-
Calcium Chloride is a ____ that does what?
- Electrolyte
- ^ myocardial contractile force & ^ ventricular automaticity
-
Im going to give calcium chloride to my pt that has ____, ____, ____ or ____.
- Hyperkalemia
- Hypocalcemia
- Hypermagnesemia
- CCB toxicity
-
Calcium chloride is contraindicated if my pt has ____, ____ or ____.
- V-Fib
- Hypercalcemia
- Digitalis Toxicity
-
When using calcium chloride I am precautioned that it may precipitate toxicity in pts taking ____. I should also ensure ____ & _____ b/f & after using calcium.
- Digoxin
- IV access
- Flush the line
-
Im going to give my hypocalcemia pt calcium in the amt of ____.
2-4 mg/kg IV / 10 min as needed
-
Methylprednisolone (aka ____) is a ____/____.
- Solu-medrol
- Corticosteroid/anti-inflammatory
-
Methylprednisolone is described as a what?
Synthetic adrenal corticoid effective as an anti-inflammatory & usd to manage allergic reactions, in some cases shock & treatment of spinal cord inj
-
I can consider solu-medrol if my pt has ____, ____, ____ or ____.
- Spinal cord inj
- asthma
- Severe Anaphylaxis
- COPD
-
What are the contraindications for solu-medrol?
None
-
If Im going to give methylprednisolone (aka ____) I am precautioned to only give ____ ____ in the prehospital setting.
One dose
-
If I give a dose of solu medrol for anaphylaxis/COPD/asthma I am going to give ____.
125-250 mg IV/IM
-
Im going to give methylprednisolone to my pt w/ a spinal cord inj. I'm going to give them ____ & after 45 min an ______ of ____.
- 30 mg/kg IV over 15 min.
- infusion of 5.4 mg/kg/hr
-
Mag Sulfate (aka ____) is an ____ that acts as _____.
- Magnesium
- Electrolyte
- CCB, CNS depressant & anticonvulsant. It also depresses function of smooth, skeletal & cardiac muscle
-
Im going to give mag sulfate if my pt is in refrac ____, pulsless ____, ____, _____.
- V-Fib
- V-tach (especially in torsades depointes)
- AMI
- Eclamptic Seizures
-
Mag sulfate is contraindicated if my pt has any of these ____, ____, ____ or ____.
- Heart Block
- Myocardial Damage
- Shock
- HTN
- Blocking agents
-
Im precautioned about using mag sulfate if my pt is on _____ or ____.
CNS depressants or neuromuscular blocking agents
-
The dose for mag sulfate for my V-fib or tachycardic pt is ____.
1-2 g IV over 2 mins
-
For Torsades De pointes I am going to give mag sulfate in the dose of ____ followed by ____.
1-2 g IV followed by infusion of 0.5-1 g/hr IV
-
I want to give my AMI pt mag sulfate. How much?
1-2 g IV over 5-30 mins
-
My pt is having eclamptic seizures I think I'll give ____ ____ in the dose of ____.
-
My asthma pt is going to get ____ of mag sulfate via ____ ____.
-
One option for my seizure pt is Phenytoin aka _____ b/c it is an ____.
-
How does Phenytoin inhibit seizures?
By reducing the spread of electrical discharges in the motor cortex
-
Dilantin also has antidysrhythmic properties that ____.
counteract the effects of digitalis
-
Dilantin (aka____) is indicated for ____, ____, or ____.
- Seizures
- Status epilepticus
- Cardiac dysrhythmias secondary to digitalis toxicity
-
Phenytoin is contraindicated if my pt is in ____, has a ____ or has ____.
- Sinus bradycardia
- Heart Block
- Adams-Stokes syndrome
-
For my seizure or status epilepticus pt I am going to give dilantin in the amt of _____.
10-15 mg/kg slow IV
-
If I want to give my pt w/ a dysrhythmia phenytoin (aka ____) I am am going to give them ____ to a max of ____
-
Sodium Bicarb is a ____ that is aka ____.
-
I want to give sodium bicarb to help the ____ ____reducing the effects of ____ ____ or to help treat some ____.
