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Paramedic Pharmacology with questions and answers

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paramedic pharmacology with questions and answersadenosine adenocard dosageactionsindications

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31/01/2025 13:02:37


Paramedic Pharmacology
Adenosine (Adenocard)

Dosage:
Initial 6mg; Repeat 12mg




Adenosine (Adenocard)

Actions:
Slows the conduction time through the A-V node, can interrupt the reentry pathways
through the A-V node and can restore normal sinus rhythm in patients with PSVT,
including PSVT associated with WPW.




Adenosine (Adenocard)

Indications:
First drug for narrow-complex PSVT. May be used diagnostically in wide-compex
tachycardias of unknown type. PSVT associated with WPW.

Does NOT convert A-Fib, A-Flutter, or VT.




Adenosine (Adenocard)

Contraindications:
2nd or 3rd degree A-V block, except in a pt with functioning a atrial pacemaker. Sick
Sinus Syndrome, except in pts with funtioning atrial pacemaker. Known
hypersensitivity.

,31/01/2025 13:02:37


Adenosine (Adenocard)

Adverse Effects:
Flushing, Chest Pain, brief periods of Asystole, Bradycardia, Ventricular Ectopy.




Adenosine (Adenocard)

Pharmacokinetics/dynamics:
Onset: <20 secs
Duration: 3-7 mins
Toxicity: Prolonged action with Ca Channel Blockers
Absorption:<20sec
Distribution: Cardiovascular, Endothelium
Metabolism: Liver
Excretion: Renal




Albuterol (Proventil)

Class:
Beta2-Adrenergic bronchodilator. Beta agonist.




Albuterol (Proventil)

Dosage:
2.5mg in 3mL Normal Saline nebulized




Albuterol (Proventil)

Actions:
Binds to Beta2 receptors, resulting relaxation of bronchial smooth muscles.
Increased c-AMP levels are associated with relaxation of bronchial smooth muscles

, 31/01/2025 13:02:37


and inhibition of release of mediators of immediate hypersensitivity from cells,
especially from mast cells.




Albuterol (Proventil)

Indications:
Relief of bronchospasm in pts with reversible obstructive airway disease and acute
attacks of bronchospasm.




Albuterol (Proventil)

Contraindications:
Known hypersensitivity.




Albuterol (Proventil)

Adverse Effects:
Flushing, Tachycardias, Bronchospasms, Palpitations, dry mouth, Nausea, Irritability.




Albuterol (Proventil)

Pharmocokinetics/dynamics:
Onset: 15mis-2hrs
Duration: 3-7min
Toxicity: Try to avoid caffeine and ephedra. Beta blockers could interfere with
Albuterol's mechanism of action.

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