Paramedic Aaos Parmacology Test 1

Front 1

Adenosine - Class

Back 1

Endogenous nucleotide

Front 2

Adenosine - trade name

Back 2

Adeonocard

Front 3

Adenosine

Indications

Back 3

Conversion of PSVT to sinus
May not convert reentry SVT do to wolff parkinson-white syndrome

Front 4

Adenosine

Mechaanism of action

Back 4

Slows time through AV node. Interrupts re0entrant pathways.

Slows HR, acts on sinus pacemaker. SVT and Wide complex Tach.

Front 5

Adenosine

Contraindication

Back 5

2nd and 3rd degree blocks or sick sinus syndrome. Afib/flutter, v-tach, hyp-sensitivity to adenosine, poison-induced tach

Front 6

Adenosine

Adverse reactions

Back 6

Facial flushing, SOB, angina, Headache, Parasthesia, Diaphoresis, Palpations, HYPOtension, Nausea

Front 7

Adenosine

Adult Dose

Back 7

6mg - 1 to 3 sec push w/20 ml Saline - raised extremity.
RPT - 1-2 min 12mg w/20ml saline - 30mg max

Front 8

Adenosine

PEDS Dose

Back 8

.1 to .2 mg/Kg bolus
Max 12 mg

Front 9

Adenosine

Onset / duration / peak

Back 9

onset / peak - immediate w/i seconds.
duration about 12 seconds

Front 10

Atropine sulfate

Class

Back 10

Anticholinengic agent

Front 11

Atropine sulfate

Mechanism of Action

Back 11

parasympatholic: inhibits action of acetylcholine at postganglionic parasympathetic neuroeddector site. Increases HR in life threatening brdaycardia

Front 12

Atropine sulfate

indications

Back 12

hemodynamicly unstable brady, asystole, bradycardic (<60bpm) PEA, Prganophosphate poisoning, bronchopastic pulmonary disorders

Front 13

Atropine sulfate

ContraIndications

Back 13

Tachycardia, hypersensitivity, unstable cardiovascular status in acure hemorrage and myocardial ischemia, narow angle glaucoma

Front 14

Atropine sulfate

Adverse Reactions

Back 14

headache,dizzyness, palpations; nausea and vomitting, dry mouth, urinary retention
paradoxial bradycardia when pushed slowly or at low doses; fushed, hot, dry skin

Front 15

Atropine sulfate

Drug interactions

Back 15

digitoxin, cholinergincs, physostigmine. effects enhanced by antihistamines, procainamide, quinidine, antipsychotics, benzodiazepines, and antidepressants

Front 16

Atropine sulfate

Adult Dose

Back 16

-Asystole or brady PEA: 1mg IV/IO push. rpt 3 to 5min. max 3 doses.
-ET admin -2-3 mg diluted in 10ml of H2O or saline,
-unstabel brady: .5mg Iv/IO every 3 to 5 min asneeded not to exceede 3mg. Use shoter intervals and higer dose in severe cases.
Organophosphate poisoning - extremly large doses - 2-4mg may be needed.
Unstable

Front 17

Atropine sulfate

Peds Dose

Back 17

.02 mg/Kg IV/IO push; double 2nd time. min .01mg/Kg max single: .5mg, child total: 1mg, adolecent single- 1mg total: 2mg.
ET admin - .03 mg/Kg

Front 18

Atropine sulfate

Duration of action

Back 18

Onset: immediate
peak: rapid 1 to 2 min
durtion 2-6 hrs

Front 19

Amiodarone

Class

Back 19

Antiarrythythmic

Front 20

Amiodarone

Trade name(s)

Back 20

Cordarone, pacacerone

Front 21

Amiodarone

Mechanism of action

Back 21

Blocks sodium channels and myocardial K+ channels

Front 22

Amiodarone

Indications

Back 22

v-fib
pulseless v-tach

Front 23

Amiodarone

contraindications

Back 23

known hypersensitivity; cardiogenic shock, sinus brady, 2nd & 3rd degree AV block (unless functional pacemaker)

