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Which drug (other than Valium) may be used to terminate status epilepticus?

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50% Dextrose Also Ativan (lorazepam)

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You carry only one injectable drug which may normally be a color other than clear. 1) What drug is it? 2) What color?

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1) Valium 2) pale yellow

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What is the first drug of choice in Pulseless Electrical Activitiy (PEA)?

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Epinephrine

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What is the generic name for: 1) Narcan 2) Isuprel 3) Lasix 4) Valium

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1) Naloxone 2) Isoproterenol 3) Furosemide 4) Diazepam

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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?

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4 ml. 2 mg. = 8 mg. 1 ml. X 2X = 8; X = 4 ml.

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Why should the total number of nitroglycerine tablets taken per angina attack be limited?

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to minimize hypotension

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Name two drugs carried on the ambulance which may cause CNS depression

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1) Benadryl 2) morphine 3) Valium

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Name two contraindications for the administration of Syrup of Ipecac

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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

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What volume of Epinephrine 1:1000 will contain 0.4 mg?

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0.4 mL

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What does atropine do to pupils?

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dilates

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What is the ANS action of glucagon?

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sympathomimetic

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Name all the drugs carried in the ambulance which can safely be given down the ET tube

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1) Lidocaine 2) Atropine 3) Naloxone 4) Epinephrine 5) Vasopressin

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Name all the drugs carried in the ambulance which should be given down the ET tube

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None. AHA recommends using IO if IV access is not easily obtained. All drugs may be given via IO.

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What is the formula for calculating the dose for a bolus of Lidocaine?

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1 to 1.5 mg per Kg

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Why is it undesirable to give medications IM to a chest pain patient?

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Later diagnosis will be more difficult since IM injections will elevate the same serum enzymes as a MI

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What is the name of the narcotic which may be used to treat diarrhea?

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Lomotil

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What may happen if sodium bicarbonate is mixed with: 1) Calcium 2) Epinephrine

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1) it precipitates 2) the epinephrine is inactivated

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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!

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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.

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Name the two primary problems that are treated with epinephrine 1:1000

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1) allergic reaction 2) asthma

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What is the duration of action of Lidocaine?

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10-20 minutes

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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.

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1) convulsions 2) hypotension 3) bradycardia 4) heart block

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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

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1) 60 gtts/min. 2) 10 gtts/min.

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Name two effects that Isuprel has on the heart.

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Increased conduction Increased Rate Increased Strength of contraction so: Increased cardiac output Increased myocardial O2 demand Increased ventricular irritability

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How long should a patient be allowed to continue in seizure activity before Valium is given?

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5 minutes

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What is the first drug of choice to treat sinus bradycardia with PVC’s?

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atropine

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If you give a patient 50 mL of 50% dextrose, how many grams did you give?

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25 grams of dextrose

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List the four end-points for giving Procainamide

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17 mg/kg rhythm converts QRS widens hypotension

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What is the standard dosing of Adenosine 1) initial 2) repeat

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1) 6 mg 2) 12 mg

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What type of drug is Compazine?

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Phenothiazine

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Name two more phenothiazines

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thorazine, haldol, prolixin, mellaril, stelazine

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What is the other name for Diltiazem

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Cardizem

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What kind of drug is Elavil?

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Cyclic antidepressant

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What is the standard concentration of solution for an infusion of Lidocaine

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1 gram in 250 cc

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What is the standard concentration of solution for an infusion of Dopamine?

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400 mg in 250 cc

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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?

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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!

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400,000 mcg = 1600 mcg 250 cc 1 cc (60 gtts) 1600 mcg = 1200 mcg (total dose) 60 gtts X gtts 1600 X = 72000 X= 45 gtts/min (whew!) and it’s easier still…..

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Remember this one? Dose x weight x 60 1600 So… 20 mcg x 60 kg x 60 1600 72000 = 720 = 90 = 45 gtts/min (it works!) 1600 = 16 = 2

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Give one trade name for Albuterol

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Proventil, Ventolin

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Which is more likely to cause respiratory depression: IV Valium or Rectal Valium

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IV Valium

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