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P1 Lab

Paramedic 1 Lab Final

Question	Answer
Adenosine (Adenocard) Dosage	1st) 6 mg IV Bolus, 2nd) 12 mg IV Bolus, 3rd) 12 mg IV Bolus
Adenosine (Adenocard) Pharmalogic Action	Endogenous purine nuceoside in all cells of the body
Adenosine (Adenocard) Indications	PSVT Rate >150 , Wide Complex Tachy
Adenosine (Adenocard) Contraindications	2nd/3rd degree AV block, sick sinus syndrome, Known hypersensitivity
Amiodarone Dosage	Cardiac: 300 mg IV Bolus, 150 mg IV Bolus. Non-Cardiac: 150 mg over 10 min mixed w/ d5w
Amiodarone Indications	V-Fib, Pulseless V-Tach, Wide Complex Tachy, V-Tach w/ impaired LV
Amiodarone Contraindications	Cardiogenic Shock, Marked Sinus Brady, 2nd/3rd Degree AV block
Amiodarone Pharacological Action	Vaughn William Class 3 anti-arrhythmic, useful for atarial and ventricular arrythmias
Asprin Dosage	162-325mg PO
Aspirin Pharmacolological Action	NSAID, antipyretic, anti-platelet, anti-inflammatory
Aspirin Indications	AMI, CP, Cardiac Alert
Aspirin Contra	Known Hypersensitivity, Stomach Ulcer, Pregnant, Taking anticoagulant
Atropine Dosage	.5 mg IV every 3-5 minutes, max dose 3 mg
Atropine Pharmacological Action	Potent antimuscinaric parasympatholytic, Reduces Vagal Tone Increase SA Automaticity, Increases AV Conduction
Atropine Indications	Brady, hypotension, pulmonary edema, altered LOC
Atropine Contra	Heart Xplant, 3rd degree AV block acute anterior wall MI
Diltiazem(Cardizem) Dosage	.25 mg/kg(20 mg) Slow IV bolus, Repeat .35 mg/kg ( 25 mg) Slow
Diltiazem(Cardizem) Pharmacological Action	Calcium Channel Blocker, Slows AV comduction, Increases AV nodal
Diltiazem(Cardizem) Indications	Narrow complax a-fibb/flutter, PSVT refractory to adenosine
Diltiazem(Cardizem) Contra	Complete heart block, cardiogenic shock, V-tach, wide complex Tach
Dopamine Dosage	5.0 - 20.0 mcg/kg/min titrated as needed if SBP < 70 mmHg
Dopamine Pharmacological Action	Catecholamine, low dose beta adrenergic 2-10 mcg/kg/mm, at high dose pressor 10mcg/kg/mm
Dopamine Indications	Cardiogenic , neurogenic, septic, or anaphylatic shock. Hemodynamically significant overdose
Dopamine Contra	Should not be used in patients with pheochromocytoma, Shock due to hypovolemia
Epi (1:1000) Dosage	.3 - .5 mg SQ
Epi (1:1000) Pharmacological Action	Stimulates Alpha and Beta receptors
Epi (1:1000) Indications	Bronchospasm Asthma COPD, Acute Allergic Reaction, Cardiac Arrest
Epi (1:1000) Contra	Presence of hypertension, history of heart disease, Age over 50
Epi (1:10000) Dosage	1mg (10cc) IV Repeat ever 3-5 minutes, Brady: mix 2mg in 250ml NS (8mcg/ml) set rate 2-10 mcg/min
Epi (1:10000) Pharmacological Action	Sympathomimetic which stimulates both alpha and bate receptors
Epi (1:10000) Indications	V-fib, pulsless V-Tach, Asystole, PEA, Anaphylactic Shock, Newborn resuscitation
Epi (1:10000) Contra	None in cardiac arrest situation
Furosemide(Lasix) Dosage	1mg/kg slow iv bolus single dose not to exceed 100mg
Furosemide(Lasix) Indications	Hypotension w/ Pulmonary edema
Furosemide(Lasix) Contra	Use in pts allergic to sulfa,pregnancy
