Medical Drugs

Front 1

Adenosine(Adenocard)
Class

Back 1

Atrial Antiarrhythmic

Front 2

Adenosine(Adenocard)
Route

Back 2

RAPID IVP

Front 3

Adenosine(Adenocard)
Dose

Back 3

12mgIVP followed immed by a rapid 20mLNS flush

Front 4

Adenosine(Adenocard)
Drug Action

Back 4

1.Slows conduction through AV
2.Can interupt reentry pathways
3.Causes a transient block
4.Vasodilation

Front 5

Adenosine(Adenocard)
Indications

Back 5

PSVT

Front 6

Adenosine(Adenocard)
Precautions

Back 6

1.Assure rhythm not ventricular 2.Explain SE to pat 3.Monitor pat close

Use w/ caution for COPD,CHF,&CAD pats
-Notify Biotel:1.Asthma taking bronchodilator 2.Seizure pat taking tegretol 3.recent caffeine ingestion

Front 7

Adenosine(Adenocard)
Side Effects

Back 7

Flushing, Sweating, Chest Pain, N/V, Light Head, Transient Arrythmias, transient asystole

Front 8

Adenosine(Adenocard)
Contraindications

Back 8

2 or 3 HB, AFlutt or AFib, Sick Sinus Syndrome, Dipyridamole(persantine), Organophosphate ingestion

Front 9

Diazepam(Valium)
Class

Back 9

Benzodiazepine

Front 10

Diazepam(Valium)
Route

Back 10

SLOW IVP
IM (alternate route)
Rectal (preferred for peds)

Front 11

Diazepam(Valium)
Dose

Back 11

Titrate 2.5mg to a max of 10mg

Front 12

Diazepam(Valium)
Drug Action

Back 12

CNS depressant that causes: Amnesia, Sedation, Muscle Relaxation

Front 13

Diazepam(Valium)
Indications

Back 13

1.Active seizure/status epilepticus. 2)Sedation of conscious pats prior to cardiovert & TCP. 3)CP or Tach following an OD or ingestion of a stim or halluc.

Front 14

Diazepam(Valium)
Precautions

Back 14

1)Monitor resp stat close. 2)Admin @ site closest to IV and avoid mixing w/ any others. 3)Titrate w/ 2.5mg to avoid SE

Front 15

Diazepam(Valium)
Side Effects

Back 15

Resp Depression, Hypotension, confusion, stupor, vein irritation (also phlebitis & sclerosis)

Front 16

Diazepam(Valium)
Contraindications

Back 16

1)Alcohol or other sedative use
2)Head Injury

Front 17

Dextrose 50%(D50)
Class

Back 17

Carbohydrate

Front 18

Dextrose 50%(D50)
Route

Back 18

IVP

Front 19

Dextrose 50%(D50)
Dose

Back 19

25-50g of D50

Front 20

Dextrose 50%(D50)
Drug Action

Back 20

Increases blood glucose levels

Front 21

Dextrose 50%(D50)
Indications

Back 21

Alt mental status caused by hypoglycemia
Adults:
Diabetics=glucose<110
Non-diabetics=glucose<80

Front 22

Dextrose 50%(D50)
Precautions

Back 22

1)Assure IV patency
2)Notify prior to admin: pats w/ head trauma or ICP

Front 23

Dextrose 50%(D50)
Side Effects

Back 23

Tissue necrosis w/ infiltration

Front 24

Dextrose 50%(D50)
Contra

Back 24

None

Front 25

Glucagon
Class

Back 25

Pancreatic Hormone
Insulin Antagonist

Front 26

Glucagon
Route

Back 26

-IM (or subQ) for hypoglycemia
-SLOW IVP (2-5mins) or IM for bradycardia due to beta-blocker or calcium channel blocker toxicity

Front 27

Glucagon
Dose

Back 27

1mg; may be repeated in 15mins

Front 28

Glucagon
Drug Action

Back 28

1)Converts stored glycogen to glucose, increasing blood glucose levels.
2)Improves cardiac contractility and inc HR

Front 29

Glucagon
Indications

Back 29

1)Hypoglycemia that cannot be treated with D50 (IV unavail) or Glutose(pat has no gag)
2)Betablocker or calcium channel blocker tox

Front 30

Glucagon
Precautions

Back 30

Admin cautiously to pats w cardiovascular,kidney,or liver disease

Front 31

Glucagon
Side Effects

Back 31

N/V, Tachycardia

Front 32

Glucagon
Contra

Back 32

Hypersensitivity to proteins

Front 33

Diphenhydramine HCL(Benadryl)
Class

Back 33

Antihistamine w/ anticholinergic and sedative effects

Front 34

Diphenhydramine HCL(Benadryl)
Route

Back 34

IVP(25mg/min)
IM

Front 35

Diphenhydramine HCL(Benadryl)
Dose

Back 35

25-50mg

Front 36

Diphenhydramine HCL(Benadryl)
Drug Action

Back 36

1.Blocks histamine receptor sites in allergic reactions
2.Reverses side effects of dystonic reactions caused by phenothiazines

