Give dose for vasopressin for esophageal varices & contraindications.
0.2-0.4 units/min IV drip
Nephritis, Heart disease, PVCs, Arteriosclerosis, 1st stage of labor
Give the dose for Calcium Chloride & its contraindications.
2-4 mg/kg IV/10mins as needed
V-Fib, Hypercalcemia, Digitalis toxicity
Give the dose & contraindications for Etomidate.
0.1-0.3 mg/kg
Hypersenstivity
What is the Max dose for NTG?
1 0.4mg tab/3-5 mins up to 3
1 0.4mg spray up to 3 in 25 mins
Name contraindications for Adenosine.
2nd/3rd degree HB
Sinus Node disease
Asthma
Tenormin (aka____) is indicated for _____ and follows the mechanism of what?
Atenolol
HTN
Beta Blocker
What is the mechanism for neproxin?
NSAID
The trade name for glucophage is _____.
Metforman
Give the indication and trade name for prinivil.
Lisinipril
HTN, ACE inhibitor
Sublimaze (aka _____) is dosed at ____.
Fentanyl
25-50 mcg
Methylphenidate (aka ____), a drug used to treat ADHD, achieves its therapeutic action by ____ the CNS, thereby causing ____, allowing for greater concentration and focus.
Ritalin
Stimulating
Heightened awareness and arousal
A large concern during the administration of an Alpha agonist is infiltration b/c it may cause:
Tissue necrosis
Glucagon affects blood glucose levels by:
Inducing glycogenolysis and gluconeogenesis
When administering glucagon it is important to remember that:
Glycogen stores must be available in the liver & muscle for it to be effective
All laxatives are similar in the they increase ____ ____ in the ____.
Water content in the colon
Sildenafil (aka ____) achieves its therapeutic action in the treatment of ED by:
Viagra
Relaxing vascular smooth muscle increasing blood flow to the corpus cavernosum
MAOIs achieve there therapeutic index by:
Preventing the breakdown of neurotransmitters such as norepi in the CNSB
Contraindications for amiodarone are:
Cardiogenic shock
Severe sinus brady
Advanced heart block
Atropine works by what mechanism?
Stimulating the parasympathetic NS and the vagus nerve
What 3 things is Atropine used for?
Slow PEA
Organo phosphate poisoning
Bradycardia
Atropine is precautioned for ____ and ____.
AMI
Glaucoma
What class of drug is Toradol?
Analgesic
Define pharmacodynamics.
Study of physiological effects of drugs on the body
What are the 6 rights of med administration?
Patient
route
Med
Time
Dose
Documentation
Define pharmacokinetics.
What the body does to a drug
Define biotransformation
How a drug changes body chemistry in order to achieve s desired effect
Name the 2 drug routes.
Enteral
Parenteral
Define receptor site.
Location where a drug binds too in order to achieve a desired result
Define anesthetic.
Drug that causes reversible loss of sensation
Define analgesic.
Drugs used to relieve pain
Define agonist.
Chem that binds to a receptor site of a cell & triggers a response by that cell
Define Antagonist.
Chem that blocks or dampens agonist mediated responses
A drug within a class that exhibits all the exact properties of that class
Atropine cumulative dose is ____.
3 mg
Bretyliium is used for what?
V-fib, V-tach refrac to lido
The first dose for bretylium is _____.
5 mg/kg IV
The second dose fro Bretylium is _____ with a max of _____.
10 mg/kg/15-30 min to a max of 30 mg/kg
CaCl is primarily used prehospital for ____ ____ in the dose of ____?
CCB toxicity in the dose of 2-4 mg/kg over 10 mins
Diphenhydramine is contraindicated for pts w/ _____.
Asthma
Cardizem is classed as a _____.
CCB
The pedi cardiac arrest dose of epi is _____.
0.01 mg/kg 1: 10,000 IV
The trade name for etomidate is _____.
Amidate
Romazicon is dosed @ _____.
0.2 mg up to 1 mg
Glucagon can be used for ____ or _____.
Hypoglecemia w/o IV access
Rev beta blocker OD
Isoproterenol is in one algorithm which is _____.
Bradycardia
Mag Sulfate works by what mechanism?
Depressing function of smooth, skeletal, cardiac muscles
CCB
Solu-Medrol is dosed @ _____ for spinal cord inj.
30 mg/kg IV over 15 mins
Aminophylline is classed as a _____.
Bronchodilator
Chlordiazepoxide is the generic name for _____.
Librium
What is the pediatric dose for Adenosine?
0.1 mg/kg IV/IO
0.2 mg/kg IV/IO
What is the pedi dosage for albuterol?
2.5 mg for <20kg OR 5 mg for >20 kg via neb
What is the pedi dose of Amiodarone for SVT, VT w/pulses?
5 mg/kg IV/IO load over 20-60 mins
What is the pedi dosage for Amiodarone in pulseless arrest?
5 mg/kg IV/IO bolus
What is the pedi dose of atropine for symptomatic bradycardia?
0.02 mg/kg repeated once to a max of 1 mg
What is the pedi dose of atropine for poisoning?
0.02-0.05 mg/kg <12 y/o OR 0.05 mg/kg >12 y/o IV/IO q 20-30 until atropine effect seen or symptoms reversed
What is the pedi dose for calcium chloride?
20 mg/kg IV/IO
What is the indication for dexamethazone and dosage in pedi pts?
Croup
0.6 mg/kg PO/IV/IM
What is the dextrose dosage for me pedi pt?
0.5-1g/kg IV/IO
The pedi dose for benadryl is _____.
1-2 mg/kg IV/IO/IM q 4-6 hrs
The pedi dose for dopamine is ______.
2-20 mcg/kg/min IV/IO
The pedi dose for dubutamine is what?
2-20 mcg/kg infusion
The hypotensive shock dose for my pediatric pt is _____.
0.1-1 mcg/kg/min IV/IO
My pedi anaphylaxis pt is going to get _____ of epi via _____ or _____ via _____.
0.01 mg/kg 1:1000 IM in thigh OR 0.01 mg/kg 1:10000 IV/IO
My pediatric asthma pt is going to receive _____ of epi via _____.
0.01 mg/kg of 1:1000 SQ
For my pediatric pt w/croup I am going to mix up ____ ____ by mixing _____ of epi w/____ NS.
Racemic Solution
0.25 - 0.5 mL 1:1000 w/ 3mL NS
I want to give my pedi pt Lidocaine in the dose of _____ bolus & the infusion of ____/min.
1 mg/kg IV/IO
20-50mcg/kg/min
My pedi pt is in refrac status asthmaticus so I want to give Mag dosed @:
25-50 mg/kg over 15-30 mins IV
I am going to give a loading dose of _____ of methylprednisolone to my pedi pt who is i status asthmaticus or anaphylactic shock followed by an infusion of ____ q 6 hrs.
2 mg/kg IV/IO/IM
0.5 mg/kg IV/IO
For a narcotic reversal my pediatric pt is going to receive_______ of narcan.
0.1mg/kg IV/IO/IM/SQ
I would dose procainamide @ _____ for my pedi pt w/SVT, A-Flutter or VT w/pulse.
15 mg/kg IV/IO load over 30-60 mins
For my pedi pt who ODed on TCAs I will give ____ ____ in the dosage of ____.
1-2 mEq/kg IV bolus
I suspect metabolic acidosis in my pedi pt. I want to give ____ of sodium bicarb.
1 mEq/kg IV/IO
I would give terbutaline to my pedi pt for ____ or ____ in the dosage of ______.