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Paramedic Drug Quiz
Pharmacology Quiz Review
| Question | Answer |
|---|---|
| Persistent bronchospasms, asthma, and COPD exacerbation are all indications for the use of? | Atrovent |
| What is the pediatric dose of Midazolam for seizures? | 0.5-0.1mg/kg |
| Name the possible side effects of the use of Diphenhydramine? | Drowsiness, palpitations, hypotension, tachycardia or bradycardia, disturbed coordination, dry mouth/throat, thickening of broncial secretions. |
| The adult dose of Ipratopium for COPD exacerbation would be: | 0.5mg in 2.5mL of NS via nebulizer. |
| Sodium bicarbonate is an _____________ agent and short acting, potent ________ buffer. | alkalizing; pH |
| ________ is an antiplatelet that _________ peripheral vessels and ________ platelet aggregation by ___________ the formation of thromboxane A2. | Aspirin; dilates; inhibits; blocking |
| Versed provides anterograde amnesia which is: | affects ability to make new memories |
| Hypocalcemia, suspected metabolic and respiratory alkalosis, hypokalemia, hypernatremia, and severe pulmonary edema are all contraindications for the use of | sodium bicarbonate |
| _________________ is used to treat cyclic antidepressant and aspirin overdose. | sodium bicarbonate |
| Diphenhydramine is an ____________ that blocks histamine ___ and ___ receptor sites thereby inhibiting actions of ________ release. | antihistamine; H1; H2; histamine |
| List two contraindications for the use of Ipratropium | hypersensitivity and atropine |
| What is the pediatric dose for Aspirin in the pre-hospital setting | Not recommended |
| _______ is a benzodiazepine that increases the activity of the inhibatory neurotransmitter GABA, thereby producing a sedative effect. | Versed |
| A possible side effect of Ipratropium is mydriasis which is: | dilated pupils |
| The adult dose of sodium bicarbonate is: | 1mEq/kg |
| ________ is a nonsteroidal anti-inflammatory drug that inhibits prostaglandins involved in the production of inflammation. | Aspirin |
| The pediatric dose of Diphenhydramine for an allergic reaction would be: | 1mg/kg (max dose of 25mg) |
| Shock, respiratory depression, and depressed vital signs are all contraindications for the use of ______. | Versed |
| The adult dose of aspirin for mild pain or fever would be: | 325mg-650mg PO |
| _________ is an antidysrhythmic and nucleoside known to regulate myocardial and coronary ciruclatory functions. | Epinephrine |
| What are the two main conditions that Epinephrine is used for? | anaphylaxos, cardiac arrest, ashtma, bradycardia, shock not caused by hpovolemia, severe hypotension accompanied with bradycardia when pacing and atropine fail. |
| _________ is a benzodiazepine used for agitation, anxiety, alcohol withdrawal, and seizures | Lorazepam |
| What are the indications of Naloxone use: | suspected or known opioid overdose with respiratory depression. |
| What is the Epi. dose for a 21 year old with an anaphylactic reaction to a bee sting. | 0.3mg-0.5mg SQ/IM |
| What are the contraindications for the use of Lorazepam: | Hypersensitivity, hypotension, respiratory depression, CNS depression, coma, narrow angle glaucoma |
| Epinephrine is a potent _____________ as well as a ________________. | vasocontrictor; bronchodilator. |
| What is the main side effect of Fentanyl that must be monitored closely? | Respiratory depression |
| Adenosine is only used for | SVT/PSVT |
| Name a contraindication for the use of Narcan | hypersensitivity. Caution with narcotic dependent patients who may experience withdrawal syndrome to include neonates of narcotic-dependent mothers. Avoid use with meperidine induced seizures. |
| What 3 effects does Epinephrine have on the heart? | gastric motility; miosis; palor |
| ____________ is a sympathomimetic used in acute allergic reactions, pulseless cardiac rhythms, and severe hypotension accompanied by bradycardia. | Epinephrine |
