Medications Flashcards

Question

What are the contraindications of atropine?

Answer 1

Allergy Tachycardia Narrow angle glaucoma Thyrotoxicosis Prostatic hypertrophy Myasthenia gravis

Answer 2

It is a anticholinergic and an antimuscarinic that competitively antagonizes those receptors causing a parasympatholytic and vagolytic effects. Blocks the parasympathetic tone in the body

Answer 3

Cardiac arrest/ Suspected HyperK+/ Ca++ Channel Blocker Toxic 1-2g IV over 10 mins, may repeat once Clinicall is REQUIRED for hyperk+ and Calcium channel blocker pt. with a perfusing rhythm.

Answer 4

Cardiac arrest: 20mg/kg (max 1g) IV over 3 mins, may repeat once after 10mins All other indications (Hyperk+ and Calcium channel blocker) 10mg/kg (max 1g) pver 15mins, may repeat once in 10 mins

Answer 5

Suspected hyperK+ - Clinicall REQUIRED Suspected Calcium channel blocker toxicity - Clinicall REQUIRED Cardiac arrest due to suspected hyperkalemia, must find clinical or historical findings to support your treatment

Answer 6

Allergy Primary or secondary hypercalcemia

Answer 7

Essential electrolyte in the human body Increase nerve conduction, muscle contraction, renal function and coagulation, as well as increasing myocardium contractility and ventricular automaticity

Answer 8

10 to 25g (equivalent to 100-250mls of D10W)

Answer 9

5ml/kg D10W

Answer 10

suspected or known hypoglycemia

Answer 11

Provides immediate source of glucose and water to cells

Answer 12

25-50mg IV/IM 12.5mg should be given to elderly or frail pt. Be cautious giving this medication to dementia pt. as it can cause and exacerbation of it.

Answer 13

1.25mg/kg to max of 25mg IV/IM

Answer 14

Prevention or control of nausea caused by motion sickness Vomiting or nausea Prevention of nausea caused my a narcotic (do not use it for fentanyl)

Answer 15

inhibits cholinergic vestibular and reticular stimulation from motion

Answer 16

1mg/kg to a max of 50mg IV/IM

Answer 17

1mg/kg to max of 50mg IV/IM

Answer 18

Treating hypersensitivity reaction Allergic reaction, used as an adjunct to epi

Answer 19

Allergy Neonates Premature infants

Answer 20

Antihistamine with anticholinergic with sedating side effects.

Answer 21

.5mg IM every 5mins repeat up to 3 times 50-100mcg IV pre-arrest anaphylaxis

Answer 22

0.01mg/kg IM to max single dose of 0.5mg, repeat up to 3 times 5mcg/kg IV

Answer 23

0.5mg IM every 5-20mins until symptoms resolve 50-100mcg IV, may repeat as necessary

Answer 24

0.01mg/kg IM to a max single dose of 0.5mg, do not repeat

Answer 25

1mg IV/IO every 3-5 mins (suggested max dose removed from handbook in December 2023)

Answer 26

0.01mg/kg to a max of 1mg IV/IO

Answer 27

0.02mg/kg for initial to 0.03mg/kg for subsequent dosing is needed

Answer 28

10mcg IV/IO slow push every 2-3 mins

Answer 29

2-10mcg/min IV/IO infusion

Answer 30

5mg by nebulizer mask

Answer 31

1mcg/kg slow push IV/IO every 2-3 mins

Answer 32

Anaphylaxis Severe bronchospasm Stridor secondary to croup Cardiac arrest Peri-arrest hypotension Significant bradycardia Peri-intubation

Answer 33

There are NO absolute contraindications for epi.

