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Pre-Paramedic Pharm Study Guide > (PHARM) Study Guide Exam (3) Chapters 6, 7, 8, 13, 15 > Flashcards

(PHARM) Study Guide Exam (3) Chapters 6, 7, 8, 13, 15 Flashcards

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1
Q

(for pain management).

Dose of fentanyl?

Dose of Morphine:?

A

Dose is 1mcg/kg given in incremental doses of 25-50mcg. May
repeat every 5 min to a max of 200mcg total

Dose is 2-5mg increments IV until pain is relieved MAX of 20mg

only administer if blood pressure is >90 sbp

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2
Q

What is the drug and dose for IV treatment of seizures

A

(Lorazepam)

1st line drug for IV administration. Dose is 0.1 mg/kg SIVP. Max
single dose is 4mg

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3
Q

What is the drug and dose for IM treatment of seizures

A

(Midazolam)

: 1ST line drug for IM/IN administration. Dose is 0.2 mg/kg IM/IN.
if less than 40kg max dose is 5mg. If more than 40kg max dose is 10mg.

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4
Q

Dose of fentanyl? (for pain management).

A

50-100mcg

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5
Q

Dose of morphine? (for pain management).

A

2-4mg

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6
Q

Midazolam

A

1ST line drug for IM/IN administration. Dose is 0.2 mg/kg IM/IN.

if less than 40kg max dose is 5mg.

If more than 40kg max dose is 10mg.

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7
Q

Lorazepam

A

1st line drug for IV administration. Dose is 0.1 mg/kg SIVP.

Max
single dose is 4mg

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8
Q 
GENERIC NAME (ATROPINE) 
What is Trade Name?

Classification for (ATROPINE)

A

NONE

Anticholinergic •Parasympathetic blocker• Antidote

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9
Q 
Generic Name (EPINEPHRINE) 
What is Trade Name?

Classification for (EPINEPHRINE)

A

Adrenalin

Sympathomimetic

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10
Q 
Generic Name(DIPHENHYDRAMINE) 
What is Trade Name?

Classification for (DIPHENHYDRAMINE)

A

Benadryl

•Antihistamine• Anticholinergic

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11
Q

Generic Name Methylprednisolone
What is Trade name?

Classification for Methylprednisolone

A

Solu-Medrol®

  • Corticosteroid
  • Glucocorticoid
  • Anti-inflammatory
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12
Q

Generic Name Midazolam

Classification for Midazolam

A

Versed®

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic
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13
Q

Generic Name Lorazepam
What is Trade Name?

Classification for Lorazepam?

ADULT DOSAGES?

A

Ativan

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic

ADULT DOSAGES
• Seizure IV/IO: 2.0 to 5.0 mg over 2 minutes
• Seizure IM: 2.0 to 5.0 mg
• Procedural sedation IV/IO: 2.0 mg over 2 minutes
• Procedural sedation IM: 4.0 mg
• Maximum dosage: 10 mg

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14
Q 
Generic Name (DIAZEPAM) 
What is Trade Name?

Classification for (DIAZEPAM)

Adult Dose?

A

Valium

•Benzodiazepine• Anticonvulsant• Sedative• Hypnotic

ADULT DOSAGES
• 2.0 mg increments over 2 minutes

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15
Q

Generic Name Midazolam

Classification for Midazolam

ADULT DOSAGES?

A

Versed®

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic

ADULT DOSAGES
• Seizure IV/IO: 0.1 mg/kg
• Maximum dosage: 4.0 mg
• Seizure IM: 0.2 mg/kg
• Maximum dosage: 10 mg

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16
Q

Generic Name Lorazepam
What is Trade Name?

Classification for Lorazepam?

ADULT DOSAGES?

Study These Flashcards
A

Ativan

  • Benzodiazepine
  • Anticonvulsant
  • Sedative
  • Hypnotic

ADULT DOSAGES
• Seizure IV/IO: 2.0 to 5.0 mg over 2 minutes
• Seizure IM: 2.0 to 5.0 mg
• Procedural sedation IV/IO: 2.0 mg over 2 minutes
• Procedural sedation IM: 4.0 mg
• Maximum dosage: 10 mg

17
Q

(Anaphylaxis)
Epinephrine 1:1000:

Diphenhydramine

Solu-medrol

Study These Flashcards
A

Epinephrine 1:1000: 1ST line medication for anaphylaxis.
Dose is 0.3-0.5mg
IM injection

Dose is 50mg IV/IM

Dose is 125mg IV/IM

18
Q

What is chronotropic

Study These Flashcards
A

The heart rate and rhythm

19
Q

What is dromotropic

Study These Flashcards
A

Affects the conduction speed

(in fact the magnitude of delay) in the AV node,

20
Q

What is inotropic

Study These Flashcards
A

Affect the force of cardiac contraction

21
Q

What class of drug is used for seizures?

Study These Flashcards
A

Benzodiazepines.

22
Q

What is the most common cause of death from anaphylaxis

Study These Flashcards
A

(Drugs) such as penicillin

Insect Bites

23
Q

First line medication for cardiac arrest?

24
Q

What is status epilepticus ?

Study These Flashcards
A

A Single seizure lasting longer than 5min. or

Having more than one seizure within a 5 minute period
with no full recovery in-between seizures.

If left untreated permanent brain damage or death may
occur.

25
What chemicals is released during anaphylaxis?
Histamine, Serotonin, Bradykinin
26
(Stable) VS (Unstable) Angina
typically occurs during stress or activity. .. Usually lasts 2 to 5 min, no more than 20 min. .. then resolves with rest. Chest pain/discomfort that occurs with minimal exertion or at rest Caused by coronary artery spasm at rest • Pain is often severe • Occurs between midnight and early morning hours
27
What is an NSAID? what is a common one given in the hospital?
Nonsteroidal Anti-Inflammatory Drugs. Aspirin and ibuprofen
28
Common NSAID used IV in the hospital (for kidney stones)?
Ketorolac (Toradol
29
Propofol
(mothers milk)  Sedative agent administered to intubated patients being transported from one facility to another
30
(Effects) and (Antidote) of tricyclic antidepressant overdose
Depressed level of consciousness Wide-complex cardiac arrhythmias Hypotension Seizures If patient has wide-complex QRS rhythm, treat with ``` sodium bicarbonate (helps resolve metabolic acidosis) ```
31
Antiemetics
Treat nausea and vomiting  Common adverse effects of narcotic administration
32
Treatment for organophosphate poisoning
Must secure airway Use atropine  Reverses effects of muscarinic receptors Use pralidoxime for nicotinic effects
33
What is anterograde amnesia?, what drugs cause it?
The inability to recall events that occur after the onset of amnesia.
34
What are analgesics?
compounds that relieve pain.
35
Why are antiemetics sometimes necessary in the treatment of pain? What is an antiemetic drug we carry?
To reduce vomiting. Ondansetron (Zofran®)
36
What is the antidote for beta-blocker overdose
Glucagon
37
First line drug for sever Anaphylaxis and the Adult IM dose
Epi- 0.3-0.5 IM
38
Effect morphine has on vasculature and why it lowers blood pressure
release of histamine which causes vasodilation lowers blood pressure

Pre-Paramedic Pharm Study Guide (4 decks)

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