| What is the Epi dose for an 18y/o male is cardiac arrest after an overdose? | 1mg IV/IO |
| What is a possible side effect of Narcan? | withdrawal |
| Adenosine works by _______ electrical conduction through the AV node without causing ________ inotropic effects. | decreasing; negative |
| What are the contraindications for the use of Fentanyl? | hypersensitivity to opiates, hypotension, head injury, respiratory depression, cardiac dysrhythmias, myasthenia gravis, pregnancy |
| What receptors does Epinephrine stimulate: | alpha 1, beta 1, beta 2 |
| The initial dose of Ativan is _________ and may be repeated every _______ for a max total dose of ________. | 1-4mg ; 15-20min. ; 8mg. |
| What can your patient experience if you push Fentanyl too fast? | Respiratory depression |
| The initial adult dose of Adenosine is _______. May be repeated after 1-2 minutes. The subsequent adult dose of Adenosine is _____ and may be repeated one time. | 6mg; 12mg |
| Lorazepam is considered a ______ and _________. | sedative; anxiolytic |
| _______ is a narcotic analgesic that combines with the receptor sites in the brain to produce potent analgesic effects. | Morphine |
| Epineophrine is also known as | Adrenaline |
| What is the Epi dose for a 65 year old female in cardia arrest with a rhythm of PEA? | 1mg |
| What is each subsequent dose of Epi? To a max of? | 1 mg every 3 to 5 minutes, no max. |
| What are the possible side effects of Lorazepam? | Respiratory depression, hypotension, tachycardia, bradycardia, CNS depression, blurred vision. |
| __________ is an opioid antagonist that binds to the opioid receptor sites. | Narcan |
| What is the adult dose of Narcan for IN administration? ______ up to a max dose of ________. | 0.4-2mg ; 10mg |
| What is the Fentanyl dose for RSI? | 2-5mcg/kg |
| _______ blocks beta-adrenergic receptor sites in the heart, lungs, and blood vessels and the beta 2 effects may cause bronchoconstriction? | Metoprolol |
| Thiamine combines with _________ to form thiamine pyrophosphate, a _________ necessary for carbohydrate metabolism. | adenosine triphosphate, coenzyme |
| List the contraindications of Haloperidol. | Hypersensitivity, CNS depression, pregnancy, Parkinsons disease, seizure disorder, liver or cardiac disease, coma, neuroleptic malignant syndrome |
| What is the pediatric dose for Roc. to sedate a 10 year old female that weighs 86 lbs with a 3rd degree burn on 25% of her body due to a camp fire explosion? | 40mg |
| _____ is a vasodilator that improves hepatic circulation and promotes cyanide metabolism. | Amyl Nitrate |
| A possible side effect of Haloperidol is extrapyramidal reaction which is: | involuntary movements |
| The adult dose of Metoprolol for a 62 year old female that weighs 124 lbs having an MI is? | 5mg |
| _____ competatively blocks acetylcholine at the neuomuscular junction causing chemical _____. | Rocuronium; paralysis. |
| The pediatric dose of Thiamine for a 6 year old found in the woods after a 5 day search would be: | Not recommended ; but emergently 10-25mg |
| Carbon monoxide exposure, hypotension, and known methemoglobinemia are all contraindications for the use of | Amyl Nitrate |
| What is methemoglobinemia? | Elevated methemoglobin in the blood |
| ______ blocks type-2 receptors in the brain altering mood and behavior. | Haldol |
| What is the adult dose of Roc. for a 19 year old male that weighs 186lbs for advanced airway placement? | 85mg |
| Possible side effects of Metoprolol. | Bradycardia, hypotension, AV conduction delays, palpitations |
| Betaxin, also known as _____, is in the class ______ and specifically ____. | Thiamine; vitamin; B1 |
| Amyl Nitrate should be administered via _______ for how long? and only until? | Inhaled; 30 seconds; IV access is established. |
