All Drugs for Paramedic

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All Drugs for Paramedic
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  1. What is the Classification for Adenosine (Adenocard)?
    Antidysrhythmic
  2. What is the MOA for Adenosine (Adenocard)?
    Slows the conduction of electrical impulses at the AV node
  3. What are indications for Adenosine (Adenocard)?
    Slows the conduction of electrical impulses at the AV node
  4. What are contraindications for Adeonosine (Adenocard)?
    Sick Sinus Syndrome, 2nd or 3rd degree Heart blocks, poison or drug induced tachycardia
  5. What are adverse effects of Adenosine (Adenocard)?
    Impending doom, complaints of flushing, chest pressure, numbness. *Patients will have a brief episode of asystole after administration.*
  6. What is the administration rate for Adenosine (Adenocard)?
    • 1) 6mg rapid IV/IO over 1-3 seconds followed by 20cc NS (wait 1-2 minutes)
    • 2) 12mg rapid IV/IO over 1-3 seconds followed by 20cc NS
  7. What is the classification rate for Albuterol (Proventil, Ventolin)?
    Bronchodilator, Beta/sympathetic agonist
  8. What is the MOA for Albuterol (Proventil, Ventolin)?
    Stimulates Beta 2 adrenergic receptors (relaxes bronchial smooth muscles)
  9. What are indications for Albuterol (Proventil, Ventolin)?
    Asthma, Bronchitis with bronchospasm, COPD, Allergic reactions
  10. What are contraindications for Albuterol (Proventil, Ventolin)?
    Angioedema, Sensitivity to drug, Use with caution in cardiovascular disorders, cardiac arrhythmias, and lactating patients
  11. What are adverse effects of Albuterol (Proventil, Ventolin)?
    Hyperglycemia, Hypokalemia, Palpitations, Tach, Anxiety, Tremors, N/V, throat irritation, dry mouth, HTN, Headache, paradoxical bronchospasm.
  12. What is the administration rate for Albuterol (Proventil, Ventolin)?
    • 1) 2.5mg over 5-15min
    • 2) Repeat if needed
    • **Beta blockers may blunt the effects of Albuterol**
  13. What is the Classification of Amiodarone HCI (Cordarone)?
    Antidysrhythmic
  14. What is the MOA for Amiodarone HCl (Cordarone)?
    Delays repolarziation and increases the duration of the action potential. Slows sinus rate, increases PR and QT intervals, decreases peripheral vascular resistance
  15. What are indications for Amiodarone HCl (Cordarone)?
    Ventricular arrhythmias. Second-line agent for atrial arrhythmia
  16. What are contraindications for Amiodarone HCl (Cordarone)?
    Sick Sinus Syndrome, 2nd and 3rd degree Heart block
  17. What are adverse effects of Amiodarone HCl (Cordarone)?
    Hypotension & Bradycardia
  18. What is the administration rate for Amiodarone HCl (Cordarone) in V-Fib//Pulseless V-Tach?
    • 1) 300mg IV/IO (wait 3-5min)
    • 2) 150mg IV/IO
  19. What is the administration rate for Amiodarone HCl (Cordarone) in stable patients with arrhythmias such as PVC’s, or wide complex Tachycardia with a strong pulse?
    • 1) 150mg IV/IO in 100mL D5W over 10 minute period (wait 10min may repeat again if needed)
    • 2) 150mg IV/IO
  20. What is the classification for ASA (Aspirin, Acetylsalasylic acid)?
    Antiplatelet, Non-narcotic analgesic, antipyretic
  21. What is the MOA for ASA (Aspirin, Acetylsalasylic acid)?
    Prevents formation of thromboxane A2 (platelet inhibitor), Anti-inflammatory
  22. What are indications for ASA (Aspirin, Acetylsalasylic acid)?
    Fever, Inflammation, Angina, acute MI, Patients presenting with chest pain, pressure, squeezing, or crushing in the chest that may be cardiac in origin
  23. What are contraindications of ASA (Aspirin, Acetylsalasylic acid)?
    GI bleeding, Active ulcer disease, Hemorrhagic stroke, Bleeding disorders, Children with chicken pox, sensitivity
  24. What are adverse effects of ASA (Aspirin, Acetylsalasylic acid)?
    Anaphylaxis, Angioedema, Bronchospasm, Bleeding & stomach irritation, N/V
  25. What is the administration rate for ASA (Aspirin, Acetylsalasylic acid) in suspected MI?
    325mg PO (4 81mg baby ASA)
