Plasma is a part of what drug class
Blood Component
34
What is the MOA of Fresh Frozen Plasma
Provides plasma proteins and clotting factors to body
35
For what is Fresh Frozen Plasma indicated?
Hemorrhage Replacement of missing proteins Thrombotic Thrombocytopenic Purpura
36
Fresh Frozen Plasma is contraindicated in…
IgA deficiency Protein S deficiency Hypersensitivity Non consent Lack of vascular access Non compatible
37
What are common side effects of Fresh Frozen Plasma
Headache, Nausea, Circulatory overload, Purpura, Alkalosis, Cardiac Arrest, Tachycardia, Thromboembolism, Pulmonary edema, Vomiting
38
What are precautions of Fresh Frozen Plasma
Should not be used as replacement for blood loss Administration of other drugs
39
Fresh Frozen Plasma interacts with
Calcium: Incompatible in same IV line
40
What is the adult dose of Fresh Frozen Plasma
Coagulation factor replacement: 10-15 ml/kg Bleeding: 10-20 ml/kg
41
What is the pediatric dose of Fresh Frozen Plasma
Bleeding: 10-15 ml/kg
42
What is the onset of Fresh Frozen Plasma
Immediate
43
What is the trade name of Mannitol
Osmitrol
44
Mannitol is a part of what drug class
Osmotic Diuretic
45
What is the MOA of Mannitol
Increases osmotic pressure and inhibits reabsorption
46
For what is Mannitol indicated?
Increased ICP and Pulmonary Edema Increased Intraocular pressure
47
Mannitol is contraindicated in…
Hypersensitivity Anuria Hypovolemia Active intracranial bleeding Severe pulmonary edema
48
What are common side effects of Mannitol
Angina, Heart failure, Tachycardia, Dehydration, low electrolyte levels, Nausea, Vomiting, Pulmonary edema, Coma, Lethargy, Acute kidney failure, Renal failure, Thirst, Alkalosis
49
What are precautions of Mannitol
Renal impairment Deficient blood/brain barrier Pregnancy & Lactation Pediatrics
50
Mannitol interacts with
Digoxin: Risk of toxicity Nephrotic drugs: Renal Failure Neurotoxic drugs: Toxicity
51
What is the adult dose of Mannitol
Intracranial: 0.25 g/kg Intraocular: 1.5-2 g/kg
52
What is the pediatric dose of Mannitol
Intracranial: 1-2 /kg Intraocular: 1-2 /kg
53
What is the onset of Mannitol
30-60 min
54
What is the trade name of Phenylephrine
Neo-Synephrine, Biorphren
55
Phenylephrine is a part of what drug class
Vasopressor, Adrenergic
56
What is the MOA of Phenylephrine
Stimulates alpha-adrenergic receptors to induce vasoconstriction
57
For what is Phenylephrine indicated?
Hypotension from shock that does not respond to fluid replacement Hypotension from anesthesia
58
Phenylephrine is contraindicated in…
Hypersensitivty Hypovolemia
59
What are common side effects of Phenylephrine
Arrhythmias, Nausea, Vomiting, Blurred Vision, Headache, Tremor, Dyspnea
60
What are precautions of Phenylephrine
Heart Failure Coronary artery disease Pregnancy/Lactation Pediatrics
61
Phenylephrine interacts with
General Anesthetics: Myocardial Irritability Alpha-Adrenergic blockers, Calcium Channel blockers, Benzodiazepines, ACE inhibitors: Antagonizes vasopressor effects MAO inhibitors, oxytocics, tricyclic antidepressants, atropine, corticosteroids: Severe hypertension
62
What is the adult dose of Phenylephrine
IV: 0.2 mg IM: 2-5 mg
63
What is the pediatric dose of Phenylephrine
IV: 5-20 mcg IM: 0.1 mg/kg
64
What is the onset of Phenylephrine
10-15 min
65
What is the trade name of Terbutaline
Bricanyl Turbuhaler
66
Terbutaline is a part of what drug class
Bronchodilator, adrenergic
67
What is the MOA of Terbutaline
Causes bronchodilation, prevents mast cell activation
68
For what is Terbutaline indicated?
