Cardiac Medications
The specific drug that prevents clotting by inhibiting Vitamin K
Warfarin (Coumadin)
“The perception of pain, resulting from neuralprocessing of pain stimuli"
Also known as a "toxic fingerprint"
Toxidrome
10gtts/mL is this kind of drip set
Macro Drip Set
A drug that blocks the effect of another drug
Antagonist
The classification of a drug that can cause digitalis effect/toxicity
Cardiac Gylcoside
The three medications we can give as per the ALS PCS Analgesia Medical Directive
Acetaminophen, Ibuprofen, Ketorolac
These 3 neurotransmitters are all broken down by monoamine oxidase (MAO)
Hypotonic solutions cause blood cells to do this
Swell
In cholinergic overdoses, this enzyme is blocked from breaking down ACh
Acetylcholinesterase
Along with ADP, this component activates fibrinogen, allowing the aggregation of platelets
The four processes involved in nociception
1. Transduction
2. Transmission
3. Modulation
4. Perception
Characterized by a thiamine deficiency and the triad of: an ataxic gait, confusion and abnormal eye movements
Wernicke's Encephalopathy
The ALS PCS "Indication" for the intravenous medical directive
The actual or potential need for intravenous medication OR fluid therapy
The two types of Cholinergic Receptors
Muscarinic and Nicotinic
This type of drug acts on the distal tubules and blocks chloride pumps. (Give the name of the drug as well).
Thiazide Diuretic (HCTZ)
Use agents of differing onset of action or duration of action to maximize pain relief, as well as to minimize episodes of breakthrough pain
Rational Polypharmacy
Na+ and K+ channel blockages can occur in this type of overdose, resulting in prolonged QRS (arrhythmias)
Tricyclic Antidepressants Overdose - (ACP treatment?)
The TKVO rate for an adult patient
30 to 60 mL/hr
These physiological events occur during an ASA overdose
Respiratory Alkalosis and Metabolic Acidosis
The FULL process of the RAAS to increase BP...
Drop in BP => Renin produced by JG Cells => Converts Angiotensinogen from Liver to Angiotensin I => ACE from Lungs converts Angiotensin I to Angiotensin II => Angiotensin II causes vasconstriction of arterioles and hits receptors on adrenal cortex => aldosterone released and promotes increased Na+ and H2O reabsorption => Increase BP
Transduction begins when nociceptors of these 2 types of fibres (of afferent neurons) respond to noxious stimuli. Provide an example of noxious stimuli as well.
"C" and "A-delta" fibres. (Mechanical - Pressure/Thermal - Burn/Chemical - Toxin)
Alcohol Dehydrogenase converts Ethyl Alcohol into this and Methyl Alcohol into this.
Formic Acid
The per minute drip rate for a patient with an IV running with a macrodrip (10 gtts/mL) set. The patient’s chart indicates that he is to be given 2000 cc of normal saline in 8 hours.
41.66 gtts/min
The amount of mL you would push for a patient with an order of 2 mg per kg of Norepinephrine I.V. is to be administered. There is pre-mixed syringe of (400mg/10ml) and the patient weights 110 lbs.
2.5mL