NC Paramedic: Medical Drug Cards Latest 2023 Already Passed

NC Paramedic: Medical Drug Cards Latest 2023 Already Passed What is the Class and action of Glucagon (GlucaGen) Class: Hyperglycemic agent, Pancreatic hormone Action: increases blood sugar level by stimulating glycogenosis. What is the DOSE for Glucagon ? A: Hypo: 0.5 - 1mg IM repeat 7-10min Calcium Channel blocker and Beta blocker over dose : 3-10 mgIV slowly over 3-5min PEDS: Hypo: 0.03 -0.1mg/kg IM/IO/SQ, Slow IV MAX 1mg CCB and BB toxictity : 0.05- 0.15 mg/kg IV/IO over 3-5 min What is the class and action for Methylprednisolone Sodium Succinate (Solu-Medrol) Class: Corticosteroiod Action: Highly potent synthetic glucocorticoid ; suppresses acute and chronic inflammation, vascular smooth muscle relaxant What is Indications and Contraindications for Solu-Medrol? Indications: acute spinal cord trauma, anaphylaxis, bronchodilator, or for unresponsive asthma CONTRA: Premature infants, systemic fungal infections, use with caution in pt. with gastro bleeding What is the DOSE for Solu-Medrol? A: acute spinal cord: 30mg/kg IV over 30 min followed by 5.4mg/kg/hr Asthma, COPD: 1-2 mg/kg IV PEDS: Acute spinal cord: Same as adult, Status asthmatics/anaphylaxis: 2mg/kg/dose IV/IO/IM to MAX dose 60mg What is the class and action for Promethazine Hydrochloride (Phenergan)? Class: Phenothiazine, Antiemetic, Antihistamine Action: H-1 receptor antagonist ; blocks action of histamine; possesses sedative, anti-motion What is the Indications/Contraindications for Phenergan? Indications: Nausea & vomiting, motion sickness, sedation for pt. in labor Contraindications: Coma, CNS depression from alcohol, bradycardia, reflex tachycardia, QT prolong, postural hypotension What is the DOSE for Phenergan? A: 12.5 - 25 mg IV deep IM,PO,PR PEDS: (older than 2): 0.25 - 0.5mg/kg (deep IM) What is the class and action for Ondansetron Hydrochloride ( Zofran) Class: Serotonin receptor antagonist; Antiemetic Action: Blocks action of serotonin What is the indications/contraindications for Zofran? Indications: Prevention & control of nausea or vomiting. CONTRA: Known allergy to drug or other S-HT3 receptor antagonists What is the DOSE for Zofran? A: 4mg (IV/IM) may repeat in 10 minutes PEDS: 0.1mg/kg (IV/IM) What is the class and action for Albuterol (Proventil, Ventolin)? Class: Sympathomimetic, Bronchodilator Action: Selective beta-2 agonist stimulates adrenergic receptors of sympathomimetic nervous system What is the Indications/Contraindications of Albuterol? Indications: treatment of bronchospasms in pt. with COPD/Asthma Contraindications: Prior hypersensitivity, tachycardia, dysrhythmias What is the DOSE for Albuterol? A: 2.5 mg (dilute in 0.5ml of 0.5% solution for inhalation, administer over 10-15 minutes PEDS: <20kg 1.25/dose via handheld neb or mask over 20 min. >20kg 2.5mg/dose What is the class and action for Valium (diazepam)? Class: Benzodiazepine Action: Smooth muscle relaxant, sedative, causes retrograde amnesia, anti-anxiety What is the Indications/Contraindications of Valium? Indications: Seizures, anxiety Contraindications: Respiratory depression, hypersensitivity to drug What is the DOSE for Valium? A: 2-10mg PO, 4mg IV then 2mg increments (10mg max) PEDS: 0.1-0.3mg/kg IV,IO(4mg max) 0.5mg/kg Rectal (10mg max) What is the class and action for Haloperidol (Haldol)? Class: Antipsychotic, Tranquilizer Action: Inhibits CNS catecholamine receptors What are the Indications/Contraindications for Haldol? Indications: Acute psychotic episodes Contra: Parkinson's disease, depressing mental status, agitation secondary to shock & hypoxia, hypersensitivity What is the DOSE for Haldol? A: 2-5 mg IM (prn) PEDS: Not Recommended What is the class and action for Magnesium Sulfate? Class: Electrolyte , Anti - inflammatory What are the Indications/Contraindications for Mag Sulfate? Indications: Seizures of eclampsia, torsades de pointes, hypomagnesaemia, V-fib/pulseless v-tach Contra: Heart blocks, myocardial damage What is the DOSE for Mag Sulfate: A: Seizure activity associated with pregnancy:1-4g of 10% solution IV/IO over 3 min MAX 30-40g/day Cardiac arrest hypomag: or TDP: 1-2g 10%solution IV/IO 5-10minutes TDP with pulse 1-2g in 50-100mL of D5W 5-60 min follow with 0.5 - 1g/h IV (titrate to control torsades) PEDS: pusles v-tach with tdp: 25050mg/kg bolus 10% Max 2g Status asmaticus 25-50mg/kg 10% solution 15-30 min MAX 2g