paramedic drugs

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Paramedic Drugs:

Paramedic Drugs By, Kevin Dickerson

Introduction:

Introduction I use this as a “flashcard” kind of thing. Notice each drug starts w/ a “photo scenario” which should prompt you to use the appropriate drug to fix the problem. I’m sure you’ll find a mistake or two. Feel free to add “embellishments” and send me the new version. See you in class.

What is the OTC medication used for minor pain relief and fever?:

What is the OTC medication used for minor pain relief and fever? Minor Pain / Fever

Acetaminophen (gen)/ Tylenol (trade):

Acetaminophen (gen)/ Tylenol (trade) What is it’s Classification?

Acetaminophen:

Acetaminophen Classification? Non-narcotic Analgesic, Antipyretic

Acetaminophen:

Acetaminophen Adult Dose?

Acetaminophen:

Acetaminophen Adult Dose? 325-1000mg / 4 hrs

Acetaminophen:

Acetaminophen Ped Dose?

Acetaminophen:

Acetaminophen Ped Dose? 15mg/kg

Oral Poisoning:

Oral Poisoning

Activ’d Charcoal (gen) / Actidose (trade):

Activ’d Charcoal (gen) / Actidose (trade) Classification?

Activated Charcoal:

Activated Charcoal Classification? Antidote, Absorbent

Activated Charcoal:

Activated Charcoal Action / Effects?

Activated Charcoal:

Activated Charcoal Action / Effects? Absorbs poisons

Activated Charcoal:

Activated Charcoal Indications?

Activated Charcoal:

Activated Charcoal Indications? Oral poisonings of non-caustics

Activated Charcoal:

Activated Charcoal Contraindications?

Activated Charcoal:

Activated Charcoal Contraindications? Acids, bases Iron tabs Li

Activated Charcoal:

Activated Charcoal Dose?

Activated Charcoal:

Activated Charcoal Dose? 1gm / kg

Adenosine:

Adenosine Classification?

Adenosine:

Adenosine Classification? Antiarrhyrhmic

Adenosine:

Adenosine Actions / Effects?

Adenosine:

Adenosine Actions / Effects? Slows SVT by decreasing electrical activity in AV node.

Adenosine:

Adenosine Indications?

Adenosine:

Adenosine Indications? PSVT … AFTER vagals

Adenosine:

Adenosine Contraindication:

Adenosine:

Adenosine Contraindication: 2nd / 3rd block, sick sinus syndrome, hypersensitivity

Adenosine:

Adenosine Side Effects?

Adenosine:

Adenosine Side Effects? Syncope Chest pn Flushing SOB Lightheadedness Hypotension

Adenosine:

Adenosine Adult Dose?

Adenosine:

Adenosine Adult Dose? *6mg IV w/ 20cc NS *12mg for 2nd dose.

Adenosine:

Adenosine Ped Dose?

Adenosine:

Adenosine Ped Dose? 0.1mg/kg w/ 5cc

Asthma:

Asthma

Albuterol:

Albuterol Classification?

Albuterol:

Albuterol Classification? Sympathomimetic Bronchodilator

Albuterol:

Albuterol Action / Effects?

Albuterol:

Albuterol Action / Effects? A beta2-adrenergic agonist. (Relaxes bronchioles)

Albuterol:

Albuterol Indications?

Albuterol:

Albuterol Indications? Asthma Bronchospasms

Albuterol:

Albuterol Contraindications?:

Albuterol:

Albuterol Contraindications: Dysrhythmias Tachy Angina HTN Diabetes

Albuterol:

Albuterol Side Effects?:

Albuterol:

Albuterol Side Effects: Tremors Dizzy Palp’ns Tachy

Albuterol:

Albuterol Adult Dose?

Albuterol:

Albuterol Adult Dose 2.5mg in 3cc of NS

Albuterol:

Albuterol Peds Dose?

Albuterol:

Albuterol Peds Dose? 1.5mg for less than 1 year olds

Albuterol:

Albuterol Cautions?

Albuterol:

Albuterol Cautions? Can interact w/ diuretics, digoxin, beta-blockers, MAO inhibitors. Toxic effects on vascular system if used w/ TCA’s.

