Special Pops Drugs Flashcards

(60 cards)

1
Q

Dexamethasone (Decadron, Hexadrol) Class

A

Steroid

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2
Q

Dexamethasone (Decadron, Hexadrol) Actions

A

decreases cerebral edema

anti-inflammatory

suppresses immune response (especially in allergic reactions)

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3
Q

Dexamethasone (Decadron, Hexadrol) Indications

A

Anaphylaxis (after epinephrine and diphenhydramine)

Asthma

COPD

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4
Q

Dexamethasone (Decadron, Hexadrol) Contraindications

A

None in an emergency setting

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5
Q

Dexamethasone (Decadron, Hexadrol) Precautions / SE

A

Prec: protect from heat / onset of action may be 2-6hrs thus should not be of use in critical first hour following anaphylaxis

SE: GI bleeding / prolonged wound healing

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6
Q

Dexamethasone (Decadron, Hexadrol) Dose

A

Adult: 4-24mg IV/IM

Peds: 0.2 - 0.5 mg/kg IV/IM

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7
Q

Etomidate (Amidate) Class

A

Sedative / Hypnotic

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8
Q

Etomidate (Amidate) Action

A

ultra short acting sedative/hypnotic effect

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9
Q

Etomidate (Amidate) Indication

A

Induction for RSI

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10
Q

Etomidate (Amidate) Contraindication

A

Hypersensitivity

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11
Q

Etomidate (Amidate) Precautions / SE

A
Prec:
marked hypotension
severe asthma
severe cardiovascular disease
adrenal suppression

SE: myoclonic skeletal muscle movement / apnea / laryngospasm

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12
Q

Etomidate (Amidate) Dose

A

Adult: 0.1 - 0.3 mg/kg IV over 15-30secs

Ped: >10yrs = same as adult
<10yrs = not indicated

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13
Q

Ketamine (Ketalar) Class

A

Sedative / Hypnotic / Analgesic

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14
Q

Ketamine (Ketalar) Action

A

causes dissociative state

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15
Q

Ketamine (Ketalar) Indication

A

Induction for RSI

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16
Q

Ketamine (Ketalar) Contraindications

A

significantly elevated BP

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17
Q

Ketamine (Ketalar) Precautions / SE

A

Prec: hallucinations / emergency airway and resuscitative equipment/meds must be available

SE: hallucinations / increased skeletal muscle tone

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18
Q

Ketamine (Ketalar) Dose

A

Adult: 1-4.5 mg/kg IV / 3-8 mg/kg IM

Peds: 0.5-3 mg/kg IV/IM

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19
Q

Midazolam (Versed) Class

A

Benzodiazepine / Tranquilizer

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20
Q

Midazolam (Versed) Actions

A

Hypnotic / Sedative

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21
Q

Midazolam (Versed) Indications

A

Premedication for cardioversion

Acute anxiety states

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22
Q

Midazolam (Versed) Contraindications

A

narrow angle glaucoma

shock

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23
Q

Midazolam (Versed) Precautions / SE

A

Prec: emergency resucitative equipment must be available
Flumazenil (romazicon) should be available
Dilute with NS or D5W prior to IV admin
Respiratory depression very common

SE: drowsiness / hypotension / amnesia / respiratory depression / apnea

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24
Q

Midazolam (Versed) Dose

A

Adult: 1-2.5 mg IV / 1-5mg IM

Peds: 0.03 mg/kg

Can also be given PO/IN

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25
Oxytocin (Pitocin) Class
Hormone
26
Oxytocin (Pitocin) Actions
causes uterine contraction causes lactation slows postpartum vaginal bleeding
27
Oxytocin (Pitocin) Indication
postpartum vaginal bleeding
28
Oxytocin (Pitocin) Contraindications
any condition other than postpartum bleeding Cesarean section
29
Oxytocin (Pitocin) Precautions / SE
Prec: ensure placenta has delivered and there is not another fetus before giving / OD can cause uterine rupture / hypertension SE: anaphylaxis / cardiac arrhythmias
30
Oxytocin (Pitocin) Dose
IV 10-20units in 500mL of D5W administered according to uterine response 3-10units IM
31
Terbutaline (Brethine) Class
sympathomimetic
32
Terbutaline (Brethine) Actions
bronchodilator / increases heart rate
33
Terbutaline (Brethine) Indications
bronchial asthma / reversible bronchospasm associated with COPD / preterm labor
34
Terbutaline (Brethine) Contraindications
hypersensitivity
35
Terbutaline (Brethine) Precautions / SE
Prec: BP, HR and ECG must be constantly monitored SE: palpitations / tachycardia / PVCs / anxiety / tremors / headache
36
Terbutaline (Brethine) Dose
MDI: 2 inhalations, 1min apart SubQ: 0.25mg, may repeat in 15-30min Pedi: 0.01mg/kg SubQ
37
Pralidoximine (Protopam) Class
Cholinesterase reactivator
38
Pralidoximine (Protopam) Actions
Reactivates cholinesterase in cases of organophosphate poisoning Deactivates certain organophosphates by direct chemical reaction
39
Pralidoximine (Protopam) Indications
Severe organophosphate poisoning characterized by muscle twitching, respiratory depression, and paralysis
40
Pralidoximine (Protopam) Contraindications
poisoning due to inorganic phosphates | poisoning other htan organophosphates
41
Pralidoximine (Protopam) Precautions / Side Effects
Prec: laryngospasm, tachycardia, muscle rigidity, should only follow atrpinization SE: excitement, manic behavior
42
Pralidoximine (Protopam) Dose
Adult: 1-2g in 250-500mL of NS over 30min Ped: 20-40mg/kg in 250-500mL of NS over 30min
43
Hydromorphone (Dilaudid) Class
Narcotic
44
Hydromorphone (Dilaudid) Action
central nervous system depressant decreases sensitivity to pain
45
Hydromorphone (Dilaudid) Indications
severe pain
46
Hydromorphone (Dilaudid) Contraindications
shock severe hemorrhage hypersensitivity
47
Hydromorphone (Dilaudid) Precautions / Side Effects
Prec: respiratory depression / hypotension / nausea SE: dizziness / AMS / bradycardia
48
Hydromorphone (Dilaudid) Dose
Adult: 1-4mg/IV, IO, PO Pedi: 0.015 mg/kg/IV
49
Racemic Epinephrine Class
Sympathomimetic
50
Racemic Epinephrine Action
bronchodilation / increase HR / increased cardiac contractile force
51
Racemic Epinephrine Indications
Croup (laryngotacheobronchitis)
52
Racemic Epinephrine Contraindications
Epiglottitis / hypersensitivity
53
Racemic Epinephrine Precautions / Side Effects
Prec: monitor vitals / use only once in prehospital setting SE: palpitations / anxiety / headache
54
Racemic Epinephrine Dose
0.25-0.75mL of a 2.25% solution in 2mL normal saline / by nebulizer
55
Mannitol Class
osmotic diuretic
56
Mannitol Actions
decreases cellular edema | increases urinary output
57
Mannitol Indications
acute cerebral edema | blood transfusion reactions
58
Mannitol Contraindications
pulmonary edema / dehydration / hypersensitivity
59
Mannitol Precautions / Side Effects
Prec: rapid administration can cause circulatory overload / crystallization occurs at lower temperatures / in-line filter should be used SE: pulmonary congestion / sodium depletion / transient volume overload
60
Mannitol Dose
Adult: 1.5-2.0g/kg/IV slow bolus or infusion Peds: 0.25-0.5g/kg IV over 60min