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Drug Cards Flashcards

(85 cards)

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1
Q

Narcan Drug Class

BLS

A

Opioid Antagonist

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2
Q

Narcan Action

BLS

A

Binds the opioid receptor and blocks the effects of a narcotic

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3
Q

Narcan Side Effects

BLS

A

N/V, restlessness, diaphoresis, tachycardia, hypertension, tremors, seizures, cardiac arrest, narcotic withdrawal.

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4
Q

Narcan Contraindications

BLS

A

Use with caution with patients with SVT, or cardiac Dx, head trauma, or a brain tumor

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5
Q

Narcan Dose

BLS

A

Adult: 0.4mg to 2 mg IV, IM, IN, or SQ. Higher doses are required with synthetic medications

Peds: 0.1 mg/kg

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6
Q

Oral Glucose Indications

BLS

A
  • Patient must have an open airway
  • BGL must be lower than 60
  • 1 Tube per patient
  • BGL before and after administration
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7
Q

EPI Drug Class

BLS

A

Adrenergic agent, intropic

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8
Q

EPI Indications

BLS

A

Bronchospasm, allergic and anaphylactic reactions, cardiac arrest, bradycardia when pacing is not available.

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9
Q

EPI Side Effects

BLS

A

Anxiety, headache, cardiac arrhythmias, hypertension, nervousness, tremors, chest pain, N/V

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10
Q

EPI Dose

BLS

A

1 mg of 1:10,000 solution IV,IO every 3-5 mins for a cardiac arrest up to a max of 5mgs/doses per patient. (EPI is a vasoconstrictor and restricts blood flow in the brain)

0.3-0.5 mg IM or SQ for allergic reactions and may repeat every 10-15 minutes

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11
Q

Oxygen Drug Class

BLS

A

Elemental gas

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12
Q

Oxygen Action

BLS

A

Increases cellular energy metabolism

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13
Q

Oxygen

BLS

A

High concentrations can cause decreased level of consciousness and respiratory depression in patients with COPD. Oxygen causes systemic vasoconstriction, use with caution on ischemic strokes.

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14
Q

Oxygen Dose

BLS

A

NC 2-6 LPM
NRBM 15 LPM
BVM 25 LPM

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15
Q

Albuterol Drug Class
(BLS)
(Asthma/COPD)

A

Bronchodilator, beta agonist

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16
Q

Albuterol Actions
(BLS)
(Asthma/COPD)

A

Binds and stimulates beta 2 receptors resulting in relaxation of bronchial smooth muscle

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17
Q

Albuterol Indications
(BLS)
(Asthma/COPD)

A

-Asthma, bronchitis with spasms, and COPD. (Crush injury)
- Albuterol helps push potassium in the cells during
a crush injury
-Use with caution on patients nursing, and patients with a cardiac history

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18
Q

Albuterol Dose
(BLS)
(Asthma/COPD)

A

Adult and Ped dose: 2.5 mgs in 3 ml of NS. May repeat as needed

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19
Q

Nitroglycerin Drug Class
(BLS)
(CHF)

A

Antianginal agent

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20
Q

Nitroglycerin Action
(BLS)
(CHF)

A
  • Relaxes vascular smooth muscle, thereby dilating the arteries and veins.
  • Nitro decrease the preload and afterload of the heart and must be used with caution in inferior MI’s
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21
Q

Nitroglycerin indications
(BLS)
(CHF)

A

Angina or chest pain of a cardiac origin

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22
Q

Nitroglycerin Side Effects
(BLS)
(CHF)

A

Headache, hypotension, bradycardia, flushing

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23
Q

Nitroglycerin Contraindications
(BLS)
(CHF)

A

Hypotension (90 systolic), severe bradycardia, increased ICP, patients taking sexually enhanced medications

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24
Q

Nitroglycerin Dose
(BLS)
(CHF)