Decrease platelet aggregation. Prolongs clotting time. Antipyretic:

Decrease platelet aggregation. Prolongs clotting time. Antipyretic

Aspirin:

Aspirin Classification?

Aspirin:

Aspirin Classification? Anti-platelet Anti-pyretic

Aspirin:

Aspirin Action / Effects?

Aspirin:

Aspirin Action / Effects? Decreases platelet aggregation Prolongs clotting time Antipyretic activity Prevents synthesis of prostaglandins which promote inflammation, pn & fever. ASA protects lining of stomach from HCl. This is reason NSAIDS cause ulcers.

Aspirin:

Aspirin Indications? MI Coronary Artery Disease Pericarditis

Aspirin:

Aspirin Contraindications?

Aspirin:

Aspirin Contraindications? Hypersensitivity Already on anticoagulants Bleeding disorders

Aspirin:

Aspirin Side Effects?

Aspirin:

Aspirin Side Effects? Heart burn Nausea Wheezing Tinnitus

Aspirin:

Aspirin Adult Dose?

Aspirin:

Aspirin Adult Dose? 325mg (4 tabs)

Increase heart rate?:

Increase heart rate?

Atropine:

Atropine Classification?

Atropine:

Atropine Classification? Cardiac stimulant Parasympatholytic Anticholinergic

Atropine:

Atropine Action / Effects?

Atropine:

Atropine Action / Effects? Increase: HR, contractility, automaticity, conduction Dilation of peripheral vessels

Atropine:

Atropine Indications?

Atropine:

Atropine Indications? Asystole Symptomatic Brady PEA Organophosphate poisoning

Atropine:

Atropine Contraindications?

Atropine:

Atropine Contraindications? Hypersensitivity Tachy 2nd & 3rd blocks Unstable hemorrhage w/ MI

Atropine:

Atropine Side Effects?

Atropine:

Atropine Side Effects? Increased cardiac consumption Mouth dryness Headache Dizzy N&V

Atropine:

Atropine Adult Dose?

Atropine:

Atropine Adult Dose? Brady 0.5mg Asystole 1mg q 3-5 Organophosphates 2-5mg

Atropine:

Atropine Peds Dose?

Atropine:

Atropine Peds Dose? 0.02mg/kg

Anxiety / Convulsions:

Anxiety / Convulsions

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Classification?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Classification? Benzodiazepine / Anticonvulsant

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Action / Effects?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Actions & Effects? Antianxiety / Anticonvulsant. Acts on CNS

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Indications?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Indications? *Status epilepticus *Anxiety *Pacing

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Contraindications?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Contraindications? *Hypersensitivity *Depressed vitals *CNS depression due to head trauma

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Side Effects?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Side Effects? *Respiratory depression *Hypotension *Slurred speech *Confusion *Nausea *Ataxia

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Adult Dose?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Adult Dose? *5-20mg *5mg expected *Half for elderly

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Ped Dose?

Diazepam (Gen) / Valium (Trade):

Diazepam (Gen) / Valium (Trade) Peds *0.1mg / kg *0.5mg / kg PR

Anaphylaxis / Allergic Rxn (2nd line drug):

Anaphylaxis / Allergic Rxn (2nd line drug)

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Classification?

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Antihistamine

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Action / Effects?

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Actions / Effects? *Blocks histamine *Antiemetic *Anticholinergic

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Indications?

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Indications? *Anaphylaxis / Allergic rxn

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Contraindications?

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Contraindications? *Asthma (it dries secretions) *Hypersensitivity *Pregnancy *Nursing mothers

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Adult Dose?

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Adult Dose? *25-50mg IV or IM

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Peds Dose?

Benadryl (trade) / Diphenhydramine (gen):

Benadryl (trade) / Diphenhydramine (gen) Peds Dose? *1-2mg/kg IM or IV

Cardiogenic Shock & Hypotension (not from hypovolemia):

Cardiogenic Shock & Hypotension (not from hypovolemia)

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Classification?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Classification? * Sympathomimetic *Inotrope

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Action?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Action? *Stimulates dopaminergic, beta1/alpha1, adrenergic receptors.