  26. What is the administration rate for ASA (Aspirin, Acetylsalasylic acid) for pain//fever relief?
    325-650mg PO every 4-6 hours
  27. What is the classification of Atropine?
    Parasympatholytic
  28. What is the MOA for Atropine?
    Increases heart rate, Competes reversibly with acetylcholine
  29. What are indications for Atropine?
    Symptomatic bradycardia, asystole or PEA
  30. What are contraindications for Atropine?
    Known sensitivity
  31. What are adverse effects of Atropine?
    Dry mouth, hot skin, facial flushing, blurred vision, dilation of pupils. May cause paradoxical bradycardia if administered too slow
  32. What is the administration rate for Atropine with Symptomatic Bradycardia?
    0.5mg IV/IO (rapid) every 3-5 min
  33. What is the administration rate for Atropine with Asystole?
    • 1mg IV/IO (rapid) every 3-5 min
    • 2-2.5mg diluted in 5 to 10 mL of NS
  34. What is the administration rate for Atropine for Nerve Agents?
    2 to 4mg IV/IO/IM, repeat if needed every 20-30min until symptoms resolve
  35. What is the Classification for Calcium Chloride?
    Electrolyte
  36. What is the MOA for Calcium Chloride?
    Increases cardiac contractility
  37. What are indications for Calcium Chloride?
    Hyperkalemia, Hypocalcemia, Hypermagnesemia, Calcium channel blocker
  38. What are contraindications for Calcium Chloride?
    V fib, Digitalis toxicity, Hypercalcemia
  39. What are adverse effects of Calcium Chloride?
    Tissue necrosis, Hypotension, Bradycardia (if administered too rapidly)
  40. What is the administration rate for Calcium Chloride?
    500-1000mg of a 10% solution IV/IO administered SLOWLY
  41. What is the Classification for Ditiazem (Cardizem)?
    Calcium Channel Blocker
  42. What is the MOA for Ditiazem (Cardizem)?
    • Prolongs conduction of electrical impulses through the AV node. Causes
    • vasodilation. Decreases rate of ventricular response. Decreases
    • myocardial oxygen demand
  43. What are indications for Ditiazem (Cardizem)?
    Ventricular rate control in rapid A fib/A flutter
  44. What are contraindications for Ditiazem (Cardizem)?
    Hypotension, Heart block, Heart failure
  45. What are adverse effects of Ditiazem (Cardizem)?
    Flushing, Headache, Bradycardia, Hypotension, Heart Block, Myocardial Depression, Severe AV block, Cardiac Arrest
  46. What is the administration rate for Ditiazem (Cardizem)?
    • 1) 0.5mg/kg IV/IO over 2 minutes
    • 2) 0.35mg
  47. What is the classification for D50W?
    Carbohydrate
  48. What is the MOA for D50W?
    Increases blood glucose concentrations
  49. What are indications for D50W?
    Hypoglycemia
  50. What are contraindications for D50W?
    Intracranial and intraspinal hemorrhage. Delirium tremens
  51. What are adverse effects of D50W?
    Hyperglycemia, Warmth, Burning from IV infusion.
  52. What is the administration rate for D50W?
    25g (50mL) IV/IO
  53. What is the Classification for Diazepam (Valium)?
    Benzodiazepam
  54. What is the MOA for Diazepam (Valium)?
    Enhances the effects of GABA. Can produce any level of CNS depression (including sedation, muscle relaxation, anticonvulsant activity)
  55. What are indications for Diazepam (Valium)?
    Anxiety, Skeletal muscle relaxation, Alcohol withdrawl, Seizures, Sedation for cardioversion
  56. What are contraindication for Diazepam (Valium)?
    Central Nevous System Depression, Alcohol Intoxication, Acute-angle Glaucoma
  57. What are adverse effects of Diazepam (Valium)?
    Respiratory Depression, Drowsiness/fatigue, Headache, Nausea, Confusion, Oversedation, Hypotension
  58. What is the administration rate for Diazepam (Valium) for Anxiety?
    • Moderate- 2-5mg slow
    • Severe- 5-10mg slow
  59. What is the administration rate for Diazepam (Valium) for alcohol withdrawl?
    10mg
  60. What is the administration rate for Diazepam (Valium) for Seizure?
    5-10mg slow every 10-15min (max dose 30mg)
  61. What is the administration rate for Diazepam (Valium) for premedication before cardioversion?
    5-15mg
  62. What is the Classification for Dopamine (Intopin)?
    Sympathomimetic, Adrenergic Agonist, Inotropic
  63. What is the MOA for Dopamine (Intopin)?
    Stimulates Alpha and Beta adrenergic receptors
  64. What are indications for Dopamine (Intopin)?
    • Hypotension, Decreased cardiac output associated with cadiogenic shock and septic shock.
    • Hypotension after cardiac arrest.
    • Symptomatic bradycardia unresponsive to atropine.
