Paramedic Drug Test 5

Front 1

Cardizem(diltiazem hydrochloride)

CLASS

Back 1

Calcium channel blocker

Front 2

Cardizem(diltiazem hydrochloride)

MECHANISM OF ACTION

Back 2

block influx of calcium ions into cardiac muscle; prevents spasm of coronart arteries. Arterial and Venus vasodilator. Reduces preload and afterload. Reduces myocardial oxygen demand.

Front 3

Cardizem(diltiazem hydrochloride)

INDICATION

Back 3

control rapid ventricular rates due to atrial flutter , afib, and re-entry SVT, angina pectoris

Front 4

Cardizem(diltiazem hydrochloride)

CONTRAINDICATIONS

Back 4

HYN, sick sinus, 2nd or 3rd degree AV block, cardiogenic shock, wide complex tach, poison / drug induced tach

Front 5

Cardizem(diltiazem hydrochloride)

ADVERSE REACTIONS

Back 5

bradycardia, 2/3rd degree block, chest pain, chy, syncope, v-fib, v-tach, nausea, vommiting, dizziness, dry mouth, dyspnea, headache

Front 6

Cardizem(diltiazem hydrochloride)

CLASS

Back 6

Calcium channel blocker

Front 7

Cardizem(diltiazem hydrochloride)

MECHANISM OF ACTION

Back 7

block influx of calcium ions into cardiac muscle; prevents spasm of coronart arteries. Arterial and Venus vasodilator. Reduces preload and afterload. Reduces myocardial oxygen demand.

Front 8

Cardizem(diltiazem hydrochloride)

INDICATION

Back 8

control rapid ventricular rates due to atrial flutter , afib, and re-entry SVT, angina pectoris

Front 9

Cardizem(diltiazem hydrochloride)

CONTRAINDICATIONS

Back 9

HYN, sick sinus, 2nd or 3rd degree AV block, cardiogenic shock, wide complex tach, poison / drug induced tach

Front 10

Cardizem(diltiazem hydrochloride)

ADVERSE REACTIONS

Back 10

bradycardia, 2/3rd degree block, chest pain, chy, syncope, v-fib, v-tach, nausea, vommiting, dizziness, dry mouth, dyspnea, headache

Front 11

Cardizem(diltiazem hydrochlorid

DRUG INTERACTIONS

Back 11

caution in patiens using medications that affect cardiac contractility. In general, should not be used on patients using beta blockers

Front 12

Cardizem(diltiazem hydrochloride)

DOSAGE AND ADMINISTRATION

Back 12

ADULT: .25mg/kg IV over 2min
RPT 15min if inadaquate response then: .35mg/kg over 2min

15mg -20mg avg doses

Front 13

Cardizem(diltiazem hydrochloride)

DURATION OF ACTION

Back 13

ONSET: 2-5min
PEAK: variable
DURATION: 1-3 hours

Front 14

Dopamine (intropin)

CLASS

Back 14

Sympathomimetic, inotropic agent

Front 15

Dopamine (intropin)

MECHANISM OF ACTION

Back 15

immediate metabolic precursor to norepinephrine. Increases systemic vascular resistance, dilates renal and splanchnic vasulature. Increases myocardial contractility and stroke volume.

Front 16

Dopamine (intropin)

INDICATIONS

Back 16

cardiogenic, septic or spinal shock, hypotension with low cardiac output states, distributive shock

Front 17

Dopamine (intropin)

CONTRAINDICATIONS

Back 17

hypovolemic shock, pheochromocytoma, tachyarrhythmias, v-fib

Front 18

Dopamine (intropin)

ADVERSE REACTIONS

Back 18

cardiac arrhythmias, htn, increased mycardial oxygen demand, extravastion may cause tissue necrosis

Front 19

Dopamine (intropin)

DRUG INTERACTIONS

Back 19

Incompatable in alkaline solutions. MAOIs will enhanse effects of dopamine. Bretylium may potentate effect of dapamine. Betablockers may antagonize effect of dopamine. When administered with phenytoin: may cause hypotension, bradycardia and seziures

Front 20

Dopamine (intropin)

