Drugs

Front 1

Diphenhydramine Class

Back 1

Antihistamine

Front 2

Diphenhydramine Blocks what receptor sites?

Back 2

H1

Front 3

Diphenhydramine Duration?

Back 3

6-12 hrs

Front 4

Diphenhydramine Indications?

Back 4

Allergic Reaction, Anaphylaxis, Acute extraphyramidal (dystonic) reactions

Front 5

Diphenhydramine Contraindications?

Back 5

Pts taking MAO inhibitors, Hypersensitivity, Narrow-angle glaucoma, newborns and nursing mothers

Front 6

Diphenhydramine Adult Dosage? Max Dosage?

Back 6

10-50mg IM, slow IV every 6-8hrs (max 400mg/day)

Front 7

Methylprednisolone trade name

Back 7

Solu-Medrol

Front 8

Methylprednisolone Class

Back 8

Glucocorticoid -

Front 9

Methylprednisolone Discription? What does it stimulate?

Back 9

synthetic steroid that suppress acut and chronic inflamation

Front 10

Solu-medrol onset

Back 10

1-2 hrs

Front 11

Solu-medrol indication

Back 11

anaphylaxis, spinal cord injury, bronchodialter-unresponsive asthma

Front 12

Solu-medrol dose

Back 12

40-125 mg iv range

Front 13

Hydroxyzine trade name

Back 13

Atarax, Vistaril

Front 14

Hydroxyzine class

Back 14

Antihistamine, antiemetic, antianxiety

Front 15

Hydroxyzine action

Back 15

CNS depression, tranquilizing effects

Front 16

Hydroxyzine onset

Back 16

IM 15-30 min.

Front 17

Hydroxyzine dose

Back 17

25-100 mg deep IM

Front 18

Hydroxyzine how supplied

Back 18

25-50 mg/ml 1 ml vials

Front 19

Hydroxyzine indication

Back 19

NV, anxiety, motion sickness

Front 20

Phenytoin trade name

Back 20

Dilantinl

Front 21

Phenytoin class

Back 21

Anticonvulsant, antidysrhythmic

Front 22

Phenytoin description

Back 22

Control grand mal and focal seizure by inhibiting sodium influx as well as TX for atrial and ventrical dysrhythmia

Front 23

Phenytoin onset

Back 23

20-30 min

Front 24

Phenytoin supplied

Back 24

50 mg/ml in 2 & 5ml ampules, use in-line filter

Front 25

Phenytoin dose seizure

Back 25

IV: 1000mg slow puch

Front 26

promaethazine trade name

Back 26

Phenergan

Front 27

promaethazine class

Back 27

antiemetic, phenothiazine, antihistamine

Front 28

promaethazine onset

Back 28

less 1 min IV

Front 29

promaethazine indication

Back 29

NV, potentiate analgeics, motion sickness

Front 30

promaethazine contrindiction

Back 30

reye syndrom

Front 31

promaethazine supplied

Back 31

25,50 ml/ml 1 ml ampules

Front 32

promaethazine dose

Back 32

IV/IM 12.5-25 mg

Front 33

Trade name midazolam hydrochloride

Back 33

Versed

Front 34

midazolam hydrochloride class

Back 34

benzo, sedative

Front 35

midazolam hydrochloride description

Back 35

Induces sleep, decrease anxiety and impairs memory retention

Front 36

midazolam hydrochloride onset

Back 36

1-3 min IV

Front 37

midazolam hydrochloride indication

Back 37

premedicat et or cardioversion, anxiety

Front 38

midazolam hydrochloride supplied

Back 38

2,5,10ml vials (1,g/ml)
1,2,5ml vials (5mg/ml)

Front 39

midazolam hydrochloride dose

Back 39

2.5-5 mg slow push 2-3 min.

Front 40

Haloperidol trade name

Back 40

Haldol

Front 41

Haloperidol Class

Back 41

ANtipsychotic
butyrophenones treat various psychiatric disorders such as schizophrenia

Front 42

Haloperidol description

Back 42

butyrophenones) are used to treat various psychiatric disorders such as schizophrenia, as well as acting as antiemetics.

