ParamedicNHDrugs

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ParamedicNHDrugs
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2010-05-21 23:07:22
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Drug Flash Cards
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  1. Oxygen
    Functional Class
    Oxidizer
  2. Oxygen

    25-100%
  3. Oxygen
    Route
    BLS and/or ALS airway adjuncts as appropriate
  4. Diazepam (Valium)
    Functional Class
    Benzodiazepine
  5. Diazepam (Valium)
    Indications
    Seizures (Status Epilepticus), To induce Sedation prior to painful procedures, Acute anxiety
  6. Diazepam (valium)
    Contraindications
    Known hypersensitivity, Shock, Coma, Acute alcohol intoxication
  7. Diazepam (Valium)
    Side effects
    Hypotension, Drowsiness, Tachycardia, Ataxia, Amnesia, Slurred speach, Edema, Headache, Dizziness, N/V, Blurred vision, And respiratory depression.
  8. Diazepam (valium)
    Adult Dose and Route
    5 mg IVP, may repeat at 2.5 mg q 5 min prn, max 10 mg
  9. Diazepam (Valium)
    Pediatric Dose and Route
    • 0.1-0.25 mg/kg IV/IO, max single dose 5mg
    • may repeat once after 5 min
    • OR
    • 0.5 mg/kg PR, max single dose 10mg
    • may repeat once after 5 min
  10. Diazepam (Valium)
    Pharmacokinetics
    • Onset= 1-5 min IV
    • Half-life= 20-50 hrs
  11. Diazepam (Valium)
    What is an antagonist to Diazepam
    Flumazenil
  12. Lorazepam (Ativan)
    Functional Class
    Benzodiazepine
  13. Lorazepam (Ativan)
    Indications
    Seizures (status epilepticus), To induce sedation prior to painful procedures, anxiety
  14. Lorazepam (Ativan)
    Contraindications
    Hypersensitivity to benzodiazepines, Acute narrow-angle glaucoma, coma, shock, and acute alcohol intoxication
  15. Lorazepam (Ativan)
    Side effects
    Anterograde amnesia, sedation, hypertension or hypotension, Blurred vision, N/V, and confusion
  16. Lorazepam (Ativan)
    Adult Dose and Route
    1-2 mg slow IVP or IM q 5 min, max 8 mg
  17. Lorazepam (Ativan)
    Pediatric Dose and Route
    • 0.1 mg/kg slow IVP or IM max single dose 2 mg
    • may repeat once after 5 min
  18. Lorazepam (Ativan)
    Pharmacokinetics
    • Onset= 1-5 min IV, 5-10 min IM
    • Half-life= 10-20 hrs
  19. Midazolam (Versed)
    Functional Class
    Bezodiazepine (short acting)
  20. Midazolam (Versed)
    Indications
    Seizures (Status epilepticus), To induce sedation prior to painful procedures
  21. Midazolam (Versed)
    Contraindications
    Hypersensitivity to benzodiazepines, Acute narrow-angle glaucoma, coma, shock, acute alcohol intoxication.
  22. Midazolam (Versed)
    Side effects
    N/V, Blurred vision, Retrograde amnesia, Excessive amnesia, Apnea, Hypotension, PVC's.
  23. Midazolam (Versed)
    Adult Dose and Route
    1.0-2.5 mg slow IVP or IM q 5 min until seizure is abolished
  24. Midazolam (Versed)
    Pediatric Dose and Route
    • 0.1 mg/kg slow IVP or IM max single dose 6 mg
    • may repeat once after 5 min
  25. Midazolam (Versed)
    Pharmacokinetics
    • Onset= 3-5 min IV
    • Duration= Less than 2 hrs
    • Half-life= 1-4 hrs
  26. Atropine Sulfate
    Functional Class
    Parasympatholytic
  27. Atropine Sulfate
    Indications
    Symptomatic Bradycardia, Asystole (Brady asystolic arrest), Organophosphate/Nerve agent poisoning, Bradycardic PEA
  28. Atropine Sulfate
    Contraindications
    None in the emergency setting
  29. Atropine Sulfate
    Side effects
    Blurred vision, Dialated pupils, Dry mouth, Tachycadia, Drowsiness, Convusions, Hypertension or Hypotension, Palpitations, Paradoxical bradycardia ( if given to slowly), AV dissociation, urinary retention
  30. Atropine Sulfate
    Adult Dose and Route
    Asystole / Bradycardic PEA
    • 1 mg IVP q 3-5 min max total 0.04 mg/kg
    • 2-2.5 mg ET q 3-5 min
  31. Atropine Sulfate
    Pediatric Dose and Route
    Asystole / Bradycardic PEA
    0.02 mg/kg IVP/IO (minimum single dose 0.1 mg and maximum single dose is 1 mg) q 5 min max total 0.04 mg/kg.