  65. What are contraindications for Dopamine (Intopin)?
    Hypovolemic Shock, V-Fib, V-Tach or other ventricular arrhythmias
  66. What are adverse effects of Dopamine (Intopin)?
    Tachycardia, Skin Necrosis, Severe Hypertension, Angina, Headache, Nausea and Vomiting
  67. What is the administration rate for Dopamine (Intopin)?
    2-20mcg/kg/min IV/IO
  68. What is the administration rate for Dopamine (Intopine) for a cardiac dose?
    5-10mcg/kg/min
  69. What is the administration rate for Dopamine (Intopine) for a Vasopressor dose?
    10-20mcg/kg/min
  70. What is the classification for Epinephrine?
    Sympathomimetic, Adrenergic Agent, Inotropic
  71. What is the MOA for Epinephrine?
    • Binds with Alpha and Beta receptors
    • Increases cardiac contractile force
    • Increases heart rate
    • Increases blood pressure
    • Bronchodilation.
  72. What are indications for Epinephrine?
    Bronchial Asthma, COPD, Allergic Reactions and Anaphylaxis, Restoration of cardiac activity in cardiac arrest
  73. What are contraindications for Epinephrine?
    Arrhythmias other then V-Fib, Asystole, PEA. Cardiovascular disease. Hypertension. Stroke. Shock. Pregnant women. Allergy to
  74. What are adverse effects of Epinephrine?
    Palpations, Tachycardia, Anxiousness, Headache, Tremors, Chest Pains
  75. What is the administration rate of Epinephrine in Cardiac Arrest patients?
    1mg (1: 10,000) repeat every 3-5min
  76. What is the administration rate for Epinephrine for Bradycardia?
    1mcg/min (1:10,000) IV infusion
  77. What is the administration rate for Epinephrine for Asthma attack patients?
    0.3mg to 0.5mg (1:1,000) IM or SubQ (may repeat in 10min max dose 1mg)
  78. What is the administration rate for Epinephrine in Anaphylactic Shock?
    0.1mg (1:10,000) IV slowly over 5 minutes
  79. What is the Classification for Furosemide (Lasix)?
    Potent Loop Diuretic
  80. What is the MOA for Furosemide (Lasix)?
    Inhibits the absorption of sodium and chloride ions and water in the loop of Heinle
  81. What are indications for Furosemide (Lasix)?
    CHF, Pulmonary Edema, Allergic Reactions
  82. What are contraindications for Furosemide (Lasix)?
    Allergy to
  83. What are adverse effects of Furosemide (Lasix)?
    Vertigo, Dizziness, Weakness, Hypokalemia
  84. What is the administration rate for Furosemide (Lasix) for CHF & Pulmonary Edema?
    40mg IV, slowly over 2min period
  85. What is the administration rate for Furosemide (Lasix) for Allergic reaction?
    40-80mg IV
  86. What is the Classification for Glucagon?
    Hormone (antihypoglycemic agent)
  87. What is the MOA for Glucagon?
    Converts glycogen to glucose, Elevates blood glucose levels, Increases heart rate, Increases heart rate
  88. What are indications for Glucagon?
    Hypoglycemia, Choking, Beta Blocker Overdose
  89. What are contraindications for Glucagon?
    Allergy to
  90. What are adverse effects of Glucagon?
    Hyperglycemia, Nausea and Vomiting, Hypotension, Tachycardia
  91. What is the administration rate for Glucagon for Hypoglycemia?
    1mg IV
  92. What is the administration rate for Glucagon for Beta Blocker Overdose?
    • 1) 2-5mg IV over 1 minute
    • 2) 10mg IV
  93. What is the Classification for Lidocaine?
    Antidysrhythmic
  94. What is the MOA for Lidocaine?
    Blocks sodium channels & increases recovery period after repolarization
  95. What are indications for Lidocaine?
    Ventricular Arrhythmias, Cardiac Arrest from V-Fib/V-Tach
  96. What are contraindications for Lidocaine?
    AV block, Bleeding, Allergy to
  97. What are adverse effects of Lidocaine?
    Seizures, Cardiac Arrhythmias, Hypotension, Cardiac Arrest
  98. What is the administration rate for Lidocaine for Pulseless V-Tach/ V-Fib?
    • 1) 1-1.5mg/kg
    • 2) 0.5-0.75mg/kg every 5-10min (max dose 3mg/kg)
  99. What is the administration rate for Lidocaine with Perfusing Ventricular Rhythms?
    • 1) 0.5-0.75mg/kg
    • 2) 0.5-0.75mg/kg every 5-10 min (max dose 3mg/kg)
  100. What is the Classification for Lorazepam (Ativan)?
    Benzodiaxepine, Anxiolytic, Sedative
  101. What is the MOA for Lorazepam (Ativan)?
    Interacts with GABA, antianxiety effects, sedation, reduction of seizure activity
  102. What are indications for Lorazepam (Ativan)?
    Anxiety, Seizure, Sedation
  103. What are contraindications for Lorazepam (Ativan)?
    Allergy to. Altered LOC, Sleep Apnea
  104. What are adverse effects of Lorazepam (Ativan)?
    Hypotension, bradycardia, respiratory depression, apnea, dizziness, fatigue, amnesia, drowsiness.
