Bash, the Crucial Exams Chat Bot
AI Bot
Advanced Pharmacology for Flight Nurses Flashcards
BCEN CFRN Flashcards
| Front | Back |
| Calcium gluconate administration in hyperkalemia at altitude: dose and infusion rate | Give 10 mL of 10% Ca gluconate over 2 minutes, monitor ECG changes; no altitude dose adjustment but watch for IV line air expansion |
| Describe the interaction between propofol and fentanyl in air medical sedation and recommended titration | Synergistic CNS and respiratory depression; reduce each agent by ~25%, titrate to target sedation score and monitor capnography and hemodynamics |
| Dexmedetomidine infusion titration nuances in air medical sedation and altitude effects | Loading dose 0.5 mcg/kg over 10 minutes then infusion at 0.2–0.7 mcg/kg/hr; start at lower end, monitor for bradycardia and hypotension |
| Drug interaction between albuterol and nonselective beta-blockers in flight | Nonselectives blunt albuterol effect and increase bronchospasm risk; avoid nonselectives or switch to beta-1 selective blockers |
| Heparin titration for DVT prophylaxis in air transport with limited monitoring | Start 80 units/kg bolus then 18 units/kg/hr infusion; maintain PTT at 1.5–2× baseline using intermittent point-of-care labs for adjustments |
| How does altitude-induced hypoxia alter midazolam pharmacokinetics and titration strategy | Decreased hepatic clearance prolongs effect; use a lower initial dose (1 mg IV), titrate in 0.5 mg increments with extended monitoring intervals |
| Ketamine dosing adjustments for analgesia in hypobaric conditions | Use 0.2–0.5 mg/kg IV bolus; expect prolonged effect, titrate in 5 mg increments and monitor for emergence reactions |
| Magnesium sulfate infusion for eclampsia transport: dosing and altitude considerations | Administer 4 g IV over 20 minutes then 1 g/hr infusion; monitor magnesium levels and deep tendon reflexes, adjust if reflexes are absent |
| Norepinephrine infusion challenges at altitude and dosing considerations | Validate infusion pump calibration due to pressure changes; start at 0.05 mcg/kg/min and titrate by 0.01 mcg/kg/min based on MAP |
| Optimal dosing adjustment for fentanyl in flight nursing given increased CNS sensitivity at altitude | Reduce initial bolus by 25% and monitor respiratory rate and SpO2; titrate in 10–20 mcg increments waiting 2–3 minutes between doses |
| Rocuronium onset and duration changes during flight and monitoring tips | Onset may be delayed and duration prolonged; use TOF monitoring, wait 90 seconds before intubation, redose based on TOF count |
| Vancomycin infusion rate concerns at altitude and associated precaution | Faster infusion increases Red Man syndrome risk; infuse over at least 60 minutes and monitor for flushing and hypotension |
Front
Calcium gluconate administration in hyperkalemia at altitude: dose and infusion rate
Click the card to flip
Back
Give 10 mL of 10% Ca gluconate over 2 minutes, monitor ECG changes; no altitude dose adjustment but watch for IV line air expansion
Front
Rocuronium onset and duration changes during flight and monitoring tips
Back
Onset may be delayed and duration prolonged; use TOF monitoring, wait 90 seconds before intubation, redose based on TOF count
Front
Heparin titration for DVT prophylaxis in air transport with limited monitoring
Back
Start 80 units/kg bolus then 18 units/kg/hr infusion; maintain PTT at 1.5–2× baseline using intermittent point-of-care labs for adjustments
Front
Optimal dosing adjustment for fentanyl in flight nursing given increased CNS sensitivity at altitude
Back
Reduce initial bolus by 25% and monitor respiratory rate and SpO2; titrate in 10–20 mcg increments waiting 2–3 minutes between doses
Front
How does altitude-induced hypoxia alter midazolam pharmacokinetics and titration strategy
Back
Decreased hepatic clearance prolongs effect; use a lower initial dose (1 mg IV), titrate in 0.5 mg increments with extended monitoring intervals
Front
Drug interaction between albuterol and nonselective beta-blockers in flight
Back
Nonselectives blunt albuterol effect and increase bronchospasm risk; avoid nonselectives or switch to beta-1 selective blockers
Front
Magnesium sulfate infusion for eclampsia transport: dosing and altitude considerations
Back
Administer 4 g IV over 20 minutes then 1 g/hr infusion; monitor magnesium levels and deep tendon reflexes, adjust if reflexes are absent
Front
Norepinephrine infusion challenges at altitude and dosing considerations
Back
Validate infusion pump calibration due to pressure changes; start at 0.05 mcg/kg/min and titrate by 0.01 mcg/kg/min based on MAP
Front
Vancomycin infusion rate concerns at altitude and associated precaution
Back
Faster infusion increases Red Man syndrome risk; infuse over at least 60 minutes and monitor for flushing and hypotension
Front
Ketamine dosing adjustments for analgesia in hypobaric conditions
Back
Use 0.2–0.5 mg/kg IV bolus; expect prolonged effect, titrate in 5 mg increments and monitor for emergence reactions
Front
Dexmedetomidine infusion titration nuances in air medical sedation and altitude effects
Back
Loading dose 0.5 mcg/kg over 10 minutes then infusion at 0.2–0.7 mcg/kg/hr; start at lower end, monitor for bradycardia and hypotension
Front
Describe the interaction between propofol and fentanyl in air medical sedation and recommended titration
Back
Synergistic CNS and respiratory depression; reduce each agent by ~25%, titrate to target sedation score and monitor capnography and hemodynamics
1/12
Explores critical medications, dosing challenges at altitude, titration nuances, and drug interactions frequently encountered in air medical settings.