  32. Atropine Sulfate
    Adult Dose and Route
    Symptomatic Bradycardia
    0.5 mg IVP q 3-5 min max total 0.04 mg/kg
  33. Atropine Sulfate
    Pediatric Dose and Route
    Symptomatic Bradycardia
    0.02 mg/kg IVP or IO (minimum single dose is 0.1 mg and maximum single dose is 1 mg) q 5 min max total 0.04 mg/kg
  34. Atropine Sulfate
    Adult Dose and Route
    Organophosphate Poisoning
    2 mg IVP q 5 min prn
  35. Atropine Sulfate
    Pediatric Dose and Route
    Organophosphate poisoning
    0.05-0.1 mg/kg IV/IM (minimum single dose is 0.1 mg and maximum single dose is 5 mg) repeat q 2-5 min prn
  36. Atrpine sulfate
    Pharmacokinetics
    • Absorption= 2-4 min IV
    • Half-life= 2-3 hrs
  37. Epinephrine (adrenalin)
    Functional Class
    Sympathomimetic
  38. Epinephrine (Adrenalin)
    How it is supplied
    • 1:1,000 (1 mg of epinephrine in 1 ml or 1 mg/ml)
    • 1:10,000 (1 mg of epinephrine in 10 ml or 0.1 mg/ml)
  39. Epinephrine (Adrenalin)
    Indications
    Cardiac arrest, asystole, VF, Pulsless VT, PEA, Systematic bradycardia, anaphylaxis, severe reactive airway disease
  40. Epinephrine (Adrenalin)
    Contraindications
    Hypersensitivity to sympathomimetic amines
  41. Epinephrine (Adrenalin)
    Side effects
    Increases myocardial oxygen demand, can cause palpitations, anxiety, headache, CVA, Syncope, HTN, Tachydysrhythmias, Tissue necrosis with Repeated injectionsor extravasation of IV.
  42. Epinephrine (Adrenalin)
    Adult Dose and Route
    Cardiac Arrest
    • 1.0 mg of 1:10,000 IVP q 3-5 min or
    • 2.0-2.5 mg ET q 3-5 min of 1:1,000 (Diluted to 10 ml)
  43. Epinephrine (Adrenalin)
    Pediatric Dose and Route
    Cardiac Arrest
    • 0.01 mg/kg of 1:10,000 IV/IO or
    • 0.1 mg/kg of 1:1000 ET q 3-5 min (Diluted to 3-5 ml)
  44. Epinephrine (Adrenalin)
    Adult Dose and Route
    Severe Anaphylaxis/Asthma
    • 0.3-0.5 mg SQ of 1:1,000 q 5-15 min if ineffective give
    • 0.1-0.5 mg of 1:10,000 IVP q 5-15 min
  45. Epinephrine (Adrenalin)
    Pediatric Dose and route
    Severe anaphylaxis/Asthma
    • 0.01 mg/kg of 1;1,000 SQ if ineffective give
    • 0.01 mg/kg of 1:10,000 IVP q 5-15 min
  46. Epinephrine (Adrenalin)
    Symptomatic Bradycardia Infusion
    Preparation, Adult and Pediatric
    rates
    • Preparation-1 mg of 1:1,000 in 250 ml of NS
    • Adult: 2-10 mcg/min
    • Pediatric: 0.1-1 mcg/kg/min
  47. Vasopressin (Pitressin)
    Fuctional Class
    Hormone (ADH) Vasopressor
  48. Vasopressin (Pitressin)
    Indications
    Cardiac Arrest
  49. Vasopressin (Pitressin)
    Contrindications
    Chronic nephritis, Ischemic heart disease, PVC's, First stage of labor
  50. Vasopressin (Pitressin)
    Side effects
    N/V, Abdominal cramps, HTN, Bradycardia, PAC's, MI
  51. Vasopressin (Pitressin)
    Drug interactions
    Epinephrine, Heparin, Alcohol, Phentoin, Neostigmine,Thiazide diuretics, carbamazepine
  52. Vasopressin (Pitressin)
    Dosage and route
    40 units IVP/IO (Single dose only)
  53. Vasopressin (Pitressin)
    is used when
    May replace first or second dose of epinephrine in cardiac arrest
  54. Lidocaine (Xylocaine)
    Functional class
    Class 1B antidysrhythmic (sodium channel blocker)
  55. Lidocaine (Xylocaine)
    Indications
    VF, Pulseless VT, VT with a pulse, Malignant PVC's= more than 6 unifocal PVC's a minute, multifocal PVC's, couplets, R on T phenomena.
