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EMT-P VB Drug Cards
2012/2013 Paramedic VB Drug Cards
| Question | Answer |
|---|---|
| Sympathetic ANS | "Fight or Flight" neurotransmitter: NE constrict blood flow/incr to skeletal muscle, bronchdilation Incr:HR,contractility,sweat,energy Decr: digestion, bladder |
| Parasympathetic ANS | "Feed or Breed" neurotransmitter: ACH vegitative functions (HR,BP), bronchoconstriction Incr: digestion |
| Sypmathomimetics | Adrenergic Agonists "Chatecholamines" Epi, NE & Dopamine Cocaine, Amphetamines Terbutaline, Albuterol |
| Parasympathomimetics | Cholinergic Agonists "Cholinergics" organophosphates, mushrooms |
| Sypmatholytics | Antiadrenergics (antagonists) alpha adrenergic blockers (inhibit) beta adrenergic blockers (inhibit): Ex-propanolol, metoprolol, atenolol |
| Parasympatholytics | Anticholinergics (antagonists) block muscarinic & nicotonic receptors Ex- Atropine, Ipratropium Bromide(atrovent) antihistamines, TCAs |
| Cholinergic Toxidrome S&S | D:diarrhea,diaphoresis U:urination M:miosis B:bradycardia,bronchosecretions E:emesis L:lacrimation S:salivation |
| Anticholinergic Toxidrome S&S | Hot/Red (Hyperthermia), Dry as a bone, Blind/Bat(Dilated pupils), MAD (Delerium/Hallucinations), Tachycardia |
| Sympathomimetic Toxidrome S&S | Mydriasis, Tachycardia, Hypertension, Hyperthermia, Seizures |
| Narcotic/Opiate Toxidrome S&S | Miosis, Bradycardia, Hypotension, Hypoventilation, Coma |
| Withdrawal from Toxidromes S&S | (from alcohol, opiods, benzos,barbiturates,antihypertensives) Diarrhea, Mydriasis, Tachycardia, Lacrimation, Hypertension, Yawning,Cramps |
| Miosis | "Pinpoint" constricted pupils: Cholinergics, Opiates, Narcotics, PCP, Organophosphates, Sedative-hypnotics |
| Mydriasis | Dilated Pupils: Anticholinergics (atropine etc), antihistamines, antidepressants, Sympathomimetics |
| Indication/Agent: Carbon Monoxide | Antidote: High flow oxygen |
| Indication/Agent: Opiates/Narcotics | Antidote: Naloxone "Narcan" .4-2 mg SLOW IV/IM prn if experiencing respiratory depression |
| Indication/Agent: Organophosphates | Antidote: Atropine 2-5 mg IV prn until HR >100/min & lung sounds are clear |
| Indication/Agent: Cyanide | Antidote: Nitrates, Cyanokit |
| Indication/Agent: BetaBlockers | Antidote: (If confirmed)Epi Infusion to maintain BP(2-10 mcg/min) Glucagon 2 mg IV prn IF SYMPTOMATIC: bradycardia &/or hypotension |
| Indication/Agent: Tricyclic Antidepressant (TCAs) | Antidote: (if confirmed)Sodium Bicarb .5-1 mEq/kg SLOW IV or infusion 50 mEq in 1000 ml NS. Epi Infusion up to to maintain BP(2-10 mcg/min) |
| Indication/Agent: CCBs | Antidote: Calcium Chloride 500-1000 mg IV or IM prn for confirmed CCB OD. Epi Infusion to maintain BP(2-10 mcg/min) with confirmed CCB OD (insulin?/dextrose?) |
| Indication/Agent: Cocaine | Antidote: Diazepam 20-10 mg IV (over 2-5 min)prn for confirmed cocaine OD with tachycardia,tremors,anxiety Consider NS up to 20 ml/kg if symptomatic Treat chest pain as ACS="MONA" |
| Indication/Agent: Phenothiazine OD/ Dystonic Reaction | Antidote: Diphenhydramine 50 mg IV or 25 mg IV/ 25 mg IM for the treatment of dystonia associated with phenothiazine ingestion |
Created by:
VBoutte07
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