DRUGS Flashcards

(91 cards)

1
Q

Heparin

A

Brand Name: None
Class: Anticoagulant
Action: Heparin acts in many places in the clotting cascade to prevent thrombosis

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2
Q

Hydromorphone

A

Brand Name: Dilaudid
Class: Narcotic analgesic
Action: Moderate to severe pain relief

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3
Q

Ipratropium bromide

A

Brand Name: Atrovent
Class: Anticholinergic, Bronchodilator
Action: Inhibits vagally mediated bronchoconstriction resulting in bronchodilation

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4
Q

Ketamine

A

Brand Name: Ketalar

Class: Sedative, Analgesic

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5
Q

Labetalol

A

Brand Name: Normodyne, Trandate
Class: Sympathetic antagonist
Actions: (-) ino-, chrono-, and dromotrope; Vasodilation and reduces PVR

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6
Q

Lactated Ringer’s

A

Brand Name: None

Class: Crystalloid Solution

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7
Q

Lidocaine

A

Brand Name: None
Class: Ventricular antidysrhythmic
Action: Blocks Na+ entry; decreases ventricular phase 4 automaticity

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8
Q

Lorazepam

A

Brand Name: Ativan
Class: Benzodiazepine, sedative
Action: CNS depression/sedation: decreases anxiety and alertness, produces amnesia; Elevates seizure threshold

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9
Q

Magnesium Sulfate

A

Brand Name: None

Class: Electrolyte

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10
Q

Methylprednisolone

A

Brand Name: Solumedrol
Class: Steroid
Action: Anti-inflammatory agent stabilizes cell membranes, and membranes prevents the release of histamine

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11
Q

Metoprolol

A

Brand Name: Lopressor
Class: Beta-blocker, antidysrhythmic
Action: Negative chronotrope, inotrope.

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12
Q

Midazolam

A

Brand Name: Versed
Class: Benzodiazepine, sedative
Action: CNS depression/sedation: decreases anxiety and alertness, produces amnesia; Elevates seizure threshold

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13
Q

Morphine Sulfate

A

Brand Name: None
Class: Narcotic analgesic
Action: Raises pain threshold. Depresses the vasomotor center

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14
Q

Naloxone

A

Brand Name: Narcan
Class: Narcotic Antagonist
Action: Antagonizes actions of narcotics at opiate receptors reversing respiratory depression, sedation, and hypotension

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15
Q

Nirtoglycerin

A

Brand Name: Nitrostat, Nitro-bid, Nitrolingual
Class: Vascular dilator
Action: dilation of coronary arteries

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16
Q

Norepinephrine

A

Brand Name: Levophed
Class: Sympathomimetic
Action: Vasoconstriction- increases PVR and BP.

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17
Q

Ondansetron

A

Brand Name: Zofran
Class: Antiemetic
Action: Prevents N/V

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18
Q

Oxygen

A

Brand Name: None

Class: Medicinal Gas

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19
Q

Oxytocin

A

Brand Name: Pitocin
Class: Posterior Pituitary hormone
Action: selective action on uterine smooth muscle: stimulates rhythmic contractions, and increases frequency of contractions

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20
Q

Thiamine

A

Brand Name: None
Class: Vitamin B1
Action: Carbohydrate metabolism

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21
Q

Sodium Bicarbonate

A

Brand Name: None
Class: Alkalinizing agent, Electrolyte
Action: buffer

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22
Q

0.9% Sodium Chloride

A

Brand Name: Normal saline

Class: crystalloid solution

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23
Q

Activate charcoal

A

Brand Name: Actidose
Class: Absorbent
Action: Absorbs many toxins by chemical binding and large surface area

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24
Q

Adenosine

A

Brand Name: Adenocard
Class: Supraventricular antidysrhythmic
Action: Slows conduction through AV node

