SFD Medications Flashcards
Drug card, Guidelines for administration Adult and Ped (84 cards)
1
Q
Vial: 6mg / 2mL
A
Adenosine (vial)
2
Q
Fish: 2.5 / 3mL
A
Albuterol (fish)
3
Q
Tablet: 81 mg
A
Aspirin (ASA) (tablet)
4
Q
Preload: 1mg / 10mL
A
Atropine (preload)
5
Q
Preload: 1g / 10mL
A
Calcium Chloride (vial)
6
Q
Vial: 10mg / 1mL
A
Dexamethasone (vial)
7
Q
Pre-mix: 25mg / 250mL
A
D10 (concentration)
8
Q
Vial: 25mg / 5mL
A
Diltiazem (concentration)
9
Q
Vial: 50mg / 1mL
A
Diphenhydramine (concentration)
10
Q
Auto Injector: 2.1mg Atropine + 600mg Pralidoxime
A
DuoDote (concentration)
11
Q
Preload: 1mg / 10mL (1:10/Cardiac)
A
Cardiac Epi preload (concentration)
12
Q
Vial: 1mg /1mL (1:1)
A
Epi Vial (concentration)
13
Q
Drip: 2mg / 250 D5W
A
Epi Drip (bag concentration)
14
Q
Drip: 8mcg / 1mL
A
Epi Drip (drip rate mcg)
15
Q
Vial: 20mg / 10mL
A
Etomidate (concentration)
16
Q
Vial: 100mcg / 2mL
A
Fentanyl (concentration)
17
Q
Vial: 40mg / 4mL
A
Furosemide (concentration)
18
Q
Fish: 0.5mg / 2.5 mL
A
Ipratropium (concentration)
19
Q
Vial: 500mg / 5mL
A
Ketamine (concentration - vial)
20
Q
Pre-mix: 1500mg / 100mL
A
Levetiracetam (concentration)
21
Q
Preload: 100mg / 5mL
A
Lidocaine (concentration)
22
Q
Pre-mix: 2g / 50mL
A
Magnesium Sulfate (concentration)
23
Q
Vial: 5mg / 1mL
A
Midazolam (concentration)
24
Q
Vial: 0.4mg / 1mL
A
Naloxone (concentration)
25
Tablet: 0.4mg / tablet
Nitroglycerin (concentration)
26
Vial: 4mg / 4mL
Norepinephrine (concentration)
27
Drip: 8mg / 250 D5W
Norepinephrine Drip (bag concentration)
28
Drip: 32mcg / 1mL
Norepinephrine Drip (drip rate mcg)
29
Vial: 4mg / 2mL
Ondansetron (concentration)
30
Vial: 10 units / 1mL
Oxytocin (concentration)
31
Vial: 1g / 10mL
Procainamide (concentration)
32
Vial: 100mg / 10mL
Rocuronium (concentration)
33
Preload: 50mEq / 50mL
8.4% Sodium Bicarbonate (concentration)
34
How is Dexamethasone given?
IV/IO, IM, PO
35
What is the dose of Dexamethasone for adults?
10mg, any route
36
What is the dose of Dexamethasone for a child?
0.6mg/kg, MAX 10mg, any route - mix with juice for PO
37
Why do you give a CHILD Dexamethasone?
Asthma, Croup
38
Why do you give an ADULT Dexamethasone?
Asthma, COPD
39
How fast can Dexamethasone help a croup child?
10-30 minutes
40
Is Asthma or Croup common in children under 8 months of age?
No
41
What class of medication in Dexamethasone?
Long-acting corticosteroid
42
What are the 2 contraindications for Dexamethasone?
Systemic fungal infection
Known hypersensitivity to glucocorticoids
43
What are the 5 adverse effects of Dexamethasone?
Hyperglycemia
Psychiatric disturbance - confusion, agitation, anxiety
Gastritis
Immunosuppression
Adrenal Suppression
44
What class of controlled substances is Fentanyl?
Schedule 2
45
What class of mediation is Fentanyl?
Opioid-agonist / Narcotic analgesic
46
How many times more potent is Fentanyl to Morphine?
100 times
47
What is the onset of effect for Fentanyl?
Immediate
48
When does Fentanyl have its peak analgesic and respiratory effect?
5 minutes
49
How long is the duration of effect for Fentanyl with ADULTS?
30-60 minutes
50
What 4 conditions are appropriately treated with Fentanyl?
MI
Acute Px
Post intubation sedation
Air hunger
51
Is there a max dose of Fentanyl for adults or children?
No
52
What are the 4 effects of Fentanyl administration that are dose dependent?
Respiratory depression
Sedation
Hypotension
Nausea
53
What is the incremental dosing of Fentanyl in ADULT Pts?
Increments - 25-50mcg q 5-10 min to effect
54
What is the incremental dosing for Fentanyl in PED Pts?
Increments - 1mcg/kg max 50mcg single dose q 5 min to effect
55
What syringe should be used to dose PEDs with Fentanyl?
1mL
56
What syringe should be used to dose ADULTS with Fentanyl?
3mL
57
What is the contraindication to Fentanyl?
Pre-existing allergy
58
What are the routes of administration for Fentanyl?
IV, IM (double), IN (atomizer)
59
What condition is appropriately treated with Levetiracetam (Keppra)?
Status Epilepticus, Intubated Sz Pt
60
Which is harder on blood pressure - Morphine or Fentanyl?
Morphine
61
Does Morphine cause histamine release?
Yes
62
Fentanyl mcg/mL and vial size
50mcg/mL
2mL vial
63
Will Peds or adults metabolize opioids faster and require more frequent and higher total dosages?
Peds
64
Zofran's generic name?
Ondansetron
65
What is the effective half-life of Zofran?
4 hrs
66
Ondansetron treats:
Nausea and vomiting
67
What type of N/V does Ondansetron not work for?
Motion sickness
68
What is the adult dose for Ondansetron?
4mg
69
Can Zofran be repeated?
Yes, after 15 minutes a second 4mg dose can be given.
70
Can Zofran impact a Pt's EKG?
Yes, it can prolong the QTc.
71
Who should NOT receive Zofran for N/V?
Prolonged QTc
Motion sickness
Anaphylaxis
72
What conditions is Zofran commonly prescribed for?
Chemotherapy related nausea
Hyperemesis from pregnancy
Post-op nausea
Persistent nausea
73
Ondansetron route(s) of administration?
slow IV
IM
74
What type of medication is Zofran?
Antiemetic
75
What are the side effects of Ondansetron?
Headache
Drowsiness
Dry mouth
76
What is the time of onset for Zofran?
1 minute
77
What is the Ped Dose for Zofran?
0.1mg/kg up to 4mg
78
How slowly should Zofran be given IV?
Over 2 minutes
79
What are the contraindications for Keppra?
Hypersensitivity
80
What type of medication is Keppra?
Anticonvulsant
81
What is the onset time for Levetiracetam?
5 to 30 minutes
82
What is the half life of Keppra?
12 hrs
83
What is the Adult dosing for Keppra?
1,500mg (1 bag), may repeat once
84
What is the Pediatric dosing for Keppra?
Plan S:
Adult = 1,500mg, may repeat if additional Sz or intubated (max 3,000mg)
Peds = 30mg/kg, may repeat for additional Sz or intubation (max of 60mg/kg /if child is big enough, use adult dosing)
Drug card: 60mg/kg max dose for all ages - 30mg/kg per dose.
