Drug quiz 13 - Trauma Drugs Flashcards Preview

Paramedic > Drug quiz 13 - Trauma Drugs > Flashcards

Flashcards in Drug quiz 13 - Trauma Drugs Deck (83):
1

fentanyl citrate trade name

sublimaze

2

sublimaze generic

fentanyl citrate

3

fentanyl drug class

narcotic analgesic

4

fentanyl moa

opiate R-agonist causes analgesia

5

fentanyl onset

immediate

6

fentanyl peak

3-5 min IV

7

fentanyl duration

30-60 min

8

fentanyl half life

6-8 hrs

9

fentanyl indications

severe pain and adjunct for RSI

10

fentanyl contraindications

hemorrage/shock; hypersensitivity

11

fentanyl SE

bradycardia, respiratory depression, apnea, chest wall rigidity

12

fentanyl adult dose

1mcg/kg slow IV, max single dose of 100mcg, q10

13

fentanyl pedi dose

1-2mcg/kg slow IV

14

fentanyl precautions

caution with kidney and liver dysfunction, halve the dose for elder Pt's and dose q5

15

fentanyl interactions

additive effects with CNS depressants, not for Pt who used MAOI's w/in last 14 days

16

mannitol trade name

osmotrol

17

osmotrol generic name

mannitol

18

mannitol drug class

osmotic diuretic

19

mannitol moa

osmotic diuretic that inhibits sodium and water reabsorption in the kidneys and promotes fluid shift from intracellular to extracellular space

20

mannitol onset

15 minutes

21

mannitol peak

3-8 hrs

22

mannitol duration

varies

23

mannitol half life

100 minutes

24

mannitol indications

cerebral edema, blood transfusion Rx's

25

mannitol contraindications

acute pulmonary edema, severe pulmonary congestion, hypovolemia

26

mannitol SE

chills, HA, dizziness, lethargy, change in mental status, chest pain, N+V

27

mannitol adult dose

1.5-2g/kg IV slow bolus

28

mannitol pedi dose

0.25-0.5g/kg IV over 60 min

29

mannitol precautions

rapid administration can cause transient volume overload and CHF; diuresis can cause sodium depletion; crystallization begins as temperature approaches 45 degrees F, always use in-line filter

30

mannitol interactions

damages RBC's, do not give with whole blood or packed RBC's

31

methyprednisolone trade

solu-medrol

32

solu-medrol generic

methylprednisolone

33

solu-medrol moa

upregulates genes that inhibit inflammatory agents *an immunosuppressant*

34

solu-medrol onset

2-6 hrs

35

solu-medrol peak

4-8 days

36

solu-medrol duration

1-5 weeks

37

solu-medrol half-life

3.5 hrs

38

solu-medrol indications

severe anaphylaxis, hives; asthma, COPD; spinal cord injury

39

solu-medrol contraindications

none ems

40

solu-medrol SE

fluid retention, CHF, HTN, abdominal distention, vertigo, HA, nausea, malaise, hiccups

41

solu-medrol adult asthma/anaphylaxis dose

125-250mg IV

42

solu-medrol spinal cord injury

30mg/kg iv over 15 min, maintenance of 5.4mg/kg/hr for 24-48 hrs

43

solu-medrol pedi asthma/anaphylaxis dose

2mg/kg iv; max dose 80mg

44

solu-medrol precautions

one dose prehospitally; prolonged wound healing; suppression of adrenocortical steroids

45

solu-medrol interactions

lasix and thiazide diuretics increase K loss, decreased effect with phenytoin, phenobarbital, and rifampin due to increased metabolism of steroids

46

morphine sulfate drug class

narcotic analgesic

47

morphine MOA

opiate R agonist causes CNS depression, induces analgesia and sedation, decreases myocardial oxygen demand

48

morphine onset

immediate iv, 15-30 min im

49

morphine peak

20 min iv, 30-60 im

50

morphine duration

2-7 hrs

51

morphine half-life

1-7 hrs

52

morphine indications

severe pain; pulmonary edema

53

morphine contraindications

hypovolemia or hypotension; undiagnosed head injury; hypersensitivity to morphine, codeine, percodan; COPD/compromised respiratory status

54

morphine SE

N+V, abd cramps, blurred vision, constricted pupils, AMS, HA, respiratory depression

55

morphine adult dose

2-10mg initial then 2mg every few minutes until relief

56

morphine pedi dose

0.1mg/kg iv

57

morphine precautions

have narcan available in case of respiratory depression

58

morphine drug interactions

additive effects with antihistamines, antiemetics, sedatives, hypnotics, barbituates, alcohol

59

nitrous oxide trade name

nitronox, entonox

60

nitronox, entonox generic

nitrous oxide

61

nitrous oxide moa

NMDA receptor antagonist, creates dissociative anesthesia, euphoria, and analgesia

62

nitrous oxide onset

2-5 min

63

nitrous oxide peak

2-5 min

64

nitrous oxide duration

2-5 min

65

nitrous oxide half life

5 min

66

nitrous oxide indications

acute musculoskeletal pain; burns; ischemic chest pain; anxiety

67

nitrous oxide contraindications

AMS secondary to drugs, alcohol, head injury; inability to comprehend verbal instructions, Pt with COPD, abdominal pain/distention, or pneumothorax

68

nitrous oxide SE

dizziness, light-headedness, AMS, hallucinations, N+V

69

nitrous oxide adult dose

50/50 mixture oxygen and nitrous oxide self administered until relief or Pt drops the mask

70

nitrous oxide precautions

use in well ventilated areas; may be impossible to use in temperatures under 21 degrees

71

nitrous oxide interactions

may potentiate other CNS depressants

72

tetracaine drug class

topical anesthetic

73

tetracaine moa

Na+ channel blocker, decreases rate of nerve depolarization causing local anaesthetic effect

74

tetracaine onset

30 seconds

75

tetracaine peak

30 seconds

76

tetracaine duration

10-15 min

77

tetracaine half-life

n/a

78

tetracaine indications

burns to the eyes; to facilitate insertion of Morgan lens

79

tetracaine contraindications

hypersensitivity

80

tetracaine SE

stinging, ocular irritation, redness, delayed ocular wound healing

81

tetracaine adult dose

1-2 drops 0.5% solution q5-10min, max dose 6 drops per eye

82

tetracaine precautions

caution with hyperthyroidism; avoid prolonged use

83

tetracaine interactions

none