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25
Albuterol
Brand Name: Proventil, Ventolin Class: Sympathomimetic bronchodilator Action: Bronchodilation through Beta-2 mediated smooth muscle relaxtion
26
Amiodarone
Brand Name: Cordaron Class: Antidysrhythmic Action: Multiple actions on K+, Na+, Ca+. Decreases phase 4 automaticity
27
Aspirin
Brand Name: None Class: Platelet aggregator inhibitor Action: Blocks the formation of substances that cause platelets to aggregate
28
Atropine
Brand Name: None Class: Anticholinergic Action: Positive Chromo-, Dromo-
29
Calcium Chloride
Brand Name: None Class: Electrolyte Action: (+) inotropic effect
30
Dextrose
Brand Name: None Class: Carbohydrate Action: Increase blood glucose levels
31
Diazepam
Brand Name: Valium Class: Benzo, sedative Action: CNS depression/sedation: decreases anxiety and alertness, produces amnesia; Elevates seizure threshold
32
Diltiazem
Brand Name: Cardizem Class: Calcium channel blocker, antidysrhythmic Action: Inhibits calcium influx. Negative Ino-, Chrono-, Dromo-. Slows conduction through AV node
33
Diphenhydramine
Brand Name: Benadryl Class: Antihistamine Action: Competitive histamine antagonist; inhibit MAST cell release of histamine; Antipruritic- relieves itching
34
Dopamine
Brand Name: Intropin Class: Sympathomimetic Action: Direct action on SNS receptors and stimulates release of norepinephrine. Positive inotrope; increases PVR
35
Epinephrine
Brand Name: None Class: Sympathomimetic Action: Postive Ino-, Chrono-, Dromo-.
36
Fentanyl
Brand Name: Sublimaze Class: Narcotic analgesic Action: raises pain threshold by stimulating opiate receptors, thus blocking pain sensation in the CNS
37
Furosemide
Brand Name: Lasix Class: Diuretic Action: Blocks reabsorption od Na+, K+, Cl-; Direct vasodilation
38
Glucagon
Brand Name: None Class: Pancreatic hormone Action: Promotes gylcogenolysis; inhibits synthesis of glycogenfrom glucose= increase of glucose in bloodstream
39
Haloperdiol
Brand Name: Haldol Class: Antipsychotic, sedative Action: Depresses cerebral cortex, hypothalamus, and limbic system= controls activity and aggression
40
Indications, C/I, Side effects: | Activated charcoal
Indications: Ingested poisoning within an hour of ingestion C/I: Corrosive ingestion S/E: None
41
Indications, C/I, Side effects: | Adenosine
Indications: Narrow complex AV nodal reentry tachydysrhythmias. C/I: Poison induced tachycardias S/E: Chest heaviness or pain, bradycardia, AV block, asystole
42
Indications, C/I, Side effects: | Abuterol
Indications: Bronchial asthma; reversible bronchspasm associated with emphysema, chronic bronchitis and anaphylaxis/allergic reaction C/I: None S/E: Tachycardia, nausea, temors
43
Indications, C/I, Side effects: | Amiodarone
Indications: VTach with or without pulse, Vfib, Ventricular ectopy, AFib/AFlutter w/WPW C/I: Cardiogenic shock, sinus brady, heart block S/E: Hypotension, bradycardia, heart block, CHF
44
Indications, C/I, Side effects: | Aspirin
Indications: Suspected AMI C/I: Bleeding/hemorrhage S/E: None
45
Indications, C/I, Side effects: | Atropine
Indications: Symptomatic bradycardia, Cholinergic poisoning C/I: None S/E: Tachycardia, angina, dilated pupils
46
Indications, C/I, Side effects: | Calcium chloride
Indications: Calcium channel blocker toxicity, Mag Sulfate toxicity, hyperkalemia C/I: Hypercalcemia S/E: Bradycardia and asystole; hypotension
47
Indications, C/I, Side effects: | Dextrose