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Indication?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Indications? *Cardiogenic shock *Hypotension (not from hypovolemia)

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Contraindications?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Contraindications? *Hypersensitivity *V-Fib *Tachy

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Side Effects?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Side Effects? *Ventricular irritability *Hypertension *HA *Infiltration causes necrosis *N/V

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Dose?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Dose? *800mg / 500cc *1.6mg/cc *1600mcg/cc *Expect about 10mcg/kg/min

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Cautions?

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade) Cautions? *Don’t mix w/ NaHCO3

Dopamine (gen) / Intropin (trade):

Dopamine (gen) / Intropin (trade)

Anaphylaxis / Allergic rxn / Asthma / Shock:

Anaphylaxis / Allergic rxn / Asthma / Shock

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Classification?

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Classification? Bronchodilator Cardiac Stimulant Sympathomimetic

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Actions?

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Actions? Bronchodilator Beta 1 & 2

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Indications?

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Indications? Anaphylaxis Allergic Rxn Asthma Shock

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Side Effects?

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Side Effects? HTN Anxiety Tremors Palpitations

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Dose?

Epi 1:1000 (gen) / Adrenalin (trade):

Epi 1:1000 (gen) / Adrenalin (trade) Dose? Adults 0.3mg 1mg for shock Pediatric 0.01mg/kg 0.3mg max

Cardiac arrest, V-fib, V-tac, Asystole, PEA, Bradycardia:

Cardiac arrest, V-fib, V-tac, Asystole, PEA, Bradycardia

Epi 1:10,000 (gen)/Adrenalin(trade):

Epi 1:10,000 (gen)/Adrenalin(trade)

Epinephrine 1:10,000:

Epinephrine 1:10,000 Classification?

Epinephrine 1:10,000:

Epinephrine 1:10,000 Classification? *Sympathomimetic *Cardiac Stimulant *Bronchodilator

Epinephrine 1:10,000:

Epinephrine 1:10,000 Action / Effects?

Epinephrine 1:10,000:

Epinephrine 1:10,000 Action / Effects? *Increases: cardiac resistance, BP, Electrical activity, O2 needs, Contractility, Myocardial activity. *Alpha 1 & Beta 1

Epinephrine 1:10,000:

Epinephrine 1:10,000 Indications?

Epinephrine 1:10,000:

Epinephrine 1:10,000 Indications? *Cardiac Arrest *V-Fib *V-Tach *Asystole *PEA *Bradycardia

Epinephrine 1:10,000:

Epinephrine 1:10,000 Side Effects?

Epinephrine 1:10,000:

Epinephrine 1:10,000 Side Effects? *Hypertension *Peripheral constriction

Epinephrine 1:10,000:

Epinephrine 1:10,000 Doses?

Epinephrine 1:10,000:

Epinephrine 1:10,000 Doses? Adult- 1mg IV q 3-5 min Ped - 0.01mg/kg IV/IO. Max is 1mg 0.1mg/kg ET (1:1,000) w/ 3-5cc flush q 3-5

Epinephrine 1:10,000:

Epinephrine 1:10,000 Cautions?

Epinephrine 1:10,000:

Epinephrine 1:10,000 Cautions? Don’t mix w/ NaHCO3. Heat

Pain Control:

Pain Control

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Classification?

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Classification? Opioid Analgesic

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Action Effects?

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Action Effects? Combines w/ receptor sites in brain.

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Indications?

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Indications? Pn control, Sedation w/ RSI

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Contraindications ?

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Contraindications ? Resp Depression, Hypotension, Head Injury, Dysrhythmias, Myasthenia Gravis, Hypersenitivity

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Side Effects ?

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Side Effects ? Resp Depression, Bradycardia, Hypotension / Hypertension, ICP, Nausea

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Doses ?

Fentanyl (gen) / Sublimaze (trade):

Fentanyl (gen) / Sublimaze (trade) Doses ? Adult - 25-200mcg IV, IM Peds - .5 - 1mcg/kg IV,IM slow

Pulmonary Edema / CHF:

Pulmonary Edema / CHF

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Classification?