Front 43

Haloperidol Onset

Back 43

IV: 10-20 minutes

IM: 30-60 minutes

Front 44

Haloperidol indication

Back 44

Acute psychotic episode

Front 45

Haloperidol supplied

Back 45

2-5 ml IM not recomended for ped

Front 46

thiamine trade name

Back 46

(Betaxin®), vitamin B1

Front 47

Thiamine class

Back 47

vitamin

Front 48

Thiamine description

Back 48

Thiamine combines with adenosine triphosphate (ATP) to form thiamine pyrophosphate (TPP) coenzyme, a necessary component for carbohydrate metabolism.

Front 49

Thiamine onset

Back 49

< 1 min

Front 50

Thiamine indication

Back 50

Prior to the administration of D50 in hypoglycemia when alcohol abuse and/or malnourishement is suspected.
Delirium tremens
Beriberi (rare)
Wernicke’s encephalopathy

Front 51

Thiamine supplied

Back 51

1000 mg in 10 ml vial (100 mg/ml)

Front 52

Thiamine dose

Back 52

IV/IM: 100 mg slow push

Front 53

mannitol trade name

Back 53

Osmitrol®)

Front 54

mannitol class

Back 54

Osmotic Diuretic

Front 55

mannitol Onset

Back 55

Diuretic effect: 1-3 hours

Reduction of ICP: 15 min

Front 56

mannitol indication

Back 56

Cerebral edema
Other causes of increased intracranial pressure (space occupying lesions)
Rhabdomyolyses (myoglobinuria)
Blood transfusion reactions

Front 57

mannitol description

Back 57

it promotes the movement of fluid from the intracellular into the extracellular space. In emergency care, mannitol is used in the treatment of closed head injury to decrease cerebral edema and intracranial pressure, and in the promotion of urinary excretion of toxic substances.

Front 58

mannitol supplied

Back 58

250 and 500 ml of a 20% solution for IV infusion (200 mg/ml), 25% solution in 50 ml for slow IV push.

Front 59

mannitol dose

Back 59

IV Infusion: 0.5 g/kg in a 20% solution over 20 minutes.

Front 60

lorazepam trade name

Back 60

(Ativan®)

Front 61

lorazepam description

Back 61

Raises seizure threshold and stops active seizures by hyperpolarizing neural membranes via enhancement of GABA (an inhibitory neurotransmitter) activated chloride channels.

Front 62

lorazepam Class

Back 62

Benzodiazepine

Sedative/Hypnotic

Front 63

lorazepam onset

Back 63

1-5 min

Front 64

lorazepam indication

Back 64

Initial control of status epilepticus or severe recurrent seizures.

Anxiety

Front 65

lorazepam supplied

Back 65

2 and 4 mg/ml concentration in 1 ml vials

Front 66

lorazepam dose

Back 66

Prior to IV administration, lorazepam must be diluted with an equal volume of sterile water or sterile saline. When given IM, lorazepam is not to be diluted.

IV/IM: 1-4 mg slow (over 2-10 min), may be repeated in 15-20 minutes. Max dose 8 mg.

Front 67

diazepam trade name

Back 67

(Valium®)

Front 68

diazepam class

Back 68

Benzodiazepine

Sedative – hypnotic

Anticonvulsant

Front 69

diazepam description

Back 69

Diazepam is a frequently prescribed medication to treat anxiety and stress. In emergency care, it is used to treat alcohol withdrawal and grand mal seizure activity.

Front 70

diazepam onset

Back 70

IV: Rapid

IM: 15-30 minutes

ET: Rapid

Front 71

diazepam indication

Back 71

Acute anxiety states
Acute alcohol withdrawal
Sedation
Seizure activity
Premedication prior to countershock or TCP

Front 72

diazepam supplied

Back 72

5 mg/ml vials, ampules, Tubex

Front 73

diazepam dose

Back 73

5 mg over 2 min (up to 10 mg for most adults) IV every 10 –15 min prn.
Cardioversion:5-15mg IV, 5-10 minutes prior to procedure

Front 74

dexamethasone trade name

Back 74

(Decadron®, Hexadrol®)