Asthma induced airway disease
69
Terbutaline is contraindicated in…
Hypersensitivity
70
What are common side effects of Terbutaline
Angina, Arrhythmias, Nausea, Hypokalemia, Vomiting, Tachycardia, Myocardial ischemia, Pulmonary edema, nervousness, Tremor, headache
71
What are precautions of Terbutaline
Cardiac Disease Hypertension Hyperthyroidism Diabetes Glaucoma Pregnancy Geriatrics
72
Terbutaline interacts with
Adrenergics: Additive effects MAO inhibitors: Hypertensive crisis Beta Blockers: negates effects
73
What is the adult dose of Terbutaline
2.5 mg 3x daily
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What is the pediatric dose of Terbutaline
2.5 mg 3x daily unless <12 yr in which case the dosage is lowered to 0.05
75
What is the onset of Terbutaline
PO: 60-120 min SubQ: <15 min
76
What is the trade name of Pancuronium
Pavulon
77
Pancuronium is a part of what drug class
Nondepolarizing neuromuscular blocking agent
78
What is the MOA of Pancuronium
Blocks effects of acetylcholine at myoneural junction
79
For what is Pancuronium indicated?
Paralytic
80
Pancuronium is contraindicated in…
Hypersensitivity Neonates
81
What are common side effects of Pancuronium
Bronchospasm, Hypertension, Tachycardia
82
Pancuronium interacts with
-Other paralytics, Metabolizing affecting drugs like diuretics, -Calcium Channel blockers, -Cyclosporin, Beta blockers: Prolongs duration and intensity -Inhalation anesthetics: Enhances effects
83
What is the adult dose of Pancuronium
0.06-0.01 mg/kg loading dose, 0.01 mg/kg every 25-60 min maintenance
84
What is the pediatric dose of Pancuronium
0.06-0.01 mg/kg loading dose, 0.01 mg/kg every 25-60 min maintenance
85
What is the onset of Pancuronium
30-45 sec
86
What is the trade name of Meperidine
Demerol
87
Meperidine is a part of what drug class
Opioid Analgesic
88
What is the MOA of Meperidine
Binds to opiate receptors in the Central nervous system and produces CNS depression
89
For what is Meperidine indicated?
Severe pain Sedation
90
Meperidine is contraindicated in…
Hypersensitivity MAO inhibitor therapy within 14 days Respiratory distress/difficulty Pregnancy & Lactation
91
What are common side effects of Meperidine
Hypotension, Bradycardia, Flushing, Sweating, Adrenal insufficiency, Nausea, Vomiting, Confusion, Sedation, Euphoria, Headache, Seizures, Respiratory depression
92
Meperidine interacts with
CYP3A4 Inducer/Inhibitors MAO inhibitors, Procarbazine: FATAL CNS depressants and Benzos Agonist/Antagonist analgesics Alcohol Neurotransmitter affecting drugs: Serotonin syndrome
93
What is the adult dose of Meperidine
PO: 50-150 mg every 3-4 hr IM/SUBQ: 50-150 mg every 3-4 hr IV: 15-35 mg/hr
94
What is the pediatric dose of Meperidine
PO: 1.1-1.8 mg/kg every 3-4 hr IM/SUBQ: 1.1-1.8 mg/kg every 3-4 hr IV:0.5-1 mg/kg loading followed by 0.3 mg/kg/hr
95
What is the onset of Meperidine
PO: 15 min IM/SubQ: 10-15 min IV: Immediate
96
What is the trade name of Propofol
Diprivan
97
Propofol is a part of what drug class
General Anesthetic
98
What is the MOA of Propofol
Short acting hypnotic with amnesiac effects
99
For what is Propofol indicated?
General anesthesia induction Sedation
100
Propofol is contraindicated in…
Hypersensitivity Pregnancy
101
What are common side effects of Propofol
Bradycardia, Hypotension, Hypertension, Nausea, Vomiting, Apnea, Fever, Propofol Infusion Syndrome
102
Propofol interacts with
Fentanyl: Severe bradycardia Acetazolamide: Cardiorespiratory instability Theophylline: Antagonizes effects Alcohol, Sedative/hypnotics, opioids, antihistamines: Increased CNS depression
103
What is the adult dose of Propofol
40 mg every 10 min loading dose. 150-200 mcg/kg/min thereafter
104
What is the pediatric dose of Propofol
2.5-3.5 mg/kg
105
What is the onset of Propofol

Paramedic Pharmacology (13 decks)

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