Answer 34

effects teh A1, B1 and B2 adrenergic receptors

Answer 35

-0.5mcg-1.0mcg/kg IM/IV/IO to a maximum single dose of 100mcg, may repeat every 5mins to a total dose of 300mcg -1.5 - 2.0mcg/kg IN to a maximum single dose of 100mcg, may repeat every 5 mins to a total dose of 300mcg Clinicall is required if higher doses are warranted

Answer 36

1.5-2.0mcg/kg IN to maximum single dose of 100mcg 1-2mcg/kg IV/IO to a maximum single dose of 100mcg

Answer 37

moderate to severe pain Adjunct for awake intubation

Answer 38

Allergy Myasthenia gravis pre-existing respiratory depression acute asthma upper airway obstruction

Answer 39

Agonist of the U or K receptors on the CNS inhibiting the pain response through the CNS to the brain

Answer 40

300-400mg PO for pain and pyrexia

Answer 41

For pain: 10mg/kg to a max daily dose of 40mg/kg For pyrexia: <39c 5mg/kg >= 39c 10mg/kg

Answer 42

Mild to moderate pain Pyrexia

Answer 43

Allergy Active GI bleed or ulcer Pregnancy

Answer 44

inhibits prostaglandin synthesis through the COX 2 pathway

Answer 45

160mcg MDI 500mcg via nebulizer (can be combined with salbutamol in the same nebulizer for co-adminsteration)

Answer 46

<30 days not indicated >= 30 days to 12 years: -250mcg via nebulizer -80mcg via MDI

Answer 47

bronchospasm in asthma or COPD

Answer 48

anticholinergic localized to the bronchial smooth muscle

Answer 49

0.3mg/kg IV/IO repeat after 5mins half the loading dose 0.5mg/kg IM repeat after 5mins 0.3mg

Answer 50

0.5mg/kg IV/IO for loading dose, repeat with 0.25mg/kg to titrate to effect

Answer 51

Shock index <1: 2mg/kg IV/IO Shock index >1: 1mg/kg IV/IO

Answer 52

Half of the required induction dose every 10-15mins

Answer 53

4-5mg/kg IM bolus

Answer 54

<6months not indicated >6months: 0.3mg/kg IV/IO to a max single dose of 20mg repeat once if necessary 0.5mg/kg IM, repeat at 45mins at 0.3mg/kg 1.5mg/kg IN, repeat at 20mins at 1mg/kg, max single dose of 100mg

Answer 55

Follow weight base dosing 0.3mg/kg IV/IO to a max single dose of 20mg repeat once if necessary 0.5mg/kg IM, repeat at 45mins at 0.3mg/kg 1.5mg/kg IN, repeat at 20mins at 1mg/kg, max single dose of 100mg

Answer 56

CLINICALL required for any patient under the age of 12 to discuss treatment plans. May have to use adult dosing

Answer 57

analgesia Induction of sedation prior to intubation Procedural sedation Severe agitation or excited delirium

Answer 58

allergy unable to manage side effects of ketamine where hypertension may be harmful <6 months

Answer 59

NMDA antagonist that blocks glutamate from entering the neuron cells. NMDA is primarily the excitatory receptor.

Answer 60

1.0 - 1.5mg/kg IV bolus, repeat dose is 0.5mg - 1.0mg/kg after 10 mins

Answer 61

40mg SLOW push over 120 seconds

Answer 62

spray as you go procedures, do not exceed 5mg/kg (one pre load is 100mg)

Answer 63

1.0 - 1.5mg/kg IV bolus, repeat dose is 0.5mg - 1.0mg/kg after 10 mins

Answer 64

40mg SLOW push over 120 seconds

Answer 65

spray as you go procedures, do not exceed 5mg/kg (one pre load is 100mg)

Answer 66

control of ventricular arrhythmias local anesthesia during IO cannulation Local anesthesia during awake intubation

