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PARAMEDIC Flashcards

(42 cards)

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1
Q

ACETAMINOPHEN
TYLENOL
Pain

A

Dose:1300 mg PO

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2
Q

ADENOSINE
SVT

A

Provided:6 mg x4
Adult: 6mg, 2nd 12mg
Fast push

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3
Q

AFRIN (Oxymetazoline)
Nosebleed

A

Provided: 0.05 spray bottle
Dose: 4 sprays each nostril

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4
Q

ALBUTEROL
wheezing, broncospasm, anaphylaxis, hyperkalemia

A

Provided: 2.5mg nebx4
Adult: 2.5mg
Ped: 5mg

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5
Q

AMIODARONE
antidysrhythmic

A

Provided: 150 mgx3
Dose:300mg, 2nd 150mg IV/IO

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6
Q

ASPIRIN
pain, anti-inflammatory, anti-platelet, anti-pyretic

A

Dose: 324mg=4-81mg chewed tablets

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7
Q

ATROPINE
anticholinergic
Increases cardiac output

A

Provided: 1mg vial x2
Dose: 1 mg IV q3-5min max:3mg
After 1st dose prepare to pace

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8
Q

ATROVENT (IPRATROPIUM)
Asthma/COPD

A

Provided: 0.5mg neb
Adult: 0.50 neb
Ped: 0.25 neb

CONTRA: PEANUT ALLERGY

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9
Q

BENADRYL (DIPHENHYDRAMINE)
allergic reaction, anaphylaxis

A

Provided: 50 mg vial
Dose:25-50mg PO. 50mg IV

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10
Q

CALCIUM CHLORIDE
Mineral/Electrolyte
Hyperkalemia, hypercalcemia , calcium channel blocker toxicity, hypermagnesemia

A

Provided: 1 gram vial
Dose: 1 gram slow IV push
OB MAG TOX: 500mg IV
PED: 10-20mg/kg IV SLOW over
10-15 minutes max: 1 gram

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11
Q

CEFAZOLIN (ANCEF)
antibiotic

A

Open fracture
Provided: 1 gram vial
Dose: 1gram IV/IO in 2 ML NS
CONTRA: HYPERSENSITIVITY TO CEPHALOSPORIN ANTIBIOTIC DRUGS, PENICILLIN OR BETA-LACTAMS

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12
Q

D-10
Carbohydrate, hypertonic solution. Hypoglycemia

A

Provided: 500mL bag premix
Adult: 10 gr IV
Ped: 5mL/kg IV

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13
Q

DEXAMETHASONE
(DECADRON)
corticosteroid, anti-inflammatory, croup, bronchospasm,high altitude cerebral edema, allergic reaction

A

Provided: 4mg vialx2
Dose: adult 8mg IV/IM
ped:0.5 mg/kg IV/IM MAX 8mg

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14
Q

DIPHENHYDRAMIN (BENADRYL)
antihistamine, allergic reaction, acute extrapyramidal reactions

A

Provided: 50mg vial
Dose: 50mg IV
ped: 1mg/kg
max 25mg IV/IM

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15
Q

DOPAMINE (INTROPIN)
sypathommetic
Hypotension W/O hypovalemia, bradycardia following Atropine

A

Provided: 1600 mcg/mL, 250 mL bag premix
Dose: 5-20 mcg/kg/min IV
Ped: same as adult

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16
Q

EPINEPHRINE (ADRENALIN)
Sypathomimetic
Anaphylaxis, cardiac arrest, PEA, V-fib & V-tach w/o pulse unresponsive to defib, bradycardia when pacing and Atropine fail, bronchial asthma

A

Provided: 1mg/10mL - 1mg= 1:10,000 prefill x3, cardic down IV bolus Dose: 1mg every 3-5 min. Cardiac symptoms, 1-20 mcg/min bradycardia, 1-20 mcg/min IV hypotension

1mg/mL 30 mg vial 1mg/1000ml bag=1mcg mL
1:1000 Allergic reaction dose: 0.3 mg IM Pts =>30kg
IM 0.5mg 1:1000 asthma/COPD
1:1000 should never be given IV

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17
Q

FENTANYL (SUBLIMAZE)
opioid analgesic
Pain

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A

Provided: 100mcg/2mL vialx3
Dose: 1-2 mcg/kg IV/IN q10min max 300mcg for pain, or 50-100 mcg for pain, cardiac CP & sedation, IV for RSI.
PED: 1mcg/kg IV/IM max 300 mcg for pain, sedation: 1-2 mcg/kg IV/IN q5 min.
max 300mcg, 2-5 mcg/kg IV for RSI,

18
Q

FUROSEMIDE (LASIX)
loop diuretic
CHF, pulmonary edema

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A

Dose: 40mg IV or double pt’s usual dose

19
Q

Glucagon
Pancreatic hormone
Beta blocker OD,

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A

Provided: 1 mg kit
Dose: 1 mg IM if IV unsuccessful
PED: 50mcg/kg IV/IM Beta-blocker OD
HYPOGLYCEMIA: <20kg 0.5 mg IM, >20kg 1mg IM if IV unsuccessful

20
Q

HALOPERIDOL LACTATE (HALDOL)
antipsychotic, neuroleptic
Psychotic episodes, emergency sedation for psychosis

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A

Provided: 5mg vial
Dose: <70YO 5mg IV or 10mg IM. =or>70 2mg IV or 5mg IM
-ONLY ONCE
CONTRA:CNS DEPRESSION, COMA, HYPERSENS, PREGNANCY, LIVER OR CARDIC DISORDER

