Drug Indications And Contraindications

Question 1

ASA indications

Answer 1

Chest pain indicative of cardiac ischemia

Question 2

ASA Contraindications

Answer 2

-known hypersensitivity or allergy
-Asthma or patients with known asthma induced by NSAIDS or salicylic acids
Active gi bleeds or peptic ulcers
-pediatrics with viral symptoms (Reyes disease)

Question 3

D10w indications and dosage

Answer 3

-Hypoglycemia/ALOC/ Seizures/Coma
Dose: 25mg in 250ml bags (GIVE IN 100ml boluses

Question 4

Dimenhydrinate (Gravol) indications

Answer 4

Prevention or control of nausea, vomiting, and vertigo.

Question 5

Dimenhydrinate (Gravol) contraindications

Answer 5

Known hypersensitivity or allergy

Question 6

Dimenhydrinate (Gravol) dosage

Answer 6

1mg/kg to a maximum of 50mg

Given both IM and IV

For IV get 10ml syringe and dilute in 9ml of NS and push over 1-2 minutes

Question 7

Diphenhydramine (Benadryl) indications

Answer 7

Treatment for allergic reaction

Question 8

Diphenhydramine (Benadryl) contraindications

Answer 8

-Known hypersensitivity or allergy
-neonates

Question 9

Diphenhydramine (Benadryl) dosage and route

Answer 9

25-50Mg - IV, IM

Question 10

Entonox (Nitrous oxide) indications

Answer 10

-Relief of moderate to severe pain
-Relief of cardiac chest pain where nitro glycerin is contraindicated.
-isolated injury to extremities

Question 11

Entonox (Nitrous oxide) contraindications

Answer 11

-Pneumothorax
-Air embolism
-Inhalation injury
-Nitro in the last 5 minutes
-Decompression sickness
-inability to comply
-enclosed spaces

Question 12

Entonox (Nitrous oxide) cautions

Answer 12

Shock
Abdominal distension
Facial injuries
Deppressent drugs
COPD

Question 13

Epinephrine indications

Answer 13

Anaphylaxis, severe bronchospasm

Question 14

Epinephrine contraindications

Answer 14

Significant tachyarrythmias

Question 15

Epinephrine route and dosage

Answer 15

0.5mg every 5 minutes up to three times
0.5mg every 5-20 minutes for severe bronchospasm
IM
Caution: can further hypotension

Question 16

Glucagon indications

Answer 16

Hypoglycemia when IV is unsuccessful

Question 17

Glucagon contraindications

Answer 17

Allergy or hypersensitivity

Question 18

Glucagon dosage and routes

Answer 18

0.5 to 1mg IM

Question 19

Naloxone indications

Answer 19

To reverse respiratory depression/decreased mental status in actual or suspected narcotic overdoses.

Question 20

Naloxone contraindications

Answer 20

Allergy or known hypersensitivity

Question 21

Naloxone dosages

Answer 21

0.4 - 0.4 - 0.8 - 0.2mg IM,IV

Question 22

Nitroglycerin indications

Answer 22

-Chest discomfort that appears cardiac in nature
-Heart rate between 50 and 150bpm
-Patients without nitro prescription require consultation with medical oversight

Question 23

Nitroglycerin contraindications

Answer 23

-Known hypersensitivity or allergy
-Systolic below 110
-Use of Viagra or Levitra in the last 24 hours or Cialis in the last 48.

Question 24

Nitroglycerin dosage and route

Answer 24

-EMAs are to administer to patients prescribed dosage
-Can be delivered Q3 minutes if patients blood pressure remains above 110sys.
Given SL

Question 25

Salbutamol indications

Answer 25

-Bronchospasm associated with asthma, bronchitis, or emphysema -bronchospasm secondary to anaphylaxis

Question 26

Salbutamol contraindications

Answer 26

-Hypersensitivity or allergy -hemodynamically significant tachycardia

Question 27

Salbutamol dosages and routes

Answer 27

Neb: 5mg for ages greater than 1 year Neb: 2.5mg for ages less than 1 year MDI: 4x100mcg as required SHAKE EVERY TIME. Pediatrics 10-20kgs 5x100mcg Pediatrics greater than 20kgs 10x100mcg. Both may be repeated to a maximum of 3 times.

Question 28

Oral glucose indications

Answer 28

Patients with known diabetic history with bgl less than 4mmol

Question 29

Oral glucose contraindications

Answer 29

Patients that cannot maintain airway

Question 30

Oral glucose onset, dose, route.

Answer 30

EMAs can give half package (12g) before transport. Comes in packages of 32ml with 38g of drug.

Question 31

Tranexamic Acid indications

Answer 31

-Major trauma patients after initiation of hypovolemia protocol - Signs of shock associated with findings suggestive of ongoing or occult bleeding

Question 32

Tranexamic Acid contraindications

Answer 32

-known hypersensitivity or allergy -If time is greater than three hours since injury -Patients less than 12 years of age. -isolated TBIs Medical oversight is required for: Postpartum hemorrhage and epistaxis.

Question 33

Tranexamic Acid dosage and route

Answer 33

1g infused in a 50ml bag of NS piggybacked. Delivered at a rate of 60gtts per minute.