Pharmacology

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Author:
Anonymous
ID:
201770
Filename:
Pharmacology
Updated:
2013-02-19 13:23:47
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Paramedic pharmocology
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Description:
Paramedic 1 pharmacology cards
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  1. OXYGEN
    • CLASS:
    • Naturally occurring atmospheric gas
    • DOSE/ADMIN:
    • Adult-
    • cardiac arrest and carbon monoxide poisoning: 100%
    • Hypoxemia: 10-15LPM via nrb
    • COPD: 0-2LPM via nc

    • MOA:
    • Reverses hypoxemia
    • INDICATIONS:
    • Confirmed or expected hypoxemia, ischemic chest pain, respiratory insufficiency, prophylactically during air transport, confirmed or suspected co poisoning, all other causes of decreased tissue oxygenation, decreased level of consciousness.
    • CONTRA:
    • Certain patients with COPD will not tolerate oxygen concentrations over 35%. Hyperventilation
    • SIDE EFFECTS:
    • Decreased level of consciousness (COPD Patients) decreased respiratory drive in COPD patients, dry mucus membranes
  2. ALBUTEROL
    • CLASS:
    • Sympathomimetic, bronchodilator
    • DOSE/ADMIN:
    • Adult-
    • Administer 2.5 mg dilute saline in nebulizer and administer over 10-15 min
    • Metered dose inhaler:1-2 inhalations; wait 5 min between inhalations
    • Pediatric-
    • <20 kg:1.25 mg/dose via hand held nebulizer or mask over 20 min
    • >20 kg: 2.5 mg dose via hand held nebulizer over 20 min repeat once in 20 min
    • MOA:
    • Selective beta-2 agonist that stimulates adrenergic receptors of the sympathomimetic nervous system. Results in smooth-muscle relaxation in the bronchial tree and peripheral vasculature.
    • INDICATIONS:
    • Treatment of bronchospasm in patients with reversible obstructive airway disease (COPD/asthma) Prevention of exercise-induced bronchospasm.¬†
    • CONTRA:
    • Known prior hypersensitivity reactions to albuterol. Tachycardia, dysrhythmias, especially those caused by digitalis. Synergistic with other sympathomimetics.
    • SIDE EFFECTS:
    • Often dose-related and include headache, fatigue, lightheadedness, irritability, restlessness, aggressive behavior, pulmonary edema, hoarseness nasal congestion, increased sputum, hypertension, tachycardia, dysrhythmias, chest pain, palpitations, nausea/vomiting, dry mouth, epigastric pain, and tremors

  3. Ipratropium
    • CLASS:
    • Anticholinergic, bronchodilator
    • DOSE/ADMIN:
    • 250-500 micro grams with hand held nebulizer every 20 min up to 3 times
    • MOA:
    • Inhibits interaction of acetylcholine at receptor sites of bronchial smooth muscle, resulting in decreased cyclic guanosine monophosphate and bronchodilation
    • INDICATIONS:
    • Persistent bronchospasm, COPD exacerbation
    • CONTRA:
    • Hypersensitivity to ipratropium, atropine, alkaloids, peanuts
    • SIDE EFFECTS:
    • Headache, dizziness, nervousness, fatigue, blurred vision, cough, dyspnea, worsening COPD symptoms, tachycardia, palpitations, flushing, MI, dry mouth, nausea, vomiting, GI distress.
  4. METHYLPREDNISOLONE
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  5. MAGNESIUM SULFATE
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  6. TERBUTALINE
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  7. RICEMIC EPINEPHERINE
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  8. EPINEPHRINE 1-1000
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  9. DIAZEPAM
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  10. MILAZOLAM
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  11. AMIODISONE
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  12. LIDOCANE
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  13. PROCAINAMIDE
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  14. LABETOLOL
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  15. VEROPAMIL
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  16. DILTIAZEM
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  17. ADENOSINE
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  18. ATROPINE
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  19. FUROSEMIDE
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  20. NTG
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  21. ASA
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