Indications: Hypoglycemia- <60 adult, <40 peds C/I: None S/E: Severe neurological symptoms in alcoholics
48
Indications, C/I, Side effects: | Diazepam
Indications: Grand mal seizures, premedication before pacing /cardioversion, acute anxiety, excited delirium C/I: None S/E: CNS depression: drowsiness, somnolence, slurred speech, decreased LOC, respiratory depression
49
Indications, C/I, Side effects: | Dilitiazem
Indications: Supraventricular tachydysrhythmias C/I: CHF, SBP<90, AFib/AFlutter w/WPW, bradycardia S/E: Hypotension due to decreased PVR, heart failure, bradycardia
50
Indications, C/I, Side effects: | Diphenhydramine
Indications: Allergic reactions, Anaphylaxis, antidote for exrtapyramidal reactions in PCP OD C/I: Acute asthma S/E: CNS depression, hypotension, anticholinergic effect, chest tightness, wheezing
51
Indications, C/I, Side effects: | Dopamine
Indications: Cardiogenic shock, symptomatic bradycardia, hypoperfusion w/o hypovolemia C/I: Shock due to hypovolemia/hemorrhage S/E: Ectopy, tachycardia, angina, N/V
52
Indications, C/I, Side effects: | Epi
Indications: Cardiac arrest, symptomatic bradycardia, acute asthma, anaphylaxis C/I: None S/E: tremors, cool sweaty skin; decreased fib threshold, ectopy, HTN, tachycardia, angina
53
Indications, C/I, Side effects: | Fentanyl
Indications: moderate to severe pain C/I: MAO inhibitors with in 14 days S/E: CNS and respiratory depression, N/V, hypotension, bradycardia, pinpoint pupils
54
Indications, C/I, Side effects: | Furosemide
Indications: CHF w/pulmonary edema, HTN | C/I: SPB<90
55
Indications, C/I, Side effects: | Glucagon
Indications: Hypoglycemic patient with adequate stores of glycogen, beta blocker OD C/I: None S/E: Hypotension, N/V, Ventricular tachydysrhythmias
56
Indications, C/I, Side effects: | Haloperidol
Indications: Chemical restraints C/I: Parkinson's disease, acute CNS depression S/E:
57
Indications, C/I, Side effects: | Heparin
Indications: ACS w/STEMI C/I: Active bleeding/hemorrhage S/E: Prolongs clotting time
58
Indications, C/I, Side effects: | Hydromorphone
Indications: moderate to severe pain relief C/I: SBP<90 S/E: CNS and respiratory depression, N/V, Hypotension, bradycardia, pinpoint pupils
59
Indications, C/I, Side effects: | Atrovent
Indications: Asthma, bronchospasms associated with acute COPD exacerbation C/I: None S/E: Nausea
60
Indications, C/I, Side effects: | Ketamine
Indications: Painful procedures, excited delirium/chemical restraints C/I: None S/E: HTN, tachycardia, emergence delirium
61
Indications, C/I, Side effects: | Labetalol
Indications: HTN C/I: bradycardia, hypotension, cardiogenic shock, CHF, heart block S/E: angina, bradycardia, CHF, nausea, wheezing dyspnea, bronchospams
62
Indications, C/I, Side effects: | Lidocaine
Indications: VTach with or without pulse, VFib, Ventricular ectopy C/I: Heart blocks, ventricular rhythms, WPW S/E: CNS depression, agitation, slurred speech, hypotension, bradycardia, heart block
63
Indications, C/I, Side effects: | Lorazepam
Indications: Grand mal seizures, premedication before pacing /cardioversion, acute anxiety, excited delirium C/I: None S/E: CNS depression: drowsiness, somnolence, slurred speech, decreased LOC, respiratory depression, hypoxia
64
Indications, C/I, Side effects: | Mag Sulfate
Indications: Severe pre-eclampsia, seizures associated with eclampsia, torsades C/I: Heart block, recent AMI S/E: Respiratory depression, hypotension, heart blocl, hypocalcemia, N/V