Answer 67

Allergy 3rd heart block ventricular escape rhythm WPW

Answer 68

Class Ib antiarrhythmic

Answer 69

Perfusing rhythms: 2g IV over 15mins Cardiac arrest: 4g IV push

Answer 70

2g IV over 20 mins

Answer 71

4g IV over 20mins 5g IM

Answer 72

50mg/kg to a max dose of 2g IV/IO push

Answer 73

50mg/kg IV/IO infused over 15 mins

Answer 74

-Treatment of V-fib and v-tach which are refractory to first line antiarrhythmics -Recurrent and intermittent episodes of wide complex tach -Treatment for torsades de pointes -Bronchospasm refractory to bronchodilation in acute asthma -Management of seizures in pregnancy associated with hypertension

Answer 75

allergy 2nd or 3rd degree heart block

Answer 76

poorly understood, the best answer we have is that it a some sort of calcium channel blocker which can slow conduction and relax muscles.

Answer 77

2-5mg IV/IO increments to effect 5-10mg IM Max dose is 30mg CLINICALL is required if more midaz is needed

Answer 78

0.2mg/kg IN to a max dose of 10mg 0.1mg/kg IV/IO to max of 5mg

Answer 79

-Sedation of agitated patients -Control of seizures -Maintenance of anaesthesia in intubated patients

Answer 80

-Allergy -Acute narrow-angle glaucoma -Shock -Decreased LOC -Hypotension

Answer 81

Increases the frequency of the opening of GABA receptors on the CNS causing hyperpolarization of the cells, thus subsequently the threshold to depolarize is much higher.

Answer 82

0.1mg/kg SC to max of 2.5mg-5mg

Answer 83

For palliative care pt.

Answer 84

works on the u and k receptors on the CNS which decrease pain.

Answer 85

0.4mg SL every 3-5mins

Answer 86

-Relief of chest pain that is suggestive of ACS - Reduction of preload in acute cardiogenic pulmonary edema

Answer 87

-Allergy -Viagra or levitra in last 24hrs -Cialis in last 48hrs -Severe anemia -Restrictive pericarditis or pericardial tamponde -Documented right sided acute MI -hypotension or uncorrected hypovolemia

Answer 88

Relaxes smooth muscle vasculature

Answer 89

100mcg IV slow push every 2-5mins to a max of 500mcg

Answer 90

maintenance of BP in acute hypotensive states or shock following adequate fluid replacement in airway management.

Answer 91

allergy pediatrics allergy to sulfites severe hypertension or VTACH Pheochromocytoma

Answer 92

agonizes a1 receptors causing vasoconstriction

Answer 93

Bronchospasm from asthma or COPD Adjunct for hyperkalemia

Answer 94

5mg nebulized, repeat as needed 4x100mcg MDI repeat as necessary

Answer 95

10-20mg via nebulizer with back to back doses

Answer 96

<1 year: 2.5mg nebulizer >= 1 year: 5mg nebulizer

Answer 97

beta2 agonist producing bronchodialation and at higher does a beta1 effect forcing k+ into the cells.

Answer 98

-Known or suspected hyperkalemia -TCA overdose -Suspected or confirmed metabolic acidosis -Pretreatment prior to weight release in crush injury

Answer 99

For all indications: 1mEq/kg IV/IO slow push - repeat every 10-15 mins at 0.5mEq/kg

Answer 100

For all indications: 1-2mEq/kg slow IV/IO push - repeat 10-15mins at 0.5mEq/kg

Answer 101

suspected alkalosis history of excessive vomiting

Answer 102

It is a base and neutralizes acid, overcomes sodium channel blockades

Answer 103

-Signs of shock or hypoperfusion with an injury suggestive of occult or ongoing bleeding -Signs of shock in maternal vaginal bleeding >20 weeks or postpartum hemorrhage

Answer 104

2g IV push over 1 min

Answer 105

15mg/kg IV over 1min

Answer 106

allergy GI bleeding >3 hours from injury <1 year ACP

Answer 107

Prevents clot degradation by competing for TPA receptors.

Medications Flashcards

BCEHS Guidelines 2024 ACP/PCP/EMR (137 cards)