21
Q

IPRATROPIUM (ATROVENT)
anticholinergic, bronchodilator
Asthma, bronchospasm, COPD exacerbation, excessive mucus

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A

Provided: 0.5mg
1st dose mix one 0.5mg atrovent & 2.5 Albuterol
Contra: peanut allergy

22
Q

Ketamine (Ketalar)
Dissociative anesthetic

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A

BEHAVIOR: can cause aggression*1mg/kg IV, **Preferred IV DRIP:
0.25mg/kg IV in 100mL bag
(60 drop set, wide open about 10 min.) Seizures resistant to benzos

23
Q

LIDOCAINE (XYLOCAINE)
Antidysrhythmic, local anesthetic, primarily opens sodium channels

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A

Suppresses PVCs, cardiac arrest from V-tach or V-fib, stable monomorphic VT w/ preserved ventricular function, wide complex Tach, ventricular ectopy w/MI, 2nd & 3rd degree heart block in absence of pacemaker
Dose: 1st dose 1-1.5mg/kg
2nd 0.5-0.75 mg/kg

24
Q

Magnesium Sulfate
Electrolyte, anticonvulsant

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A

Seizures, eclampsia (but not 2 hrs before delivery), cardiac arrest only in torsades (2 grams/5 min IV), hypomagnesemia, digitalis toxicity dysrhthymia, QTc >0.48 administer 2 grams over 20min.
Provided: 1gram vialx2

25
METOPROLOL (LOPRESSOR) beta blocker SVT, A-FIB, A-FLUTTER,
Provided: 5 mg vialx2 Dose: 5mg/2 min IV mix in 10 ml syringe. Repeat q5 max 15mg Contra: SBP<100, BRADYCARDIA, 2&3 DEGREE HEART BLOCK, CHF, DECREASED CARDIC OUTPUT. -Used for hypertensive crisis
26
MIDAZOLAM (Versed) Benzodiazipine
Premedication for intubation or cardioversion 1-2 mg IV/IM/IN, SEIZURE 5MG IV/IM/IN, Sedation for behavior or hypertensive crisis w/cocaine/meth toxicity: 5mg IV/IM/IN repeat 1X after 5 MIN
27
Naloxone (Narcan) Opioid antagonist
Coma of unknown origin, Narcotic OD PROVIDED: 4MG VIAL DOSE: 0.04 MG IV titrate to desired response. 0.4 MG IN MAX 2MG Pedi: 0.4mg-2mg IN, 0.1 mg/kg IV/IN CONTRA: INTUBATED PT, MEPERIDINE SEIZURES Make diluted narcan: 10ml syringe of NS, empty out 1 mL replace with (0.4 mg) 1mL of Narcan in same syringe. Concentration = 0.04 mg/mL.
28
NITROGLYCERINE (NITROSTAT) Vasodilator
Ischemic CP, CHF, AMI, hypertensive emergency Contra: vol. Depleation,sbp<100 or 30 below baseline, head injury, HR <50, HR >100, RIGHT MI, HEAD BLEED, USE OF VIAGRA, Cialis ect..SEXUAL ENHANCEMENT DRUGS 24-48 HRS DOSE: 0.4 mg SL up to 3X q5MIN, HR <60 & SBP >120 THEN: 5 mcg/min IV MAX 100 mcg/min
29
ONDANSETRON (ZOFRAN) antiemetic
Nausia, vomiting Provided: 4mg vialx2, 4mg ODT X2 DOSE: 4mg IV/IM/IN up to 3x = 12mg max
30
OXYMETAZOLINE (AFRIN) Nasal decongestant, sympathomimetic
For nasal decongestion or epitaxis Contra: closed angle gloucoma, HTN, CAD, CAV DOSE: 4 SPRAYS EACH NOSTRIL
31
SODIUM BICARBONATE ph buffer, alkalizing agent, Electrolyte supplement
Tricyclic antidepressant OD, METABOLIC ACIDOSIS, PROLONGED DOWN TIME, HYPERKALEMIA, DKA, RABDOMYOSIS 50 mEq IV contra: hypokalemia, alkalosis, hypernatremia, severe pulmonary edema
32
TXA (TRANSEXCEMIC ACID) Antifibrinolytic, hemostatic agent
For trauma & post partum Contra: GI bleed Adult: contra >3hr after injury, give amount provided, 1 gram in 100mL bag WO/10 MIN. Pedi: >1 YO 15mg/kg in 50 mL NS/10 min.
33
Labetalol dual alpha (α1) and beta (β1/β2) adrenergic receptor blocker
20mg/2min. q10min increments of 2nd20/3rd40/4th80/5th80
34
How many mcg in 1 mg?
1000 mcg
35
How many mcg in 0.1mg?
100 mcg
36
How many mg in 1 gr?
1000 mg
37
How many mcg in 0.01 mg
10 mcg
38
How many mcg in 0.001 mg
1 mcg
39
1 Gram
1000 mg
40
1 gr
1,000,000 mcg (1million)
41
Tachycardia with a pulse Narrow complex
Stable=vagal-reg?-Adenisine 6mg, 12mg fast -Labatalol 20mg/2min-call med control Unstable=AMS, HYPOTENSION,(signs of shock) HR INCREASE, BP DECREASE, PALE, SWEATY, WEAK PULSE ALL THESE CARDIOVERT reg50-100j irreg120-200j
42
Tachycardia with a pulse Wide complex
Signs of shock=cardiovert No=Lidocaiane 1mg/kg repeat x1 Consider: Adenosine 150mg/10min Mag. Sulfate 2gr/5min for Torsades

Drugs/Doses (2 decks)

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