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Classification? Loop Diuretic

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Action / Effects?

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Action / Effects? Inhibits reabsorption of Na & Cl in kidney tubule (next slide) & promotes increased urine formation / excretion

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Indications?

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Indications? *Pulmonary Edema *CHF

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Contraindications? *Pregnancy *Hypovolemic *Hypokalemia

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Side Effects?

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Side Effects? *Dehydration, *Hypotension *Tinnitus *Hearing impairment Push Slow!

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Doses?

Furosemide (gen) / Lasix (trade):

Furosemide (gen) / Lasix (trade) Doses? Adult: 20-80mg IV Slow Peds: 1mg/kg

Hypoglycemia (no IV):

Hypoglycemia (no IV)

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Classification:

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Classification: *Pancreatic Hormone *Insulin Antagonist

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Action / Effects?

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Action / Effects? *Raises glucose level from glycogen in liver. *Stimulates glucose synthesis.

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Indication? Hypoglycemia

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Contraindication?

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Contraindication? Hypersensitivity

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Side Effects?

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Side Effects? *Hypotension *Nausea *Hypokalemia

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Dose?

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Dose? Adult - 1mg IM/IV Peds - 0.02mg/kg IM/IV

Glucagon (gen) / GlucaGen (trade):

Glucagon (gen) / GlucaGen (trade) Thoughts: *May be used for Ca channel blocker & beta-blocker toxicity. *If albuterol / epi doesn’t seem to be working, consider glucagon.

Hypoglycemia (w/ good IV):

Hypoglycemia (w/ good IV)

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Classification?

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Classification? Carbohydrate

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Action / Effects?

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Action / Effects? Raises BSL

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Indications?

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Indications? Hypoglycemia

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Contraindications?

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Contraindications? *Intracranial Hemorrhage *CVA

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Side Effects?

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Side Effects? Tissue necrosis

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Doses?

Dextrose (gen) / D50 (trade):

Dextrose (gen) / D50 (trade) Doses? Adult - 50mg or less Peds - .5-1mg/kg IV/IO max 25gms D25 for under 1 y/o D10 for under 1 m/o

Psychotic episodes:

Psychotic episodes

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Classification?

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Classification? Antipsychotic

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Action / Effects?

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Action / Effects? Blocks stimulation of dopamine receptors in brain = alters mood.

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Indications?

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Indications? Psychotic episodes

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Contraindications? *CNS depression *Coma *Parkinson’s Disease *Head Injury *Hypersensitivity

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Side Effects?

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Side Effects? *Ortho Hypotension *Parkinson symptoms *N/V *Blurred Vision *HA *Drowsiness *Diaphoresis

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Doses?

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Doses? Adult: 5mg IM / ID

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Cautions?

Haloperidol (gen) / Haldol (trade):

Haloperidol (gen) / Haldol (trade) Cautions? *Cardiovascular Disorders *Patients receiving anticonvulsants or anticoagulants.

Fever, Pain, Inflammation :

Fever, Pain, Inflammation

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Classification?

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Classification? *Analgesic *Antipyretic *Anti-inflammatory *NSAID

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Action / Effects?

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Action / Effects? *Reduces inflammatory response through chemotaxis. *Reduces fever by blocking prostaglandin synthesis.

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Indication?

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Indication? *Fever *Pain *Inflammation

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Contraindication? Hypersensitivity

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Side Effects?

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Side Effects? *G.I.

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Dose?

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Dose? Adult: 200-800mg p.o. q 6-8 hrs Peds: 10mg/kg p.o.

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) Other? Alternate w/ acetaminophen.

Ibuprofen (gen) / Advil (trade):

Ibuprofen (gen) / Advil (trade) More Stuff? Prostiglandins are: -Fatty acids produced by cells. -Cause smooth muscles to contract. -Cause pn sensation.

V-fib/tach, Post V-fib/tach, PVC’s:

V-fib/tach, Post V-fib/tach, PVC’s

Lidocaine (gen) / Xylocaine (trade):

Lidocaine (gen) / Xylocaine (trade)

Lidocaine:

Lidocaine Classification?

