American Heart Association Paramedic Drug Set 1

Front 1

Acetylsalicylic Acid,
List brand name:
List class:

Back 1

Brand name: Bufferin, Anacin, APC

Class: Analgesic, Antipyretic, Anti-inflammatory

Hint 1

Buff,

pain, heat, swell.

Front 2

Acetylsalicylic Acid,
Mechanism of Action:

Back 2

Blocks Thromboxane A2 decressing platelet aggregation.

Hint 2

platelet

Front 3

Acetylsalicylic Acid,
Indications and field use:

Back 3

Chest pain: symptoms of myocardial infarction.
ECG: Suggestive of MI
Unstable angina,
Pain
Discomfort
Fever in adults only.

Hint 3

MI

Front 4

Acetylsalicylic Acid
Contraindications:

Back 4

Bleeding ulcer, hemorrhagic states, hemophilia, Hypersensitivity to Salicylates or NSAI's leading to Hypotension and/or bronchospasm, children or adolescents.

Hint 4

clot

Front 5

Acetylsalicylic Acid
Adverse Reactions:

Back 5

Caution with asthma as anaphylactic reactions have occurred.
Skin eruptions.

Hint 5

poison

Front 6

Acetylsalicylic Acid,
List brand name:
List class:

Back 6

Brand name: Bufferin, Anacin, APC

Class: Analgesic, Antipyretic, Anti-inflammatory

Hint 6

Buff, Anac,

pain, fever, swelling

Front 7

Acetylsalicylic Acid,
Mechanism of Action:

Back 7

Blocks Thromboxane A2 decressing platelet aggregation.

Hint 7

aggregation

Front 8

Acetylsalicylic Acid,
Indications and field use:

Back 8

Chest pain: symptoms of myocardial infarction.
ECG: Suggestive of MI
Unstable angina,
Pain
Discomfort
Fever in adults only.

Hint 8

MI

Front 9

Acetylsalicylic Acid
Contraindications:

Back 9

Bleeding ulcer, hemorrhagic states, hemophilia, Hypersensitivity to Salicylates or NSAI's leading to Hypotension and/or bronchospasm, children or adolescents.

Hint 9

clot
non-steroid anti-inflamatory's

Front 10

Acetylsalicylic Acid
Adverse Reactions:

Back 10

Caution with asthma as anaphlacic reactions have occurred.
Skin eruptions.

Hint 10

sepsis, skin

Front 11

Acetylsalicylic Acid:
Adult Dose:
Pediatric Dose:

Back 11

Cardiac 160-325mg
Pain/Discomfort/Fever 325mg

Hint 11

cardiac
pain/discomfort/fever

Front 12

Adenosine:
Brand Name:
Class:

Back 12

Adenocard
Antiarrhythmic, Endogenous Nucleoside.

Hint 12

card
rhythm
nucleoside

Front 13

Adenosine:
Mechanism of Action:

Back 13

Slows conduction through the AV node. Interrupts reentry pathways through the AV node.
Slows sinus rate.
Large doses decreases peripheral vascular resistance.

Hint 13

splits (and stops) the heart.

Front 14

Adenosine:
Indications and field use.

Back 14

Conversion of Supra Ventricular tachycardia with no know atrial fib/flutter.
Wide complex tachycardia of uncertain origin unresponsive to Lidocaine.

Hint 14

only the vents.
lido.

Front 15

Adenosine:
Contraindications:

Back 15

Sick sinus syndrome, 2nd or 3rd deg heart block without a functioning ventricular pacemaker.
Caution in Patents with asmtha, patents on theophyilline or methylyathes
patents on dipyridonde or carbamazephine.
Cardiac transplant patents are more sensitive.
known atrial fib/flutter,
pregnancy

Hint 15

syndrome, block, theo, methy, dipy, or carb.
transplant
atrial
preg.

Front 16

Adenosine:
Adverse reactions:

Back 16

Transient disrhythmias- palpations, chest pain, hypotension, transient hypertension, facial flushing, sweating.
Respiratory dispenia- hyperventilation, tightness in throat, bronchospasim
Central nervous system- lightheadedness, parasentisis, apprehension, blurred vision, neck/back pain.
Gastrointestinal- nausea, metallic taste.