| Metoprolol has beta ____ blocking action on the heart that ______ heart rate, conduction velocity, myocardial ________, and cardiac _________. | 1 ; decreases; contractility; output |
| Zumeron, also known as _________, has no sedative or analgesic effects. | Rocuronium |
| Hypotension is a possible side effect of ____ if given rapidly or too large a dose. | thiamine |
| Hypersensitivity, CNS depression, pregnancy, Parkinson’s disease, seizure disorder, liver or cardiac disease are all contraindications for the administration of? | Haldol |
| ______ is a first line (immediate) antidote for cyanide poisoning. | Amyl Nitrate |
| _______ is a Sympathomimetic, bronchodilator, beta-2 agonist | Albuterol |
| The adult dose for etomidate to RSI a 209lb patient would be | 28.5mg |
| What are the contraindications for Morphine? | Hypersensitivity to narcotics, CNS depression, respiratory depression, hypotension, hypovolemia, head injury, increased ICP, respiratory depression, pts that took MAO inhibitors in last 14 days, and caution with pt’s with RV infraction/MI |
| ________ slows SA and AV nodal conduction and also dilates coronary arteries and arterioles thus inhibits coronary artery spasms. | Cardizem |
| What is the Mag. SUlfate dose for Torsades de pointes with a pulse? | 1-2g iun 100mL NS over 5-60 minutes. |
| What are possible side effects of Albuterol? | Tremors, tachycardia, hypertension, anxiety, nausea, headache, palpitations, cough, dizziness. |
| ______ is an anesthetic and non-barbiturate hypnotic | Etomidate |
| Morphine is a natural _____ with _____ effects. | opioid alkaloid ; analgesic |
| What is the recommended treatment for Diltiazem overdose? | calcium gluconate/calcium chloride |
| _______ is an electrolyte and anticonvulsant that _____ striated muscle contractions and ______ peripheral neuromuscular transmissions by ______ acetylcholine release at the myoneural junction. | Magnesium Sulfate; reduces; blocks;reducing |
| The adult dose of albuterol is? | 2.5-5mg in 3mL solution. |
| __________ may be used for conscious sedation and has ______ effect on the respiratory drive. | Etomidate; little |
| Contraindications for Morphine | Hypersensitivity to narcotics, CNS depression, respiratory depression, hypotension, hypovolemia, head injury, increased ICP, respiratory depression, pts that took MAO inhibitors in last 14 days, and caution with pt’s with RV infraction/MI |
| The adult dose for cardizem for new onset Afib with a HR of 135 would be? | 0.25mg/kg over 2 minutes. |
| 65 year old patient with new onset Afib: HR 135, BP 100/68, O2 98%. What would the initial dose of Cardizem be? | 18.75mg |
| What is the recommended treatment for a suspected oversdose of magnesium sulfate? | calcium gluconate/calcium chloride |
| Albuterol ________ smooth muscles of the bronchial tree and peripheral vasculature by _______ adrenergic receptors of sympathetic nervous system. | relaxes; stimulatin |
| Indications for Etomidate. | Premedication prior to procedures such as endotracheal intubation, synchronized cardioversion, conscious sedation for bone dislocation relocation. |
| The adult pain dose for Morphone is _______ to a max dose of ______. | 0.1mg/kg ; 15mg |
| Containdications for the use of Diltiazem | Hypersensitivity, 2nd and 3rd degree heart block, hypotension, cardiogenic shock, ventricular rhythms, sick sinus syndrome, Wolf-Parkinson-White syndrome, AMI, V-Tach. |
| The dose for Mag. Sulfate to treat eclampsia is ______ over _______ minutes with a max dose of 30-40g/day. | 4g ; 20 |
| The use of Albuterol may precipitate ________ and ___________. | angina ; cardiac dysrhythmias |
| Etomidate should not be used in children less than ____ years of age. | 10 |
| What is the antidote for Morphine overdose? | Narcan |
| What is the recommended pediatric dose for Diltiazem in the prehospital setting? | Not recommended. |