Lidocaine:

Lidocaine Classification? Antiarrhythmic Agent

Lidocaine:

Lidocaine Action / Effects?

Lidocaine:

Lidocaine Action / Effects? *Decreases depolarization, automaticity, excitability in ventricles during diastole. *Doesn’t involve autonomic system.

Lidocaine:

Lidocaine Indications?

Lidocaine:

Lidocaine Indications? *V-Fib / V-Tach *Post V-Fib / V-Tach after conversion. *Symptomatic PVC’s

Lidocaine:

Lidocaine Contraindications?

Lidocaine:

Lidocaine Contraindications? *Bradycardia *AV Blocks

Lidocaine:

Lidocaine Side Effects?

Lidocaine:

Lidocaine Side Effects? *“Seizures, Coma, Death”. *Respiratory depression if given rapidly. *Sinus Brady. *Hypotension.

Lidocaine:

Lidocaine Doses? *1mg/kg IV/ET/IO q 3-5 followed by drip of 2-4mg/min. *1/2 initial dose for 2nd & 3rd dose. *Max is 3 doses. *1/2 dose for 70 y.o. & liver disease pt.

Conscious sedation, memory impairment, seizure:

Conscious sedation, memory impairment, seizure

Conscious sedation, memory impairment, seizure:

Conscious sedation, memory impairment, seizure

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Classification?

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Classification? *Short acting benzo *CNS depressant *Anti-seizure

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Indication?

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Indications? *Sedation *Memory Impairment *Seizures

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Contraindications?

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Contraindications? *Hypersensitivity *Depressed CNS *Shock

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Cautions?

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Cautions? *Preg CAT B (a classificat’n of risk to fetus) *Not to be used on pts who take CNS depressants.

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Side Effects?

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Side Effects? *CNS depression *N/V *Blurred vision *HA *Amnesia

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Doses? *Adult: *Peds:

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Doses? *Adult: 5mg IV/IM or 5 in each nostril IN. *Peds:

Midazolam (gen) / Versed (trade):

Midazolam (gen) / Versed (trade) Doses? *Adult: 5mg IV/IM or 5 in each nostril IN. *Peds: 0.1mg/kg slow. 2X for IN

Chest pn w/ MI, PE, Pain:

Chest pn w/ MI, PE, Pain

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Classification?

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Classification? Narcotic / Opioid Analgesic

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Action / Effects?

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Action / Effects? *Acts on opiate receptors providing analgesia / sedation. *Vasodilator reducing venous return / myocardio O2 demand.

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Indications?

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Indications? *Chest pn w/ M.I. *P.E. w/ or w/out pn. *Pain

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Contraindications?

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Contraindications? *Hypersensitivity *Head Injury *CVA *Hypotension *Respiratory Depression

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Side Effects?

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Side Effects? *Depressed CNS *Convulsions in peds *Constipation *Dry Mouth

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Doses? Adult: Peds:

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Doses? Adult: *2-15mg IV titrated for immediate relief. *5-20 IM/SC for 15-30 min relief. *1-2mg q 6-10 for M.I. Peds:

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Doses? Adult: *2-15mg IV titrated for immediate relief. *5-20 IM/SC for 15-30 min relief. *1-2mg q 6-10 for M.I. Peds: 0.1mg/kg IV/IM/SC

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) What if you mess up w/ your dose, or negative reaction occurs?

Morphine (gen) / MS (trade):

Morphine (gen) / MS (trade) Narcan

Narcotic overdose:

Narcotic overdose

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Classification?

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Classification? Narcotic / Opioid Antagonist

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Action / Effects?

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Action / Effects? *Displaces narcotics @ receptor sites.

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Indications?

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Indications? Narcotic Overdose / Respiratory Depression Coma of unknown cause

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Contraindication?

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Contraindication? Hypersensitivity

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Side Effects? *N/V *Seizures *Tachycardia *HTN *Diaphoresis *Blurred Vision *Withdrawal

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Dose? Adult: Peds:

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Dose? Adult: 2-4mg IV/IM/IN/ET/IO Peds: 0.1mg/kg IV/IM w/ 2mg max

Naloxone (gen) / Narcan (trade):

Naloxone (gen) / Narcan (trade) Dose? Adult: 2-4mg IV/IM/IN/ET/IO Peds:

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Classification?