A

0.4 mg tab or spray to a max of 3 doses

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25
Activated Charcoal Drug Class | BLS
Antidote, adsorbent
26
Activated Charcoal Indications | BLS
Toxic ingestion
27
Activated Charcoal Contraindications | BLS
Ingestion of acids, alkalis, ethanol, acid, bleach, cyanide, iron salts, lithium, patient in a coma, GI obstruction
28
Activated Charcoal Dose | BLS
50-100 g per dose
29
ASA Drug Class | BLS
Antiplatelet, nonnarcotic analgesic, antipyretic
30
ASA Action | BLS
Prevents the formation of a chemical know as thromboxane A2, which causes platelets to bind together
31
ASA Indications | BLS
Fever, inflammation, angina, AMI, and patients complaining of pain, pressure, squeezing, or crushing in the chest that might be cardiac
32
ASA Contraindications | BLS
Active GI bleed, hemorrhagic stroke, bleeding disorder, children with chickenpox and a fever
33
Normal Saline Drug Class
Electrolyte replacement | - NS is an isotonic solution
34
Normal Saline Dose
20 ml/kg while checking lung sounds every 250 ml
35
Normal Saline Indications
Septic patients, hypovolemic (dehydrated) Patients, and cardiogenic shock
36
Lactated Ringers Drug Class
Electrolyte replacement | - LRS is an isotonic solution
37
Lactated Ringers Dose
20 ml/kg while checking lung sounds every 250 ml
38
Lactated Ringers Indications
septic patients, hypovolemic patients, burn patients, and cardiogenic shock
39
Hypertonic Solutions
Solution that has a greater concentration of solutes on the outside of a cell when compared with the inside of a cell
40
Hypotonic Solution
A hypotonic solution has a lower concentration of solutes than another solution. In biology, a solution outside of a cell is called hypotonic if it has a lower concentration of solutes relative to the cytosol. Due to osmotic pressure, water diffuses into the cell, and the cell often appears turgid, or bloated.
41
Isotonic Solution
An isotonic solution is one that has the same osmolarity, or solute concentration, as another solution. If these 2 solutions are separated by semipermeable membrane, water will flow in equal parts out of each solution and into the other.
42
Lasix Drug Class | CHF
Loop diuretic
43
Lasix Action | CHF
Inhibits the absorption of the sodium and chloride ions and water in the loop of Henle, as well as the convoluted tubule of the nephron
44
Lasix Indications | CHF
Pulmonary edema, CHF, hypertensive emergency
45
Lasix Adverse effects | CHF
vertigo, dizziness, weakness, and orthostatic hypotension
46
Lasix Contraindications | CHF
Known sensitivity to sulfonamides and lasix
47
Lasix Dose | CHF
20-40 mgs IVP
48
Morphine Drug Class | CHF
Opiate agonist
49
Morphine Action | CHF
Binds with opioid receptors. Morphine is capable of inducing hypotension by depressing the vasomotor of the brain as well as a release of the chemical histamine. With chest pain such as angina. Morphine reduces stimulation of the sympathetic nervous system, which lowers heart rate and anxiety and this reduces oxygen demand.
50
Morphine Indications | CHF
Moderate to severe pain, including chest pain associated with acute coronary syndrome (ACS), CHF, Pulmonary edema
51
Morphine Side Effects | CHF
Respiratory depression, hypotension, N/V, bradycardia
52
Morphine Contraindication | CHF
Respiratory depression, shock, head trauma
53
Morphine Dose | CHF
2-4 mgs slow IVP over a 1-5 min period
54
Digoxin Drug Class | CHF
Cardiac glycoside
55
Digoxin Indications | CHF
CHF, to control ventricle rate in chronic A-Fib
56
Lopressor Drug Class | CHF
Beta adrenergic antagonist
57
Lopressor Indications | CHF
ACS, hypertension, SVT, A-Flutter, A-Fib
58