DOSAGE AND ADMINISTRATION

Back 20

ADULT: 2-20 micrograms /kg/min
2-4 micrograms/kg/min- renal dosing
5-10 micrograms/kg/min- cardiogenic effect
10-20- micrograms/kg/min - vasoconstriction - bring up bp

Front 21

Dopamine (intropin)

DURATION OF ACTION

Back 21

ONSET: 1-4min
PEAK: 5-10min
DURATION: cease almost immediatly when shut off

Front 22

dobutamine (dobutrex)

CLASS

Back 22

sympathomimetic, intropic agent

Front 23

dobutamine (dobutrex)

MECHANISM OF ACTION

Back 23

synthetic cathecholamine. increased myocardial contractility and stroke volume, inccreased cardiac output. minimal chronotropic activity. inccreases renal blood flow.

Front 24

dobutamine (dobutrex)

INDICATIONS

Back 24

cardiogenic shock, chf, left ventricular dysfunction. often used conjunction with other drugs

Front 25

dobutamine (dobutrex)

CONTRAINDICATIONS

Back 25

tachyarrhythmias, IHSS, severe hypotension

Front 26

dobutamine (dobutrex)

ADVERSE REACTIONS

Back 26

may increase infarct size in patient with MI , headache, arrhythmias, HTN, PVCs

Front 27

dobutamine (dobutrex)

DRUG INTERACTIONS

Back 27

incompatable with sodium bicarbonate and furosemide. betablockers may blunt inotropic effects

Front 28

dobutamine (dobutrex)

DOSAGE AND ADMINISTRATION

Back 28

ADULT: 2-20 McG/kg/min titrated to effect

2-4 micrograms/kg/min- renal dosing
5-10 micrograms/kg/min- cardiogenic effect
10-20- micrograms/kg/min - vasoconstriction - bring up bp

Front 29

dobutamine (dobutrex)

DURATION OF ACTION

Back 29

ONSET: 2min
PEAK: 10min
DURATION: ends 1-2 min after being discontinued

Front 30

naloxone Hydrochloride (narcan)

CLASS

Back 30

narcotic antagonist

Front 31

naloxone Hydrochloride (narcan)

MECHANISM OF ACTION

Back 31

competitive inhibition at narcotic receptor sites reverse respiratory depression secondary to depressant drugs completely inhibits the effects of morphine

Front 32

naloxone Hydrochloride (narcan)

INDICATIONS

Back 32

opiate OD, coma, complete or partial reversal of CNS and respiratory depression induced by opioids decresed level of consciousness; coma, of unknown origin, carcotic antagist for the following: morphine, heroin, hydromorphine, methadone, meperidine, paregoric, fentanyl, oxycodone, codine, propoxyphene, narcotic angonist and antagonist for the following: butophanol, pentazocine, nalbuphine

Front 33

naloxone Hydrochloride (narcan)

CONTRAINDICATIONS

Back 33

use with caution in narcotic-dependent patients, use with caution in neonates of narcotic-addicted mothers

Front 34

naloxone Hydrochloride (narcan)

ADVERSE REACTIONS

Back 34

hypotension,bradycardia, facial flushing, respiratory deprerssion, CNS depression, euphoria, paradoxical CNs simulation, blurred vision

Front 35

naloxone Hydrochloride (narcan)

DRUG INTERACTIONS

Back 35

CNS depressants may potentiates effects

Front 36

naloxone Hydrochloride (narcan)

DOSAGE AND ADMINISTRATION

Back 36

0.4 - 2.0 mg IV , IM, SC, or ET
min dose 2.0 mg, rpt 5min max 10mg

Front 37

naloxone Hydrochloride (narcan)

DURATION OF ACTION

Back 37

ONSET:2min
PEAK:variable
DURATION:30-60min

Front 38

Fentanyl

Class

Back 38

Opoid analegic

Front 39

Fentanyl

Dose

Back 39

25 - 100mcg IV

Front 40

Fentanyl

indication

Back 40

pain relief, anesthesis

Front 41

Fentanyl

containdications

Back 41

apnes, laryngospasm, bronchospasm, cold clammy skin, cyanosis, coma

Front 42

Fentanyl

action / thereputic effect

Back 42

binds at opiate receptor sites in cns reucing stimuli from sensory nerve endings, addecting pain perception emotional response to pain