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Classification? Coronary Vasodilator

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Action / Effects?

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Action / Effects? *Decreases Cardiac Work *Increases Circulation to Heart *Dilates arteries

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Indications?

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Indications? *AMI *Pulmonary Edema *HTN *CHF

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Contraindications?

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Contraindications? *Systolic < 90 *CVA *Head Injury *ED Drug use

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Side Effects?

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Side Effects? *Hypotension *Weakness *HA *Syncope *Dizziness *N/V

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Doses?

Nitroglycerin (gen) / Nitrostat (trade):

Nitroglycerin (gen) / Nitrostat (trade) Doses? 0.4mg SL q 5min 3X

Anti-emetic (non-sedating):

Anti-emetic (non-sedating)

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Classification?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Classification? Anti-emetic

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Action / Effects?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Action / Effects? *Calms vomiting reflex through vagal afferent nerves. *Blocks serotonin in CTZ.

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Indications?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Indications? Non-sedating anti-emetic

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Contraindications?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Contraindications? Hypersensitivity Less than 2 y/o

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Side Effects?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Side Effects? *HA *Dizziness *Diarrhea *Pn @ injection site

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Doses?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Doses? Adult: 4mg IV Slow (30+ sec) Ped (over 2): 0.1mg/kg

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Other?

Ondansetron (gen) / Zofran (trade):

Ondansetron (gen) / Zofran (trade) Other? *Caution w/ pts w/ impaired liver function. *No effect on motion sickness

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Classification?

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Classification? Pituitary Hormone

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Action / Effects?

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Action / Effects? *Stimulates uterine contraction. *Expedites constricting uterine vessels to control bleeding.

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Indications?

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Indications? Post partum hemorrhage. Bleeding vagina

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Contraindications?

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Contraindications? *Hypertonic / Hyperactive Uterus *2nd Fetus *Maternal Bradycardia

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Side Effects? Hypo/Hypertension, N/V, Seizures, Anxiety, Dysrhythmias, Fetal Bradycardia, Stimulates Lactation

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Dose?

Oxytocin (gen) / Pitocin (trade):

Oxytocin (gen) / Pitocin (trade) Dose? 3-10 units IM, AFTER placenta

N/V, Potentiates analgesics:

N/V, Potentiates analgesics

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Classification?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Classification? *CNS Depressant *Antihistamine *Antiemetic

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Action / Effects?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Action / Effects? *Antihistamine *Antiemetic Response (blocks dopamine receptors in CTZ). *Potentiates Narcotic Effectiveness

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Indications?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Indications? N/V Potentiates Sedation

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Contraindications?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Contraindications? Hypersensitivity

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Side Effects?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Side Effects? *Sedation *Confusion *Tissue Irritation

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Doses?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Doses? Adult: 25mg IV/IM Peds: 0.5mg/kg

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Other?

Promethazine (gen) / Phenergan (trade):

Promethazine (gen) / Phenergan (trade) Other? Tissue necrosis. Dilute!

Metabolic acidosis / TCA overdose:

Metabolic acidosis / TCA overdose

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade)

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Classification?

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Classification? Alkalinizing Agent

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Action / Effects? *Returns blood & fluids to normal pH. *Increases pH

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Indications?

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Indications? *Metabolic Acidosis *Prolonged CPR *TCA Overdose

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Contraindications? *Hypersensitivity *Alkalosis

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Side Effects? pH up causing alkalosis.

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Doses? Adult: Peds:

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Doses? Adult: *1mEq/kg followed by 1/2 dose q 10 min Peds:

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Doses? Adult: *1mEq/kg followed by 1/2 dose q 10 min Peds: *Use 4.2% solution

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Other?

Sodium Bicarb (gen) / NaHCO3 (trade):

Sodium Bicarb (gen) / NaHCO3 (trade) Other? Don’t mix w/ Epinephrine.