Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
256 Cards in this Set
- Front
- Back
- 3rd side (hint)
albuterol aka
|
proventil, ventolin
|
|
|
proventil dose
|
2.5mg nebulized
repeatable |
|
|
adenocard indications
|
SVT, PSVT, narrow complex tach of unnown origin
|
|
|
ventolin indications
|
COPD, asthma, anaphlyaxis(wheezing)
pnuemonia, |
|
|
ventolin MOA
|
dilates bronchioles
|
|
|
adenosine AKA
|
andenocard
|
|
|
adenosine indications
|
PSVT, SVT, Narrow tach. of unknown origin
|
|
|
adenocard class
|
anti-dysrythmic
|
|
|
adenosine contraindications
|
heartblocks
|
|
|
adenocard dose
|
6mg,12mg,12mg, IVP q 1-2 minutes
not to exceed 30 mg total dose |
|
|
adenosine MOA
|
slows conduction time through AV node
|
|
|
activated charcoal class
|
adsorbent, antidote
|
|
|
activated charcoal MOA
|
binds to toxin
|
|
|
activated charcoal indications
|
OD/ po
|
|
|
activated charcoal contraindications
|
ingestion of caustic substances, petroleum product, acids
|
|
|
activated charcoal dose
|
1g/kg in 6-8oz water
|
|
|
ASA AKA
|
aspirin
|
|
|
aspirin dose
|
160-325mg PO
|
|
|
aspirin class
|
NSAID, anticoagulant
|
|
|
ASA MOA
|
prevents platelets from clotting
|
|
|
aspirin cautions
|
coumadin ( or other blood thinners), pregnancy, peds
|
|
|
aspirin indications
|
angina
|
|
|
benadryl AKA
|
diphenhydramine
|
|
|
benadryl MOA
|
blocks histamine receptors, reduces edema,
|
|
|
diphenhydramine dose
|
25-50mg IVP/IM
|
|
|
diphehydramine class
|
antihistamine, anticholenergic
|
2 classes
|
|
diphenhydramine Indications
|
anaphylaxis, allergies, motion sickness, phenothazine reaction
|
|
|
benadryl contraindication
|
asthma
|
|
|
epi 1:1000 AKA
|
adrenalin
|
|
|
epi 1:1000 indications
|
anaphylaxis, respiratory wheezing
|
|
|
epi 1:1000 class
|
sympathomimetic
|
|
|
epi 1:1000 MOA
|
CARDIAC STIMULATION, BRONCHODILATION
|
|
|
EPI 1:1000 DOSE
|
0.3-0.5 MG SQ q 5- 15 minutes
|
|
|
epi 1:1000 caution
|
not for use with active labor
|
|
|
Epi 1:10,0000dose for severe anaphylaxis
|
0.1mg over 5 minutes
|
|
|
epi 1:10,000 DOSE for cardiac arrest
|
1mg IV q 3-5 minutes
|
|
|
Epi 1:10,000 ET dose for cardiac arrest
|
2mg ET
ET dose always double IV dose |
|
|
epi racemic class
|
sympathomimetic
|
|
|
epi racemic dose
|
MDI 2-3 inhallations q 5 minutes
|
|
|
epi racemic solution dose
|
dilute 5ml in 5ml NS give over 15 minutes
|
no MDI
|
|
lasix AKA
|
furosemide
|
|
|
furosemide class
|
loop diuretic
|
|
|
furosemide dose
|
0.5-1mg/kg over 1-2 minutes
if no effect double dose to 2mg/kg |
|
|
lasix indications
|
CHF, pulmonary edema hypertensive crisis
|
|
|
lasix MOA
|
diuretic, anti-hypertensive
|
|
|
atrovent AKA
|
ipratropium
|
|
|
atrovent caution
|
single use only
|
|
|
atrovent dose
|
500mcg in 2.5 ml NS via nebulizer
OR mix with 2.5ml albuterol |
|
|
ipratropium class
|
bronchodilator
|
|
|
ipratropium MOA
|
dilates bronchioles,
blocks act receptors and dries secretions |
|
|
xylocaine AKA
|
lidocaine
|
|
|
lidocaine class
|
anti-arhytmic, analgesic
|
|
|
lidocaine MOA
|
supresses automaticity, raises ventricular threshold, local analgesic
|
|
|
xylocaine dose for v-tach
|
1-1.5mg/kg SIVP
|
|
|
xylocaine dose for cardiac arrest
|
1-1.5mg/kg IV q 3-5 minutes
|
|
|
lidocaine drip dose for maintenance
after converting pvc's, v-tach, v-fib, arrest |
1-4mg/min drip
|
|
|
lidocaine indications
|
arrest, v-tach/ v-tach with pulses, PVC's
|
|
|
use for lidocaine jelly
|
local analgesic for use with NPA
|
|
|
lidocaine cautions
|
