Shared Flashcard Set

Details

EMT 141
Drugs
54
Medical
Not Applicable
10/17/2004

Additional Medical Flashcards

 


 

Cards

Term
propanolol
Definition
-Inderal (tm)
-beta-andrenergic blocker
-mix 1-3mg in 10-30mg D5W
-administer 1 mg/minute IV
-max dose 5mg
Term
esmolol
Definition
-Brevibloc (tm)
-beta andrenergic blocker
-loading dose 500mcg/kg/min IV for 1 minute
-maintenance dose 50mcg/kg/min
-if no effect in 4 min then repeat loading dose, double maintenance dose
-max maintenance dose 200 mcg/kg/min
Term
atenolol
Definition
-Tenormin (tm)
-selective beta adrenergic blocker
-5 mg slow IV over 5 min
-repeat in 10 min if necessary
-max dose 10mg
Term
labetolol
Definition
-Normodyne (tm)
-selective alpha and nonselective beta adrenergic block
-5 to 20mg IV over 2 min then
-10 to 40mg at 10 min intervals
-constant infusion 2mg/min to acceptable supine BP
Term
metoprolol
Definition
-Lopressor (tm)
-beta blocker
-hypertension 1.25-5mg every 6-12hrs in pt unable to P.O.
-acute M.I. 5 mg IV every 5-10 minutes up to X3
Term
epinephrine
Definition
-Adrenalin (tm)
-sympathomimetic
-allergy/asthma 0.3-0.5mg SubQ
-anaphylaxis 0.3-0.5mg IV
-cardiac(PEA,VF) 1mg IV push every 3-5 min
-bradycardia 2-10 mcg/min continuous infusion
Term
norepinephrine
Definition
-Levophed (tm)
-sympathomimetic
-IV piggyback infuse at 0.5-1.0mcg/min to pt response
Term
dobutamine
Definition
-Dobutrex (tm)
-sympathomimetic
-IV infuse at 2-20 mcg/kg/min to desired pt effect
Term
dopamine
Definition
-Intropin (tm)
-sympathomimetic
-IV infuse 2-20 mcg/kg/min to pt response
Term
adenosine
Definition
-Adenocard (tm)
-give 6mg over 1-3 seconds, then after 2 min give 12 mg X2
Term
diltiazem
Definition
-Cardizem (tm)
-calcium channel blocker
-give first bolus 0.25mg/kg over 2 min
-if no response in 15 give 0.35mg/kg
-maintain at 5-15mg/hr
Term
atropine
Definition
-Atropine (tm)
-anticholinergic
-for bradydysrhythmia give 0.5-1.0 mg IV every 3-5 min to max of 0.4mg/kg
-for asystole give 1mg IV push every 3-5min to max of 0.4mg/kg
Term
nitroglycerin
Definition
-Nitrostat (tm)
-vasodilator
-tablets give 0.3-0.5mg SL every 3-5min up to X3
-SL Spray give 0.4mg SL
-IV give 5 mcg/min, increase by 5 mcg every 5 min to effect
Term
sodium nitroprusside
Definition
-Nipride (tm)
-Mix 50 mg into 250 ml NS
-IV piggyback at 0.1 mcg/kg/min up to 10 mcg/kg/min to desired effect
Term
nitropaste
Definition
-NitroBid (tm)
-apply 1-2 cm (15-30mg) max of 75mg
Term
furosemide
Definition
-Lasix (tm)
-loop diuretic
-0.5-1.0mg/kg slow IV push
Term
digoxin
Definition
-Lanoxin (tm)
-inotrope
-give 0.25-0.5mg slow IV push
Term
lidocaine 2%
Definition
-Xylocaine (tm)
-antidysrhythmic
-1-1.5mg/kg IV push repeat every 3-5 min to max of 3mg/kg
-for IM give 300mg of 10% solution
Term
procainamide
Definition
-Pronestyl (tm)
-antidysrhythmic
-20-30mg/min to max of 17mg/kg
-maintain at 1-4mg/min
Term
amiodarone
Definition
-Cordarone (tm)
-antidysrhythmic
-300 mg slow IV in 10ml NS
Term
aspirin
Definition
-Bayer (tm)
-platelet inhibitor
-160mg or 325mg PO
Term
glycoprotein IIb/IIIa inhibitors
Definition
-monoclonal antibody for IIb/IIIa receptors
-blocks platelet aggregation and thrombus formation
-Abciximab, Eptifibatide, Tirofiban
Term
streptokinase
Definition
-Streptase (tm)
-thrombolytic agent
-500,000-1,000,000 IV diluted to 45 ml over 1 hour
Term
heparin sodium
Definition
-Heparin (tm)
-anticoagulant
-70 units/kg IV
-maintain at 14-17 units/kg/hr
Term
tissue plasminogen activator
Definition
-T PA or Recombinant Altpeplase (tm)
-thrombolytic agent
-give 10mg IV bolus over 2 min then
-give 50mg IV over 1 hour then
-give 20mg IV over 2nd hour then
-give 20mg IV over 3rd hour for
100mg max
Term
flumazenil
Definition
-Romazicon (tm)
-benzodiazepine receptor antagonist
-0.2mg IV over 30 seconds then
-0.3mg IV over 30 seconds then
