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ALS COMPETITION/ Paramedic school > DRUGS > Flashcards

DRUGS Flashcards

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1
Q

Epinephrine uses 1:1000

A
  • anaphylaxis
  • epi infusion for allergic reaction not responding to IM
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2
Q

Epinephrine 1:1000 dose allergic reaction

A

(1mg/ml)
adult: 0.3mg/3ml IM
peds: 0.15mg/1.5ml IM

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3
Q

Epinephrine 1:1000 infusion dose

A
  • 1mg/250ml D5W = 4mcg/ml start at 2mcg/min and can titrate up to 10 mcg/min
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4
Q

epinephrine 1:10,000 uses

A
  • cardiac arrest (VFIB, PVTACH, PEA, TORSADES, ASYSTOLE)
  • racemic epi
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5
Q

epinephrine 1:10,000 doses

A

cardiac arrest:
(0.1mg/ml)
adult: 1mg/10ml every 3-5 minutes IV/IO
pediatric: 0.01 mg/kg every 3-5 minutes IV/IO

racemic epinephrine:
(0.1mg/ml)
adult: 0.3mg of 1:10,000 3mls in neb @6lpm (bronchial asthma)
Pediatric: 0.5mg of 1:10,000 5mls in neb @6lpm blow by (croup)

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6
Q

amiodarone uses

A
  • VT/VF cardiac arrest (push)
  • Vtach with a pulse (drip)
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7
Q

amiodarone dose cardiac arrest

A

50mg/ml
adult: 300mg/6ml IV/IO push first dose, 150mg/3ml IV/IO second dose
Pediatric: 5mg/kg IV/IO push, 15mg/kg max

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8
Q

amiodarone Vatch with a pulse dose

A

(50mg/ml)
adults: 150mg/50ml 10gtts/ml set @1 drop a second
pediatric: 5mg/kg –> buretrol @20mls 1gtts/sec

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9
Q

lidocaine uses

A
  • cardiac arrest, alternate to amiodarone
  • RSI with ICP, pair with mannitol
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10
Q

lidocaine cardiac arrest dose

A

adult: 1-1.5 mg/kg repeat up to three times max 3mg/kg VT/VF IV/IO
pediatric: 1mg/kg repeat after 15 minutes VF/VT IV/IO

maintenance infusion:
adult: 1-4 mg/min (1mg if liver issues)
pediatric: 20-50 mcg/kg/min

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11
Q

lidocaine rsi w/ icp dose

A

adult: 1-1.5 mg/kg
pediatric: 1 mg/kg

pair with mannitol

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12
Q

adenosine uses

A

SVT

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13
Q

adenosine dose

A

3mg/ml
adult: 6mg, second dose 12mg
pediatric: 0.1mg/kg (max 6mg), seconds dose 0.2mg/kg (max 12 mg)

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14
Q

aspirin uses

A
  • chest pain suggestive of ACS
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15
Q

aspirin dose

A

81mg tablets
adult: up to 4 doses 324mg
pediatric: X
* do not give to pts with stomach ulcers or asthma*

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16
Q

atropine uses

A
  • bradycardia
  • RSI in pediatrics
  • organophosphate poisoning
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17
Q

atropine bradycardia doses

A

(1mg/10ml)
bradycardia:
adults: 0.5 mg IV 3-5 minutes max dose 3mg
pediatrics: 0.02 mg/kg minimum 0.1mg maximum single dose 0.5mg, total max 1mg

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18
Q

atropine RSI in pediatrics

A

(1mg/10ml)
0.02 mg/kg minimum 0.1mg maximum 0.5mg

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19
Q

atropine organophosphate poisoning dose

A

(1mg/10ml)
2mg+ as much needed to stop symptoms.

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20
Q

magnesium sulfate uses

A
  • hypomagnesemia
  • eclampsia
  • torsade’s de pointes
  • asthma
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21
Q

magnesium sulfate hypomagnesemia doses

A

(0.5mg/ml)
adult: 1g IV
pediatric: 20-50 mg/kg IV/IO

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22
Q

magnesium sulfate eclampsia dose

A

(0.5mg/ml)
4g/50ml D5W @2gtts/min

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23
Q

magnesium sulfate torsade’s de pointes dose

A

(0.5mg/ml)
adults: 1-2g push pulseless
pulses: infusion 1g/100ml NS macro drip, if unstable defibrillate

