Paramedic Drugs-Respiratory

Front 1

Albuterol

Back 1

Wheezing associated with asthma

COPD ( emphysema)

Chronic bronchitis

Front 2

Albuterol

Back 2

Adult- (2.5-5 mg) in 3 ml nebulized
Max up to 10 mg
Pediatric-(1.25-2.5 mg) in 3 ml nebulized
Max up to 5 mg

Front 3

Albuterol

Back 3

Beta adrenergic agents- potentates the effects

Front 4

Albuterol

Back 4

MAO inhibitors- may lead to hypertensive crisis

Front 5

Albuterol

Back 5

Sympathomimetic, Beta 2 selective adrenergic bronchodilator

Front 6

Diazepam (Valium)

Midazolam (Versed)

Back 6

Anticonvulsant,anti-anxiety,sedative, muscle relaxant

Front 7

Diazepam (Valium)

Midazolam (Versed)

Back 7

Controls seizures
Sedation for cardio version
Used with paralysis to help intubation
Skeletal Muscle Relaxant

Front 8

Diazepam (Valium)

Midazolam (Versed)

Back 8

Contraindication:
Hypersensitivity
CNS depression

Front 9

Diazepam (Valium)

Back 9

Adult: 2-20 mg IV/IO, slow push with running fluid

Pediatric: 0.05-1mg/kg IV/IO

Front 10

Rectal dose 0.5 mg/kg, if no venous access available

Back 10

Diazepam (Valium)

Front 11

Antihistamine, H-1 blocker

Back 11

Diphenhydramine HCL (Benadryl)

Front 12

Allergic reactions
Anaphylaxis
Motion sickness
Antiemetic

Back 12

Diphenhydramine HCL (Benadry)

Front 13

Adult-12.5-50 mg,slow IV/IO

Pediatric- 1 mg/kg, slow IV/IO

Back 13

Diphenhydramine HCL (Benadryl)

Front 14

Diphenhydramine

Back 14

Contraindication:
Acute Asthma

Front 15

Used in conjunction with albuterol and epinephrine during a asthma attack or allergic reaction

Back 15

Diphenhydramine HCL (Benadryl)

Front 16

Epi 1:1000

Back 16

Severe Bronchospasm

Bronchospasm unresponsive to albuterol

Anaphylaxis

Front 17

Adult- 0.3 mg SQ or IM

Pediatric-0.01mg/kg SQ or IM

Back 17

Epi 1:1000

Front 18

Epi 1:1000

Back 18

Sympathomimetic

Front 19

When used for allergic reactions,increased cardiac workload can precipitate angina or AMI in susceptible individuals

Back 19

Epi1:1000

Front 20

Epi 1:1000

Back 20

Adult-0.1mg (1:10,000) IV/IO over 5 minutes. Infuse at 1-4mcg/ min

Pediatric-max dose of 0.3mg/dose

Front 21

CNS depressant, electrolyte, smooth muscle relaxant

Back 21

Mag sulfate

Front 22

Mag sulfate

Back 22

Initial treatment for seizures

Acute asthma, when effects of beta adrenergic medications have not worked

Front 23

Acute asthma- (1-2 gm) slow IVP or IO, or IV infusion over 10 minutes

Back 23

Mag sulfate

Front 24

Contraindication:
Hypermagnesemia
Hypocalcemia
Anuria
Heart blocks

Back 24

Mag sulfate

Front 25

Mag sulfate

Back 25

Monitor deep tendon reflexes often, especially in patients recieveing maintenance infusion

Front 26

Corticosteroid

Reactive airway disease with no response to albuterol and other treatments

Back 26

Methylprednisolone

Front 27

Methylprednisolone

Back 27

Anti- inflammatory, immunosuppressant

Front 28

Adults-125-250 mg IV q. 6 hours

Pediatrics-1-2 mg/kg q. 6 hours

Back 28

Methylprednisolone

Front 29

Adverse effects-hyperglycemia, psychosis

Back 29

Methylprednisolone

Front 30

Diazepam(Valium), Lorazepam (Ativan), Midazolam (Versed)

Back 30

Benzodiazepines

Front 31

Midazolam (Versed)

Back 31

Adult:1-5mg IVP, slow (over 2 minutes) with running IV

Pediatric: 0.05-0.1mg/kg IV or IO

Front 32

Has a short half life, additional doses may be needed

Back 32

Midazolam (Versed)

Front 33

Diazepam (Valium)

Midazolam (Versed)

Back 33

Primary purpose of sedation to faccilitate placement of advanced airway

Front 34

Synthetic Corticosteroid

Back 34

Prednisone

Front 35

Prednisone

Back 35

Exacerbated Asthma

Front 36

Contraindication:
Systemic Fungal infection

Back 36

Prednisone

Front 37

Adult:1mg/kg to a max dose of 60mg PO

Back 37

Prednisone

Front 38

Suppresses the immune system and causes retention of sodium and fluids

Back 38

Prednisone

Front 39

May increase requirements for insulin in diabetic patients

Back 39

Prednisone

Front 40

Dexamethasone (Decadron)

Back 40

Anti-inflammatory, immunosuppressant

Front 41

Brain injury associated with trauma-CONTACT MCEP

Back 41

Dexamethasone (Decadron)

Front 42

Indicated for reactive airway disease with no response to Albuterol or other treatments

Back 42

Dexamethasone (Decadron)

Front 43

Dexamethasone (Decadron)

Back 43

Corticosteroid
Adults: 4-10mg PO/IV/IM

Pediatrics: 0.6mg/kg (range 0.15-1.0mg/kg) PO/IV/IM

Front 44

Contraindications:
Hypersensitvity
Hypothyroidism,thromboembolic disorders, active infection

Back 44

Dexamethasone (Decadron)

Front 45

Atrovent

Back 45

Ipratroprium

Front 46

Ipratroprium (Atrovent)

Back 46

Anticholinergic

Front 47

1.Bronchial Asthma
2.Reversible bronchospasm associated with chronic bronchitis and emphysema

Back 47

Ipratroprium (Atrovent)

Front 48

Should be used with beta agonist therapy;
Adults: 1-2 inhalations via metered dose inhaler
(250-500mcg via nebulization)

Back 48

Ipratroprium (Atrovent)

Front 49

Contraindication:
Hypersensitivity to drug, especially with Atropine products, soy and peanuts

Back 49

Ipratroprium (Atrovent)

Front 50

Ipratroprium (Atrovent)

Back 50

1.Vital signs must be monitored during therapy
2.Caution when used with elderly patients and those with cardiovascular disease or hypertension