Trade: Toradol Class: NSAID MOA: inhibits the production or prostaglandins in inflamed tissue, which decreases the responsiveness of pain receptors. Indications: Moderately severe acute pain Contraindications: Patients with a hx of peptic ulcer disease or GI bleed, patients with renal insufficiency, hypovolemic patients, 3rd trimester pregnancy, nursing mothers, allergy to other nsaids, stroke or head trauma, having surgery within the next 7 days. Side effects: headache, drowsiness, dizziness, a...
Dec 23, 2022•1 min
Trade: Morphine Class: Opiate agonist/Narcotic Analgesic MOA: Binds to the opiate receptors. Reduces stimulation of the sympathetic nervous system caused by pain and anxiety. Reduction of sympathetic stimulation reduces heart rate, cardiac work, and myocardial O2 consumption Indications: moderate to severe pain including chest pain associated with ACS, CHF, and pulmonary edema. Contraindications: Respiratory depression, shock. Side effects: Respiratory depression, hypotension, N/V, dizziness, li...
Dec 23, 2022•1 min
Trade: Sublimaze Class: Narcotic Analgesic MOA: Binds to opiate receptors producing analgesia and euphoria Indication: Pain Contraindication: Use caution in traumatic brain injury, Respiratory depression Side effects: Respiratory depression, apnea, hypotension, N/V, dizziness, sedation euphoria, Sinus bradycardia, sinus tachycardia, palpitations, HTN, diaphoresis, syncope Dosing Adult 50-100mcg IM/IV Pedi 1-2mcg/kg IM/IV...
Dec 23, 2022•55 sec
Trade: Valium Class: Benzodiazepine MOA: Binds to the benzodiazepine receptor and enhances the effects of GABA Indications: Anxiety, Skeletal muscle relaxation, anticonvulsant Contraindications: Children younger then 6 months, acute angle glaucoma, CNS depression, alcohol intoxication. Side effects: Respiratory depression, drowsiness, fatigue, headache, pain at the injection site, confusion, nausea, hypotension, cardiac arrest at high doses •Dosing: Adult: Anxiety: 2-10mg IV/IM Seizure: 5-10mg I...
Dec 23, 2022•2 min
Trade: Tegretol Class: Anticonvulsant MOA: Binds preferably to voltage gated Sodium channels in their inactive conformation, which prevents repetitive and sustained firing of an action potential. Indications: Partial and generalized tonic – clonic seizures Contraindications: AV Block, bundle branch block, agranulocytosis, bone marrow supression, monoamine oxidase inhibitor therapy Side effects: Dizziness, drowsiness, ataxia, N/V, blurred vision, confusion, headache, transient diplopia, visual ha...
Dec 23, 2022•1 min
First and foremost, THANK YOU to everyone who was listened to this Podcast over the past year. In just under 12 months we have risen to one of the top listened to and searched paramedic pod casts on spotify and apple podcasts. Again, thank you so much! If you love listening to my voice read these drugs, but want an extra visual aid to go along with it, my classmate is currently selling laminated, professionally printed copies of every drug we have covered. They are available one etsy RIGHT NOW! ...
Dec 08, 2022•3 min
Trade – Cardene Class – Calcium Channel blocker MOA – Blocks calcium movement into the smooth muscle of the blood vessel walls, causing vasodilation. Indication – Angina, HTN Contraindication – Aortic stenosis, hypotension, use caution in heart failure, cardiac conduction abnormalities, Cerebrovascular disease, depressed AV node conduction. Side effects – Edema, headaches, flushing, sinus tachycardia, hypotension Dosages : Adult: 5mg/hr IV/IO Pedi: 0.5 – 5 mcg/kg/min...
