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Paramedic > Drug quiz 1 > Flashcards

Drug quiz 1 Flashcards

(86 cards)

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1
Q

0.9% NaCl brand name

A

Normal saline

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2
Q

saline classification

A

isotonic crystalloid solution

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3
Q

saline MOA

A

volume, water, electrolyte replacement

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4
Q

saline onset of action

A

immediate

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5
Q

saline peak effects

A

immediate

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6
Q

saline duration of effect

A

until excretion

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7
Q

saline half life

A

n/a

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8
Q

saline indications

A

dehydration, hypovolemia, DKA

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9
Q

saline contraindications

A

hypertension, pulmonary edema

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10
Q

saline side effects

A

pulmonary edema in Pt’s w/ CHF

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11
Q

saline dose adult

A

200-250cc until BP>100, max dose 2000cc

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12
Q

saline pedi dose

A

20cc/kg for >1 mos; 10cc/kg for <1 mos

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13
Q

saline precautions

A

depletion of other electrolytes, consider dopamine if hypotension persists after 2000cc

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14
Q

saline drug interactions

A

none

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15
Q

5% dextrose in water brand name

A

D5W

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16
Q

D5W classification

A

hypotonic dextrose containing solution

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17
Q

D5W MOA

A

provides sugar

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18
Q

D5W onset of action

A

varies

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19
Q

D5W peak effects

A

N/A

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20
Q

D5W duration of effect

A

N/A

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21
Q

D5W half life

A

N/A

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22
Q

D5W indications

A

dilution of concentrated IV meds

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23
Q

D5W contraindications

A

hypovolemia requiring volume replacement, Pt w/ head injury or stroke

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24
Q

D5W side effects/adverse reactions

A

rare/none

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25
D5W dose adult/pedi
KVO
26
D5W precautions
venous irritation, extravasation may cause tissue necrosis, monitor for circulatory overload
27
D5W drug interactions
do not use with dilantin or inocor
28
Lactated Ringer's brand name
Hartmann's solution
29
Ringer's classification
isotonic crystalloid solution
30
Ringer's MOA
volume, water, electrolyte replacement
31
Ringer's onset of action
immediate
32
Ringer's peak effects
immediate
33
Ringer's duration of effect
varies depending upon disease process
34
Ringer's half-life
N/A
35
Ringer's indications
hypovolemia, burns
36
Ringer's contraindications
CHF or renal failure, hypersensitivity to sodium lactate
37
Ringer's side effects
pulmonary edema in Pt's with CHF
38
Ringer's adult dose
wide open until systolic>100, then 100ml/hr
39
Ringer's pedi dose
20cc/kg
40
Ringer's precautions
monitor for circulatory overload
41
Ringer's interactions
additive effects with K sparing drugs, may cause hyperkalemia
42
Diazepam trade name
Valium
43
Diazepam classification
anticonvulsant/sedative/benzo/anxiolytic
44
diazepam MOA
positive allosteric modulator for GABAa receptors
45
Diazepam onset of action
1-5 min IV, 15-30 min IM
46
Diazepam peak effects
10 min IV, 30-45 min IM
47
Diazepam duration of effect
15-60 min
48
Diazepam half life
20-50 hrs
49
Diazepam indications
seizures, anxiety, pre-med for cardioversion
50
Diazepam contraindications
hypersensitivity
51
Diazepam side effects
hypotension, tachycardia, hallucinations, drowsiness, HA, amnesia, respiratory depression, blurred vision, N+V
52
Diazepam adult dose (anxiety)
2-5mg IV
53
Diazpeam adult seizure dose
5-10mg IV
54
Diazepam adult amnesia dose
5-15mg IV
55
Diazepam PEDI dose
0.1-0.2mg/kg IV, max dose of 5mg
56
Diazepam Precautions
venous irritation, don't push faster than 1ml/min, have benzo antagonist available
57
Diazpeam drug interactions
additive effects with CNS depressents and alcohol
58
Lorazepam trade name
Ativan
59
Lorazepam drug class
anticonvulsant/sedated/hypnotic/benzo
60
Lorazepam MOA
positive allosteric modultar for GABAa receptors
61
Lorazepam onset of action
1-5 min IV, 15-30 IM
62
Lorazepam peak effects
15-20 min IV, 2 hr IM
63
Lorazepam duration of effect
6-8 hrs
64
Lorazepam half life
10-20 hrs
65
Lorazepem indications
seizures/anxiety/cardioversion
66
Lorazepam contraindications
hypersensitivity
67
Lorazepam side effects
hypotension, drowsiness, HA, amnesia, respiratory depression, blurred vision, N+V
68
Lorazepam adult dose
0.5mg-2mg IV, 1-4 mg IM (0.1mg/kg)
69
Lorazepam pedi dose
0.05 mg/kg IV
70
Lorazepam precautions
have benzo antagonist available
71
Lorazepam interactions
additive effects with CNS depressants and alcohol
72
Midazolam trade name
Versed
73
Midazolam drug classification
benzo/anticonvulsant/sedative/hypnotic
74
Midazolam MOA
positive allosteric modulator for GABAa receptors
75
Midazolam onset of action
3-5 min IV, 15 min IM
76
Midazolam peak effects
20-60 min
77
Midazolam duration of effect
<2 hrs IV, 1-6 hours IM
78
Midazolam half life
1-4 hrs
79
Midazolam indications
seizure, pre-medication for cardioversion and TCP, post intubation sedation
80
Midazolam contraindications
Hx of narrow angle glaucoma, shock, depressed vitals, alcoholic coma
81
Midazolam side effects
laryngospasm, bronchospasm, dyspnea, respiratory depression/arrest, drowsiness, amnesia, AMS, tachycardia, bradycardia, PVC's, retching
82
Midazolam adult dose
2-5mg (0.5mg/kg) IV slow
83
Medazolam pedi dose
0.2 mg/kg slow iV, max dose of 10
84
Midazolam precautions
have resuscitative equipment available, increased risk of respirator depression/arrest, have benzo antagonist available
85
Midazolam drug interactions
additive effects with CNS depressants and alcohol
86
Saline pedi dose for cardiogenic shock
5-10cc/kg

Paramedic (17 decks)

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