- Buffer System
- Metabolic acidosis
- ODs
-
I can give sodium bicarb to help treat ODs of ____ or ____.
- Tricyclic antidepressants
- Barbiturates
-
Other than ODs I can give sodium bicarb for ____ or ____.
- Refrac acidosis
- Hyperkalemia
-
Are there any contraindications for sodium bicarb?
None when used in severe hypoxia or late cardiac arrest
-
What dose am I giving Sodium bicarb in?
1 mEq/kg IV then 0.5 mEq/kg/10 min
-
Thiamine is _____ & is required to what? Where does it come fr?
- Vitamin B1
- convert glucose into energy
- It is not made by the body & must come fr diet
-
What are the 3 indications for thiamine?
- Coma of unk origin
- Chronic alcoholism w/ assoc coma
- Delerium Tremens
-
Contraindications for thiamine are?
None
-
I am going to give my pt ____ of thiamine.
50-100 mg IV/IM
-
Diphenhydramine (aka ____) is an ____that blocks ____ ____ reducing ____, ____ & ____.
- Benadryl
- Antihistimine
- Histamine release reducing bronchoconstriction, vasodilation & edema
-
I am going to give my pts having an ____ ____, ____ or a ____ ____ benadryl in the dose of ____.
- Allergic reaction
- Anaphylaxis
- Dystonic reactions
- 25-50 mg IV/IM
-
Benadryl is contraindicate if my pt has ____ or some other form of ____.
- Asthma
- Lower resp disease
-
7 side effects of diphenhydramine could be what?
- Hypotension
- Headache
- Palpitations
- Tachycardia
- Sedation
- Drowsiness
- Disturbed Coordination
-
I am going to give my pt having a distonic reaction ____ of benadryl.
50-100 mg IV/IM
-
Lorazapam (aka ____) is the most potent ____ available. It has strong ____, ____, ____ & ____ properties & a relatively short ____.
- Ativan
- Benzodiazapine
- Antianxiety, sedative, hypnotic & skeletal muscle relaxant
- Half life
-
The 2 indications for Lorazapam are ____ & ____.
- Sedation for cardioversion
- Status epilepticus
-
Lorazapam is contraindicated by a sensitivity to ____.
Benzodiazapines
-
What is on the LONG list of precautions for Lorazapam?
- Narrow angle glaucoma
- Depression or psychosis
- Coma
- Shock
- Alcohol intox
- Renal or hepatic impairment
- Organic brain syndrome
- Myasthenia gravis
- GI disorders
- Elderly
- Debilitated
- Limited pulmonary reserve
-
I need to sedate my pt so I think I will give ____ of lorazapam.
2-4 mg IM or 0.5-2 mg IV
-
I want to give my status epilepticus pt lorazapam. How much should I give?
2 mg slow IV/PR
-
Metoclopromide (aka____) is an ____.
-
Metoclopromide is a ____ antagonist similar to ____ but w/ few whats? It also desensitizes the ____ ____.
- Dopamine
- Procainamide but w/ few antidysrhythmic or anesthetic props
- Vomit reflex
-
Metoclopromide is indicated for ____ & ____.
-
Reglan (aka ____) is contraindicated for what?
- Seizure disorders
- Pheochromocytoma
- Mechanical GI obstruction or perforation
- Breast Cancer
-
Precautions for metoclopromide include the following:
- CHF
- Hypokalemia
- Renal impairment
- GI Hemorrhage
- Intermittent porphyria
-
I am going to give my pt _____ of reglan for his nausea.
10-20 mg IM or 10 mg slow IV
-
Ondansetron is aka _____. It is classed as an _____.
-
Zofran is described as a . . . .
Selective blocking agent of serotonin 5-HT3 receptor type
-
I'm going to give Zofran to my pt who is having ____ ____ & _____ dosed @ _____.
- Intractible vomiting
- Nausea
- Single 24 mg tablet ODT or 4 mg undiluted over 30 sec IV
- No repeat is indicated
-
What are the contraindications for Zofran?
There are none
-
When I give Ondansetron i have to be cautious b/c it may what?
