Adult Medications

Question 0

Adenosine

Answer 0

-SVT with no history of bronchospasm or COPD

Question 1

Albuterol

Answer 1

• Burns (respiratory distress w/ bronchospasm
• Respiratory distress ?non-cardiac
• Allergic reaction in presence of respiratory distress
• Suspected hyperkalemia in the symptomatic patient (widened QRS complex and peaked T-wave)

Question 2

Amiodarone

Answer 2

• Stable Ventricular Tachycardia (VT)

- Reported/Witnessed >= x2 AICD if pulse >= 60

Question 3

ASA

Answer 3

-Discomfort/Pain of suspected cardiac or discomfort/pain relieved with NTG SL (prior to arrival of EMS administered):

Question 4

Atropine

Answer 4

• Unstable Bradycardia

- Organophosphate poisoning

Question 5

Atrovent

Answer 5

• Respiratory distress ?non-cardiac

- Allergic reaction in presence of respiratory distress

Question 6

Benadryl

Answer 6

• Extrapyramidal reactions

- Allergic reaction/anaphylaxis

Question 7

CaCL2

Answer 7

-Symptomatic patient with suspected hyperkalemia (widened QRS complex and peaked T-waves)

Question 8

Charcoal

Answer 8

-Oral ingestion of poison or overdose if ingestion within one hour for uncomplicated (multiple agents not ingested) ingestion of drug on the following list: Acetaminophen, colchicine, beta blockers, calcium channel blockers, salicylates, valproate, oral anticoagulants (including anticoagrodenticides), paraquat, amanita mushrooms (if not vomiting)

Question 9

D50

Answer 9

-Hypoglycemia: symptomatic patient with altered LOC or unresponsive to oral glucose agents, if BS < 60

Question 10

Epinephrine 1:10,000

Answer 10

-Cardiac arrest

Question 11

Epinephrine 1:1,000

Answer 11

-Allergic reaction
Acute (facial/oral angiogram, bronchospasm or wheezing)
-Respiratory Distress (?non-cardiac), consider if severe or inadequate response to Albuterol/Atrovent and if no known cardiac history, history of hypertension, or BP <40 yrs and history of asthma

Question 12

Glucagon

Answer 12

-Hypoglycemia: symptomatic patient with altered LOC or unresponsive to oral glucose agents, if BS <60;
IF NO IV

Question 13

Lidocaine

Answer 13

• Stable Ventricular Tachycardia (VT)

- Reported/Witnessed >= x2 AICD if pulse >=60

Question 14

Morphine

Answer 14

• For treatment of pain as needed with BP >= 100

- Discomfort/Pain of suspected cardiac origin with BP >= 100

Question 15

Narcan

Answer 15

-Symptomatic ?opiod OD with respiratory rate <12 (use caution in opiod dependent pain management patients) to drive the respiratory rate

Question 16

NTG

Answer 16

• Pain or discomfort of ?cardiac origin if BP >= 100
• Respiratory distress ?CHF/cardiac origin
• Fluid overload in hemodialysis patient

Question 17

Normal Saline

Answer 17

• Definitive therapy
• Crush injury with extended compression >= 2 hours of extremity or torso
• CVA: 250ml fluid bolus IV/IO with no tales to maintain BP >= 120
• Symptomatic ?Stimulant Intoxication
• ?aortic aneurysm
• Shock: hypovolemic
• Shock: anaphylaxis, neurogenic
• Shock: ?cardiac etiology, septic
• Trauma
• Discomfort/pain of ?cardiac origin with associated shock with no rales
• Dysrhythmias with no rales
• Burns >= 20% 2nd or >= 5% 3rd degree and >= 15 yo

Question 18

Ondansetron

Zofran

Answer 18

Nausea or vomiting

Question 19

Sodium Bicarbonate

NaHCO3

Answer 19

• Symptomatic patient with suspected hyperkalemia: (widened QRS complex and peaked T-waves)
• ?Trycyclic OD with cardiac effects: (hypotension, heart block or widened QRS)

Question 20

Versed

Answer 20

• Generalized seizure lasting >= 5”
• Recurrent tonic-clinic seizure without lucid interval
• Eclamptic seizure
• Combative patient
• Discomfort associated with pacing
• Conscious VT prior to synchronized cardio version