Hint 16

disrhythmias
respiratory
CNS
gastro

Front 17

Adenosine:
Adult dose:

Back 17

Elevate site, 6mg rapid iv push then flush with 20ml normal saline flush may repeat in 1-2min with 12mg, 2 more times.
constant ECG monitor.

Hint 17

Elevate fast push and flush

Front 18

Adenosine:
Pediatric dose:

Back 18

Elevate site, 0.1mg/kg rapid IV push, then flush with 2-3ml normal saline to a max dose of 12mg. Constant ECG monitor.
Infant- Do not delay Cardioversion.

Hint 18

Elevate fast push and flush

Front 19

Amiodarone:
Brand name:
Class:

Back 19

Cardarone

Antiarrhythmic

Hint 19

card

rhythm

Front 20

Amiodarone:
Mechanism of Action:

Back 20

Effects sodium, potassium and calcium channels.
negative inotropic, chronotropic, dromotropic effects on the heart.
Dilates coronary arteries.

Hint 20

multiple effects on.
3 tropics.
dilation.

Front 21

Amiodarone:
Indications and field use:

Back 21

treatment of shock refractory to VF, pulseless VT, polymorphic VT, and wide complex tachycardia of uncertain origin.
Control hemodynamicly STABLE VT when cardioversion is unsuccessful.
adjunct to cardioversion of SVT and PSVT.
rate control in atrial fib/flutter.

Hint 21

low pressure due to fast ventricles.
adjunct to.
rate control.

Front 22

Amiodarone:
Contraindications:

Back 22

Bradycardia,
2nd or 3rd deg. heart block,
hypotension,
Pulmonary congestion
Cardiogenic shock.

Hint 22

too slow,
no electrical flow,
no pressure,
no exchange,
no pump.

Front 23

Amiodarone:
Adverse Reactions:

Back 23

Cardio- Bradycardia, hypotension, asystole/cardiac arrest, AV block, Torsades De Pointes,
GI and Hepatic- nausia, vomiting, abmormal liver function test.
skin- slate blue
other- fever, headache, dizziness, abnormal salivation, photo phobia.

Hint 23

cardio- slow or no heart output.
av trouble
French word.
GI- sick
skin- color
Other- 6items

Front 24

Amiodarone:
Adult dose:

Back 24

Antiarrhymics are additive and proarrhythmic with Amiodarone.
300mg fast push without a pulse in d5w.
150mg over 10min with a pulse in d5w.
After successful defib. 1.0mg/min for 6hrs, then up to 0.5mg/min for 18hrs.
Max of 2.2 over 24hrs.

Hint 24

fast push dead
slow push 1/2 dead
infuse rate.

Front 25

Amiodarone:
Pediatric dose:

Back 25

with a pulse, 5mg/kg over 20-60 min. 15mg/kg max dose.
without a pulse, 75-150mg/kg fast IV push.

Hint 25

1/2 adult dose

Front 26

Atropine Sulfate:
Brand name:

Back 26

Atropine

Hint 26

same

Front 27

Atropine Sulfate:
Class:

Back 27

Parasympatholtic, Antimuscarinic, anticholinergic, parasympathetic antagonist, parasympathetic blocker

Hint 27

5 items

Front 28

Atropine Sulfate:
Mechanism of Action

Back 28

Competitive antagonist of acetylcholine, blocking parasympathetic response.
Increased Chronotriopic effect.

Hint 28

vagal

Front 29

Atropine Sulfate:
Indications and field use:

Back 29

symptomatic bradycardia
Asystole (after epi)
PEA with Bradycardia (after epi)
Acetylcholinesterase inhibitor poisoning.
Bronchospasm, 3rd line

Hint 29

slow or no heart
poison
breathing

Front 30

Atropine Sulfate:
Contraindications:

Back 30

acute narrow angle Glaucoma (relative)

Hint 30

relative eye bp

Front 31

Atropine Sulfate:
Adverse reactions:

Back 31

over stimulation of the sympathetic system, agitation, delirium.

Hint 31

remove the parasympathetic system..