-0.5 mg IV at 1 minute intervals
-max dose is 3mg
Term
midazolam
Definition
-Versed (tm)
-benzodiazepine CNS depressant
-0.5-2.5 mg slow IV push to max of 0.1mg/kg
Term
morphine sulfate
Definition
-Astramorph(tm)
-opioid analgesic
-1-3mg IV,IM,SC every 5 min to max of 10mg
Term
naloxone
Definition
-Narcan (tm)
-narcotic antagonist
-give 0.4-2.0 mg IV,IM,SC,ET
-repeat every 5 min to max dose of 10mg
Term
phenytoin
Definition
-Dilantin(tm)
-anticonvulsant
-for seizures give 10-20mg/kg slow IV to max of 1 gram
-for dysrhythmias give 50-100mg slow IV every 15 minutes to max of 1 gram
Term
albuterol
Definition
-Proventil (tm)
-sympathomimetic, bronchodilator
-administer 2.5mg
-mix 0.5ml of 5% solution with 2.5ml NS in nebulizer
-MDI 1-2 inhalations
Term
terbutaline
Definition
-Brethine (tm)
-sympathomimetic, bronchodilator
-give 0.25 mg SC, repeat in 15 min for 0.5mg max dose
-MDI 2 inhalations every 4-6 hrs
Term
isoetharine
Definition
-Bronchosol (tm)
-sympathomimetic
-MDI 1-2 inhalations
-for COPD 2.5-5.0mg diluted in 3 ml NS through nebulizer
Term
metaproterenol 5%
Definition
-Alupent (tm)
-Sympathomimetic bronchodilator
-MDI 2-3 inhalations every 3-4 hrs
Term
aminophylline
Definition
-Aminophylline (tm)
-bronchodilator
-load with 5-mg/kg in 60-100ml NS IV over 30 min
-max dose 20mg/min
-maintain at 0.5-0.7mg/kg/hr for 12 hr then
-0.1-0.5mg.kg/hr based on serum levels
-lower doses in elderly, CHF, liver disease
Term
racemic epinephrine
Definition
-Micronefrin (tm)
-sympathomimetic
-MDI 2-3 inhalations every 5 min
-dilute 5ml in 5ml NS, admin over 15 minutes
Term
activated charcoal
Definition
-Activated Charcoal (tm)
-absorbent
-give 1-2gm/kg PO or via NGT
Term
dexamethasone
Definition
-Decadron (tm)
-corticosteroid
-1mg/kg slow IV bolus
Term
hydrocortisone
Definition
-Solu-Cortef (tm)
-corticosteroid
-4mg/kg slow IV bolus
Term
methylprednisolone
Definition
-Solu-medrol (tm)
-anti inflammatory glucocorticoid
-for acute spinal cord injury 30mg/kg IV over 30 minutes
-maintain at 5.4mg/kg/hr
-for asthma 1-2mg/kg IV
Term
insulin
Definition
-Humulin, NPH (tm)
-antidiabetic
-10-25 units regular insulin then 0.1 units/kg infusion
Term
oxytocin
Definition
-Ptocin (tm)
-pregnancy hormone
-IM 3-10 units after delivery of the placenta
-IV mix 5020 units in 500ml of D5W or NS, infuse at 20-40 milliunits/min
Term
calcium glutonate
Definition
-electrolyte
-2-4 mg/kg of 10% solution slowly over 5min
-repeat in 10 min to max dose of 1gm
Term
dextrose
Definition
-hypertonic solution
-12.5-25 grams slow IV
-repeat as necessary
Term
diphenhydramine
Definition
-Benadryl (tm)
-antihistamine, anticholinergic
-25-50mg IM, IV or PO
Term
glucagon
Definition
-hyperglycemic agent, insulin antagonist
-0.5-1.0mg IM, SC or slow IV
-may repeat in 20 minutes
Term
magnesium sulfate
Definition
-electrolyte
-for seizures assoc to pregnancy 1-4gm push over 3 minutes
-for Torsades de Points 1-2gm IV push over 1-2 minutes
Term
mannitol 20%
Definition
-Osmitrol (tm)
-osmotic diuretic
-0.5g-2g/kg IV infusion over 15-30 min
-may repeat after 5 min if no effect
Term
sodium bicarbonate 8.4%
Definition
-buffer, alkalizer
-1 mEq/kg IV
-may repeat with 0.5 mEq/kg every 10 minutes
-for infusion 1-4 amps in 1 L NS
Term
thiamine
Definition
-vitamin (B1)
-100mg slow IV or IM
Term
succinylcholine
Definition
-Anectine (tm)
-depolarizing neuromuscular blocker
-1-2mg/kg rapid IV
-repeat once if necessary
Term
vecuronium
Definition
-Norcuron (tm)
-paralytic agent
-0.1mg/kg IV push
-maintain within 30 min with 0.01-0.05mg/kg IV push
Term
pancuronium
Definition
-Pavulon (tm)
-nondepolarizing neuromuscular blocker
-0.1mg/kg slow IV
-repeat every 30-60 min
Term
lidocaine spray
Definition
-Xylocaine 10%
-local anesthetic
-2-4 sprays to oropharyngeal area
Supporting users have an ad free experience!