Front 24

Amiodarone

Adverse reactions

Back 24

Hypotension, brady, prolongation of the p-r, QRS and QT intervals

Front 25

Amiodarone

Drug interactions

Back 25

digoxin - cause toxicity
antiarrythmics - increase serum levels
betablockers and Ca channel blockers - potentiate brady, sinus arrest and AV blocks

Front 26

Amiodarone

Adult Dose

Back 26

v-fib/ PVT - 300mg IV/IO push
(recomend dilution in 20-30 ml D5W)folloowd 1x in 3 - 5 min 150mg IV/IO push
-Reoccurent life threatening -emergencies: 150mg - IV/IO over 10min rpt every 10min
Slow infusion 360mg over 6 hrs, maintenance - 540 over 18

Front 27

Amiodarone

Peds

Back 27

refractory v-fib.pvt - 5mg/Kg bolus - prt 5mg/Kg bolus up to 15mg/Kg/24hrs. max single 300mg
perfusing supraventicular and ventricular tachycardias - loading 5mg/Kg over 20-60min (max300mg) prt max of 15mg/kg/day

Front 28

Amiodarone

Duration of Action

Back 28

Onset: immediate
Peak: 10 to 15min
Duration: 30 - 45 min

Front 29

Asprin

Class

Back 29

Platelet inhibitor, anti-inflammatory agent

Front 30

Asprin

Mechanism of Action

Back 30

prostaglandin inhibition

Front 31

Asprin

Indicatons

Back 31

new onset angina - for MI. signs and symptoms of CVA

Front 32

Asprin

contraindications

Back 32

hypersestivity, ulsers and asthma

Front 33

Asprin

Adverse Reactions

Back 33

heartburn, gi bleeding, prolonged bleeding, nausea, emesis, wheezing (alergic)

Front 34

Asprin

Drug interactions

Back 34

allergy to NSAIDs

Front 35

Asprin

Dose

Back 35

160 to 325mg PO chewed if possible

Front 36

Asprin

duration of action

Back 36

onset 30-45min
peak variable
duration variable

Front 37

epinephrine

(chemical name)

Back 37

Adrenaline

Front 38

epinephrine

class

Back 38

sympathmimetic

Front 39

epinephrine

mechanism of action

Back 39

direct acting alpha and beta agonist. alpha: vasoconstriction. beta-1 positive inotropic chronotropic and dromotropic effects. Beta-2 bronchial smooth muscle relaxation and dilation of skeletal

Front 40

epinephrine

indications

Back 40

cardiac arrect (v-fib/pulseless v-tach, asystole, PEA) symptomatic bradycardia as an alt. infusion to dopamine. Severe HTN, secondary to brady when atropine and transcutaneous pacing are unsuccessful, allergic reactions, anaphylaxis, asthma

Front 41

epinephrine

contraindications

Back 41

htn, hypothermia, pulmonary edema, myocardial ischemia, hypovolemic shock

Front 42

epinephrine

adverse reactions

Back 42

htn, tach, arrythmias, pulomanry myocardial edema, anxiety, restlessness, psychomotor agitation, nausea, headache, angina

Front 43

epinephrine

drug interactions

Back 43

potentiates other sympathominetics, deactivated by alkaline solutions (ie. soduim bicarbonate), monamine oxidase inhibitors, (MAOIs) may potentiate effects, beta blockers may have blunt effects.

Front 44

epinephrine

how supplied

Back 44

1 to 1000 solution

1 to 10,000

Front 45

epinephrine

ADULT
dosage and administration

Back 45

mild allergic reactions and asthma: .3 to .5 ml of 1 to 1000 IV/IO over 5 min.
Cardiac Arrect IV/IO dose 1 mg (10ml of 1 to 10000) every 3 to 5 min. followed with bolus of 20ml saline

Front 46

epinephrine

duration of action

Back 46

onset: immediate
peak : minutes
duration: several min