| _________ is indicated for the treatment of unstable Vtach attributed to digitalis toxicity. | Magnesium sulfate |
| What is the Albuterol dose for a 10 YO boy that weighs 90 lbs having an asthma attack? | 4-8mg |
| After the administration of ______, your patient should be monitored for respiratory and CNS depression. | Morphine |
| _______ is a very potent drug that acts on the reticular activating system to produce a short-acting anesthesia with amnesic properties. | Etomidate |
| Morphine causes venous _____ and _______ venous return to the heart thus reducing the myocardia oxygen demand. | dilation ; decreases |
| ______ is a pancreatic hormone that exerts a positive inotropic action on the heart and decreases renal vascular resistance. | Glucagon |
| The adult dose of Atropine for bradycardia is ___ mg IV/IO every ____ minutes up to a max total of ____ mg. | 1 ; 3-5 ; 3 |
| ______ is indicated to facilitate endotracheal intubation, terminate laryngospasms, and induce muscle relaxation. | Succinylcholine |
| Indications for the use of Diazepam | Seizure activity, acute anxiety, skeletal muscle relaxation, sedation for pacing/cardioversion, acute alcohol withdrawal |
| The action of ______ is to block the serotonin 5-HT3 receptors that are found centrally in the chemoreceptor zone and peripherally at the vagal nerve terminals in the intestines. | Zofran |
| ______ is a anticholinergic and parasympatholytic that is used to increase the HR and life-threatening or symptomatic bradycardia | Atropine |
| ________ is a benzo that acts on the limbic, thalamic, and hypothalamic regions of the CNS to potentiate the effects of the inhibitory neurotransmitters, | Diazepam |
| What is the adult dose of Succ. for a 45 year old male being intubated to control the airway who weighs 178lbs, found unresponsive after being pulled from underneath a car that fell on him at an auto body shop? | 120mg |
| Glucagon can be used for ___________ overdose and ____________ overdose. | beta blocker ; calcium channel blocker |
| Contraindications for Ondansetron administration | Hypersensitivity, GI obstruction, and use caution with liver disease pt’s. |
| What is the adult dose of Diazepam for a 65 year old female in that you are preparing to perform cardioversion? | 5-15mg IV 5-10 minutes prior to |
| Phenochromocytoma is a contraindication for the use of? | Glucagon |
| What is Phenochromocytoma? | Hormone secreting tumor that can occur in the adrenal glands |
| Contraindications for the use of ________ include tachycardia, hypothermic patients, and patients with an active MI and hypoxia. | Atropine |
| The pediatric dose of Succ. to RSI a 1 yo male that weighs 18 lbs is? | 12mg |
| ______ is an antiemetic and the first selective serotonin blocking agent to be marketed. | Zofran |
| ________ may not work if the patient is malnourished. | Glucagon |
| What is the dose of Diazepam for a 4 yo female that weighs 42lbs having a febrile seizure? | 64mg |
| What is the dose of atropine for a 22 yo male that weighs 156lbs that have been exposed to nerve gas? | 70mg |
| Side effects for _____ include dizziness, headache, hiccups, pruritus, chills, and drowsiness. | Zofran |
| Amiodarone ______ recommended to treat cardiogenic shock | IS NOT |
| _____ acts primarily on a1 and b1 adrenergic receptors. | Dopamine |
| Contraindications for calcium chloride. | V-Fib during cardiac resuscitation, digitalis toxicity, hypercalcemia |
| TXA binds with ______ sites on plasminogen, preventing conversion of plasminogen to _______. | lysine, plasmin |
| _______ works primarily by blocking potassium rectifier currents responsible for the repolarization of the heart during phase 3 of the cardiac action potential. | Amiodarone |
| ______ is a nonbarbitrate anesthetic that promotes short-acting amnesia without muscular relaxation. | Ketamine |
| Dopamine _____ recommended to treat cardiogenic shock. | IS |