Dec 08, 2022•54 sec
Trade – Cyanokit MOA: Antidote, cyanide poisoning adjunct Binds with cyanide to form nontoxic cyanocobalamin, preventing its toxic effects; excreted renally Indications: Treatment of known or suspected cyanide poisioning. Contraindications: None is the emergency setting Side Effects: Hypertension, allergic reactions, GI bleeding, nausea, vomiting, dyspepsia, dyspnea, dizziness, headache, injection site reactions. Dosage: Adult: 5 g IV infusion over 15 minutes at a rate of 15 mL/min. Pedi: 70 mg/...
Dec 08, 2022•1 min
Trade – Isoptin Class – Calcium Channel blocker MOA – Blocks calcium from moving into the heart muscle cell, which prolongs conduction of the electrical impulses through the AV node. Indications – AF, HTN, paroxysmal SVT, Paroxysmal SVT prohylaxis Contraindications – 2nd or 3rd degree AV block, Hypotension, cardiogenic shock, Sick sinus syndrome, WPW. Side effects – Sinus bradycardia, 1st, 2nd, or 3rd degree AV blocks, CHF, reflex tachycardia, transient asystole, hypotension. Dosing Adult 2.5-10...
Dec 08, 2022•1 min
Trade – Plavix Class – Antiplatelet MOA – Blocks platelet aggregation by antagonizing the IIb/IIIa receptors Indications – ACS, chronic coronary and vascular disease, ischemic stroke. Contraindications – Hx of intracranial hemorrhage, GI bleed or trauma. Side effects – Nausea, Abdominal pain, hemorrhage. Dosing : Unstable angina pectoris or non Q wave AMI. Adult – Loading dose 300-600mg PO Pedi – Not recommended for pedi patients...
Dec 08, 2022•48 sec
Trade – Phenergan Class – Antiemetic MOA - Decreases nausea and vomiting by antagonizing H1 receptors Indications – Nausea/Vomiting Contraindication – Altered level of consciousness, jaundice, bone marrow suppression, Use caution in seizure disorder. Side effects – Paradoxic excitation in children and older adults. Dosing: Adult - 12.5 - 25mg IV, IO, IM Pedi - 2years and older 0.25 – 1 mg/kg IV, IO, IM...
Dec 08, 2022•50 sec
Trade – Cortef Class – Corticosteroid MOA – Reduces inflammation by multiple mechanisms. As a steroid it replaces the steroids that are lacking in adrenal insufficiency. Indications – Adrenal insufficiency, allergic reactions, anaphylaxis, asthma, COPD Contraindications – Cushing Syndrome, known sensitivity to benzyl alcohol, Use with caution in diabetes, HTN, CHF, known systemic fungal infection, renal disease, idiopathic thrombocytopenia, psychosis, seizure disorder, GI disease, glaucoma. Side...
Dec 08, 2022•1 min
Trade – Nipride Class – Antihypertensive agent MOA – Causes direct relaxation of both arteries and veins Indication – HTN emergencies Contraindications – Hypotension, increased ICP, cerebrovascular disease, coronary artery disease, hepatic disease, renal disease, pulmonary disease. Side effects – Cyanide or thiocyanate toxicity, N/V, dizziness, headache, restlessness, abdominal pain, methemoglobinemia. Dosing Adult 0.3-10mcg/kg/min Pedi 0.5 – 10mcg/kg/min...
Dec 08, 2022•1 min
Trade – Apresoline Class – Vasodilator MOA – Directly dilates peripheral blood vessels Indication – HTN associated with preeclampsia and eclampsia, HTN crisis Contraindication – Patients taking diazoxide or MAOI’s, coronary artery disease, stroke, angina, dissecting aortic aneurism, mitral valve and rheumatic heart disease. Side effects – Headache, angina, flushing, palpitations, reflex tachycardia, anorexia, N/V, diarrhea, hypotension, syncope, peripheral vasodilation, peripheral edema, fluid r...
Dec 08, 2022•1 min
Trade – Haldol Class – Antipsychotic agent MOA – Selectively blocks postsynaptic dopamine receptors Indications – Psychotic disorders, agitation Contraindications – Depressed mental status, Parkinson disease Side effects – extrapyramidal symptoms, drowsiness, tardive dyskinesia, hypotension, hypertension, VT, sinus tachycardia, QT prolongation, torsades de pointes. Dosing Adult: Mild agitation : 0.5-2mg PO/IM Moderate agitation : 5-10mg PO/IM Severe agitation : 10mg PO/IM Pedi: 1-5mg IM/PO...