Furosemide(Lasix) Pharmacologic Action	potent loop diuretic
Glucagon Dosage	unit (1 mg ) IM, 2.0mg IV or 3.0mg IV bolus
Glucagon Pharmacologic	hormone
Glucagon Indications	Hypoglycemia, Betablocker, calcium channel blocker overdose
Glucagon Contra	hypersensitivity
Lido Dosage	.5 - .75 mg/kg IV Maitenece Infusion under 70 1-4 mg over 70 1-2 mg. Torsades de Pointes Lido 1 mg /kg
Lido Pharmacologic Action	Class Ib antiarrhythmic agent
Lido Indications	V-fib, Pulseless V-Tach, Tosades de pointes
Lido Contra	2nd degree block, Complete av block, stokes adams syndrome
Mag Sulfate Dosage	1-2 gm IV bolus
Mag Sulfate Pharmacologic Action	Cation 98% contained w/i intracellular compartment
Mag Sulfate Contra	Renal Failure
Mag Sulfate Indication	Cardiac Arrest, Torsades de piontes, Eclampsia, known hypomagnesemia, moderate to severe asthma attack
Versed Dosage	1 mg/min(max 5mg) <60, 60 y/o .5mg/min IV
Versed Pharmacologic ation	benodiazepine
Versed Indications	Status epilepticus, Cocaine Toxicity, Premedication for cardioversion
Versed Contra	Alcohol intoxication, hypersensitivity
Morphine sulfate Dosage	2 mg Iv Slowly
Morphine Phamacologic actions	narcotic analgesic
Morphine Indications	CP ass with AMI, Thermal Burns, Frostbite, Isolated extremity injury, premed for cardioversion or pacing
Morphine Contra	Pain due to trauma or suspected acut abd, head trauma, acute alcohol intoxication, known hypersensitivity
Narcan Dosage	w resp dep 2mg IVP, w/o .4 mg IVP
Narcan Phamacologic Action	mu receptor(narcaotic) antagonist
Narcan Indications	AMS, Codeine, Oxycodone, Hydrocodone
Narcan Contra	Hypersensitive
Nitro Dosage	.4mg spray sublingually every 5 minutes as neede for cp
Nitro Pharmacologic Action	relaxtion of vascular smooth muscle
Nitro Indication	Angina Pectoris, AMI, Cardiac Alert, Hypertension
Nitro Contra	Hypertension with acute stroke, sys bp < 90 mmHg, hypersensitivity
Sodium Bicarb Dosage	1 meq/kg IV repeat with .5-1 meq
Sodium Bicarb Pharacologic Action	endogenois anion that reacts with hydrogen ions to form water and carbon dioxide to buffer metabolic acidosis
Sodium Bicarb Indication	hyperkalemia, tricyclic antidepessant overdose
sodium Bicarb Conta	CHF, Alkalotic State, Hypoxic Lactic Acidosis
Vasopressin Dosage	49 U IV Bolus
Vasopressin Pharmacological Action	naturally ocurring anti diuretic hormone
Vasopressin Indications	V-fib, pulseless V-tach, PEA, Asystole
Vasopressin Contra	None
CPR	eiffel tower
Upper Airway Lung sounds	Snoring, Gurgiling, Corwing, Stridor
Lower Airway Lung Sounds	Wheezing Ronchi, Rales
Sub Q Injection Sites	Arms, Thighs, Abdomen
IM Injection Sites	Deltiod 3mL, Rectus Femoris 5mL, Dorsalis Gluteus 5mL, Vasus Lateralus 5mL
Sub Q Needle Size	24-26 gauge 45 degree angle
IM Needle	21-23 gauge 90 degree angle
IO site	Tibial Platue
O2 Delivery %	M2M 16%, NC 22%-44%, NRB 60-90%, BVM w/o O2 or res 21%, BVM w O2 and resivior 90%
Contra for NPA	Basil skull fracture, significant head truama
Contra for OPA	Gag reflex
GCS	1-4 Eye response, 1-5 Verbal Response, 1-6 Motor Response

Created by: 657180523

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