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19 Cards in this Set
- Front
- Back
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What is the trade name for Adenosine?
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Adenocard
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Where is Adenosine classified?
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Anti arrhythmic
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What is the MOA of Adenosine?
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Slows the electrical impulse at the AV node
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What are the indications for Adenosine?
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Symptomatic PSVT, Wolff-Parkinson-White Syndrome
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What is the onset, peak effect, duration and half-life of Adenosine?
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Onset: 20-35 seconds
Peak effect: 29-35 seconds Duration: 30-120 seconds Half-life: 10 seconds |
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What are the contraindications for Adenosine?
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Second or third degree heart block, sick sinus syndrome, known hypersensitivity to drug, poison or drug induced tachycardia
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What are the adverse effects of Adenosine?
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Dizziness, syncope, PVCs, PACs, sinus tachycardia, sinus bradycardia, AV blocks, chest pain, facial flushing, SOB, bronchoconstriction, nausea.
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What is the dosage/administration for Adenosine?
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Adult: 6mg rapid IV/IO (over a 1-3 second period) followed by a 20mL saline flush.
If the first dose doesn't eliminate rhythm in 1-2 minutes: 12mg rapid IV/IO repeat a second time if needed Pediatric: >50kg same as adult dosage <50kg 0.1 mg/kg IV,IO (max dose 6mg) immediately followed by no more than 5mL rapid saline flush, may repeat at .2 mg/kg (max dose: 12 mg) Note: adenosine should be delivered only by rapid IV bolus with a peripheral IV or directly into a vein, in a location as close to the heart as possible' preferably in the antecubital fossa. Administer adenosine follow with saline flush then elevate extremity |
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What are the trade names for albuterol?
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Proventil, ventolin
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What is the MOA for Albuterol?
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Binds and stimulates beta2 receptors, resulting in relaxation of bronchial smooth muscle
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What are the indications for Albuterol?
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Asthma, bronchitis, COPD
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Whst are the adverse reactions for Albuterol?
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Hyperglycemia, hypokalemia, palpitations, anxiety, insomnia, sinus tachycardia tremor, nausea/vomiting, throat irritation, dry mouth, epistaxis, hypertension, dyspepsia, headache, paradoxical bronchospasm
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What are the contraindications for Albuterol?
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Angioedema, sensitivity to Albuterol or levabuterol
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What is the dosage for Albuterol (acute bronchospasms)?
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Adult: MDI- 4-8 puffs every 1-4 hours may be required
Neb- 2.5-5 mg every 20 minutes (max 3 doses) after the initial three doses, escalate the dose or start a continuous neb at 10 to 15 mg/hour Ped: MDI- 4 years and older: 2 inhalations every 4 to 6 hours. In some patients however, 1 inhalation every 4 hours is sufficient Younger than 4 years: admin by neb Nebulizer: Older than 12- .5 mg/kg/hour Younger than 12- .15 mg/kg every 20 mins (max 3 doses) or .5 mg/kg per hour |
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What is the trade name for Albuterol/Ipratropium?
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Combivent
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What is the MOA of Albuterol/Ipratropium?
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Binds and stimulates beta2 receptors, resulting in relaxation of bronchial smooth muscle, and antagonizes the acetylcholine receptor, producing bronchodialation
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What are the indications for Albuterol/Ipratropium?
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Second line treatment if bronchodilator is ineffective, in COPD or severe acute asthma exacerbations during medical transport
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What are the adverse reactions of Albuterol/Ipratropium?
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Headache, cough, nausea, arrhythmias, paradoxical acute bronchospasms
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What are the contraindications for Albuterol/Ipratropium?
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Allergy to soy beans or peanuts, known sensitivity to atropine, Albuterol,nor their respective derivatives, use with cautions in patients with asthma, hypertension, angina, cardiac arrhythmias, tachycardia, cardiovascular disease, congenital long QT syndrome, closed-angle glaucoma
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