Master so far COPY Flashcards Preview

Pharm final > Master so far COPY > Flashcards

Flashcards in Master so far COPY Deck (69):
1

Nitroglycerine actions

Reduce preload and afterload
Vasodilation of cerebral and coronary arteries
Generalized smooth muscle relaxation
Onset of action 1-2min

2

Glucagon action

Natural polypeptide hormone secreted by the pancreas. Released to breakdown stored glycogen to glucose and inhibits the synthesis of glycogen from glucose. Acts on
receptor sites similar to those of epinephrine producing catecholamine like effects.

3

Ondasetron action

blocks serotonin receptors in the chemoreceptor trigger zone. It has little effect on vomiting caused by motion sickness.

4

Narcan dose

0.4-2mg IV/IO/IM (may repeat 2-3min prn)
2-2.5mg ETT
Pedi:
0.1mg/kg IV/IO/IM

5

Dextrose contraindication

None in documented hypoglycemia

6

Amiodarone dose

Adult
-VF/Pulseless V tach: 300mg IV/IO repeat at 150mg after 3 – 5 minutes
-Wide complex tachycardia: 150mg IV/IO over 10 minutes

7

Furosemide action

Lasix is a rapid acting potent diuretic and antihypertensive that inhibits sodium reabsorption by the kidney. Its vasodilating effects reduce venous return and cardiac workload.

8

Dextrose dose

Adult
25g D50 IV/IO/PO

9

Thiamine action

Thiamine is vitamin B1. It is required for the metabolism of glucose and the production
of ATP. It is not manufactured by the body and must be constantly provided from
ingested foods.

10

Succinylcholine action

Succinylcholine as an ultra short acting neuromuscular blocker with a high affinity for Ach receptor sites

11

Morphine indication

Management of moderate to severe pain
To reduce venous return in pulmonary edema/CHF/AMI

12

Narcan side effects

Increase BP
Increase respirations
Tachycardia
N/V
Tremors
Withdrawal symptoms

13

Atrovent class

Parasympatholytic (anticholinergic) bronchodilator

14

Epinephrine dose

Adult
-Cardiac arrest
1mg IV 1:10,000
2-2.5mg ETT 1:1000

15

Activated charcoal contraindication

Uncontrolled airway
Ingestion of cyanide, mineral acids, caustic alkalis, organic solvents, iron, ethanol
or methanol

16

Sodium bicarb dose

Adult
1mEq/kg IV/IO, may repeat at half dose every 10 minutes

Pediatrics
Same as adult

17

Nitroglycerine contraindications

Hypotension
Chest trauma
Head trauma
Brain bleed
Increased ICP
Use of ED drugs
Hypersensitivity

18

Albuterol action

Selective beta-2 adrenergic bronchodilator causing bronchial smooth muscle relaxation with minimal beta-1 or alpha stimulation. Inhibits histamine release reducing mucus secretion and mucosal edema

19

Activated charcoal action

Activated charcoal is a specially prepared charcoal that when given soon after ingestion of a toxin will adsorb and bind organic toxins from the GI tract

20

Magnesium sulfate dose

Adult
-Torsades de pointes: 1 – 2g IVP over 1 – 2 minutes
-Eclamptic seizure: 4 – 5g IVP concurrently with up to 5g IM in each buttock then 4 – 5 g every 4 hours
-Bronchodilation: 2g IVP

21

Succinylcholine class

Depolarizing neuromuscular blocker

22

Lidocaine dose

Adult
-1 – 1.5mg/kg IV bolus; may repeat doses every 3 – 5 minutes at 0.5 – 0.75mg/kg to a total dose of 3mg/kg. May then start continuous infusion of 1 – 4 mg/min
Use 4mg/ml concentration for infusion
-For endotracheal administration use 2 – 2.5 the loading dose followed by a 10ml NS flush.

23

Fentanyl class

Narcotic analgesic

24

Sodium bicarb indication

Prolonged cardiac arrest
Known hyperkalemia
Tricyclic antidepressants/barbiturates OD
Refractory metabolic acidosis

25

Thiamine dose

Adult
50 – 100mg IV/IO/IM

Pediatrics:
10 – 25mg IV/IO/IM

26

Atropine class

Parasympatholytic/anticholinergic

27

Fentanyl action

A potent short acting narcotic agonist used for its analgesic properties. Fentanyl does not cause the vasodilation associated with morphine and so may be acceptable for use in hypovolemic patients.

