Allergic Reactions

Question 0

Benadryl

Another Name

Answer 0

Diphenhydramine

Question 1

Diphenhydramine

Another Name

Answer 1

Benadryl

Question 2

Diphenhydramine (Benadryl)

Class

Answer 2

Antihistamine

Question 3

Diphenhydramine (Benadryl)

Description

Answer 3

Blocks histamine release, thereby reducing bronchoconstriction, vasodilatation and edema

Question 4

Diphenhydramine (Benadryl)

Indication

Answer 4

Anaphylaxis, allergic reactions, and dystonic reactions

Question 5

Diphenhydramine (Benadryl)

Contraindication

Answer 5

Asthma, other lower respiratory reactions

Question 6

Diphenhydramine (Benadryl)

Precautions

Answer 6

May induce hypotension, headache, palpitations, tachycardia, sedation, drowsiness and/or disturbed coordination

Question 7

Diphenhydramine (Benadryl)

Dose/Route

Answer 7

25-50 mg IV/IM

Pedi: 1-2 mg/kg

Question 8

Dexamethasone

Another Name

Answer 8

Decadron

Question 9

Decadron

Another Name

Answer 9

Dexamethasone

Question 10

Dexamethasone (Decadron)

Class

Answer 10

Steroid

Question 11

Dexamethasone (Decadron)

Description

Answer 11

Long acting synthetic adrenocorticoid with intense anti-inflammatory activity. It prevents the accumulation of inflammation generating cells at the site of infection or injury

Question 12

Dexamethasone (Decadron)

Indications

Answer 12

Anaphylaxis, asthma, COPD, spinal cord edema

Question 13

Dexamethasone (Decadron)

Contraindication

Answer 13

None in emergency setting.

Relative contraindications: systemic fungal infections, acute infections, tuberculosis, varicella, vaccinia or live virus vaccinations

Question 14

Dexamethasone (Decadron)

Precautions

Answer 14

Herpes simplex, keratitis, myasthenia gravis, hepatic or renal impairment, diabetes, CHF, seizures, psychic disorders, hypothyroidism and GI ulceration

Question 15

Dexamethasone (Decadron)

Dose/Route

Answer 15

4-24 mg IV/IM

Pedi: 0.5-1 mg/kg

Question 16

Methylprednisolone

Another Name

Answer 16

Solu-Medrol

Question 17

Solu-Medrol

Another Name

Answer 17

Methylprednisolone

Question 18

Methylpredisolone (Solu-Medrol)

Class

Answer 18

Corticosteroid, anti-inflammatory

Question 19

Methypredisolone (Solu-Medrol)

Description

Answer 19

Synthetic adrenal corticosteroid, effective as an anti-inflammatory and used in the management of allergic reactions and in some cases of shock. Sometimes used in treatment of spinal cord injury

Question 20

Methylprednisolone (Solu-Medrol)

Indications

Answer 20

Spinal cord injury, asthma, severe anaphylaxis, COPD

Question 21

Methylprednisolone (Solu-Medrol)

Contraindications

Answer 21

None in emergency settings

Question 22

Methylprednisolone (Solu-Medrol)

Precautions

Answer 22

Only a single dose should be given in the prehospital setting

Question 23

Methylprednisolone (Solu-Medrol)

Dose/Route

Answer 23

Asthma/COPD/anaphylaxis: 125-250 mg IV/IM
Pedi: 1-2 mg/kg/dose IV/IM
Spinal chord injury: 30 mg/kg IV over 15 min

Question 24

Pepcid | Another Name

Answer 24

Famotidine

Question 25

Famotidine | Another Name

Answer 25

Pepcid

Question 26

Pepcid (Famotidine) | Class

Answer 26

Anti-Ulcer Agent | H2-Receptor Agonist

Question 27

Pepcid (Femotidine) | Description

Answer 27

Histamine-2 blocker. Works by decreasing the amount of acid the stomach produces.

Question 28

Pepcid (Famotidine) | Indications

Answer 28

Upper GI bleed, anaphylaxis

Question 29

Pepcid (Famotidine) | Contraindications

Answer 29

Hypersensitivity, long qt syndrome

Question 30

Pepcid (Famotidine) | Precautions

Answer 30

Asthma, COPD

Question 31

Pepcid (Famotidine) | Dose/Route

Answer 31

20mg IV

Question 32

Epinephrine | Another Name

Answer 32

Adrenaline

Question 33

Adrenaline | Another Name

Answer 33

Epinephrine

Question 34

Epinephrine (Adrenaline) | Class

Answer 34

Sympathomimetic

Question 35

Epinephrine (Adrenaline) | Description

Answer 35

Naturally occurring catecholamine that increases heart rate, cardiac contractile force myocardial electrical activity, systemic vascular resistance, and systolic blood pressure and decreases overall airway resistance and automaticity. It also through bronchial artery constriction, may reduce pulmonary congestion and increase tidal volume and vital capacity

Question 36

Epinephrine (Adrenaline) | Indications

Answer 36

To restore rhythm in cardiac arrest, severe allergic reactions, severe SOB, bradycardia

Question 37

Epinephrine (Adrenaline) | Contraindications

Answer 37

Narrow angle glaucoma; hemorrhagic, traumatic, or cardiac shock

Question 38

Epinephrine (Adrenaline) | Arrest Dose/Route

Answer 38

1mg of 1:10,000 IV/IO 3-5 min (ET: 2-2.5 mg 1:1,1000)) | Pedi: 0.01 mg/kg 1:10,000 IV/IO (ET: 0.1 mg/kg 1:1,000). All subsequent doses 0.1 mg/kg IV/IO. No max

Question 39

Epinephrine (Adrenaline) | Bradycardia Dose/Route

Answer 39

(2-5mcg/min) IV drip mix 1mg/250 cc

Question 40

Epinephrine (Adrenaline) | Allergic Reactions Dose/Route

Answer 40

0.3-0.5 mf of 1:1,000 IM/5-15 min as needed or 0.5-1 mg of 1:10,000 IV if IM dose ineffective or severe reaction. consider IV drip 2-10mcg/min if severe. Pedi: 0.1 mg/kg (max 0.5) of 1:1,000) IM/10-15 min or 0.01 mg/kg of 1:10,000 IV if IM dose ineffective or severe

Question 41

Epinephrine (Adrenaline) | Asthma/COPD Dose/Route

Answer 41

0.01 mg/kg to max of 0.3 mg 1:1,000 SQ