Pediatrics: 25-50 mg/kg Iv push if pulseless max 2g

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24
Q

magnesium sulfate asthma/status asthmaticus dose

A

(0.5mg/ml)
adult: 2g/50ml NS over 10 minutes
pediatrics: 30-60 mg/kg/50ml NS over 15 minutes

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25
D10 drip
(100mg/ml) adults: 25g/250ml over 5-10 minutes (macro drip set) pediatrics: 6ml/kg/250ml over 5-10 minutes (macro drip set)
26
dextrose
adult: 25g D50 pediatrics: 0.5/1g/kg of D25 infant: 200-500mg/kg D10
27
dopamine drip uses
- hypotension/ hypotension with low cardiac output states - cardiogenic shock - septic shock and distributive shock - second line for symptomatic bradycardia
28
dopamine drip dose
(400mg/250ml) adults and pediatrics: 5-20mcg/kg/min titrated to patient response, use the clock method to determine gtts/min
29
calcium gluconate gel uses and dose
- hydrofluoric burns - black widow bites (use with a benzodiazepine in case patient has a seizure) 2.5% paste use all
30
albuterol uses
- bronchospasm (COPD, Asthma, allergic reaction) - hyperkalemia
31
albuterol dose
adults: 2.5 mg 3mls neb pediatrics: 1.25 mg neb for <20kg above 20kg get adult dose
32
Atrovent use and dose
bronchospasm with albuterol treatment adult and pediatric: 0.5 mg in 3 mls
33
Duo dote single pen use
organophosphate posioning
34
duo dote drugs and dose
atropine, pralidoxime chloride adults: 1 duodote pen injector IM for mild symptoms; 2 more pens may be administered for more severe symptoms. Max 3 pens pediatrics: for pts weighing over 41kg (90lbs) three pens may be used as well
35
ryanodex uses.
malignant hyperthermia
36
ryanodex dose
250mg per vial adults and peds: 2.5 mg/kg IV over 1 minute
37
glucagon uses
- hypoglycemia - beta blocker OD - steakhouse syndrome
38
glucagon dose hypoglycemia
(1mg/unit) adults: 0.5-1 mg IM may be repeated twice pediatrics: <20kg; 0.02mg/kg IM pts over 20kg adult dose
39
glucagon dose beta blocker OD
(1mg/unit) adults: 3-10mg Iv bolus over 1-2 minutes, rebolus if no response pediatric: 0.05-0.15 mg/kg followed by infusion: adult: 3-5mg/hr pediatric: 0.05-0.1 mg/kg hr
40
glucagon steakhouse syndrome
(1mg/ml) adults: 1 mg IV/IM pediatrics: for peds >20kg ; 0.02 mg/kg IM Pts over 20kg 1 mg IM
41
Plavix uses
- blood thinner in the event of a heart attack or stroke
42
plavix dose
75mg per pill adults: 300mg lading dose PO pediatrics: 1mg/kg max 75mg/day PO
43
methylene blue uses
- methemoglobin levels above 20% need to be treated, caused by nitrate inhalant or benzocaine topical
44
methylene blue dose
(5mg/ml) adult: 0.1-0.2 mg/kg slow IV push, repeat dose if level is higher than 30% @1 mg/kg pediatrics: 0.1-0.2 mg/kg slow IV push, repeat dose if level is higher than 30% @1mg/kg
45
Pitocin use
- postpartum bleeding - labor induction
46
Pitocin dose postpartum bleeding
(10u per ml) 10-40u max 40u IV push
47
Pitocin labor induction
(10u per ml) 0.5-1u/min titrate 1-2m until normal contractions
48
Haldol use and dose
acute psychotic episode adults: 2-5mg IM
49
phentolamine use
- dopamine, epi, norepinephrine, and phenylephrine infiltration - nonselective adrenergic antagonist
50
phentolamine dose
(5mg/vial) adults: 5mg IV pediatrics: 0.1-0.2 mg/kg max 10 mg
51
TXA uses
- bleeding control - hemorrhagic shock *cannot be used for intracranial bleeding*
52
TXA dose