28

Narcan class

Narcotic antagonist

29

Beta blocker OD

Glucagon

30

Aspirin contraindications

Hypersensitivity
Active gastro-intestinal bleed
Acute asthma attack
Bleeding disorder

31

Thiamine indication

Coma of unknown origin
Alcohol induced coma
Delirium tremens

32

Atrovent dose

Adult
500 mcg in 3 ml saline via nebulizer

Pediatric
250 mcg in 3 ml saline via nebulizer

33

Amiodarone side effect

Hypotension
Bradycardia
Cardiogenic shock
Headache/dizziness
AV block

34

Morphine dose

Adult
-Pain management
2.5 – 15mg IV/IO
5 – 20mg IM/SC
-Pulmonary edema/CHF/AMI
1 – 2mg IV/IO every 6 – 10 minutes

35

Morphine class

Narcotic Analgesic

36

Furosemide dose

Adult
-40-120mg slow IV
Pediatric
-1mg/kg slow IV push

37

Adenosine indication

PSVT (Refractory to vagal maneuvers)
Stable wide complex tachycardia thought to be reentry SVT

38

Albuterol side effect

Tremors/anxiety/dizziness
Headache/diaphoresis
Angina/palpitations
Tachycardia
CNS stimulation
Hypertension

39

Ondasetron dose

Adult
4mg IVP/PO. Max dose of 8mg.

Pediatric
4mg IVP/PO

40

Adenosine contraindication

Second or third degree AV block
Poison or drug induced tachycardia

41

Atrovent indication

Asthma (in combination with other bronchodilators)
COPD

42

Nitroglycerine dose

0.4mg tablet or spray, not for pedi

43

Glucagon dose

Adult
-Hypoglycemia: 1.0 unit IM/SC (may repeat as needed 5 – 20 minutes)
-Beta-blocker OD: 2 – 3 units IV/IO over 2 – 5 minutes

44

Fentanyl dose

Adult
-25 – 100mcg slow IV/IO over 2 – 3 minutes
-1.0mcg/kg slow IV/IO over 2 – 3 minutes

45

Diphenhydramine dose

Adult
25 – 50mg IV/IM/PO

46

Glucagon indication

To increase blood sugar levels in hypoglycemia without vascular access
Beta-blocker overdose

47

Dextrose class

Carbohydrate

48

Morphine action

Morphine is a natural opium alkaloid that acts on the opiate receptors in the brain. Provides both analgesic and sedative effects. Vasodilatation, reduction of venous return and decrease of myocardial oxygen demand

49

Furosemide class

Non-potassium sparing loop diuretic

50

Morphine side effect

Respiratory distress
Bradycardia
Palpitation
Hypotension
Cardiac arrest

51

Diphenhydramine class

Antihistamine

52

Dopamine indication

Cardiogenic shock (pulmonary edema with NON-HYPOVOLEMIC hypotension)

Anaphylaxis refractory to epinephrine and fluid boluses

Bradycardia refractory to atropine and pacing

Shock states with Hemodynamically significant hypotension in the ABSENCE of

Hypovolemia (sepsis, neurogenic shock).

Crush injury

53

Diphenhydramine contraindication

Asthma and other lower respiratory diseases

54

Aspirin action

Aspirin produces analgesia and reduces inflammation and fever by inhibiting the production of prostaglandins. It decreases platelet aggregation.

55

Epinephrine indication

To restore cardiac rhythms in a cardiac arrest event
Allergic reaction/Anaphylaxis
Bradycardia refractory to dopamine

56

Calcium channel blocker OD

Calcium chloride

57

Midazolam dose

Adult
1 – 2.5mg slow IV/IO
0.07 – 0.08mg/kg IM (typical max of 5mg)

58

Nitroglycerine indications

Angina
Chest pain
Pulmonary edema

59

Tricyclic antidepressant OD

Sodium bicarb

60

Ondasetron class

Antiemetic

61

Adenosine dose

Adult
6mg rapid IVP w/ 10ml followed by 12mg
Pedi
0.1mg/kg rapid IVP w/ 10ml followed by 0.2mg/kg

62

Diazepam dose

Seizures
5 – 10 mg IV/IO/IM
Anxiety
2 – 5 mg IV/IM
Premedication
5 – 15 mg IV/IO

63

Aspirin dose

160-325mg PO, not for pedi

64

Succinylcholine contraindication

Family history of malignant hyperthermia
Glaucoma
Penetrating eye trauma
Liver disease
Significant burns older than 24 hours

65

Calcium chloride indication

Hyperkalemia
Hypocalcemia
Hypermagnesemia
Calcium channel blocker OD

66

Glucagon contrindication

Hypersensitivity to glucagon or protein compounds
Glucagon is only effective if there are glycogen stores in the liver

67

Albuterol dose

Adult
2.5 – 5.0mg via nebulizer (repeat PRN)

68

Adenosine action

Slows conduction time through the AV node and interrupts the reentry pathways of the AV node and SA node. Half life of <10 seconds and does not cause a decrease in blood pressure.

69

Midazolam class

Sedative/hypnotic