Front 75

dexamethasone class

Back 75

Clucocorticoid

Front 76

dexamethasone onset

Back 76

4-8 hours

Front 77

dexamethasone indication

Back 77

Cerebral edema (controversial)

Endocrine, rheumatic, hematologic disorders

Allergic states

Front 78

dexamethasone dose

Back 78

There is considerable variance in recommended doses. The usual range in emergency care is 4-24 mg IV. Some physicians may prefer significantly higher doses (up to 100 mg)

Front 79

succinylcholine trade name

Back 79

(Anectine®)

Front 80

succinylcholine class

Back 80

Neuromuscular Blocker (Depolarizing)

Front 81

succinylcholine mechanism

Back 81

Succinylcholine has the briefest duration of action of all neuromuscular blocking drugs, making it a drug of choice for such procedures as terminating laryngospasm, endotracheal intubation, and electroconvulsive shock therapy.

Front 82

succinylcholine indication

Back 82

To facilitate intubation

Terminating laryngospasm

Muscle relaxation

Front 83

succinylcholine onset

Back 83

less 1 min

Front 84

succinylcholine duration

Back 84

less 5 min

Front 85

succinylcholine supplied

Back 85

40 mg in 2 ml ampule (20 mg/ml)

100 mg in 5 ml ampule (20 mg/ml)

Multidose vial

Front 86

succinylcholine

Back 86

IV: 1.5mg/kg rapid, repeat once if needed.

Front 87

epinephrine trade name

Back 87

(Adrenalin®)

Front 88

epi class

Back 88

sympothomimietic

Front 89

epi description

Back 89

Epinephrine stimulates alpha, beta 1 and beta 2 adrenergic receptors in dose-related fashion. Rapid injection produces a rapid increase in blood pressure, ventricular contractility, and heart rate. In addition, epinephrine causes vasoconstriction in the arterioles of the skin and mucosa. It antagonizes the effects of histamine by decreasing its release and decreasing membrane permeability.

Front 90

Epi onset

Back 90

(SQ) 5-10 minutes

(IV, ET) 1-2 minutes

Front 91

epi duration

Back 91

5-10 min

Front 92

epi indication

Back 92

Bronchoconstriction

Anaphylaxis

All forms of cardiac arrest

Profound symptomatic bradycardia

Front 93

epi supplied

Back 93

1mg/ml (1:1,000)

0.1mg/ml (1:10,000) ampule and prefilled syringes

Front 94

epi dose

Back 94

1mg IV or 2 – 2 ½ times the IV dose via ET, repeat every 3-5 minutes.MOD ALER Reaction 0.3-0.5mg (1:1,000) SQ
ANAPHLAXIS0.05-0.5 mcg/kg/min INFUSION

Front 95

Prochlorperazine trad name

Back 95

compazine

Front 96

compazine indication

Back 96

Compazine is used to control severe nausea and vomiting. It is also used to treat symptoms of the mental disorder schizophrenia, and is occasionally prescribed for anxiety.

Front 97

Prochlorperazine class

Back 97

antipsychotic, antiemetic, antianxiety agent

Front 98

Prochlorperazine indication

Back 98

Control NV and manifestion of psychtoic episode

Front 99

Prochlorperazine supplied

Back 99

tablets 5,10,25mg
5mg/5ml injection

Front 100

Dose Prochlorperazine

Back 100

5-10mg PO for both antiemetic and psychiatry

Front 101

The drug of choice for severe allergic reaction and anaphylaxis? What is the dose?

Back 101

Epi: Mild reaction 0.3-0.5mg of 1:1,000. Severe reaction 0.3-0.5mg IV 1:10,000 repeat 3-5 minutes

Front 102

Antihistamines drug of choice____and dose

Back 102

diphenhydramine The dosage is 25-50 mg IV or Im

Front 103

The beta agonist agent for bronchospasm?

Back 103

0.5mL of albuterol in 3 ml of normal saline

Front 104

Other medication for management of anaphylaxis include:

Back 104

Solu-medrol - supress inflammation
Vasopressors - Dopamine - inhance cardiac output