Mask a progressive ileus &/or gastric distension
-
Chlordiazepoxide (aka ____) is a ____/_____ & a ____ derivative.
- Librium
- Sedative/Hypnotic
- benzodiazepine
-
Librium is a ____ ____ that produces what?
- Benzo derivative
- mild sedation & anticonvulsant, skeletal muscle relaxant & prolonged hypnotic effects
-
I have a pt w/ severe anxiety & tension & I'm going to give them librium dosed @ ____.
50-100 mg IV/IM
-
The 2 indications for chlordiazepoxide (aka ____) are ____ & ____.
- Severe anxiety & tension
- DT's fr alcohol
-
Chlordiazepoxide is contraindicated for _____ & _____.
- pregnant & nursing mothers
- Children under 6
-
I am cautioned about using librium if my pt has the following:
- Primary depressive disorders or psychosis
- Acute alcohol intox
-
Haloperidol or ____ is an ____ used to treat what?
- Haldol
- Antipsychotic
- Acute psychotic episodes
-
What are 3 characteristics of Haldol?
- Believed to block dopamine receptors in brain assoc w/ mood & behavior
- Potent Antiemetic
- Impairs temp regulation
-
Haloperidol is contraindicated for . . . .
- Parkinsons disease
- Seizure disorders
- Coma
- Alcohol depression
- CNS depression
- Thyrotoxicosis
- When mixed w/other sedatives
-
Precautions assoc w/ haldol are ___, ___ & ____.
- anticonvulsant
- Anticoagulant
- Lithium therapy
-
Im going to give haloperidol (aka____) to my psychotic pt in the amt of _____.
2-5 mg IM
-
Butorphanol is a schedule ____ ____ ____ ____ that is aka ____. How does it relate to morphine?
- Schedule IV Synthetic narcotic analgesic
- Stadol
- Centrally acting & about 5 times more potent
-
I want to give my pt w/ moderate to severe pain stadol but cant b/c they have ____ &/or a ____ ____.
- Undiagnosed abd pain
- Head inj
-
Meperidine (aka____) is a ____ ____ w/ properties similar to ____ but w/o the ____ side effects.
- Demerol
- Narcotic Analgesic
- Morphine
- Hemodynamic
-
Meperidine is indicated for my pt w/ ____ but contraindicated for pts w/ ____ or ____.
- Pain
- Seizure Disorders
- Acute abdomen prior to diagnosis
-
Precautions assoc w/ meperidine are ?
- ^ ICP
- Asthma or resp conditions
- SVTs
- Prostatic hypertrophy
- Urethral stricture
- Glaucoma
- Elderly or debilitated
- Renal or hepatic impairment
- Hypothyroidism
- Addisons disease
-
I am going to give _____ IM or _____ IV of meperidine to my pt.
50-100 mg IM or 25-50 mg IV
-
Nalbuphine is a ____ ____ aka _____ that is equivalent to morphine but w/o out ____ ____ @____ ____.
- Narcotic Analgesic
- Nubain
- resp depression @ higher doses
-
Nalbuphine (aka ____) is indicated for ____ but contraindicated for what injuries?
- Nubain
- Pain
- Undiagnosed Head or abd inj
-
Pancuronium (aka ____) is a ____ ____ ____ that causes ____ w/o ____ or ____.
- Pavulon
- Nondepolarizing Neuromuscluar Blocker
- Paralysis
- Bronchospasm or Hypotension
-
Pavulon is indicated for ____ ____.
ET intubation
-
_____ is the only contraindication for pancuronium.
Tachycardia
-
I am going to give ____ IV of pancuronium to help facilitate ____ ___.
- 0.04-0.1 mg/kg IV
- ET intubation
-
Vecuronium (aka ____) is a ____ ____ ____ ____ used to facilitate ____ ____.
- Norcuron
- Nondepolarizing Skeletal Muscle Relaxant
- ET intubation
-
I am precautioned about using Norcuron (aka ____) on pts w/ ____, ___ or ____.
- Vecuronium
- Severe obesity
- Myasthenia Gravis
- Malignant hyperthermia
-
I am going to give _____ mg via ___ of vecuronium to my pt that needs be tubed.