max dose 3mg/kg, caution in 3rd degree heart blocks
|
|
|
MAG AKA
|
mag-sulfate
|
|
|
mag-sulfate class
|
electrolyte
|
|
|
mag sulfate indications
|
eclampsia, v-fib/v-tach, AMI, torsades se pointes
|
4 each has different dosage
|
|
unusual dosage feature of mag sulfate
|
all doses are grams not micro or miligrams
|
|
|
mag sulfate dose v-fib/v-tach
|
1-2g over 1-2 minutes
|
|
|
MAG dose for torsades se pointes
|
1-2g in 1oml over 5-20 minutes
|
|
|
MAG dose for eclampsia
|
1-4g IV/IO over3minutes
|
|
|
mag-sulfate dose for torsades de pointes
|
1-2g in 10ml over 5-20 minutes
|
|
|
mag-sulfate dose for AMI
|
1-2g in 100ml over 5-60 minutes
|
|
|
mag sulfate method of action
|
CCB, depresses CNS, anti-convulsant,
|
|
|
mag-sulfate contraindications
|
heart blocks, shock, hypertension, hypocalcemia
|
|
|
solu-medrol AKA
|
methlyprednisolone
|
|
|
methlyprednisolone class
|
glucosteroid, anti-inflammatory, synthetic corticsteroid
|
|
|
solu-medrol indications
|
asthma, COPD, anaphylaxis, spinal cord injury
|
|
|
solu-medrol MOA
|
synthetic adrenal steroid effective as an anti-inflammatory
|
|
|
slou-medrol dose for respiratory problem
|
1-2mg/kg IV
|
|
|
solu-medrol dose for spinal injury
|
30mg/kg IV over 30 minutes then after 45 minutes infuse at a rate of 5.4 mg/kg/hr
|
|
|
solu-medrol SE
|
headache, HT, sodium and water retention, alkolosis, nausea, vomitting
|
|
|
methlyprednisolone contraindications
|
premature infants, systemic fungal infections, caution with gi bleed
|
|
|
special considerations for use of methlyprednisolon in a spina cord injury
|
not effective in spinal cord injury greater than 8 hrs, crosses placenta harmful to fetus
|
|
|
name a corticosteroid that supresses acute and chronic inflammation (beta adrenergic agonist)
|
solu-medrol
|
|
|
drug that reduces striated muscle contractions and blocks peripheral neuromuscular transmission by reducing ACH releases
|
mag-sulfate
|
|
|
drug that manages seizures in toxemia of pregnancy, induces uterine relaxation,
|
mag sulfate
|
|
|
contraindications for mag-sulfate
|
heart blocks, myocardial damage
|
|
|
SE for MAG
|
cns depressant, facial flushing, diaphoresis, circulatory collapse, hypotension
|
|
|
MAG drug interactions
|
may enhance other cns depressants, serious changes in cardiac function with glycosides
|
|
|
drug that decreases automaticity bt slowing rate of phase four depolarization
|
lidocaine
|
|
|
alternative drug to amiodarone in cardiac arrest from v-fib/ pulseless v-tach
|
lidocaine
|
|
|
anti arrythmic that is also used as a local analgesic
|
lidocaine
|
|
|
SE of xylocaine
|
slurred speech, seizures, altered mental status,bradycardia blurred vision
|
|
|
nitroglycerin class
|
vasodilator
|
|
|
Nitroglycerin AKA
|
nitrostat, tridil
|
|
|
indications for tridil
|
acute angina pectoris, ischemic chest pain, hypertension, CHF, pulmonary edema
|
|
|
nitrostat drug interactions
|
agonist effect with other vasodilator's ie:erectile dysfunction drugs
|
|
|
Tridil dose
|
0.3-0.4mg SL q 3-5 minutes max. 3 doses
|
|
|
nitrostat spray dose
|
0.4mg SL 1-2 spray's
|
|
|
tridil MOA
|
smooth muscle relaxant acts on vascular, bronchial, uterine, GI, dilates peripheral vascular system, reducing preload and after load
|
|
|
tridil SE
|
headache, hypotension, syncope, nausea, vomitting, diaphoresis
|
|
|
tridil contraindications
|
hypotension, hypovolemia, intercranial bleed, ED drugs
|
|
|
erectile dysfunction, name four most common drugs
|
cialis, viagra, revatio, levitra
|
|
|
Amiodarone AKA
|