  105. What is the administration of Lorazepam (Ativan) for seizures?
    4mg slowly
  106. What is the administration rate for Lorazepam (Ativan) for Anxiety/Sedation?
    • Seizure: 4mg/IV over 2min
    • Sedation: 2mg/IV
    • Anxiety: 2mg/IV
  107. What is the classification for Magnesium Sulfate?
    Anticonvulsant, Antidysrhythmic, Electrolyte, Mineral
  108. What is the MOA for Magnesium Sulfate?
    Controls seizures by blocking peripheral neuromuscular transmission
  109. What are indications for Magnesium Sulfate?
    Torsades De Pointes. Cardiac arrhythmias associated with hypomagnesmia. Eclampsia. Status Asthmaticus
  110. What are contraindications for Magnesium Sulfate?
    AV block, GI obstruction
  111. What is the administration rate for Magnesium Sulfate for Pulseless V-Fib/V-Tach?
    1-2g in 10mL D5W IV over 5-10min
  112. What is the adinistration rate for Magnesium Sulfate for Torsades de Pointes with Pulse or Cardiac arrhythmias with Hypomagnesemia?
    1-2g in 50-100mL D5W over 5-60 min, follow with 0.5-1g IV titrate to control torsades de pointes
  113. What is the administration rate for Magnesium Sulfate for Eclampsia?
    4-6g IV over 20-30min, followed by an infusion of 1-2g per hour
  114. What is the administration rate for Magnesium Sulfate for Status Asthmaticus?
    1.2-2g slow over 20min
  115. What is the classification for Morphine?
    Narcotic, Opiate Agonist
  116. What is the MOA for Morphine?
    Binds with opiate receptors. Reduces heart rate, cardiac work and myocardial oxygen demand
  117. What are indications for Morphine?
    Moderate to severe pain. Chest pain associated with acute coronary syndrome. CHF. Pulmonary edema.
  118. What are contraindications for Morphine?
    Respiratory depression, Shock, Allergy to
  119. What are adverse effects for Morphine?
    Respiratory depression, Hypotension, Nausea and Vomiting, Dizziness, Bradycardia, Seizures, Cardiac arrest.
  120. What is the administration rate for Morphine for pain?
    2.5-15mg slowly over several minutes
  121. What is the administration rate for Morphine for Chest pain (associated with ACF, CHF or Pulmonary edema)?
    2-4mg slowly over 1-5minutes
  122. What is the Classification for Naloxone (Narcan)?
    Narcotic antagonist, Opioid antagonist
  123. What is the MOA for Naloxone (Narcan)?
    Binds with opioid receptor and blocks the effects of narcotics
  124. What are indications for Naloxone (Narcan)?
    Narcotic overdose.
  125. What are contraindications for Naloxone (Narcan)?
    Allergy to
  126. What are adverse effects of Naloxone (Narcan)?
    Nausea and Vomiting, Restlessness, Tachycardia, Hypertension, Tremors, Seizures, Cardiac Arrest, Narcotic Withdrawl.
  127. What is the administration rate for Naloxone (Narcan)?
    0.4 – 2mg IV, IO, ET, IM, SubQ or 2mg intranasally.
  128. What is the Classification for Nitroglycerin?
    Antianginal
  129. What is the MOA for Nitroglycerin?
    Vascular smooth muscle relaxant
  130. What are indications for Nitroglycerin?
    Chest pain or discomfort, Myocardial Ischemia associated with cocaine intoxication.
  131. What are contraindications for Nitroglycerin?
    Hypotension, Children, Severe Bradycardia or Tachycardia, ICP, ED meds, Allergy to, Uncorrected Hypovolemia.
  132. What are adverse effects of Nitroglycerin?
    Headache, Lightheadedness, Hypotension, Bradycardia, Cardiovascular Collapse
  133. What is the administration rate for Nitroglycerin? (Sublingual, Spray, and Paste)
    • Sublingual: 0.4mg at 5 minute intervals
    • Spray: 0.4mg at 5 minute intervals
    • Paste: 1-2 inches
  134. What is the Classification for Ondansetron Hydrochloride (Zofran)?
    Antiemetic
  135. What is the MOA for Ondansetron Hydrochloride (Zofran)?
    Selective 5-HT3 receptor antagonist
  136. What are indications for Ondansetron Hydrochloride (Zofran)?
    Profound nausea and vomiting in Pts over 12
  137. What are contraindications for Ondansetron Hydrochloride (Zofran)?
    Allergy to. Hypotension, Altered LOC, COPD, Sleep Apnea
  138. What are adverse effects of Ondansetron Hydrochloride (Zofran)?
    Drowsiness, Hypertension, Hypotension, Respiratory Depression
  139. What is the administration rate for Ondansetron Hydrochloride (Zofran)?
    4mg IV/ IM over 2-5min
  140. What is the Classification for Procainamide?
    Antidysrhythmic
  141. What is the MOA for Procainamide?
    Decreases myocardial excitability. Slows atrial and intraventricular conduction. Prolongs ventricular repolarization
  142. What are indications for Procainamide?
    Atrial and ventricular dysrhythmia. PVC’s and recurrent VT not controlled by Lidocaine
  143. What are contraindications for Procainamide?
    Allergy to
  144. What are adverse effects of Procainamide?
    Hypotension, Ventricular dysrhythmias, Heart Block, widening QRS complex, lengthened QT interval.
