Page 1
Which drug (other than Valium) may be used to terminate
status epilepticus?
Page 2
50% DextroseAlso Ativan (lorazepam)
Page 3
You carry only one injectable drug which may normally be a
color other than clear.
1) What drug is it?
2) What color?
Page 4
1) Valium
2) pale yellow
Page 5
What is the first drug of choice in Pulseless Electrical Activitiy
(PEA)?
Page 7
What is the generic name for:
1) Narcan2) Isuprel3) Lasix
4) Valium
Page 8
1) Naloxone2) Isoproterenol3) Furosemide4) Diazepam
Page 9
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?
Page 10
4 ml.
2 mg. = 8 mg.
1 ml. X
2X = 8;
X = 4 ml.
Page 11
Why should the total number of nitroglycerine tablets taken per
angina attack be limited?
Page 12
to minimize hypotension
Page 13
Name two drugs carried on the ambulance which may cause
CNS depression
Page 14
1) Benadryl2) morphine
3) Valium
Page 15
Name two contraindications for the administration of Syrup of
Ipecac
Page 16
1) coma (decreased LOC)2) convulsions3) caustic/corrosive ingestion4) <1mL/Kg hydrocarbons5) cyclic OD
Use with caution:1) cardiac disease2) last 1/2 of pregnancy
Page 17
What volume of Epinephrine 1:1000 will contain 0.4 mg?
Page 19
What does atropine do to pupils?
Page 21
What is the ANS action of glucagon?
Page 23
Name all the drugs carried in the ambulance which can safely be
given down the ET tube
Page 24
1) Lidocaine2) Atropine3) Naloxone4) Epinephrine5) Vasopressin
Page 25
Name all the drugs carried in the ambulance which should be given down the ET tube
Page 26
None. AHA recommends using IO if IV access is not easily obtained. All drugs may be given via IO.
Page 27
What is the formula for calculating the dose for a bolus of
Lidocaine?
Page 28
1 to 1.5 mg per Kg
Page 29
Why is it undesirable to give medications IM to a chest pain
patient?
Page 30
Later diagnosis will be more difficult since IM injections will elevate the same serum enzymes
as a MI
Page 31
What is the name of the narcotic which may be used to treat
diarrhea?
Page 33
What may happen if sodium bicarbonate is mixed with:
1) Calcium
2) Epinephrine
Page 34
1) it precipitates
2) the epinephrine is inactivated
Page 35
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!
Page 36
200 mg into 250 cc bag
200 mg. = 200,000 mcg = 80 mcg250 cc 250 cc 1 cc (60 gtts)
80 mcg. = 40 mcg.60 gtts X
80 X = 2400
X=30 gtts/min.
Page 37
Name the two primary problems that are treated with epinephrine
1:1000
Page 38
1) allergic reaction
2) asthma
Page 39
What is the duration of action of Lidocaine?
Page 41
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.
Page 42
1) convulsions2) hypotension3) bradycardia4) heart block
Page 43
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
Page 44
1) 60 gtts/min.
2) 10 gtts/min.
Page 45
Name two effects that Isuprel has on the heart.
Page 46
Increased conductionIncreased RateIncreased Strength of contraction
so:Increased cardiac outputIncreased myocardial O2 demandIncreased ventricular irritability
Page 47
How long should a patient be allowed to continue in seizure
activity before Valium is given?
Page 49
What is the first drug of choice to treat sinus bradycardia with
PVC’s?
Page 51
If you give a patient 50 mL of 50% dextrose, how many grams
did you give?
Page 52
25 grams of dextrose
Page 53
List the four end-points for giving Procainamide
Page 54
17 mg/kgrhythm converts
QRS widenshypotension
Page 55
What is the standard dosing of Adenosine
1) initial2) repeat
Page 57
What type of drug is Compazine?
Page 59
Name two more phenothiazines
Page 60
thorazine, haldol, prolixin, mellaril, stelazine
Page 61
What is the other name for Diltiazem
Page 63
What kind of drug is Elavil?
Page 64
Cyclic antidepressant
Page 65
What is the standard concentration of solution for an
infusion of Lidocaine
Page 67
What is the standard concentration of solution for an
infusion of Dopamine?
Page 69
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?
Page 70
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!
Page 71
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…..
Page 72
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
Page 73
Give one trade name for Albuterol
Page 74
Proventil, Ventolin
Page 75
Which is more likely to cause respiratory depression:
IV Valium or Rectal Valium