  56. Lidocaine (Xylocaine)
    Contraindications
    Hypersensitivity, supraventricular dysrhythmias, untreated sinus bradycardia, 2nd degree morbitz II AV block, 3rd degree AV block, stokes adams syndrome
  57. Lidocaine (Xylocaine)
    Side effects
    Altered mental status including confusion, bradycardias, hypotension, seizures
  58. Lidocaine (Xylocaine)
    Adult Dose and route
    Cardiac Arrest
    • 1-1.5 mg/kg IVP repeat at 1/2 the initial dose
    • (0.5-0.75 mg/kg IVP) q 5 min up to a max of 3 mg/kg
    • Note: A single dose of 1.5 mg/kg is acceptable if
    • moving on to amiodarone
    • ET 2-4 mg/kg q 3-5 min
  59. Lidocaine (Xylocaine)
    Pediatric Dose and route
    Cardiac arrest
    1 mg/kg IVP/IO/ET
  60. Lidocaine (Xylocaine)
    Adult Dose and Route
    With a pulse
    • 1-1.5 mg/kg IVP repeat at 1/2 the initial dose
    • (0.5-0.75 mg/kg IVP) q 5 min up to a max of 3 mg/kg
  61. Lidocaine (Xylocaine)
    Adult IV infusion
    1-4 mg/min
  62. Lidocaine (Xylocaine)
    Pharmacokinetics
    • Absorption= 3 minutes
    • Duration= 10-20 minutes
    • Half-life= 1.5-2 hours
  63. Amiodarone (Cordarone)
    Functional class
    Class III antidysrhythmic (potassium channel blocker)
  64. Amiodarone (Cordarone)
    Indications
    Life threatening ventricular and supraventricular Dysrhythmias (VF, VT, A-fib, A-flutter, SVT, WPW.
  65. Amiodarone (Cordarone)
    Contraindications
    Hypersensitivity, cardiogenic shock, Severe sinus bradycardia, AV block
  66. Amiodarone (Cordarone)
    Side effects
    CHF, Angioedema, hypotension, AV block, Hepatoxicity, Cardiogenic shock, fatigue, Bradycardia, Sinus arrest, permenant blindness, N/V, Prolongs the Q-T interval.
  67. Amiodarone (Cordarone)
    Adult Dose and Route
    Pulse
    • 150 mg (in 50-100 ml of NS) IV infusion over 10 minutes
    • may repeat dose once after 10 minutes
  68. Amiodarone (Cordarone)
    Adult Dose and Route
    Pulseless
    300 mg IVP repeat in 3-5 min at 150 mg IVP
  69. Amiodarone (Cordarone)
    Adult Maintenance Infusion
    1 mg/min over the next 6 hours
  70. Amiodarone (Cordarone)
    Pediatric Dose and Route
    5 mg/kg IV/IO
  71. Adenosine (Adenocard)
    Functional Class
    Antidysrhythmic
  72. Adenosine (Adenocard)
    Indications
    SVT refractory to vagal maneuvers including (WPW)
  73. Adenosine (Adenocard)
    Contraindications
    2nd and 3rd degree AV heart blocks, symptomatic bradycardia, sick sinus syndrome, Hypersensitivity.
  74. Adenosine (Adenocard)
    Side efffects
    Sycope, Dizziness, dyspnea, N/V, Headaches, Palpitations, chest pain, Hypotension, Dysrhythmias, Side effects are self limiting due to a short half-life
  75. Adenosine (Adenocard)
    Interactions which two drugs antagonize adenosine
    Caffiene or xanthines(aminophylline or theophylline)
  76. Adenosine (Adenocard)
    Interactions Which two drugs potentiate adenosine
    Dipyridamole(persantine) and Carbamazepine (tegretol)
  77. Adenosine (Adenocard)
    Adult Dose and Route
    • 6 mg rapid IVP followed by a 10-20 ml NS flush
    • If no conversion after 1-2 minutes administer
    • 12 mg rapid IVP followed by a 10-20 ml NS flush
    • If no conversion after1-2 minutes administer
    • repeat 12 mg rapid IVP followed by a 10-20 ml NS flush
  78. Adenosine (Adenocard)
    Pediatric Dose and Route
    • 0.1 mg/kg IVP/IO (maximum single dose is 6 mg)
    • may repeat only once in 1-2 min at 0.2 mg/kg
    • (maximum 2nd dose is 12 mg)
  79. Adenosine (Adenocard)
    Pharmacokinetics
    • Onset=rapid
    • Half-Life= Approximately 10 seconds
  80. Diltiazem (Cardizem)
    Functional Class
    Class IV antidysrhythmic (calcium channel blocker)
  81. Diltiazem (Cardizem)
    Indications
    SVT refractory to adenosine, rapid a-fib or a-flutter
  82. Diltiazem (Cardizem)
    Contraindications
    Hypersensitivity, sick sinus syndrome, 2nd and 3rd degree AV block, Hypotension, WPW, wide complex tachycardia
  83. Diltiazem (cardizem)
    Side effects
    Chest pain, Bradycardia, Hypotension, Syncope, CHF, N/V, Dysrhythmias, Headache, Sweating, Dizziness, Dyspnea, 2nd and 3rd degree AV block, Palpitations
  84. Diltiazem (cardizem)
    Dosage and Route
    Bolus
    • 0.25 mg/kg slow IVP may repeat in 5 minutes at
    • 0.35 mg/kg slow IVP
  85. Diltiazem (Cardizem)
    Dose and Route
    IV Infusion
    5-15 mg/hr, titrate to heart rate

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