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Which drug (other than Valium) may be used to terminate status epilepticus?
50% Dextrose Also Ativan (lorazepam)
You carry only one injectable drug which may normally be a color other than clear. 1) What drug is it? 2) What color?
1) Valium 2) pale yellow
What is the first drug of choice in Pulseless Electrical Activitiy (PEA)?
What is the generic name for: 1) Narcan 2) Isuprel 3) Lasix 4) Valium
1) Naloxone 2) Isoproterenol 3) Furosemide 4) Diazepam
You have been ordered to give 8 mg. of drug Alpha 1. It is supplied in 2 mg/ml. How many ml should you give?
4 ml. 2 mg. = 8 mg. 1 ml. X 2X = 8; X = 4 ml.
Why should the total number of nitroglycerine tablets taken per angina attack be limited?
to minimize hypotension
Name two drugs carried on the ambulance which may cause CNS depression
1) Benadryl 2) morphine 3) Valium
Name two contraindications for the administration of Syrup of Ipecac
1) coma (decreased LOC) 2) convulsions 3) caustic/corrosive ingestion 4) <1mL/Kg hydrocarbons 5) cyclic OD Use with caution: 1) cardiac disease 2) last 1/2 of pregnancy
What volume of Epinephrine 1:1000 will contain 0.4 mg?
What does atropine do to pupils?
What is the ANS action of glucagon?
Name all the drugs carried in the ambulance which can safely be given down the ET tube
1) Lidocaine 2) Atropine 3) Naloxone 4) Epinephrine 5) Vasopressin
Name all the drugs carried in the ambulance which should be given down the ET tube
None. AHA recommends using IO if IV access is not easily obtained. All drugs may be given via IO.
What is the formula for calculating the dose for a bolus of Lidocaine?
1 to 1.5 mg per Kg
Why is it undesirable to give medications IM to a chest pain patient?
Later diagnosis will be more difficult since IM injections will elevate the same serum enzymes as a MI
What is the name of the narcotic which may be used to treat diarrhea?
What may happen if sodium bicarbonate is mixed with: 1) Calcium 2) Epinephrine
1) it precipitates 2) the epinephrine is inactivated
You have just placed 200 mg of drug Beta 2 into a 250 cc bag. Your orders are to infuse 40 mcg/min. How many gtts/min will you give? No peeking!
200 mg into 250 cc bag 200 mg. = 200,000 mcg = 80 mcg 250 cc 250 cc 1 cc (60 gtts) 80 mcg. = 40 mcg. 60 gtts X 80 X = 2400 X=30 gtts/min.
Name the two primary problems that are treated with epinephrine 1:1000
1) allergic reaction 2) asthma
What is the duration of action of Lidocaine?
Name a side effect of Lidocaine which indicates that too large a dose has been given, and that the infusion of Lidocaine should be stopped.
1) convulsions 2) hypotension 3) bradycardia 4) heart block
If you want to give a patient 60 mL of D5W in one hour, how many drops per minute should you give: 1) using mini-drip 2) using regular drip
1) 60 gtts/min. 2) 10 gtts/min.
Name two effects that Isuprel has on the heart.
Increased conduction Increased Rate Increased Strength of contraction so: Increased cardiac output Increased myocardial O2 demand Increased ventricular irritability
How long should a patient be allowed to continue in seizure activity before Valium is given?
What is the first drug of choice to treat sinus bradycardia with PVC’s?
If you give a patient 50 mL of 50% dextrose, how many grams did you give?
25 grams of dextrose
List the four end-points for giving Procainamide
17 mg/kg rhythm converts QRS widens hypotension
What is the standard dosing of Adenosine 1) initial 2) repeat
1) 6 mg 2) 12 mg
What type of drug is Compazine?
Name two more phenothiazines
thorazine, haldol, prolixin, mellaril, stelazine
What is the other name for Diltiazem
What kind of drug is Elavil?
What is the standard concentration of solution for an infusion of Lidocaine
1 gram in 250 cc
What is the standard concentration of solution for an infusion of Dopamine?
400 mg in 250 cc
You have been ordered to infuse Dopamine at 20 mcg/kg/min to a patient who weighs 132 lbs. At what drip rate will you flow the medication?
132 lbs. / 2.2 = 60 kg. 20 mcg/kg x 60 kg = 1200 mcg total dose 400 mg Dopamine = 400,000 mcg 250 cc 250 cc But wait…..there’s more!
400,000 mcg = 1600 mcg 250 cc 1 cc (60 gtts) 1600 mcg = 1200 mcg (total dose) 60 gtts X gtts 1600 X = X= 45 gtts/min (whew!) and it’s easier still…..
Remember this one? Dose x weight x So… 20 mcg x 60 kg x = 720 = 90 = 45 gtts/min (it works!) 1600 = 16 = 2
Give one trade name for Albuterol
Which is more likely to cause respiratory depression: IV Valium or Rectal Valium
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