  145. What is the administration rate for Procainamide SIVP?
    20mg/min to a max of 17mg/kg, until dysrhythmia is suppressed, followed by IVPB infusion
  146. What is the administration rate for Procainamide IVPB?
    1g in 500-1000mL D5W or NSS at 104mg/min to a max dose of 17mg/kg
  147. What is the Classification for Sodium Bicarbonate?
    Electrolyte
  148. What is the MOA for Sodium Bicarbonate?
    Counteracts existing acidosis.
  149. What are indications for Sodium Bicarbonate?
    Acidosis, Drug intoxications, Antidepressant overdose, late management to cardiac arrest
  150. What are contraindications for Sodium Bicarbonate?
    Metabolic alkalosis.
  151. What are adverse effects of Sodium Bicarbonate?
    Metabolic alkalosis, Hypernatremia, Sodium and fluid retention, edema
  152. What is the administration rate for Sodium Bicarbonate?
    • 1) 1 mEq/kg IV slowly repeat after 10min
    • 2) 0.5 mEq/kg
  153. What is the Classification for Vasopressin?
    Hormone, Nonadrenergic Vasoconstrictor
  154. What is the MOA for Vasopressin?
    Causes vasoconstriction. Antidiuretic hormone
  155. What are indications for Vasopressin?
    Shock. VF or Pulseless VT, Asystole, PEA
  156. What are contraindications for Vasopressin?
    Responsive patients with cardiac disease
  157. What are adverse effects of Vasopressin?
    Cardiac Ischemia, Angina, Hypertension, Bradycardia
  158. What is the administration rate for Vasopressin?
    • 40U IV single dose only!
    • *May replace either the first or second dose of epinephrine.
  159. What is the Classification for Verapamil?
    Calcium Channel Blocker
  160. What is the MOA for Verapamil?
    Slows conduction, prolongs refractory period in the AV node
  161. What are indications for Verapamil?
    Narrow complex SVT unresponsive to adenosine and not requiring cardioversion. Rapid A-fib/flutter
  162. What are contraindications of Verapamil?
    Allergy to. Hypotension, Sick Sinus Syndrome, 2nd or 3rd degree Heart Block, WPW, Pts taking beta blockers
  163. What are adverse effects of Verapamil?
    Hypotension, Bradycardia, Heart Block, Asystole, Dizziness, Headache, Nausea an Vomiting
  164. What is the administration rate for Verapamil?
    • 1) 2-2.5mg slowly over 2-3min
    • 2) 5-10mg slowly over 15-30min (max dose 30mg)
  165. What is the Classification for Hydrocortisone Sodium Succinate (Solu- Medrol, Solu- Cortef)?
    Corticosteroid, Anti-Inflammatory
  166. What is the MOA for Hydrocortisone Sodium Succinate (Solu- Medrol, Solu- Cortef)?
    Minimizes allergic responses by inhibiting histamine formation and storage, inhibiting histamine release from mast cells
  167. What are indications for Hydrocortisone Sodium Succinate (Solu- Medrol, Solu- Cortef)?
    Allergic reactions, Severe anaphylaxis, Asthma, COPD
  168. What are contraindications for Hydrocortisone Sodium Succinate (Solu- Medrol, Solu- Cortef)?
    Allergy to
  169. What are adverse effects of Hydrocortisone Sodium Succinate (Solu- Medrol, Solu- Cortef)?
    fluid retention, CHF, HTN, Tachycardia, Vertigo, Headache, Nausea and Vomiting
  170. What is the administration rate for Hydrocortisone Sodium Succinate (Solu- Medrol, Solu- Cortef)?
    40-250mg SIVP at 25mg/min or deep IM
  171. What is the Classification for Terbutaline (Breathine, Bricanyl)?
    Terbutaline (Breathine, Bricanyl)
  172. What is the MOA for Terbutaline (Breathine, Bricanyl)?
    Immediate bronchodilation, stimulates beta 2 adrenergic receptors, produces relaxation of bronchial smooth muscles and bronchodilation
  173. What are indications for Terbutaline (Breathine, Bricanyl)?
    Bronchial asthma, reversible bronchospasm associated with chronic bronchitis and emphysema.