Dec 08, 2022•1 min
Trade: TetraVisc Class: Anesthetic MOA: Short acting pain suppressant Indication: Topical anesthetic for eye injuries Contraindication: allergy Side Effects: numbness, blurred vision in treated eye, mild short burning sensation Dose: Adult: 1-2 drops every 5 minutes, repeat as needed Pediatric1-2 drops every 5 minutes, repeat as needed
Dec 07, 2022•36 sec
Trade – Diprivan Class – Anesthetic MOA – Produces rapid and brief state of general anesthesia. Indication – Anesthesia induction Contraindication – Hypovolemia Side effects – Apnea, Cardiac arrhythmias, asystole, hypotension, hypertension. Dosing Initial induction: 1.5-3mg/kg IV/IO followed by a maintenance infusion. Adult maintenance infusion 25-75 mcg/kg/min IV/IO Pedi maintenance infusion 30-300 mcg/kg/min IV/IO...
Oct 13, 2022•1 min
Trade – Dilantin Class – Anticonvulsant MOA – Depresses seizures by affecting the movement of sodium and calcium into neural tissue. Indication – Generalized tonic – clonic seizures. Contraindication – sinus bradycardia, sinoatrial block, second and third degree heart block, adam stokes syndrome, known sensitivity to hydantoins. Side effects – N/V, depression of cardiac conduction, sedation, nystagmus, tremors, ataxia, dysarthria, gingival hypertrophy, hirsutism, facial coarsening Dosing: Adult:...
Oct 13, 2022•1 min
Trade – ALTEPLASE RECOMBINANT-TPA Class – Thrombolytic Agent MOA – Dissolves thrombi plugs in the coronary arteries and reestablishes blood flow. Indication – ST segment elevation greater then 1mm in 2 or more contiguous leads, New or presumed new left bundle branch block. Contraindications – ST segment depression, Cardiogenic shock, Recent major surgery, cerebrovascular disease, recent (within 10 days) GI bleeding, recent trauma, severe HTN Systolic greater then 180 diastolic greater then 110. ...
Oct 13, 2022•1 min
Trade – Unfractionated Heparin Class – Anticoagulant MOA – Acts on antithrombin III to reduce the ability of the blood to form clots, thus preventing clot deposition in the coronary arteries. Indication – ACS, acute pulmonary embolism, DVT Contraindication – Predisposed to bleeding, aortic aneurism, peptic ulcer. Dosing: Adult Cardiac indications – 60 units/kg Pulmonary embolism/ DVT – 80 units/kg Pedi Cardiac indications – 75 units/kg Pulmonary embolism/DVT 75 units/kg...
Oct 13, 2022•55 sec
Trade: Inderal Class: Beta Blocker MOA: Nonselective Beta antagonist that binds with both the beta1 and beta 2 receptors. Inhibits the strength of the hearts contractions, as well as decreases heart rate resulting in decreased cardiac O2 consumption Indication: Angina, reentry SVT, Atrial Fibrillation, Atrial Flutter. Contraindication: Cardiogenic shock, Heart failure, AV block, bradycardia, pulmonary edema, sick sinus syndrome. Side effects: Bradycardia, AV block, Bronchospasm, hypotension. Dos...
Jul 11, 2022•1 min
Trade: Normodyne Class: Beta blocker MOA: Binds with beta1, beta2 and Alpha1 receptors. Inhibits the strength of the hearts contractions, as well as heart rate. This results in decrease in cardiac Oxygen consumption. Indication: ACS, SVT, severe HTN Contraindications: Hypotension, Cardiogenic shock, acute pulmonary edema, heart failure, severe bradycardia, Sick sinus syndrome, second or third degree heart block, bronchospasm. Side effects: Usually mild, Hypotensive symptoms, N/V, Bronchospasm, a...