| The adult dose of Ketamine for moderate pain control is ______ and can be administered _______. | 0.5mg/kg ; intranasal |
| ______ is an antifibrinolytic, hemostatic agent used in the treatment of severe hemorrhage. | TXA |
| _______ is an essential element for regulating the excitation threshold of nerves and muscles, normal cardiac contractility, and blood coagulation. | Calcium chloride |
| What is the adult dose of Amiodarone for Vtach with a pulse? | 150mg IV drip over 10 minutes |
| Trauma, hypovolemia, Vfib, and tachydysrhythmias are all contraindications for the use of | dopamine |
| Some side effects of _____ may include hypertension, increased heart rate, hallucinations, delusions, and explicit dreams. | Ketamine |
| What is the adult dose of Calcium Chloride to treat calcium channel blocker overdose? | 0.5-1g slow IVP |
| TXA should not be used to treat bleeding with an onset more than ______. | 3 hours |
| _____ is indicated for hemodynamically significant hypotension in the absence of hypovolemia. | Dopamine |
| The initial adult dose of Amiodarone for Vfib would be _____ and may be repeated once with a second dose of ______. | 300mg ; 150mg |
| A metallic taste in the mouth of a possible side effect after administration | calcium chloride |
| Thromboembolism is a possible side effect of _____ use. | TXA |
| You need to sedate a 40 yo male with Ketamine that weighs 175 lbs. What would your dose of Ketamine be? | 160mg IV or 320mg IM |
| _____ is a potent diuretic that inhibits the reabsorption of sodium and chloride in the proximal tubule and loop on Henle. | Furosemide |
| Lidocaine is a _____ that acts primarily on the ventricles of the heart during phase 4 _____ depolarization which decreases _____, suppresses premature ventricular complexes, and _____ the V-Fib threshold. | sodium channel blocker; diastolic; automaticity; raises |
| Acetaminophen is an _____ and _____ that is used in the temporary relief of fever and mild to moderate pain | Analgesic; antipyretic |
| ______ is used in the prehospital setting to control post-partum hemorrhage. | Oxytocin |
| What is the dose of Dextrose for a 3 week old infant that weighs 7.5lbs? What is the concentration of dextrose used for an infant? | 0.5-1g/kg IV ; 10% |
| What is the adult dose of furosemide for hyperkalemia? | 40mg - 80mg |
| Side effects of Lidocaine? | Blurred vision, dizziness, hypotension, bradycardia, seizures, altered LOC |
| Hepatic impairment, renal impairment, severe hypovolemia, and chronic alcohol use are all contraindications for the use of | Acetaminophen |
| Contraindications for Oxytocin | Hypertonic or hyperactive uterus, presence of 2nd fetus, fetal distress. |
| Duration of dextrose after administration | variable depending on the degree of hypoglycemia |
| The dose of Acetaminophen to relieve mild pain for an adult that weighs 165lbs would be | 325-1000mg PO |
| _______ is indicated for use to treat Vtach without a pulse, Vfib, and stable Vtach with a pulse. | Lidocaine |
| Tinnitus and hearing loss can occur if _____ is administered too quickly. | Furosemide |
| What is tinnutis? | ringing of the ear |
| What is the dose of Oxytocin for a 15 yo with postpartum hemorrhage? | Not recommended |
| Furosemide if indicated to treat pulmonary edema with a SBP_____; ______ emergencies, and _____kalemia. | >90; hypertensive; hyper |
| What is the dose of Acetaminophen for a 10 yo that weighs 44lbs.? | 200-300mg |
| How do you reduce D50 to D25? | Dilute it 50% |
| What conditions must be met prior to administration of Oxytocin? | Assess fetal presentation and station (fetal descent) |
| What class of drug is Furosemide? | Loop diuretic |
| What is the post cardiac arrest maintenance infusion of Lidocaine for a 56 yo male that weighs 212lbs? | 1-4mg/min |
Created by:
SelynaEM
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