0.08-0.1 mg/kg IV
-
Chlorpromazine (aka ____) is a _____/_____ thats used to manage. . .. .
- Thorazine
- Tranquilizer/Antipsychotic
- Psychotic episodes by providing strong sedation & moderate extrapyramidal symptoms
-
Chlorpromozine (aka ____) is indicated for ____, ____ & ____.
- Thorazine
- Acute psychotic episodes
- Intractable hiccups
- Nausea/Vomiting
-
Promethazine is an ____ also known as ____.
-
Promethazine is an ____ agent that enhances the effects of ____ & is a potent _____.
- Anticholinergic
- Analgesics
- Antiemetic
-
I could give phenergan to my pt who has ____, ____, ____ or ____.
- Nausea & vomiting
- Motion Sickness
- Enhance effects of analgesics
- To induce Sedation
-
I am going to give my pt w/ motion sickness, nausea & vomiting _____ of promethazine IV/IM/PR.
12.5-25 mg
-
Aminophylline is a ____ ____ that prolongs bronchodilation & decreases ____ ____. It also has mild ____ & ____ stimulating effects.
- Methylxanthine Bronchodilator
- Mucus production
- Cardiac & CNS
-
Aminophylline (aka ____) is indicated for what 2 things?
- Somophyllin
- Bronchospasm in asthma & COPD refrac to sympathomimetics & other bronchodilators
- CHF
-
Aminophylline is contraindicated for ____.
Uncontrolled Cardiac Dysrhythmias
-
Terbutaline is a ____ ____ aka ____ or ____.
- Sympathetic agent
- Brethine or Bricanyl
-
Terbutaline is a synthetic _____ that causes what?
- Sympathomimetic
- Bronchodilation w/ less cardiac effect than epi
-
Terbutaline is indicated for ____ & ____.
- Bronchial Asthma
- Bronchospasm in COPD
-
Alteplase Recombinant (aka ____) is a ____.
-
Alteplase Recombinant is indicated for what?
Thrombolyse in AMI, acute ischemic stroke & pulmonary embolism
-
Contraindications for alteplase recombinant are what?
- Internal bleeding
- Suspected aortic dissection
- Traumatic CPR
- Recent hemorrhagic stroke
- Intracranial/Intraspinal surgery or trauma
- Pregnancy
- Uncontrolled HTN
-
Precautions w/ alteplase recombinant are . . . .
- Recent major surgery
- Cerebral vascular disease
- Recent GI/GU bleeding
- Recent trauma
- HTN pt >75y/o
- Oral coagulants
- Hemorrhagic ophthalmic conditions
-
The dosage of atletase recombinant (aka ____) for MI & stroke is _____.
- Activase
- 15 mg IV then 0.75 mg/kg (up to 50) over 30 min, then 0.5 0.5 mg/kg (up to 35) over 60 min
-
The dosage of alteplase recombinant (aka ____) for pulmonary embolism is ____.
- Activase
- 100 mg IV infusion over 2 hrs
-
Heparin (aka ____) is a ____-____ ____.
- Heparin
- Rapid-onset anticoagulant
-
Heparin is an anticoagulant that enhances . . . .
The effects of antithrombin III & blocks conversion of prothrombin to thrombin & fibrinogen to fibrin
-
Heparin is given in AMI to what?
Prevent thrombus formation
-
Timoptic is a . . . .
Non selective beta adrenergic receptor blocking agent
-
Timoptic is given for ___, ____ or ____.
- HTN
- MI
- Elevated ocular pressure
-
Timoptic is contraindicated under what circumstances . . . .
- Asthama
- Severe COPD
- Sinus Brady
- 2nd & 3rd degree AV block
- Cardiogenic shock
-
Timoptic is given in the dosage of _____.
1 drop/eye BID
-
Norepi (aka ____) is a ____ ____ that is indicated for ____ & ____.
- Levophed
- Sympathomimetic Agent
- Refrac HTN & Neurogenic shock
-
Norepi is described as what?
Naturally occurring catecholamine & also causes vasoconstriction, cardiac stim & ^ BP, myocardial O2 demand & coronary blood flow
-
The contraindication for Norepi is _____.