Front 37

Diphenhydramine HCL(Benadryl)
Indications

Back 37

Allergic Reactions
Dystonic Reactions

Front 38

Diphenhydramine HCL(Benadryl)
Precautions

Back 38

1.Acute asthma attack
2.Notify Biotel: pats w glaucoma, prostatic hypertrophy, or bladder neck obstruction

Front 39

Diphenhydramine HCL(Benadryl)
Side Effects

Back 39

Drowsiness
Thickening of bronchial secretions
Dry Mouth

Front 40

Diphenhydramine HCL(Benadryl)
Contra

Back 40

None

Front 41

Naloxone HCL(Narcan)
Class

Back 41

Narcotic Antagonist

Front 42

Naloxone HCL(Narcan)
Route

Back 42

SLOW IVP
IM (alt route)

Front 43

Naloxone HCL(Narcan)
Dose

Back 43

0.4mg - Repeat doses of 0.4mg may be rep every 5 mins until resp effort improves

Front 44

Naloxone HCL(Narcan)
DrugAction

Back 44

Reversed narcotic effects

Front 45

Naloxone HCL(Narcan)
Indications

Back 45

Narcotic OD
Coma of unknown origin

Front 46

Naloxone HCL(Narcan)
Precautions

Back 46

1)Effective for only 30-60 mins
2)Anticipate for withdrawel syndrome and pat aggression

Front 47

Naloxone HCL(Narcan)
Side Effects

Back 47

1)W/ physical dependence HTN, Tachy, & Violent behavior may occur
2)Ventricular arrythmias with rapid admin
3)Projectile vomit with rapid admin

Front 48

Naloxone HCL(Narcan)
Contra

Back 48

None.

Front 49

Nitrous Oxide(Nitronox)
Class

Back 49

Gaseous Analgesic/Anesthetic

Front 50

Nitrous Oxide(Nitronox)
Route

Back 50

Inhalation self-administered

Front 51

Nitrous Oxide(Nitronox)
Dose

Back 51

Instruct pat to inhale deep

Front 52

Nitrous Oxide(Nitronox)
Drug Action

Back 52

CNS analgesic/anesthetic whose actions are short lived (CNS Depressant)

Front 53

Nitrous Oxide(Nitronox)
Indications

Back 53

Pats who are alert and complaining of pain caused by the following:
Musculoskeletal injuries, kidney stones, suspected AMI, Active labor during an uncomplicated delivery, Thermal Burns

Front 54

Nitrous Oxide(Nitronox)
Precautions

Back 54

Must be selfadministered
Check machine gauge daily
Monitor BP and PO2

Front 55

Nitrous Oxide(Nitronox)
Side Effects

Back 55

Hypotension
Dizziness

Front 56

Nitrous Oxide(Nitronox)
Contra

Back 56

1)Any alt LOC or head injury
2)COPD
3)Chest Trauma or pneumo
4)abd distention
5)major facial trauma
6)psychotics
7)Decompression sick
8)pats who cannot self admin

Front 57

Promethazine HCL(Phenergan)
Class

Back 57

Phenothiazine and antihistamine w antiemetic and sedative effects

Front 58

Promethazine HCL(Phenergan)
Route

Back 58

IVP slowly over 1 min
IM - Deep into muscle

Front 59

Promethazine HCL(Phenergan)
Dose

Back 59

Titrate w/ 12.5mg upto 25mg

Front 60

Promethazine HCL(Phenergan)
Drug Action

Back 60

Potent antiemetic w/ sedative effects

Front 61

Promethazine HCL(Phenergan)
Indications

Back 61

Persistant vomiting due to GI problems

Front 62

Promethazine HCL(Phenergan)
Precautions

Back 62

1)Monitor LOC
2)Avoid intra-arterial or subQ
3)if IV assure patency
4)Give slow in small boluses and flush well
5)Watch for s/s of excessive seation and dystonic reaction

Front 63

Promethazine HCL(Phenergan)
Side Effects

Back 63

1)Marked drowsiness
2)Dystonic Reaction
3)Tissue Necrosis if IV infiltrates or if not given deep IM

Front 64

Promethazine HCL(Phenergan)
Contra

Back 64

1)Elderly >65
2)Debilitated pats
3)Trauma
4)alt loc
5)pregnancy (only w/ biotel)
6)known sulfa allergy