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43 Cards in this Set
- Front
- Back
- 3rd side (hint)
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What are the Drug classes of Aspirin?
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Antipyretic, Anti-inflammatory, analgesic, and Platelet inhibitor
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What are the pharmacological actions of Aspirin?
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Aspiring reduces inflammation, pain and fever, as well as inhibits platelet aggregation.
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Indications for aspirin in the pre-hospital setting are?
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Chest pain suggestive of a possible AMI
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The Contraindications for Aspirin are?
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GI bleed
Acute Asthma attack Hypersensitivity Blood disorder |
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Side effects of aspirin are?
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Nausea, vommiting
stomach pain GI bleeding Diziness confusion Tinitis |
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Dosage for adult aspirin administration are
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160-325MG PO
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Aspirin is dosed out in?
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81MG tablets
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What are the Drug classes of Versed?
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Sedative/Hypnotic
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What are the pharmacological actions of Versed?
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Versed is a CNS depressant and muscle relaxant, anticonvulsant and it has anterograde amnestic effects.
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Indications for Versed include
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A patient who is having seizures
A patient who needs to be sedated before cardioversion |
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Contraindications for Versed include
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Shock
Coma Hypersensitivity Hypotension Narrow angle closure glaucoma it is also important to be careful of using it with CHF patients. |
Shock - Versed decreases muscle retractions including those used to shunt fluids during shock
Coma - A furthering CNS suppressant will cause respiratory arrest Hypersensitivity Hypotension - Lowered LOC will drop BP further Narrow angle closure glaucoma - Benzodiazepines are shown to increase intraocular pressure it is also important to be careful of using it with CHF patients. - You can ultimately reduce there CNS need to breathe |
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Side effects of Versed include
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Hypotension
ALOC N/V headache respiratory arrest |
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What is the proper adult dosage of versed
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1-2.5MG IV/IO
.07-.08 MG IM up to 5mg |
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What is the drug class of Morphine
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Narcotic analgesic
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What is the pharmacology and actions of morphine.
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Morphine is an opiate that suppresses the central nervous system and acts as both a sedative analgesic. It causes vasodilatation and reduces venous return, decreasing the oxygen demand of the myocardium
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Indications for Morphine are
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- a patient in severe pain
- To reduce venous return in pulmonary edema and CHF |
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Contraindications for morphine include
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- Unknown head and chest injury
-hypotension/hypovolemia - Respiratory Depression - Acute bronchial asthma |
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Precautions and side effects for morphine include
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-respitory distress
- Hypotension - bradycardia - Palpation - Cardiac arrest |
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The proper dose of morphine in cases of Pain and Pulmonary adema are
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Pain: 2.5-15 MG IV/IO
OR 5-15 MG IM/SC Pulmonary Edema 1-2 MG every 6-10 minutes |
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What is the drug class of Narcan
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Narcotic Antagonist
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What is the effect of Narcan on the body.
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Narcan competitively binds with the opiate neuro-receptors causing stimulation on the CNS. It acts as a respiratory stimulant, and blocks the effects of both natural and synthetic narcotics.
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What are the indications for narcan
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-Narcan is used in patients who are confirmed with ALOC from use of a narcotic.
- Coma of unknown origin |
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What are the contraindications of narcan
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None in an EMS setting
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What are the side effects of Narcan.
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Tachycardia
Tachypnia Hypertension Confusion Nausea Diziness Tremors Withdrawal symptoms |
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What is the dosage of Narcan
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0.4- 2MG IO/IV/IM may repeat ever 2-3 minutes PRN
2.0-2.5 MG ETT tube (use caution on intubated patients |
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What is the drug class of zofran
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antiemetic
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What is the pharmacological action of zofran on the body
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Zofran is a seretonin receptor antagonist. It effects both the PNS and CNS. It reduces the activity of the vagas nerve which deactivates the vomiting center of the medula oblengata. It has limited effect on motion based nausea
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What are the indications for Zofran
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To prevent nausea and vomiting in a patient.
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What are the contraindications for zofran
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-A patient with QT syndrome
- Hypersensitivity |
QT syndrome is a defect in a persons heart that increases the time needed for the heart to polarize after beating. With the reduction in vagus nerve activity it can cause the patient to experienc Vfib
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What are some side effects of zofran
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Constipation
Dizziness |
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What is the proper dosage for zofran?
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4mg IVP/PO max dose of 8MG
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What class of drug is Dopamine Hydrochloride
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Sympathomimetic
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What is the general pharmacology behind dopamine
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Dopamine is a precursor to norepinephrine. It stimulates alpha, beta and dopaminergic receptors in a dose dependent way.
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What effects does a dose of 2-5 MCG/kg of dopamine have on the body
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Stimulates dopaminergic effects constricting small peripheral blood arteries having a small effect on blood pressure.
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What effects does a dose of 5-10 MCG/kg of dopamine have on the body
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Stimulates Beta and Alpha adrenergic receptors. Increasing cardiac output and systemic vascular resistance, increasing blood pressure and preload.
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What effects does a dose of 10-20 MCG/kg of dopamine have on the body
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Stimulates alpha receptors adrenergic effects and causes systemic vasoconstriction and arterial constriction. Causing a large increase to BP and preload
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What effects does a dose of 20+ MCG/kg of dopamine have on the body
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A dose above 20 MCG will cause a pure alpha receptor effect mimicking norepinephrine effects. For this reason dopamine is used refractory to norepinephrine, or vice versa.
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What is the half-life of dopamine?
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2 minutes
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What are the indications for dopamine?
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- Cardiogenic shock
-Anaphylaxis: refractory to epinephrine - Bradychardia: Refractory to atropine and pacing -Shock states with hemodynamically significant -hypotension in the absence of hypovolemia -Crush injuries |
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What are the contraindications for Dopamine
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- Should not be given to hemodynamically significant hypotension secondary to hypovolemia from blood loss or dehydration.
-Should not be given for hemodynamically significant hypotension secondary to third spacing fluids prior to sufficient fluid replacement |
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what are some Precautions and Side effects of dopamine
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Tachycardia, ectopic beats, nausea, vomitting angina palpations, headache and dyspnea
-High doses can cause hypertension requiring reduction in infusion rate |
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What is the dosage for dopamine
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Cariogenic shock and bradycardia: 5-10 MCG/KG min
Anaphylaxis: 20MCG/KG/Min Crush Syndrome: 2MCG/KG/Min |
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How is dopamine supplied
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400MG in 5ML solvent
Premix bags of 400 MG in 240 ML |
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