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Critical Care Paramedic Drug Cards Exam Study Guide Solutions

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Critical Care Paramedic Drug Cards Exam Study Guide Solutions ETOMIDATE (AMIDATE) - ANSWER---Induction agent-- Dissociative Anesthetic RSI: 0.2-0.3 mg/kg Onset: 30-60 seconds Duration: 3-12 minutes MOA: Depresses reticular activating system by stimulating GABA receptors + Minimal hemodynam...

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  • October 30, 2024
  • 57
  • 2024/2025
  • Exam (elaborations)
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  • Critical Care
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FIRST PUBLISH OCTOBER 2024




Critical Care Paramedic Drug Cards Exam

Study Guide Solutions


ETOMIDATE


(AMIDATE) - ANSWER✔✔---Induction agent--




Dissociative Anesthetic




RSI: 0.2-0.3 mg/kg


Onset: 30-60 seconds


Duration: 3-12 minutes


MOA: Depresses reticular activating system by stimulating GABA receptors




+ Minimal hemodynamic effects, ↓ ICP/IOP, preferred for awake sedation (fast onset, short half-life)


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FIRST PUBLISH OCTOBER 2024




- Adrenal suppression (multiple doses), apnea, N/V, ↑↓ BP, ↑↓ HR, myoclonus (muscle jerks; pretreat

with Versed)




*May cause adrenal insufficiency*


KETAMINE


(KETALAR) - ANSWER✔✔---Induction agent--




Dissociative Anesthetic




RSI: 1-2 mg/kg


Maintenance: 0.1-0.5 mg/min


Onset: 60 seconds


Duration: 10-15 minutes


MOA: Interrupts pathways in cortex and limbic system; prompts release of endogenous catecholamines

Page 2/57

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FIRST PUBLISH OCTOBER 2024




+ Sedation, analgesia, amnesia, potent bronchodilator (preferred RSI for asthmatics)




- HTN, emergence reactions (PCP like reaction)(pretreat with benzo), ↑ ICP, hallucinations, tremors, ↑

HR/BP 2nd catecholamine release, ↑ secretions (treat with 0.01 mg/kg Atropine)


PRECEDEX


(DEXMEDETOMIDINE) - ANSWER✔✔---Sedative--




Dissociative Anesthetic




RSI: 1 mcg/kg over 10 minutes


Maintenance: 0.2-0.7 mcg/kg/hr


Onset: < 5 minutes


Reversal: Atipamezole




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, ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

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MOA: Alpha-2 agonist that provides sedation without any blunting of the respiratory drive or airway

reflexes




+ Respiratory stability, potent sedative/anxiolytic/analgesic properties




- Bradycardia/sinus arrest, transient HTN




*Use with caution in pts with hepatic impairments*


PROPOFOL


(DIPROVAN) - ANSWER✔✔---Sedative-Hypnotic/Induction agent--




Dissociative Anesthetics




RSI: 1.5 mg/kg


Maintenance: 10-50 mcg/kg/min

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