Jul 11, 2022•1 min
Warfarin Trade: Coumadin Use: Anticoagulant Glipizide Trade: Glucotrol Use: Diabetes Clopidogrel bisulfate Trade: Plavix Use: Platelet inhibitor
Jul 04, 2022•1 min
Trade: Pitocin Class: Hormone MOA: Increases Uterine Contractions Indications: Postpartum hemorrhage after infant and placental delivery Contraindications: Presence of a second fetus, unfavorable fetal position. Side effects: Hypotension, Hypertension, tachycardia, arrhythmias, angina, seizures, N/V, uterine rupture, anaphylaxis. Dosing: IM : 3-10 units after delivery of placenta IV: 20-40 milliunits/min titrate to severity of bleeding....
Jul 04, 2022•55 sec
Trade: Tenormin Class: Beta Blocker MOA: Inhibits the strength of the hearts contractions and heart rate, resulting in a decrease in cardiac oxygen consumption. Also saturates the beta receptors and inhibits dilation of bronchial smooth muscle. Indications: ACS, HTN, SVT, A-flutter, A-Fib Contraindications: Cardiogenic shock, AV block, bradycardia, use caution in hypotension, chronic lung disease ( asthma and COPD) Side effects: Bradycardia, bronchospasm, hypotension Dosing Adult: Oral dosing on...
Jul 04, 2022•57 sec
Trade: Levophed Class: Adrenergic agonist, inotropic, vasopressor MOA: alpha 1, alpha 2, Beta 1 agonist. Primarily results in peripheral vasoconstriction resulting in increasing BP, and coronary blood flow. Beta adrenergic action produces inotropic stimulation of the heart and dilates coronary arteries. Indications: Cardiogenic Shock, septic shock, severe hypotension Contraindications: Patients taking MAOIs, use caution in hypovolemia Side Effects: Dizziness, anxiety, cardiac arrhythmias, dyspne...
Jul 04, 2022•1 min
Trade: Dobutrex Class: Adrenergic agent, Inotropic MOA: Increases myocardial contractility and stroke volume with minor chronotropic effects, resulting in increased cardiac output Indication: CHF, Cardiogenic shock Contraindications: Drug induced shock, Systolic pressure greater then 100, use caution in HTN, recent MI, Arrhythmias, hypovolemia Side effects: Tachycardia, PVC’s, HTN, Hypotension, palpitations, arrhythmias Dosing: Adult: 2-20 mcg/kg/min IV/IO Pedi: SAA...
Jun 23, 2022•1 min
Trade: Intropin Class : Vasopressor /Sympathomimetic MOA : Stimulates alpha and beta adrenergic receptors resulting in inotropy and increased cardiac output while maintaining dopaminergic induced vasodilatory effects. Indications : Hypotension and decreased cardiac output associated with cardiogenic shock and septic shock. Hypotension after ROSC. Symptomatic Bradycardia that doesn’t respond to atropine Contraindications : VF, VT, or other ventricular arrhythmias Side effects : Tachycardia, arrhy...
Jun 23, 2022•1 min
Trade: Primacor Class: Inotropic / Vasodilator MOA: Positive inotropic drug and vasodilator with minimal chronotropic effects. Inhibits enzyme cAMP phosphodiesterase which results in an increased concentration of calcium inside the cardiac cell and results in better diastolic function and myocardial contractility. Indication: Cardiogenic shock, Heart failure Contraindication: Valvular heart disease. Side effects: Cardiac arrhythmias, N/V, Hypotension Dosing: Adult: 50 Mcg/kg IV/IO over 10 mins P...
Jun 23, 2022•1 min
meloxicam Trade: Mobic Use: NSAID ibuprofen Trade: Advil Use: Pain, fever, arthritis insulin glargine Trade: Lantus Use: Diabetes Mellitus
Jun 17, 2022•1 min