Atrovent Drug Class | Asthma/COPD
Bronchodilator, anticholinergic
59
Atrovent Action | Asthma/COPD
Antagonizes the acetylcholine receptors on bronchial smooth muscle, producing bronchodilation
60
Atrovent Indications | Asthma/COPD
Asthma, bronchospasm associated with COPD
61
Atrovent Adverse affects | Asthma/COPD
Paradoxical acute bronchospasm, cough, throat irritation, headache, dizziness, dry mouth, palpitations
62
Atrovent Contraindications | Asthma/COPD
Closed angle glaucoma, known sensitivity including peanuts or soybeans and atropine or atropine derivatives
63
Atrovent Dose | Asthma/COPD
Nebulized: Adult 0.5 mg every 20 mins with 2.5 mgs of albuterol
64
Duoneb | Asthma/COPD
- Albuterol 2.5 mg in 3 ml NS with Atrovent 0.5 mg in 2.5 ml of NS - 2nd line treatment if bronchodilator is ineffective or severe cases of Asthma or COPD exacerbations
65
Decadron (AKA: Dexamethasone) Drug Class | Asthma/COPD
Corticosteroid
66
Decadron (Dexamethasone) Action | Asthma/COPD
Reduces inflammation by multiple mechanisms
67
Decadron (Dexamethasone) Indications | Asthma/COPD
Anti-inflammatory agent for a wide variety of medical conditions, including asthma, airway edema, acute mountain sickness, cerebral edema, etc.
68
Decadron (Dexamethasone) Adverse effects | Asthma/COPD
Depression, euphoria, headaches, restlessness, hypertension, bradycardia, N/V, swelling, diarrhea, weakness, and fluid retention
69
Decadron (Dexamethasone) Contraindications | Asthma/COPD
Fungal infection, known sensitivity (including sulfites) use with caution in active infections, renal disease, and penetrating spinal cord injuries
70
Decadron (Dexamethasone) Dose | Asthma/COPD
Most common is 10 mg slow IVP
71
Solu-medrol Drug Class | Asthma/COPD
Corticosteroid
72
Solu-medrol Action | Asthma/COPD
Reduces inflammation by multiple mechanisms
73
Solu-medrol Indications | Asthma/COPD
Anaphylaxis, asthma, and COPD
74
Magnesium Sulfate Drug Class | Asthma/COPD
Electrolyte, mineral
75
Magnesium Sulfate Action | Asthma/COPD
Required for normal physiologic functioning. Mag sulfate is a cofactor neurochemical transmission and muscular excitability. Mag controls seizures by blocking peripheral neuromuscular transmission. Mag is also a peripheral vasodilator and an inhibitor of platelet function.
76
Magnesium Sulfate Indications | Asthma/COPD
Torsade's de pointes, cardiac arrhythmias associated with hypomagnesemia, eclampsia, and seizure prophylaxis in preeclampsia, status asthmaticus
77
Magnesium Sulfate Side effects | Asthma/COPD
Mag toxicity (signs of flushing, diaphoresis), hypotension, muscle paralysis, weakness, hypothermia, and cardiac, CNS, or resp depression
78
Magnesium Sulfate Contraindications | Asthma/COPD
AV blocks, GI obstruction, renal impairments
79
Magnesium Sulfate Dose | Asthma/COPD
Asthma: Adult: 1-2 g slow IV/IO over 20 mins Peds: 25-50 mg/kg diluted in D5W of 10-20 mins
80
Racemic EPI Drug Class | Asthma/COPD
Bronchodilator
81
Racemic EPI Action | Asthma/COPD
Stimulates both alpha and beta receptors, causing vasoconstriction, reduced mucosal edema, and bronchodilation
82
Racemic EPI Indications | Asthma/COPD
Bronchial asthma, croup
83
Racemic EPI Side Effects | Asthma/COPD
Anxiety, dizziness, headache, tremors, palpitations, tachycardia, cardiac arrhythmias, hypertension, N/V
84
Racemic EPI Contraindications | Asthma/COPD
Glaucoma, elderly, cardiac Dx, hypertension, thyroid disorder, diabetes
85
Racemic EPI Dose | Asthma/COPD
Adult: 0.3 mg in 0.5 ml to nebulizer for handheld neb, administer 1-3 inhalations Or 2.25% solution; 0.05-0.1 ml/kg max dose 0.5 ml

Paramedic (4 decks)

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