Front 32

Atropine Sulfate:
Adult Dose:

Back 32

Bradycardia- 0.5-1.0mg rapid IV push every 3-5min to Max 3mg if symptoms profound (0.03-0.04mg/kg)
Asystole or PEA with Brady- 1.0mg rapid IV push every 3-5 Max 3mg.
Cholinergic or Organo. poisoning- 2.0-5.0mg IV repeat in 5 min. unlimited max.
Bronchospasm- 1.0mg SVN repeat in 30 min per med control.

Hint 32

Bradycardia
asystole
poisoning
bronchospasm

Front 33

Atropine Sulfate:
Pediatric Dose:

Back 33

Bradycardia only- 0.02mg/kg (min 0.1mg)IV push after epi repeat 1 time.
Max single dose- Child 0.5mg Adolescent 1 mg
Bronchospasm- 0.5 mg SVN. repeat 30min per med control.

Hint 33

Bradycardia
Bronchospasm

Front 34

Albuterol:
Brand Name:
Class:

Back 34

Proventil, Ventolin.
Sympathomimetic, Bronchodilator.

Front 35

Albuterol:
Mechanism of Action:

Back 35

Beta agonist (b2), Relaxes Bronchial smooth muscle. relaxes Vascular and uterine smooth muscle. decreases airway resistance.

Hint 35

relax

Front 36

Albuterol:
Indications and field use:

Back 36

Treatment of bronchospasim

Hint 36

upper airway

Front 37

Albuterol:
Contraindications:

Back 37

Synergistic with other Sympathomimetics.
Caution in Diabetes, hyperthyroidism, cerebriovascular disease.
Trycyclic Antidreprents (TCA's) nad Monoamine oxidose inhibitors (MAO's).
Other Sympathomimetics (relative).

Hint 37

circulation
tca
mao

Front 38

Albuterol:
Adverse Reactions:

Back 38

CV- Dysrhythmias, tachycardia, Peripheral Vasodilation.
Resp- bronchospasm (rare)
CNS- tremors, Nervousness
GI- Nausea, Vomiting
Endocrine- Hyperglycemia

Hint 38

CV
Resp
CNS
GI
Endo

Front 39

Albuterol:
Adult Dose:

Back 39

2.5mg SVN
repeat per med control.

Hint 39

SVN.

Front 40

Albuterol:
Pediatric Dose:

Back 40

Under 40lbs Half premix (1.25mg) SVN + 1.5ml NS.
Repeat per med control.

Hint 40

1/2

Front 41

Bretylium Tosylate:
Brand Name:
Class:

Back 41

Bretylol
Antiarrhythmic

Hint 41

bret
cardiac

Front 42

Bretylium Tosylate-
Mechanism of action-

Back 42

Causes release of Norepinephrin, Depressed ventricular fibrillation and ectopy. Suppressed Vent Tachydysrhythmias from reentry

Hint 42

Nor
fig
reentry

Front 43

Bretylium Tosylate-
Indications and field use-

Back 43

Ventricular Fibrillation, Pulseless VT, VT with a pulse, wide complex tachycardia of unknown origin AFTER other pharmacological therapy.
Lidocaine allergy

Hint 43

VTs
lido

Front 44

Bretylium Tosylate-
Contraindications-

Back 44

NONE in life-threatening arrhythmias

Hint 44

how many?

Front 45

Bretylium Tosylate-
Adverse Reactions-

Back 45

CV: hypertension initially, hypotensioin 15-20 min ager administration.
increased sensitivity to catecholamines.
angina or bradydysrhythmias.
GI Nausea/vomiting after rapid IV.

Hint 45

CV high then low
also sensitive
pain and slow
GI sick

Front 46

Bretylium Tosylate-
Adult Dose-

Back 46

pulseless 5mg/kg rapid, flush with 20ml NS. repeat at 10mg/kg rapid, thereafter repeat at 5-30 min to 35mg/kg/day infuse 2mg/min.
with a pulse 5mg/kg in 50-100 NS over 8-10, repeat 5-10mg/kg or infuse at 2mg/min. infuse at 1-2mg/min

Hint 46

pulseless bolus,repeat. and infuse
w/pulse bolus diluted, repeat, and infuse

Front 47

Bretylium Tosylate-
Pediatric Dose-

Back 47

Same as adult (rarely given)

Hint 47

remember adult?