  174. What are contraindications for Terbutaline (Breathine, Bricanyl)?
    Allergy to, significant tachycardia
  175. What are adverse effects of Terbutaline (Breathine, Bricanyl)?
    Palpations, anxiety, dizziness, nervousness, tremors, Hypertension, Headache, Nausea an Vomiting, Chest Pains, Arthythmias
  176. What is the administration rate for Terbutaline (Breathine, Bricanyl)?
    0.25mg SubQ or IM every 20min for 3 doses
  177. What is the Classification for Ammonia Inhalants?
    Aromatic
  178. What is the MOA for Ammonia Inhalants?
    Irritates the peripheral sensory receptors of the nasal septum, causing reflex stimulation of the respiratory and vasomotor centers.
  179. What are indications for Ammonia Inhalants?
    Syncope
  180. What are contraindications for Ammonia Inhalants?
    Respiratory distress, cardiac symptoms, neurological deflects, trauma
  181. What are adverse effects of Ammonia Inhalants?
    Bronchospasm, wheezing, airway irritation, pulmonary edema, laryngospasm, stridor, cough
  182. What is the administration rate for Ammonia Inhalants?
    Hold inhalant 4inches from face
  183. What is the classification for Metaproteranol?
    Bronchodilator, sympathetic agonist
  184. What is the MOA for Metaproteranol?
    Relaxes bronchial smooth muscle through beta2 adrenergic receptors
  185. What are indications for Metaproteranol?
    Relaxes bronchial smooth muscle through beta2 adrenergic receptors
  186. What are contraindications for Metaproteranol?
    Allergy to. Cardiac dysrhythmias, significant tachycardia
  187. What are adverse effects of Metaproteranol?
    Tachycardia, Palpations, Irritable Dysrhythmia, Hypotension, Anxiety, Dizziness, Headache, Tremors, Nausea an Vomiting
  188. What is the administration rate for Metaproteranol in inhalor form?
    2-3 inhalations every 2 minutes. 0.65mg per dose.
  189. What is the administration rate for Metaproteranol in nebulizer form?
    10-15mg diluted in 2-3mL NSS, given over 5-15minutes.
  190. What is the Classification for Ipratropium Bromide (Atrovent)?
    Bronchodilator, Anticholinergic
  191. What is the MOA for Ipratropium Bromide (Atrovent)?
    Antagonizes the acetylcholine receptors on bronchial smooth muscle, producing bronchodilation
  192. What are indications for Ipratropium Bromide (Atrovent)?
    Asthma, Bronchospasm associated with COPD
  193. What are contraindications for Ipratropium Bromide (Atrovent)?
    Allergy to. Closed angle glaucoma, bladder neck obstruction, prostatic hypertrophy
  194. What are adverse effects of Ipratropium Bromide (Atrovent)?
    Paradoxical acute bronchospasm
  195. What is the aministration rate for Ipratropium Bromide (Atrovent)?
    Nebulizer, 0.5mg every 6-8hours
  196. What is the Classification for Oxytocin (Pitocin, Synocinon)?
    Synthetic Hormone
  197. What is the MOA for Oxytocin (Pitocin, Synocinon)?
    Causes rhythmic contractions of the uterine smooth muscles. Decreases bleeding from the uterine vessels
  198. What are indications for Oxytocin (Pitocin, Synocinon)?
    Postpartum hemorrhage after birth of the placenta
  199. What are contraindications for Oxytocin (Pitocin, Synocinon)?
    Allergy to
  200. What are adverse effects of Oxytocin (Pitocin, Synocinon)?
    Hypertenstion, Hypotenstion, Water Retention, dysrhythmias, seizures, coma, subarachnoid bleeding, uterine spasms, uterine rupture
  201. What is the aministration rate for Oxytocin (Pitocin, Synocinon)? (IV and IM)
    • IV piggy back: 10-20 units in 500-1000 mL of NSS, run at 1-2mL/min, titrate to severity of bleeding and uterine response
    • IM: 3-10 units.
  202. What is the Classification of Haldoperidol (Haldol)?
    Antipsychotic Agent
  203. What is the MOA of Haldoperidol (Haldol)?
    Selectively blocks postsynaptic dopamine receptors
  204. What are incidations for Haldoperidol (Haldol)?
    Psychotic Disorders, Agitation
  205. What are contraindications for Haldoperidol (Haldol)?
    Depressed mental status, Parkinsons disease
  206. What are adverse effects of Haldoperidol (Haldol)?
    Drowsiness, Hypotension, Hypertension, Vtach, tachycardia, QT prolongation, torsades de pointes
  207. What is the administration rate of Haldoperidol (Haldol)?
    • Mild: 0.5- 2mg PO or IM Moderate: 5-10mg PO or IM
    • Severe: 10mg PO or IM
  208. What is the Classification for Activated Charcoal (Actidoes, InstaChar, SuperChar)?
    Chemical absorbent
  209. What is the MOA for Activated Charcoal (Actidoes, InstaChar, SuperChar)?
    Binds with drugs and chemicals within the GI tract and decreases intestinal absorption