cordarone, pacerone
|
|
|
Cordarone dose
|
300mg IVP/IO diluted in 20-30ml D5w
|
|
|
Pacerone class
|
anti-arrythmic
|
|
|
cordarone MOA
|
blocks NA+ channels and blocks myocardial K+ channels
|
|
|
Amiodarone indications
|
Arrest, V-fib/pulseless V-Tach, unstable V-tach in pt's refractory to other therapy
|
|
|
Amiodarone SE
|
hypotension, bradycardia, prolonged PR, QRS & Q-T intervals
|
|
|
special considerations for pacerone
|
monitor pt for hypotension, may worsen arrythmias or precipitate arrythmias
|
|
|
contraindications for cordarone
|
cardiogenic shock, sinus brady, heart blocks, 3rd degree Av block without pacemaker
|
|
|
six rights for drug administration
|
dose,pt, route, med., time,document
|
|
|
beta 1 receptor agonist effect
|
increases heart rate, contractility, produces automaticity, and trigger conduction
|
|
|
beta 2 receptor agonist effects
|
vasodilation, bronchodilation
|
|
|
alpha 1 receptor agonist effects
|
peripheral vasoconstriction, mild bronchoconstriction, speed metabolism
|
|
|
Alpha 2 agonist uses for prehospital
|
none
|
|
|
-mimetic means
|
mimes, mimics,
|
|
|
-lytic means
|
destroy, opposite, opposes, depresses
|
|
|
adrenergic definition
|
adrenalin, epi, and norepi
|
|
|
what happens if you stimulate alpha receptors
|
reduces vasoconstriction and reduces edema
|
|
|
sympathetic controls originate where
|
thoracic and lumber spine
|
|
|
major messengers of sympathetic NS
|
epi and nor-epi
|
|
|
adrenergic nerves release
|
epi and nor-epi
|
|
|
parasypmathetic nerves originate where
|
brain stem and sacral spine
|
|
|
parasympathomimetic agonist effect the heart how
|
decrease rate and onotropy
|
|
|
cholinergic nerves release
|
ACh
|
|
|
nicotinic receptors are stimulated by
|
ACh
|
|
|
muscarnic receptors are stimulated by
|
ACh
|
|
|
cholinergic receptors stimulate the
|
parasympathetic system
|
|
|
SLUDGE
|
salivation, lacrimation, urination, defication, gastric(upset/cramps), emesis
|
|
|
lacrimation
|
tears
|
|
|
excessive cholinergic stimulation results in
|
SLUDGE
|
|
|
what type of agonist is not used due to the fact that it disables ANS
|
nocotinic
|
|
|
muscnic antagonist effects
|
decrease secretions, increases heart rate, dilates pupils, and decrease GI
|
|
|
buccal
|
between teeth and gums
|
|
|
NAVEL
|
Naloxone, atropine, vasopressin, epinephrine, lidocaine
|
|
|
2 mneumonics for et tube drugs
|
NAVEL or LEAN
|
|
|
how long should it take for drugs to circulate during CPR
|
1-2 minutes
|
|
|
SQ dose is typically less than
|
2ml
|
|
|
IM dose is usually less than
|
1-5ml
|
|
|
what type of meds cannot pass through placenta to fetus
|
nonlipid soluble
|
|
|
pharmacodynamics also known as
|
MOA
|
|
|
most common second messenger
|
cAMP
|
|
|
cAMP
|
cyclic adenosine monophosphate
|
|
|
ratio of drugs lethal dose for 50% of population to its effective dose for 50% of the population
|
therapeutic index
|
|
|
SLUDGE can be caused by ingestion of
|
fertilizers and insectisides
|
|
|
what agonist should be used in respiratory emergency
|
beta 1 agonist
|
|
|
iatrogenic reaction
|
adverse condition inadvertently caused by treatment
|
|
|
pt becomes rapidly tolerent to drug
|
tachyphylaxis
|
|
|
an analgesic that does not depress the respiratory system
|
opoid agonist-antagonist
|
|
|
salicylates, NSAID's, and Para-aminophenol's all have what in common
|
non-opoid analgesics
|
|
|
name a salicylate drug
|
aspirin
|
|
|
name an NSAID
|
ibuprofen
|
|
|
name a para-aminophenal
|
tylenol
|
|
|
