Paramedic Dog Week 7

Question 1

Heparin

Class

Answer 1

Class:

Anti-Coagulant

Question 2

Heparin

Mechanism of Action

Answer 2

Direct inhibitor of thrombin

Question 3

Heparin

Indications

Answer 3

About Coronary Syndrome

Pulmonary Embolism

Question 4

Heparin

Contraindications

Answer 4

Should not be used unless medically necessary
active bleeding
recent trauma
known hypersensitivity to the drug, beef or pork products

Question 5

Heparin

Side Effects

Answer 5

Bleeding
Bruising
Confusion
Edema
Fever

Question 6

Heparin
Dosage and Administration
Adult

Answer 6

Loading Dose: 60 units/kg (max 4,000 units iv)

Maintenance: 12 units/kg/hr (max 1,000 units/hr)

Question 7

Heparin
Dosage and Administration
Pediatric

Answer 7

50 units/kg followed by infusion

Question 8

Heparin
Duration of Action
Onset

Answer 8

Onset:

Immediate

Question 9

Heparin
Duration of Action
Duration

Answer 9

Duration:

4-6 hours

Question 10

Heparin

Special Considerations

Answer 10

Heparin is a powerful anticoagulant that requires vigilance after administration

Question 11

Ondansetron
(Zofran)
Class

Answer 11

Class:

Antiemetic

Question 12

Ondansetron
(Zofran)
Mechanism of Action

Answer 12

Blocks the serotonin receptors in the chemoreceptor trigger zone (CTZ), the stomach and the small intestines

Question 13

Ondansetron
(Zofran)
Indications

Answer 13

Nausea

Vomitting

Question 14

Ondansetron
(Zofran)
Contraindications

Answer 14

Known hypersensitivity to the medicine

Question 15

Ondansetron
(Zofran)
Adverse Reactions

Answer 15

Use caution in patients taking serotonin blockers, headaches, lightheadedness, bradycardia, dyspnea, anxiety and dizziness

Question 16

Ondansetron
(Zofran)
Drug Interactions

Answer 16

Amiodarone and other class 3 anti-arrhythmic agents can cause dose related prolongation of the QT interval

Question 17

Ondansetron
(Zofran)
Dosage and Administration
Adult

Answer 17

Adult:

4-8mg, IV, IM, IO

Question 18

Ondansetron
(Zofran)
Pediatric

Answer 18

Pediatric:

0.15 mg/kg IV

Question 19

Ondansetron
(Zofran)
Onset

Answer 19

Onset:

Unknown, but probably 10 to 30 minutes

Question 20

Ondansetron
(Zofran)
Peak Effects

Answer 20

Peak Effects:

Unknown

Question 21

Ondansetron
(Zofran)
Duration

Answer 21

Duration:

Unknown but the half-life is approximately 4 hours

Question 22

Metoclopramide
(Reglan)
Class

Answer 22

Class:

Phenothiazine Antiemetic

Question 23

Metoclopramide
(Reglan)
Mechanism of Action

Answer 23

Reduces gastroesophageal reflux

Question 24

Metoclopramide
(Reglan)
Indications

Answer 24

Nausea and Vomiting

Question 25

Metoclopramide (Reglan) Contraindications

Answer 25

GI Bleeding Bowel Obstructions Perforation Hypersensitivity

Question 26

Metoclopramide (Reglan) Adverse Reactions

Answer 26

Dystonic reactions have been reported, may impair mental and physical ability, drowsiness

Question 27

Metoclopramide (Reglan) Drug Interactions

Answer 27

anticholinergic drugs and narcotic analgesics antagonize the effects of Reglan on GI motility

Question 28

Metoclopramide (Reglan) Dosage and Administration Adult Intramuscular

Answer 28

Adult: IM: 10-20 mg

Question 29

Metoclopramide (Reglan) Dosage and Administration Adult Intravenous

Answer 29

Adult: 10mg slow IV push over 1-2 minutes

Question 30

Metoclopramide (Reglan) Dosage and Administration Pediatric

Answer 30

Pediatric: Rarely Used

Question 31

Metoclopramide (Reglan) Onset Intramuscular

Answer 31

Onset IM: 10 - 15 Minutes

Question 32

Metoclopramide (Reglan) Onset Intravenous

Answer 32

Onset IV: 1-3 Minutes

Question 33

Metoclopramide (Reglan) Duration

Answer 33

Duration 1-2 hours

Question 34

Metoclopramide (Reglan) Special Considerations

Answer 34

May cause Tardive's Dyskinesia, an irreversible movement disorder