65
Indications, C/I, Side effects: | Methylprednisolone
Indications: ARDS, bronchial asthma, anaphylaxis, cerebral edema C/I: None S/E: Increases gluconeogenesis=increased BG
66
Indications, C/I, Side effects: | Metoprolol
Indications: HTN, supraventricular tachydysrhythmias C/I: SBP< 90, cardiogenic shock, cocaine induced ACS S/E: hypotension, bradycardia, heart failure, bronchospasm
67
Indications, C/I, Side effects: | Midazolam
Indications: Grand mal seizures, premedication before pacing /cardioversion, acute anxiety, excited delirium C/I: None S/E: CNS depression: drowsiness, somnolence, slurred speech, decreased LOC, respiratory depression
68
Indications, C/I, Side effects: | Morphine
Indications: Pain and anxiety w/AMI, pain relief for burns and isolated injury, CHF C/I: SBP< 90 S/E: CNS and respiratory depression, N/V, hypotension, pinpoint pupils
69
Indications, C/I, Side effects: | Narcan
Indications: Suspected or known narcotic OD C/I: None S/E: Narcotic withdrawal, N/V
70
Indications, C/I, Side effects: | Nitro
Indications: ACS w/chest pain, HTN, CHF C/I: SBP<90, use of ED drugs S/E: Hypotension, headache, N/V, sublingual burning
71
Indications, C/I, Side effects: | Norepi
Indications: Hypotension not related to hypovolemia, sepsis C/I: Hypovolemia S/E: Palpitations, tachycardia, angina, anxiety, headache
72
Indications, C/I, Side effects: | Zofran
Indications: Control of N/V C/I: None S/E: CNS depression
73
Indications, C/I, Side effects: | Oxytocin
Indications: Control of postpartum hemorrhage C/I: None S/E: relaxation of systemic vascular smooth muscle= hypotension, tachycardia
74
Indications, C/I, Side effects: | Sodium Bicarb
Indications: Cardiac arrest, TCA OD, severe metabolic acidosis, hyperkalemia C/I: None S/E: Alkalosis
75
Indications, C/I, Side effects: | Thiamine
Indications: Suspected hypoglycemic alcoholic or seizing patient, delirium tremens C/I: None S/E: Slight fall in BP, pain with IM injection
76
Activated Charcoal doasge
Adult: 1g/kg Peds: 25-50g
77
Adenosine dosage
Adult: 6mg IVFP q 2-3 min @ 12mg x2 Peds: 0.1mg/kg IVFP repeat immediately @ 0.2mg/kg
78
Albuterol doasge
Adult and Peds: 2.5mg w/6-8LPM over 5-15min
79
Amiodarone dosage
Adult: Cardiac Arrest: 300mg IVP q3-5min @ 150mg; non-cardiac: 150mg over 10min Peds: Cardiac Arrest: 5mg/kg IVP q 5min max 15mg/kg; non-cardiac: same, but over 20-60min
80
Aspirin dosage
Adult and Peds: 160-325mg
81
Atropine dosage
Adult: Symptomatic brady: 0.5mg IVP q3-5min max 3mg; Cholinergic poisoning: 2-6mg IVP/IM q5-60min Peds: Symptomatic brady: 0.02mg/kg repeat once in 5min; Cholinergic poisoning: 0.05mg/kg q5-60min
82
Calcium Chloride dosage
Adult: 0.5-1G 10% IVSP q10min Peds: 20mg/kg IVSP
83
Dextrose dosage
Adult: 25g/250cc of 50% solution Peds: 0.5g(5cc)/kg
84
Diazepam dosage
Adult: 5-10mg IV, IN, IM q10-15 max 30mg Peds: 0.1-0.3mg/kg q2-3min max 1mg/kg
85
Dilitiazem dosage
Adult: 20mg over 2 min repeat once in 15min PRN Peds: none
86
Diphenhydramine dosage
Adult: 25-50mg IVSP Peds: 1mg/kg IVSP
87
Dopamine dosage
Adult: 5mcg/kg/min Peds: same
88
Epi dosage
Adult: Cardiac arrest: 1mg IVP q3-5min; Symp brady: 2-10mcg/min; Anaphylaxis/Asthma 0.3-0.5mg q5min Peds: 0.01mg/kg
89
Fentanyl dosage
Adult: 100mcg over 1-2min q5min max 200mcg Peds: 0.1mcg/kg over 1-2min repeat once
90
Furosemide dosage
Adult: 0.5-1mg/kg IVSP or IM Peds: None
91
Glucagon dosage
Adult: 0.5-mg SQ or IM Peds: 0.5mg <20kg/ 1mg>20kg