(100mg/ml) adult: 1g bolus in 100mls over 10 minutes pediatric: 20 mg/kg IV bolus over 10 minutes
53
vasopressin uses
- hypotension
54
vasopressin doses
(20u/ml) adults: 40 units IV push pediatric: 0.4u/kg MAX 40 units
55
oral glucose dose
adults: 15g = 1 tubes pediatric: 15g = 1 tube for children older than 2
56
versed uses
- seizure control - sedation post et tube - sedation in general
57
versed dose seizure control IM/IN
(1mg/ml) adults: 0.2 mg/kg IM/IN w/ 10mg MAXIMUM pediatric: 0.1-0.2 mg/kg IN/IM (2mg per max dose, may be repeated once *max 1cc per nostril*
58
versed sedation for intubation IV
(1mg/ml) adult: 2-4mg IV *2.5* pediatric: 0.05-0.5 mg/kg IV
59
fentanyl uses
- pain management
60
fentanyl dose
(50mcg/ml) adults: 50mcg per IV push max 150mcg pediatrics: 1-2mcg/kg IV push my be repeated max 4mcg/kg cumulative
61
labetalol use
hypertension
62
labetalol dose
adult: 10mg IV; infusion 2-8 mg/min
63
valium use
- alcohol withdraw - seizures - anxiety
64
valium dose
adults: 5mg pediatric: 0.2-0.5 mg
65
ketamine uses
- RSI - excited delirium - pain management
66
ketamine dose RSI
(50mg/ml) adults: 1-2 mg/kg IV pediatric: 1-2 mg/kg max 100 mg *Avoid use in hypertension*
67
ketamine dose excited delirium
(50mg/ml) adult: 400mg IM/IV slow iv
68
ketamine dose pain management
(50mg/ml) adults and pediatric: 0.5 mg/kg IN or 1-2 mg/kg IV/IO, dilute with 10ml NS *max single dose 25 mg*
69
etomidate uses
- RSI
70
etomidate dose
(2mg/ml) adults: 0.2-0.6 mg/kg IV/IO (20-30mg) pediatrics: 0.2-0.4 mg/kg IV/IO *max dose 20mg*
71
rocuronium uses
- RSI with head trauma or suspected ICP
72
rocuronium dose
(1mg/ml) adult: 1 mg/kg IV push pediatrics: 0.6 mg/kg (1st dose), 0.075-0.125 mg/kg (second dose)
73
succinylcholine use
- RSI paralytic - myasthenia gravis (communication between nerves and muscles break down)
74
succinylcholine doses
(20mg/ml) RSI: adults: 1.5 mg/kg IV; 4 mg/kg IM pediatric: 1mg/kg *max 150 mg* myasthenia gravis: 2 mg/kg IV
75
vecuronium uses
- RSI non depolarizing paralytic
76
vecuronium dose
adult: 0.1-0.2 mg/kg IV/IO pediatrics: 0.1-0.3 mg/kg IV/IO
77
morphine uses and dose
- pain management adult: 1-5mg IV push pediatrics: 0.1-0.2 mg/kg IV MAX DOSE 5 mg IV/IO/IM
78
cyanokit uses and dose.
- cyanide poisoning adult: 5g IV over 15 minutes pediatrics: 70mg/kg
79
zantac use and dose
- ulcers, acid reflux adults: 50 mg IV/IM pediatrics: 2-4 mg/kg. IV max 50 mg
80
acetaminophen (Tylenol) use and dose
- fever adults: 1000mg/100mls pediatrics: 15 mg/kg PO one-time max dose 650mg
81
ondansetron (Zofran) use and dose
- antiemetic, N/V (4mg/2ml) adult: 4mg IV/IM pediatric: 6 months and 14years: 0.15 mg/kg IV/PO max dose 4mg
82
diphenhydramine (Benadryl) uses
- allergic reaction - dystonic reactions - phenothiazine OD (antipsychotic med_) - hyperemesis gravidarum (first trimester pregnant woman)
83
diphenhydramine dose for allergic, dystonic and phenothiazine OD
(50mg/ml) adult: 25-50 mg IV/IM pediatric: 1-2 mg/kg IV/IM max 50 mg
84
diphenhydramine dose for hyperemesis gravidarum
25-50 mg IV/IM
85
nitroglycerin uses
- chest pain related to ACS (to not give to RV infarction) - pulmonary edema
86
nitroglycerin dose
(0.4mg/tablet/spray) adults: 0.4 mg can be repeated x3
87
furosemide (lasix) uses
- pulmonary edema - CHF
88
furosemide dose
(10mg/ml) adults: 0.5-1 mg/kg IV (40mg) pediatrics: 1mg/kg max 6mg/kg
89
narcan use and dose