  210. What are indications for Activated Charcoal (Actidoes, InstaChar, SuperChar)?
    Oral poisoning, overdose and/or ingestion of drugs or chemicals
  211. What are contraindications for Activated Charcoal (Actidoes, InstaChar, SuperChar)?
    Pediatrics <35kg, Decreased level of consciousness, Ingestion of poisonings due to cyanide, corrosives, petroleum distillates, furrous sulfate (iron), ethanol, methanol, lithium, due to their large molecular size
  212. What are adverse effects of Activated Charcoal (Actidoes, InstaChar, SuperChar)?
    Vomiting, Constipation, Black stool
  213. What is the administration rate for Activated Charcoal (Actidoes, InstaChar, SuperChar)?
    1g/kg PO (75gm is typical)
  214. What is the Classification for Aminophylline (Somophyllin)?
    Methylxanthine brochodilator
  215. What is the MOA for Aminophylline (Somophyllin)?
    Relaxes smooth muscles of the bronchial airways and pulmonary blood vessels. May have anti-inflammatory properties. Increases heart rate and contractility
  216. What are indications for Aminophylline (Somophyllin)?
    Bronchospasm
  217. What are contraindications for Aminophylline (Somophyllin)?
    Allergy to
  218. What are adverse effects of Aminophylline (Somophyllin)?
    Seizure, Cardiac arrest, arrhythmias, nausea, vomiting, abdominal pain or cramping, headache, tachycardia, palpations, anxiety, ventricular arrhythmias
  219. What is the administration rate for Aminophylline (Somophyllin)?
    250-500mg in 100 mL D5W, administer over 20-30 minutes, do not exceed 20mg/min
  220. What is the Classification for Midazolam (Versed)?
    Benzodiazepine
  221. What is the MOA for Midazolam (Versed)?
    Binds to the benzodiazepine receptor and enhances the effects of GABA. Produces short-acting CNS depression
  222. What are indications for Midazolam (Versed)?
    Sedation, Anxiety, Skeletal muscle relaxation, Sedation before cardioversion
  223. What are contraindications for Midazolam (Versed)?
    Acute angle glaucoma, Pregnant women, Allergy to
  224. What are adverse effects of Midazolam (Versed)?
    Sedation, Depressed respiratory system
  225. What is the administration rate for Midazolam (Versed)?
    1 – 2.5mg IV/IO
  226. What is the classification for Etomidate?
    Sedative/Hypnotic, Anesthesia
  227. What is the MOA for Etomidate?
    Unknown. Appears to have GABA like effects.
  228. What are indications for Etomidate?
    Rapid sequence intubation, induction of anesthesia
  229. What are contraindications for Etomidate?
    Allergy to. Pregnant women, nursing mothers
  230. What are adverse effects of Etomidate?
    Hypotension, Respiratory depression, nausea/vomiting, adrenal insufficiency, Hyperventilation, Hypoventilation, Apnea, Laryngospasm, Cardiac arrhythmias
  231. What is the administration rate for Etomidate?
    0.1-0.3mg/kg IV over 15-30 seconds. (typical adult intubating dose of etomidate is 20mg slow IV
  232. What is the Classification for Fentanyl Citrate (Sublimaze)?
    Narcotic Analgesic
  233. What is the MOA for Fentanyl Citrate (Sublimaze)?
    Binds to opiate receptors producing analgesia and euphoria
  234. What are indications for Fentanyl Citrate (Sublimaze)?
    Severe pain, adjunct to rapid-sequence induction/sedation. Maintenance of analgesia
  235. What are contraindications Fentanyl Citrate (Sublimaze)?
    Allergy to. Respiratory depression
  236. What are adverse effects of Fentanyl Citrate (Sublimaze)?
    Sedation, Depressed respiratory system, Hypotension, Nausea, Vomiting, dizziness, bradycardia, tachycardia, palpations, hypertension, syncope
  237. What is the administration rate for 25-100mcg/kg IM or slow IV/IO?
    25-100mcg/kg IM or slow IV/IO
  238. What is the Classification for Succinylcholine (Ancetine)?
    Neuromusclar blocker
  239. What is the MOA for Succinylcholine (Ancetine)?
    Competes with acetylcholine, resulting in muscle paralysis
  240. What are indications for Succinylcholine (Ancetine)?
    To induce neuromuscular blockade for the use of ET intubation
  241. What are contraindications for Succinylcholine (Ancetine)?
    Malignant hyperthermia, burns, trauma.
