PARAMEDIC
PHARMACOLOGY EXAM
REVIEW
,1. Adenosine (Adenocard)
Class:: Endogenous nucleoside
Antidysrhythmic.
2. Adenosine (Adenocard)
Dosage:: Initial 6mg; Repeat 12mg
3. 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.
4. 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.
5. 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 pace-
maker. Known hypersensitivity.
6. Adenosine (Adenocard)
Adverse Effects:: Flushing, Chest Pain, brief periods of Asystole, Brady
Ventricular Ectopy. cardia,
7. 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
8. Albuterol (Proventil)
Class:: Beta2-Adrenergic bronchodilator. Beta agonist.
9. Albuterol (Proventil)
Dosage:: 2.5mg in 3mL Normal Saline nebulized
10. Albuterol (Proventil)
Actions:: Binds to Beta2 receptors, resulting relaxation of bronchial mooth mus-
cles. Increased c-AMP levels are associated with relaxation of bronchial smooth
muscles and inhibition of release of mediators of immediate hypersensitivity from
cells, especially from mast cells.
11. Albuterol (Proventil)
Indications:: Relief of bronchospasm in pts with reversible obstructiv
e airway dis-
ease and acute attacks of bronchospasm.
12. Albuterol (Proventil)
Contraindications:: Known hypersensitivity.
13. Albuterol (Proventil)
Adverse Effects:: Flushing, Tachycardias, Bronchospasms, Palpita
mouth, Nausea, Irritability. tions, dry
14. Albuterol (Proventil)
Pharmocokinetics/dynamics:: Onset: 15mis-2hrs
Duration: 3-7min
Toxicity: Try to avoid caffeine and ephedra. Beta blockers could re with Al-
interfe buterol's mechanism of action.
PHARMACOLOGY EXAM
REVIEW
,1. Adenosine (Adenocard)
Class:: Endogenous nucleoside
Antidysrhythmic.
2. Adenosine (Adenocard)
Dosage:: Initial 6mg; Repeat 12mg
3. 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.
4. 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.
5. 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 pace-
maker. Known hypersensitivity.
6. Adenosine (Adenocard)
Adverse Effects:: Flushing, Chest Pain, brief periods of Asystole, Brady
Ventricular Ectopy. cardia,
7. 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
8. Albuterol (Proventil)
Class:: Beta2-Adrenergic bronchodilator. Beta agonist.
9. Albuterol (Proventil)
Dosage:: 2.5mg in 3mL Normal Saline nebulized
10. Albuterol (Proventil)
Actions:: Binds to Beta2 receptors, resulting relaxation of bronchial mooth mus-
cles. Increased c-AMP levels are associated with relaxation of bronchial smooth
muscles and inhibition of release of mediators of immediate hypersensitivity from
cells, especially from mast cells.
11. Albuterol (Proventil)
Indications:: Relief of bronchospasm in pts with reversible obstructiv
e airway dis-
ease and acute attacks of bronchospasm.
12. Albuterol (Proventil)
Contraindications:: Known hypersensitivity.
13. Albuterol (Proventil)
Adverse Effects:: Flushing, Tachycardias, Bronchospasms, Palpita
mouth, Nausea, Irritability. tions, dry
14. Albuterol (Proventil)
Pharmocokinetics/dynamics:: Onset: 15mis-2hrs
Duration: 3-7min
Toxicity: Try to avoid caffeine and ephedra. Beta blockers could re with Al-
interfe buterol's mechanism of action.
