Drug Quiz 3 Flashcards

(63 cards)

1
Q

nitroglycerin trade name

A

nitrostat

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2
Q

nitrostat generic name

A

nitroglycerin

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3
Q

nitro drug class

A

vasodilator/nitrate

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4
Q

nitro MOA

A

pro-drug converted to nitric oxide, reduces intracellular Ca2+ in vascular smooth muscle muscle, decreases cardiac preload and afterload

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5
Q

nitro onset of effect

A

1-3 min SL; 30 min topical

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6
Q

nitro peak effects

A

5-10 min SL; varies topically

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7
Q

nitro duration of effect

A

20-30 min SL; 3-6 hrs topically

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8
Q

nitro half life

A

1-4 min

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9
Q

nitro indications

A

chest pain associated with angina or MI, pulmonary edema/CHF

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10
Q

nitro contraindications

A

hypotension, ICP, children under 12, ED drugs within last 48 hrs

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11
Q

nitro SE

A

headache, dizziness, tachycardia, hypotension

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12
Q

nitro adult spray dose

A

.4mg SL q3-5min, (max 3x25min)

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13
Q

nitro adult paste dose

A

0.5-1 inch

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14
Q

nitro adult tablet

A

0.4mg SL

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15
Q

nitro precautions

A

check vitals and 12 lead before and after, expect HA, use EXTREME CAUTION if R-sided MI

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16
Q

nitro drug interactions

A

orthostatic hypertension w/ b-blockers, severe hypotension with alcohol

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17
Q

oxygen drug class

A

gas

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18
Q

oxygen MOA

A

cells use it for breakdown of glucose

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19
Q

oxygen onset of action

A

immediate

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20
Q

oxygen peak effects

A

<1 min

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21
Q

oxygen duration of effect

A

<2 min

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22
Q

oxygen half life

A

n/a

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23
Q

oxygen indications

A

hypoxia, difficulty breathing, spo2<94%

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24
Q

oxygen contraindications

A

ROSC post CA w/ sp02>94%; chest pain, MI, cell injury or death with sp02>94%

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25
oxygen side effects
free radicals in presence of injured tissues, causing cell death
26
oxygen adult dose
2-6L NC, 12-15L NRB, 15L BVM
27
oxygen CPAP/VENT dose
varies by O2 demand to meet cmH20 requirement
28
oxygen pedi dose
2-6L NC, 10-15L NRB, 15L BVM
29
oxygen precautions
avoid hyperoxia; high concentrations to neonates can cause eye damage
30
oxygen drug interactions
none EMS
31
furosemide trade name
lasix
32
lasix generic name
furosemide
33
lasix drug class
loop diuretic
34
lasix moa
inhibits Na and Cl reabsorption in kidneys, reducing water reasbsorption in descending limb; causes venous dilation and reduces preload
35
lasix onset of action
5-10 min for vasodilation, 5-30 for diuresis
36
lasix peak effects
30 min for vasodilation, 20-60 for diuresis
37
lasix duration of effect
2 hrs for vasodilation, 6 hrs for diuresis
38
lasix half life
30 min
39
lasix indications
CHF and pulmonary edema
40
lasix contraindications
sulfa allergies, renal failure, pregnancy
41
lasix side effects
hypotension, headache, dizziness, volume depletion
42
lasix adult dose
40 mg IV; if Pt takes lasix give their dose, if they missed today's dose double their daily dose
43
lasix pedi dose
0.5-1mg/kg IV, not for children under 12
44
lasix precautions
LS and BP before and after, protect from light, may cause dehydration
45
lasix drug interactions
additive effects with other diuretics; nsaid's may antagonize effects
46
epinephrine trade name
adrenalin, epipen
47
adrenalin, epipen generic name
epinephrine
48
epi drug class
sympathomimetic/catecholamine
49
epi moa
a1 agonist - peripheral casoconstriction, b1 agonist - positive inotropy, chronotropy, dromotropy; b2 agonist - bronchodilation; blocks destruction of mast cells
50
epi onset of action
<2 min iv, 3-10 im
51
epi peak effects
<5 min iv, 20 min im
52
epi duration of effect
5-10 min iv; 20-30 min im
53
epi half life
5 min iv
54
epi indications
cardiac arrest, anaphylaxis, symptomatic bradycardia/hypotension
55
epi contraindications
HTN and tachydysrhythmias, use caution w/ pregnancy and CAD
56
epi side effects
anxiety, HA, dysrhythmias, tremulousness
57
epi adult cardiac arrest dose
0.5-1mg iv [1:10,000] q 3-5min
58
epi pedi cardiac arrest dose
0.01mg/kg iv [1:10,000] q 3-5min
59
epi bradycardia/hypotension adult dose
2-10 mcg/min
60
epi anaphylaxis adult dose
0.3-0.5mg IM/SC [1:1000], then 0.1mg [1:10,000] IV over 3 min
61
epi pedi anaphylaxis dose
0.01mg/kg IM/SC [1:1,000], then 0.01mg/kg [1:10,000] max of 0.3mg slow IV
62
epi precautions
protect from light
63
epi drug interactions
deactivated by alkaline solutions; effect intensified by anti-depressants, forms PPT w/ CaCl2 and NaHCO3