- opioid overdose adults: 0.4-2 mg IV/IN/IO/IM/ET can be repeated 3 times *max 10mg* pediatrics: 0.1 mg/kg *max 2 mg per dose*
90
solumedrol uses
- allergic rections - asthma, copd, (reactive airway) - status asthmaticus
91
solumedrol dose (same for all conditions)
(125mg/vial) adults: 125 mg IV pediatrics: 1-2 mg/kg IV *max 60 mg*
92
cardizem uses
- afib -aflutter
93
Cardizem doses
adult: 0.25 mg/kg IV over 2 minutes, epeated dose 0.35 mg/kg after 15 minutes *PUSH OVER 2 MINUTES*
94
flumazenil (romazicon) use and dose
- benzodiazepine OD adults: 0.01 mg/kg *max single doe 0.2 mg* *max total 0.5-1mg*
95
mannitol uses
- cerebral edema - rhabdomyolysiss - blood transfusion
96
mannitol doses (all the same)
adult: 0.5-1g/kg IV infusion over 30 minutes pediatric: 0.5-1g/kg IV infusion over 30 minutes
97
calcium chloride uses
- hypocalcemia - calcium channel blocker OD -hypermagnesemia - hyperkalemia
98
calcium chloride hypocalcemia dose
(1g/10ml) adult: 500-1g IV over 5-10 minutes pediatric: 10-20 mg/kg Iv
99
calcium chloride calcium channel blocker OD dose
(1g/10ml) adults: 500-1g IV pediatrics: 20 mg/kg IV
100
calcium chloride hypermagnesemia dose
(1g/10ml) adults: 500-1g IV pediatrics: 10-20 mg/kg IV
101
calcium chloride hyperkalemia dose
(1g/10ml) adults: 500-1g IV pediatrics: 20mg/kg *max 1 gram*
102
thiamine uses
- alcohol intoxication - Wernicke Kosoff syndrome (alcohol abuse) - beriberi (thiamine defficency)
103
thiamine alcohol abuse dose
(100mg/ml) adults: 100mg IV
104
thiamine beriberi dose
(100mg/ml) adults: 10-20 mg IM pediatrics: 10-25 mg IV/IM
105
activated charcoal use and dose
- oral, medication poisoning adults: 1-2 g/kg PO/NG tube peds is same
106
acetylcysteine (mucomyst) use and dose
- acetaminophen overdose adults & pediatrics: 300 mg/kg over 3 portions, loading dose is 150mg/kg over one hour second dose 50 mg/kg given over 4 hours third dose is 100mg/kg infused over 16 hours
107
norepinephrine (levophed) uses and dose
- septic shock, hypotension adults: 0.1-0.5 mcg/min IV infusion pediatrics: 0.1-2 mcg/kg IV
108
sodium bicarbonate uses
- metabolic acidosis -Tricycliticantidepressant overdose - aspirin OD -phenobarbital OD - hyperkalemia - crush injuries
109
sodium bicarbonate dose (all the same)
adult & pediatric: 1 mEq/kg *dilute to 4.2% for kids)
110
terbutaline sulfate use and dose
adult: 0.24 mg subq not recommended for pediatrics under 12
111
Toradol use and dose
- pain management -NSAID adult: 30-60 mg IM/ 15-30 mg IV pediatric: x
112
Ativan uses
- status epilepticus - anxiety sedation
113
Ativan status epilepticus dose
adult: 0.1 mg/kg *max 4 mg IV/IM pediatric: 0.05 mg/kg IV/IM
114
Ativan anxiety sedation dose
adult: 2mg IV, 4 mg IM
115
metoprolol uses and considerations
- hypertension - paroxysmal supraventricular tachycardia - myocardial ischemia and damage in pts w/ AMI * do not give to patients with heart failure 2nd, 3rd HB, bradycardia, or in cardiogenic shock*
116
captopril use and dose
- ace inhibitor - hypertension - left ventricular dysfunction following stemi, diabetic neuropathy adults: 12.5-25 mg PO pediatrics: 0.3-0.5, infants 0.15-0.3, neonates 0.05-0.1 mg PO
117
pralidoxime uses and dose
- organophosphate poisoning adults: 600 mg IM X3/ 1-2g IV infusion 100ml pediatrics: 15 mg/kg IM dose <40kg x3 *max 45 mg/kg*

ALS COMPETITION/ Paramedic school (8 decks)

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