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Paramedic Drugs

2013 Paramedic Drugs

QuestionAnswer
Adenosine(Adenocard): Pharmacologic Classification and Therapeutic Classification Endogenous Nucleoside and Antiarrhythmic
Adenosine(Adenocard): Action Stimulates Adenosine Receptors
Adenosine(Adenocard): Effects - Slows SA node conduction - Slows conduction through the AV node - Inhibits reentry through the AV node
Adenosine(Adenocard): Indications Narrow Complex Tachycardia (PSVT)
Adenosine(Adenocard): Dosage 6mg RAPID IV push, repeat in 1-2 minutes with 12mg RAPID IV push
Adenosine(Adenocard): Contraindications - Known ventricular tachycardia - Atrial flutter and atrial fibrillation - Second or third degree heart block - Sick sinus syndrome (malfunction of the SA node)
Adenosine(Adenocard): Side Effects - Flushing - Dyspnea - Chest Pain/ Palpitations - Dizziness - Headache - Feeling of Impending Dome
Adenosine(Adenocard): Interactions - Use with Tegretol may potentiate and prolong adenosines effect - Theophylline and related drugs can reduce the effectiveness of Adenosine (larger doses may be necessary)
Adenosine(Adenocard): Other Comments - Use the most proximal IV port (largest vein) possible and flush immediately with 10-20cc saline - elevate arm to promote rapid introduction of the drug into the systemic circulation
Adenosine(Adenocard): Other Comments - A brief period of asystole (up to 15 seconds) may follow administration - Half-life of 5 seconds is the major advantage of this drug
Albuterol (Proventil, Ventolin): Pharmacologic Classification and Therapeutic Classification Adrenergic and Bronchodilator
Albuterol (Proventil, Ventolin): Onset of Action Inhalation: 5-15 minutes
Albuterol (Proventil, Ventolin): Duration of Action Inhalation: 3-6 hours
Albuterol (Proventil, Ventolin): Action - Selectively stimulates Beta-2 adrenergic receptors of the lungs, uterus, and vascular smooth muscle - Bronchodilation results from relaxation of bronchial smooth muscles, which relieves bronchospasm and reduces airway resistance
Albuterol (Proventil, Ventolin): Indications - Bronchial Asthma - Bronchospasm due to bronchiis or emphysema - Acute bronchospasm and reduces airway resistance
Albuterol (Proventil, Ventolin): Contraindications - Use cautiously in patients with cardiovascular disease, HTN, or diabetes - hypersensitivity
Albuterol (Proventil, Ventolin): Side Effects - CNS: tremor, nervousness, dizziness, headache, hyperactivity - CV: tachycardia, palpitations, hypertension - RESP: bronchospasm, cough, increased sputum - GI: dry mouth, epigastric pain, diarrhea
Albuterol (Proventil, Ventolin): Interactions - Use of inhaled albuterol, epinephrine, and othe inhaled sympathomimetic amines may increase sympathomimetic effects and risk toxicity - Use with MOI inhibitors and tricyclic antidepressants can cause severe cardiocascular effects
Albuterol (Proventil, Ventolin): More Interactions - Propranolol and other beta-adrenergic blockers may antagonize the effects of albuterol
Albuterol (Proventil, Ventolin): Dose - 2.5 mg by nebulization(0.5ml of the 0.5% solution diluted in 2.5mL saline) over 5-15 minutes - repeat dosage after 15 minutes if symptoms persist
Albuterol (Proventil, Ventolin): Drug Route Handheld Nebulizer
Created by: KLCasey