benzodiazepines have what effect
|
sedative hypnotic
|
|
|
a non barbituate hypnotic
|
etomidate
|
|
|
sodium blocker act as
|
anticonvulsants
|
|
|
-ines
|
stimulants
|
|
|
2nd line of drugs for respiratory that relaxes smooth muscles of airway, and stimulates cardiac and CNS
|
xanthines
|
|
|
well known xanthine
|
caffine
|
|
|
chronotropic refers to
|
heartrate
|
|
|
lowers Na+,Ca+, K+
|
loop diuretic
|
|
|
a diuretic given with antihypertensive medication
|
thiazide
|
|
|
beta blocker effects
|
lower cardiac output
|
|
|
CCB
|
calcium channel blocker
|
|
|
what type of blocker has anti-arrythmic and anti hypertensive effects
|
CCB
|
|
|
salicylic acid
|
ASA
|
|
|
dissolves clots
|
fibrinolytic
|
|
|
high cholesterol
|
hyperlipidemia
|
|
|
corticoid steroid effect
|
anti-inflammatory
|
|
|
erectile dysfunction drugs are known as
|
phophodiesterase
|
|
|
formula for celcius to farenheit
|
c x 1.8+32 =
|
|
|
braslo tape use effective up to how many kilos
|
34
|
|
|
what drug supresses uterian contractions and is a tocolytic
|
MAG
|
|
|
medical aspesis
|
aseptic technique
|
|
|
sterilize means
|
destruction of all organisms
|
|
|
valium specific for anal insertion
|
diastat
|
|
|
breakable sterile glass container that contain 1-10ml
|
ampule
|
|
|
what can happen if fluid leaks into osteofascial space during IO
|
compartment syndrome
|
|
|
et drugs should be diluted how
|
in 10ml NS
|
|
|
in order to administer intranasal drugs use a
|
MAD mucusal atomizer device
|
|
|
name a beta 2 agonist:
hint dilates bronchioles |
albuterol
|
|
|
an anticholenergic drug that is usually nebulized with 2.5-3ml NS
|
atrovent
|
|
|
what should be closely monitored when using beta agonist
|
cardiac
|
|
|
amiodarone AKA
|
cordarone, pacerone
|
|
|
amiodarone dose
|
300mg IV/IO In 20-30ml NS
can be followed by second dose after 3-5 minutes @150 mg |
|
|
max cummlative dose for amiodarone
|
2.2g/24hrs
|
|
|
cordarone indications
|
V-fib/[ulseless v-tach, unstable v-tach refractory to other treatments
|
|
|
amiodarone MOA
|
Na+ channel blocker/ and blocks myocardial K+ channels
|
|
|
Atropine sulfate class
|
anticholinergic agent
(parasympatholytic) |
|
|
Atropine MOA
|
parasympatholytic:inhibits Ach: increases heart rate
|
|
|
drug of choice for hemodynamically unstable bradycardia
|
atropine
|
|
|
atropine used in what type of poisoning
|
organophosphate poisoning
|
|
|
atropine indications
|
unstable bradycardia, asystole, bradycardic PEA,
organophosphate poisoning |
|
|
atopine dose
|
1mg q 3-5 minutes max three doses
|
|
|
atropine unstable brady dose
|
half of dead guy dose
|
|
|
atropine contraindications
|
tachy, narrow angle glaucome, unstable cardio status with acute hemmorrhage, or ischemia
|
|
|
Cyanide antidote kit AKA
|
amyl nitrate, sodium nitrate, thiosulfate
|
|
|
drug given as last ditch effort for asthma that is unresponsive to other treatments
|
mag-sulfate
|
|
|
dose of mag-sulfate for asthma
|
0.5-2gIV
|
|
|
Digoxin AKA
|
Lanoxin
|
|
|
Digoxi MOA
|
increases force and contractility, increases redractory period of av node
|
|
|
Digoxin Indications
|
CHF re-entry SVT caused by A-fib and a flutter
|
|
|
drug interactions for lanoxin
|
Amiodarone, verapamil quinidine
|
|
|
How is digoxin supplied
|
2ml ampules of 0.5 0.5mg/ml
|
|
|
digoxin dose for SVT due to a-fib/ a-flutte
|
10-15ug/kg
|
|
|
Diazepam Also known as
|
valium
|
|
|
valium class
|
inotropic agent
|
|
|
diazepam MOA
|
raises seizure threshold, induces amnesia and sedation
|
|
|
Indications for valium
