Drug Indications

Question 1

indications for ASA

Answer 1

chest pain other s/s suggestive of acute mi
ecg changes suggestive of acute mi
unstable angina
pain discomfort fever in adult pt only

Question 2

indications for adenosine

Answer 2

conversion of svt with no known a-fib/flutter

undifferentiated regular monomorphic wide complex tachycardia

Question 3

indications for albuterol

Answer 3

treatment of bronchospasm

treatment of hypokalemia

Question 4

indications for amiodarone

Answer 4

treatment of: defib refractory vf/pulseless vtach, polymorphic vtach, wide complex tachycardia or uncertain origin
control hemodynamically stable vtach when cardioversion unsuccessful
adjunct to cardioversion of svt and psvt
rate control in afib/flutter

Question 5

indications for atropine

Answer 5

symptomatic bradycardia (monitored pt only)
acetylcholinesterase inhibitor poisoning

Question 6

indications for bumetanide

Answer 6

pulmonary edema

CHF

Question 7

indications for calcium chloride

Answer 7

acute hypocalcemia
calcium channel blocker OD
acute hyperkalemia
hypermagnesemia
pre-treatment for iv calcium channel blocker administration

Question 8

indications for calcium gluconate gel

Answer 8

contact with hydrofluoric acid to mitigate or prevent the related pain and potential tissue burns and bone damage

Question 9

indications for activated charcoal

Answer 9

oral ingestion of toxic substances

pre-lavage of oral ingestions of toxic substances

Question 10

indications for cimetidine

Answer 10

infusion monitoring during interfacility transport only
shot term treatment of duodenal ulcer; maintenance therapy
pathological hypersecretory conditions
prevention of upper gi bleeding

Question 11

indications for desamethasone sodium phosphate

Answer 11

reactive airway disease, acute exacerbation of bronchial asthma
anaphylaxis
cerebral edema (non-traumatic)

Question 12

indications for dextrose 50%

Answer 12

known hypoglycemia
altered loc unknown etiology
hyperkalemia

Question 13

indications for diazepam

Answer 13

grand mal seizure, especially status epilepticus
transient analgesia/amnesia for medical procedures
delirium tremens

Question 14

indications for diltiazem

Answer 14

rapid ventricular rates associated with afib and a flutter and for psvt refractory to adenosine

Question 15

indications for diphenhydramine

Answer 15

anaphylaxis
phenothiazine reactions
antiemetic

Question 16

indications for dopamine

Answer 16

symptomatic bradycardias
hemodynamically significant hypotension in the absence of hypovolemia ( cardiogenic or septic shock only after fluid administration; assess breath sounds first)

Question 17

indications for epinephrine

Answer 17

cardiac arrest
severe bronchospasm
analphylaxis
bradycardia and hypotension monitored pt only
croup

Question 18

epitifibatide

Answer 18

infusion monitoring during interfacility transport only

Question 19

indications for etomidate

Answer 19

induction of anesthesia for rapid sequence intubation

Question 20

indications for famotidine

Answer 20

infusion monitoring during interfacility transport only

Question 21

indications for fentanyl citrate

Answer 21

analgesia, especially in pts with burns or other trauma, mi, renal colic
adjunct to sedation in post intubation state
rsi

Question 22

indications for furosemide

Answer 22

pulmonary edema

CHF

Question 23

indications for glucagon

Answer 23

symptomatic hypoglycemia when iv access is delayed

beta blocker poisoning

Question 24

indications for hemostatic agents

Answer 24

life threatening hemorrhage on external wounds as an adjunct with direct pressure when direct pressure is ineffective

Question 25

indications for hydroxocobalamin

Answer 25

acute, life threatening known or suspected cyanide poisoning

Question 26

indications for insulin

Answer 26

diabetics unresponsive to diet and oral hypoglycemics

Question 27

indications for ipratropium bromide

Answer 27

bronchospasm associated with chronic obstructive pulmonary disease

Question 28

indications for ketamine

Answer 28

pre anesthetic for rsi | pre anesthetic for critical asthma pts needing aggressive bronchodilation and possible intubation

Question 29

indications for lidocaine

Answer 29

suppression of ventricular arrhythmias prophlaxis against recurrence after conversion for ventricular tachycardia or v fib pain management after IO insertion in conscious patients

Question 30

indications for lorazepam

Answer 30

status epilepticus seizure agitation/excited delirium

Question 31

indications for magnesium sulfate

Answer 31

``` torsade de pointes, drug of choice hypomagnesmia pre term labor pregnancy inducted hypertension hyperreactive airway- severe asthma ```

Question 32

indications for solumedrol

Answer 32

acute exacerbation of emphysema, chronic bronchitis, asthma anaphylaxis burns potentially involving the airway

Question 33

indications for midazolam

Answer 33

anti-convulsant sedation management of acut agitation/ excited delirium induction for intubation

Question 34

indications for morphine

Answer 34

analgesia | pulmonary edema

Question 35

indications for nalmefene

Answer 35

antidote for opioid poisoning when naloxone is not available

Question 36

indications for naloxone

Answer 36

antidote for opioid poisoning

Question 37

indications for nitroglycerin

Answer 37

angina mi CHF with pulmonary edema

Question 38

indications for norepinephrine

Answer 38

severe hypotension due to cardiogenic, septic, or neurogenic shock either refractory to intravascular fluid boluses or in which intravascular fluid bolusing is contraindicated

Question 39

indications for ondansetron

Answer 39

nausea and vomiting

Question 40

indications for oxytocin

Answer 40

postpartum hemorrhage due to uterine atony

Question 41

indications for propofol

Answer 41

icu sedation of intubated mechanically ventilated adult patients

Question 42

indications for racemic epinephrine

Answer 42

croup | copd

Question 43

indications for ranitidine

Answer 43

infusion monitoring during interfacility transport only

Question 44

indications for sodium bicarbonate

Answer 44

pre existing metabolic acidosis poisoning of aspirin, cyclic antidepressants cardiac arrest after other interventions and ventilation is adequate

Question 45

indications for succinylcholine

Answer 45

rsi

Question 46

indications for thiamine

Answer 46

``` alcoholism delirium tremens coma of unknown origin suspect wernicke or korsakoff syndrome other thiamine deficiency syndromes severe CHF ```