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