  242. What are adverse effects of Succinylcholine (Ancetine)?
    Anaphylactiod reactions, respiratory depression, apnea, bronchospasm, cardiac arrhythmias, hypertension, hypotension
  243. What is the administration rate for Succinylcholine (Ancetine)?
    • 0.5mg/kg IV/IO
    • 3-4mg/kg IM (max 150mg)
  244. What is the classification for Diphenhydramine (Benadryl)?
    Antihistamine
  245. What is the MOA for Diphenhydramine (Benadryl)?
    Binds and blocks H1 histamine receptors
  246. What are indications for Diphenhydramine (Benadryl)?
    Anaphylactic reactions
  247. What are contraindications for Diphenhydramine (Benadryl)?
    Asthma (can thicken secreations), Allergy to, Pts with cardiac histories
  248. What are adverse effects of Diphenhydramine (Benadryl)?
    Tachycardia, PVC’s, Hypertension, Hypotension, Palpations, Arrhythmias, Sedation
  249. What is the administration rate for Diphenhydramine (Benadryl)?
    25-50mg IV/IM/IO
  250. What is the Classification for Vasotec (Enalapril)?
    ACE- inhibitior
  251. What is the MOA for Vasotec (Enalapril)?
    Blocks angiotensin converting enzymes, preventing formation of angoitesion II. Improves cardiac output
  252. What are indications for Vasotec (Enalapril)?
    Congestive heart failure
  253. What are contraindications for Vasotec (Enalapril)?
    Hypotension, Allergy to, Pregnancy
  254. What are adverse effects of Vasotec (Enalapril)?
    Hypotension, chest pain, hyperkalemia, nausea, vomiting, diarrhea, abdominal pain, loss of appetite, dizziness, headache.
  255. What is the administration rate for Vasotec (Enalapril)?
    0.625mg - 1.25mg IV
  256. What is the Classification for Capoten (Captopril)?
    ACE- inhibitior
  257. What is the MOA for Capoten (Captopril)?
    Blocks angiotensin converting enzymes, preventing formation of angoitesion II. Improves cardiac output
  258. What are indications for Capoten (Captopril)?
    Congestive heart failure
  259. What are contraindications for Capoten (Captopril)?
    Hypotension, Allergy to, Pregnancy
  260. What are adverse effects of Capoten (Captopril)?
    Hypotension, chest pain, hyperkalemia, nausea, vomiting, diarrhea, abdominal pain, loss of appetite, dizziness, headache.
  261. What is the administration rate for Capoten (Captopril)?
    25mg sublingual
  262. What is the classification for Dobutamine (Dobutrex)?
    Adrenergic beta -1 agonist, inotropic agent
  263. What is the MOA for Dobutamine (Dobutrex)?
    Increases inotrophy (contractility) with litte effect on chronotropy (heart rate) or vasculatures. Indications: Congestive heart failure
  264. What are indications for Dobutamine (Dobutrex)?
    Congestive heart failure
  265. What are contraindications for Dobutamine (Dobutrex)?
    Hypovolemia shock
  266. What are adverse effects of Dobutamine (Dobutrex)?
    Palpations, tachycardia, PVC's, hypertension, chest pain, nervousness, headache, leg cramps
  267. What is the administration rate for Dobutamine (Dobutrex)?
    2-5mcg/kg/min Drip only
  268. What is the Classification for Heparin?
    Anticoagulant
  269. What is the MOA for Heparin?
    Inhibits the formation of new clots
  270. What are indications for Heparin?
    Symptomatic bradycardia unresponsive to atropine when external pacing is not available or not effective. Severe status asthmaticus
  271. What are contraindications for Heparin?
    Tachycardia, V-tach, Cardiac Arrest, AMI, Hypotension
  272. What are adverse effects of Heparin?
    Chest pain, ventricular irritability, tachydysrhythmias, V-fib, hypertension, hypotension, headache, nervousness, anxiety, excitement, fatigue, nausea, vomiting
  273. What is the administration rate for Heparin?
    2-20mcg/min IVPB
  274. What is the Classification for Isoproterenol (Isuprel)?
    Sympathomimetic, pure beta agonist
  275. What is the MOA for Isoproterenol (Isuprel)?
    Increases blood pressure and cardiac output by increasing the "big 4" through beta-1 stimulation
  276. What are indications for Isoproterenol (Isuprel)?
    Symptomatic bradycardia unresponsive to atropine when external pacing is not available or not effective. Severe status asthmaticus.
  277. What are contraindications for Isoproterenol (Isuprel)?
    Tachycardia, V-tach, Cardiac Arrest, AMI, Hypotension
  278. What are adverse effects of Isoproterenol (Isuprel)?
    Chest pain, ventricular irritability, tachydysrhythmias, V-fib, hypertension, hypotension, headache, nervousness, anxiety, excitement, fatigue, nausea, vomiting
  279. What is the administration rate for Isoproterenol (Isuprel)?
    2-20mcg/min IVPB
  280. What is the Classification for Thiamine (Vitamin B1)?
    Vitamin B1
  281. What is the MOA for Thiamine (Vitamin B1)?
    Combines with adenosine triphosphate
  282. What are indications for Thiamine (Vitamin B1)?
    Wernkcke-Korsakoff syndrome
  283. What are contraindications for Thiamine (Vitamin B1)?
    Allergy to
  284. What are adverse effects of Thiamine (Vitamin B1)?
    Itching, rash, pain at injection site
  285. What is the administration rate for Thiamine (Vitamin B1)?
    100mg IV/IO

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