Aspirin
Dosage of aspirin
What is 324 mg PO?
Class of AC
Class of nitroglycerine
What is nitrate
What is none, they are not allergic to morphine sulfate?
Contraindications for fentanyl
What is significant respiratory depression (unless being used during RSI)?
Indications for naloxone
What are symptomatic opioid overdose (respiratory depression) and coma of unknown etiology?
Common name for 25g of D50
What is an amp?
What is 1 tube PO (15-24g)?
Contraindications for glucagon
What is none in prehospital setting?
MOA of aspirin
What is inhibition of prostaglandins/platelet aggregation?
Dosage of AC
What is 1g/kg PO or NG (Max: 50-100 g)?
Dosage of nitroglycerine
What are binding to mu opioid receptors in the brain and vasodilation (...ish)?
Common side effects of fentanyl
What are drowsiness, hypotension, bradycardia and respiratory depression?
Dosage of naloxone
Indications for dextrose
What are hypoglycemia and hyperkalemia (if given concurrently with insulin)?
Class of oral glucose
What is carbohydrate?
When glucagon would be ineffective
What is patients with reduced glycogen stores (e.g. starving, fasting, children)?
Contraindications for aspirin (2 major, a third if you're feeling fancy)
Contraindications for activated charcoal
Erectile dysfunction medication contraindicated for nitroglycerine when ingested up to 48 hours ago
What is Cialis (tadalafil)
Dosage of morphine sulfate
What is 2-8 mg slow IV push titrated to effect (xc: not to exceed 20 mg without OLMC, can be given IM)?
Indications for fentanyl
What are moderate-severe pain, post-intubation analgesia, and suspected ischemic chest pain unresponsive to nitro?
MOA of naloxone
What is competitively blocking opioids from their receptor sites, reversing their effects?
Precautions for dextrose administration and how you address them
What are infiltration leading to tissue necrosis, and use of a large bore IV and checking blood return into syringe/tubing 2-3 times during admin?
Pharmacokinetics of oral glucose
What is onset: 5-20 minutes?
What are: hypoglycemia when IV is unobtainable, beta blocker OD, and calcium channel blocker OD?
Classes of aspirin (all of them!)
What are platelet inhibitor, analgesic, antipyretic and NSAID?
Time period within which AC has the greatest effect
What is 1 hour?
What are suspected ischemic chest pain, acute pulmonary edema, and hypertensive crisis?
Contraindications for morphine sulfate
What are hypotension, severe respiratory depression (unless used in RSI), or abdominal pain associated with trauma?
Pharmacokinetics of fentanyl
What are onset: 60 seconds, peak action: 3-5 minutes, and duration of 30-60 minutes?
Pharmacokinetics of naloxone (onset and duration)
What is onset of 1-2 minutes IV, 2-5 minutes IM, duration 1-4 hours?
Dosage of dextrose for BOTH D50 and D10
What is D50: 10-25g (20-50 mL) slow IV bolus and D10: 10-25g (100-250 mL) slow IV bolus or dripped in over 5-10 minutes?
Contraindications for oral glucose
What is a patient who cannot protect their own airway?
Dosage of glucagon for all 3 indications?
What is 1 mg IM for anti-hypoglycemic and 3-10 mg IV for beta blocker/calcium channel blocker OD?
Precautions for aspirin (not contraindications!)
What is none in the prehospital setting?
Side effects of AC (all of them!)
What are abdominal cramping, constipation, nausea, and vomiting?
Contraindication of nitroglycerine OTHER than hypotension and ED medications
What is right ventricular MI?
Pharmacokinetics of morphine sulfate
What are onset: 1-2 minutes, peak action: 5-15 minutes, duration: 4-5 hours?
Dosage of fentanyl
What is: IV/IN: 50-100 mcg, repeated every 5 mins as needed to max 500 mcg; IM: 50-100 mcg, repeated every 15 mins to max 500 mcg; IF BP <100 first dose is 25 MCG, repeat 25-50 every 5 mins to max 500 mcg?
Reason why naloxone helps in a cardiac arrest
What is it doesn't help, because it can't restart a heart?
How dextrose is effective in hyperkalemia, and where insulin plays into this.
What is "dextrose won't do anything to counteract hyperkalemia without insulin being given first. Insulin 'pushes' extracellular K+ back into the cell, and 'pushes' blood glucose into cell as well (causing hypoglycemia). We give dextrose to a hyperglycemic patient after insulin unless CBG ≥ 500"
Indications for oral glucose
What is hypoglycemia in a conscious, cooperative patient?
MOA of glucagon OTHER than for hypoglycemia
What is positive inotropic and chronotropic effects on the heart independent of beta-adrenergic receptors?