|
anxiety, alchol with drawal, seizure activity, analgesia for medical purposes
|
|
|
diazepam dose
|
5-10mg IV q 10-15min. PRN
max dose 30mg |
|
|
how is diazepam supplied
|
10mg/5ml
|
|
|
Valium's adverse reactions
|
respiratory depression, hypotension , ataxia
|
|
|
Calcium chloride class
|
electrolyte
|
|
|
Calcium Chloride MOA
|
positive inotropic effect, May enhance ventricular automaticity
|
|
|
Calcium chloride indication
|
hypocalcemia, hypercalemia, mag sulfate OD, CCB OD
|
|
|
contraindiications for Calcium chloride
|
V-ib, digitalis toxicity, hypercalcemia
|
|
|
drug interactions for Calcium chloride
|
do not mix or immediately follwing sodium bicarb without flushing first
|
|
|
How is Calcium Chloride supplied
|
prefilled syringes
100mg/ml 10% solution in 10ml |
|
|
Calcium Chloride dose
|
500-100mg IV for hyperkalemia or CCB OD ( 5-10ml)
repeat as needed |
|
|
adverse reactions for calcium chloride
|
bradycardia, asystole, hypotension, local necrosis, nausea and vomitting
|
|
|
DIltiazem AKA
|
cardizem, lyoject
|
|
|
cardizem class
|
CCB
|
|
|
Diltiazem class
|
CCB
|
|
|
lyo-ject class
|
CCB
|
|
|
Cardizem class
|
CCB
|
|
|
cardizem iindications
|
SVT due to A-fib /A-flutter
|
|
|
cardizem drug interactions
|
do not use with beta blockers
|
|
|
Side effects for cardizem
|
brady cardia, 2nd and 3rd degree blocks, V-tavh
|
|
|
dose for diltiazem
|
025mg/kg IV over 2 minutes ( avg 15-20mg)
follow up dose .035mg/kg (avg 20-25mg) |
|
|
diltiazem maintenance dose
|
infuse at a rate of 5-15mg/hr
|
|
|
how is diltiazem supplied
|
25mg/5ml or 50mg/10ml
|
|
|
dose for cardizem
|
.25mg/kg
|
|
|
2nd dose for cardizem is how much
|
.35mg/kg
|
|
|
Glucagon class
|
insulin antagonist/ pancreatic hormone
|
|
|
MOA for glucagon
|
increases blood glucose levels , stabilizes cardiac rythm in beta blocker OD
|
|
|
Glucagon indications
|
altered level of consciousness
with hypoglycemia. May be used as a inotropic agent in beta blocker OD |
|
|
Contraindications for glucagon
|
hyperglycemia
|
|
|
Side effects of glucagon
|
nausea and vomitting , tachycardia, hypertension
|
|
|
how is glucagon supplied
|
1mg ampules, (that require reconstitution )
|
|
|
dose for glucagon in hypoglycemic pt
|
.5-1mg im q 7-10 min,
|
|
|
dose for glucagon if pt suffers from CCB, or beta blocker OD
|
3mg followed by 3mg per hour as needed
|
|
|
haloperidol AKA
|
Haldol
|
|
|
Haldol class
|
tranquilizer, antipsychotic
|
|
|
Haldol MOA
|
inhibits CNS catecholamine receptors
|
|
|
Haloperidol side effects
|
hypotension, drooling, dystonia
|
|
|
haloperidol indications
|
acute psychotic episode
|
|
|
contraindications for haldol
|
agitationsecondary to shock or hypotension
|
|
|
drug interactions for haldol
|
enhanced CNS depression & hypotension with etoh.
|
|
|
dose of haldol
|
2-5mg IM q 30-60 min
|
|
|
how is haldol supplied
|
5mg/ml ampules
|
|
|
isoetharine is also known as
|
bronchosol/ bronkometer
|
|
|
isoetharine class
|
sympathomimetic
|
|
|
bronkometer MOA
|
beta 2 agonist/ relaxes smooth muscles of the bronchioles
|
|
|
indications for bronchosol
|
acute bronchial asthma (especially in COPD pt)
|
|
|
contraindications for Isoetharine
|
caution with diabetic pt and hyperthyroid pt
|
|
|
Side effect of isoetharine
|
Tachycardia, palpitations, multiple doses may cause paroxysmal bronchspasm
|
|
|
hoe is bronkometer suppiled
|
MDI 2ml unit dose
|
|
|
dose for isoetharine
|
1-2 inhalations
|
|
|
mixed dose for isoetharine with COPD pt
|
2.5-5.0g in 3ml ns
|
|