Which drug (other than Valium) may be used to terminate
status epilepticus?
50% DextroseAlso 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)?
Epinephrine
What is the generic name for:
1) Narcan2) Isuprel3) Lasix
4) Valium
1) Naloxone2) Isoproterenol3) Furosemide4) 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) Benadryl2) morphine
3) Valium
Name two contraindications for the administration of Syrup of
Ipecac
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
What volume of Epinephrine 1:1000 will contain 0.4 mg?
0.4 mL
What does atropine do to pupils?
dilates
What is the ANS action of glucagon?
sympathomimetic
Name all the drugs carried in the ambulance which can safely be
given down the ET tube
1) Lidocaine2) Atropine3) Naloxone4) Epinephrine5) 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?
Lomotil
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 mcg250 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?
10-20 minutes
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) convulsions2) hypotension3) bradycardia4) 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 conductionIncreased RateIncreased Strength of contraction
so:Increased cardiac outputIncreased myocardial O2 demandIncreased ventricular irritability
How long should a patient be allowed to continue in seizure
activity before Valium is given?
5 minutes
What is the first drug of choice to treat sinus bradycardia with
PVC’s?
atropine
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/kgrhythm converts
QRS widenshypotension
What is the standard dosing of Adenosine
1) initial2) repeat
1) 6 mg2) 12 mg
What type of drug is Compazine?
Phenothiazine
Name two more phenothiazines
thorazine, haldol, prolixin, mellaril, stelazine
What is the other name for Diltiazem
Cardizem
What kind of drug is Elavil?
Cyclic antidepressant
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 = 72000
X= 45 gtts/min (whew!) and it’s easier still…..
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
Give one trade name for Albuterol
Proventil, Ventolin
Which is more likely to cause respiratory depression:
IV Valium or Rectal Valium
IV Valium