Hypotension due to uncorrected hypovolemia
-
When administering norepi always utilize . . . .
The largest vein available
-
Dexamethasone (aka____) is a ____ with intense ____ activity.
- Decadron
- Long-acting adrenocorticoid Steroid
- Anti-inflammatory
-
Dexamethasone is indicated for ____, ____, ____ & ____.
- Anaphylaxis
- Asthma
- COPD
- Spinal cord edema
-
Contraindications for Decadron are what?
Nothing in emergency setting
-
Ketorolac is an ____ also known as ____ & is indicated for ____.
- NSAID
- Toradol
- Mild or Moderate Pain
-
Ketorolac (aka ____) is an . . . .
- Toradol
- Injectable NSAID that exhibits analgesic, anti-inflammatory & antipyretic props w/o sedative effects
-
Mannitol is an ____ ____ thats is also known as ____.
-
Mannitol works by . . . .
drawing H2O into the intravascular space through its hypertonic effects then causes diuresis
-
____ ____ is the indication for osmitrol.
Cerebral edema
-
Glucagon (aka ____) is a ____/____.
- GlucaGen
- Hormone/Antihypoglycemic
-
Glucagon is described as what?
A protein secreted by pancreatic cells that causes a breakdown of stored glycogen into glucose
-
Glucagon is indicated for ____ & _____.
- Hypoglycemia w/o IV access
- Beta blocker OD
-
Glucagon is only effective if there is sufficient ________.
Stores of glycogen in the liver
-
I am going to give my hypoglycemic pt glucagon dosed @ _____.
1 mg IM/SC repeated 5-20 min
-
I want to give glucagon to my pt who has ODed on beta blockers. How much should I give.
50-150 mcg/kg IV over 1 min
-
Oxytocin (aka ____) is a ____ ____ that causes the . . . .
- Pitocin
- Natural Hormone
- Uterus to contract, thereby inducing labor, encouraging delivery of the placenta & ctrling postpartum hemorrhage.
-
___ ___ ___ is the indication for oxytocin.
Severe postpartum hemorrhage
-
Prochlorperazine is a ____ that is also called ____.
-
Compazine (aka ____) is described as a . . . .
- Prochlorperazine
- Potent antiemetic w/ little sedative, hypotensive & anticholinergic effect
-
Prochlorperazine (aka ____) is indicated for what 4 things?
- Compazine
- Nausea & vomiting
- motion sickness
- enhances effects of analgesics
- Induces sedation
-
Prochlorperazine is dosed @ _____.
12.5-25 mg IV/IM/PR
-
Racemic Epi is a variation of Epi & a (C)____ ____ used only for . . .
- sympathomimetic agent
- Inhalation to induce bronchodilation & reduce laryngeal edema & mucus secretion
-
Racemic Epi is indicated for ____ & contraindicated for ___ & ____.
-
Vytorin C
Lipid Lowering Agent
-
-
Methadone C
Opiod Agonist
-
-
-
-
-
-
-
-
-
Hydrochlorothiazide C & T
- Anti-inflammatory
- Hydrocortizone
-
-
-
Zetia C
Lipid Lowering Agent
-
Risperidol C
Tranquilizer
-
-
Skelaxin C
Skeletal Muscle Relaxant
-
Elavil C & T
- Antidepressant
- Amitriptyline
-
-
-
-
-
-
-
-
-
-
-
Actos C
Anti-Diabetic agent
-
-
Altace C & T
- Lipid Lowering agent
- Ramipril
-
Crestor C
Lipid Lowering agent
-
-
-
Benicar C
Angiotensin Antagonist
-
-
-
-
Tricor C
Lipid Lowering agent
-
Lotrel C
HTN ACE inhibitor
-
-
Avandia C
Anti-Diabetic Agent
-
-
-
-
-
-
-
Baclofen C
Skeletal Muscle Relaxant
-
Lovastatin C & T
- Lipid Lowering Agent
- Mevacor
-
-
-
-
-
Cozaar C
HTN Angiotensin Antagonist
-
-
Methotrexate C
Antineoplamic Agent
-
-
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