Paramedic Drugs Week 6

Front 1

Class for dopamine

Back 1

Sympathomimetic

Front 2

Action for dopamine

Back 2

Naturally occuring catecholamine that increases cardiac output without increasing myocardial o2 consumption. Maintains renal/mesentric blood flow while inducing vasoconstriction and increasing systolic BP

Front 3

Indications for dopamine

Back 3

Renal/mesentric, Cardiac, Anaphylaxis

Front 4

Dose(s)for dopamine

Back 4

Renal/mesentric 2-5mcg/kg/min
Cardiac 10mcg/kg/min
Anaphylaxis: 20mcg/kg/min

Front 5

Contra for dopamine

Back 5

Hypovolemic hypotension w/o aggressive fluid resuscitation, tachydysrhythmias, V-fib, and pheochromocytoma

Front 6

Pre for dopamine

Back 6

Occlusive vascular disease, cold injury, arterial embolism, assure adequate fluid adequate fluid resuscitation of the hypovolemic patient

Front 7

Side effects of dopamine

Back 7

Hyoptension, ectopic beats, tachycardia, palpitations, vasoconstriction, N/V, anginal chest pain, cold extremities

Front 8

class for succinylcholine

Back 8

depolarizing neuromuscular blocker

Front 9

action for succinylcholine

Back 9

ultra short acting depolarizing neuromuscular blocker

Front 10

Indications for succ.

Back 10

Facilitated end tracheal intubation

Front 11

dose for succ.

Back 11

1-1.5 mg/kg IV/IM

Front 12

Contra for succ.

Back 12

hypersensitivity, family history of malignant hypothermia, penetrating eye injury, narrow angle glaucoma

Front 13

pre for succ.

Back 13

sev. burn or crush injury, electrolyte imbalances, hepatic/renal/cardia/pulmonary impairment; fractures. severe anemia, porphyria

Front 14

side effects for succ

Back 14

brady/tachy, hyper/hyoptension, dysrhythmias, sinus arrest, resp. depression, bronchospasm, hyopoxia,apnea, hyperkalemia

Front 15

Class of nitrous oxide

Back 15

analgesic

Front 16

Action of NO

Back 16

self-administered analgesic gas composed of 50%nitrous and 50%o2. lasts only 2-5 min after admin ceases

Front 17

Indications for NO

Back 17

Musculoskeletal injury, burn and ischemic chest pain and severe anxiety

Front 18

Dose for NO

Back 18

self administered untill pain relieved or pt drops mask

Front 19

Contra for NO

Back 19

possible bowel obstruction, pneumothorax or tension pneumo, COPD, head injury, impaired mental status, or drug intoxication

Front 20

pre for nitrous oxide

Back 20

use in well ventilated area may cause N/V

Front 21

Side effects of nitrous oxide

Back 21

dizziness, n/v, ALOC, hallucinations

Front 22

Class for heparin

Back 22

anticougulant

Front 23

action for heparin

Back 23

rapid onset, enhancing effects of both ant thrombin 111 and blocking conversion of prothrombin to thrombin and fibrinogen to fibrin

Front 24

indications for heparin

Back 24

prevent thrombus formation in acute MI

Front 25

dose for heparin

Back 25

5,000 units IV, then 20,000-40,000 over next 24hrs

Front 26

Class of etomidate

Back 26

hypnotic

Front 27

action of etomidate

Back 27

ultra short acting non barbituate hypnotic with no analgesic effects and limited CV and resp. effects

Front 28

Indications for etomidate

Back 28

induce sedation for RSI

Front 29

Dose for etomidate

Back 29

0.1-0.3 mg/kg IV over 15-30sec

Front 30

Contra for etomidate

Back 30

hypersensitivity, hyoptension

Front 31

pre for etomidate

Back 31

marked hypotension, severe asthma, or secondary CV disease

Front 32

side effects of etomidate

Back 32

apnea, hyper/hypotension, tachy/bradycardia,hyper/hypoventilation, laryngospasm, dysrhythmias, NV

Front 33

Class of amyl nitrite

Back 33

nitrate

Front 34

action of amyl N

Back 34

short acting vasodilator similar to nitroglycerin. binds with hemoglobin to help biodegrade cyanide

Front 35

indications for amyl n

Back 35

acute cyanide poising

Front 36

dose for amyl n

Back 36

0.3 ml ampule/min (crushed) until sodium nitrite infusion ready

Front 37

Contra for amyl n

Back 37

none

Front 38

pre for amyl

Back 38

none

Front 39

side effects of amyl n

Back 39

HA, syncope, tachycardia, cardiac collapse