Drug Memorization G-M

Question 1

Oral Glucose Indication

Answer 1

Altered LOC caused by hypoglycemia

Question 2

Oral Glucose Contraindication

Answer 2

No gag reflex. Unable to protect airway

Question 3

Oral Glucose Dose

Answer 3

25-50mg (full tube)

Question 3

Oral Glucose side effects

Answer 3

Aspiration

Question 4

Glucagon Indication

Answer 4

Hypoglycemia (IN or IM)
Beta blocker OD
calcium channel blocker toxicity.

Question 5

Glucagon Contraindication

Answer 5

Hypersensitivity to proteins.

Question 6

Glucagon Dose

Answer 6

Low sugar: 1mg IN or IM.
CCB or beta blocker OD: 1mg IV/IO up to 3 mg.

Question 7

Glucagon Side effects

Answer 7

N/V
Tachycardia

Question 8

Ketamine indication

Answer 8

anesthesia prior to RSI
chemical sedation for psychiatric/behavior issues.

Question 9

Ketamine contraindication

Answer 9

hypersensitivity

Question 10

Ketamine dose

Answer 10

RSI: 1mg/kg IV may repeat every 5-10

Sedation: 1mg/kg IV or 4mg/kg IM.

Question 11

Ketamine side effects

Answer 11

hypertension
tachycardia
sedation
vomiting
involuntary muscle movement.

Question 12

Lasix (Furosemede) indication

Answer 12

acute pulmonary edema

Question 13

Lasix (Furosemede) contraindication

Answer 13

hypersensitivity
hypovolemia/dehydration

Question 14

Lasix (Furosemede) dose

Answer 14

1mg/kg over 2 min.

if already on lasix, give twice their daily dose.

Question 15

Lasix (Furosemede) side effects

Answer 15

hypotension
dry mouth
electrolyte imbalance
if given too fast, can cause hearing loss.

Question 16

Lidocaine indication

Answer 16

CA from VT/VF
Maintenance infusion @ROSC associated w/ VT/VF

Question 17

Lidocaine contraindication

Answer 17

2nd/3rd heart block
Strokes - adams syndrome.
Prophylactic use in AMI

Question 18

Lidocaine dose

Answer 18

CA 1-1.5mg/kg q5-10 min to max 3mg/kg

ROSC 1-4mg/min

Question 19

Lidocaine side effects

Answer 19

light headed
confusion
blurred vision
hypotension
b radycardia
altered LOC
seizures

Question 20

Magnesium Sulfate indication

Answer 20

eclamptic seizure
ventricular dysrhythmias
torsades
digitoxin toxicity
asthma

Question 21

Magnesium Sulfate contraindications

Answer 21

heart block
myocardial damage

Question 22

Magnesium Sulfate dose

Answer 22

Eclampsia, torsades, asthma: 1-2g over 10min

CA 1-2g IV push

Question 23

Magnesium Sulfate side effects

Answer 23

diaphoresis
hypothermia
respiratory depression
facial flush
bradycardia
hypotension
N/V

Question 24

Midazolam (versed) indication

Answer 24

active seizure status epilepticus sedation prior to cardio version/pacing

Question 25

Midazolam (versed) contraindication

Answer 25

hypersensitivity acute narrow angle glaucoma

Question 26

Midazolam (versed) dose

Answer 26

2.5-5mg may repeat once (IV or IN)

Question 27

Midazolam (versed) side effects

Answer 27

respiratory depression confusion hypotension nausea

Question 28

Morphine indication

Answer 28

pain and anxiety chest pain unrelieved by nitroglycerine

Question 29

morphine contraindication

Answer 29

BP <90 traumatic brain injury respiratory depression

Question 30

Morphine dose

Answer 30

2-4mg q 3-5 min to hypotension or respiratory depression

Question 31

Morphine side effects

Answer 31

respiratory depression hypotension dizziness N/V bradycardia

Question 32

Haldol (haloperidol) indication

Answer 32

Patients who require sedation for comfort or safety during transport Acute psychotic episodes severe anxiety and tension acute alcohol withdrawal symptoms

Question 33

Haldol (haloperidol) contraindications

Answer 33

Preexisting coma intoxication known cardiovascular disease

Question 34

Haldol (haloperidol) dose

Answer 34

Adult: 5-10mg IM not to exceed 100mg in 24 hours

Question 35

Haldol (haloperidol) side effects

Answer 35

Extrapyramidal effects aka dystonic reaction (antidote benadryl 25-50mg) tardive dyskinesia potentially fatal neuroleptic malignant syndrome.

Question 36

Heparin indication

Answer 36

Prevention of thrombus formation in acute MI

Question 37

Heparin contraindication

Answer 37

active bleeding or bleeding tendencies recent major surgery or trauma

Question 38

Heparin dose

Answer 38

5000 units IV follow with 20000 to 40000 units IV over 24 hours.

Question 39

Heparin side effects

Answer 39

potentially life threatening bleeding. May cause hematologic disorder.

Question 40

Hydroxocobalamin (cyanokit) indication

Answer 40

cyanide toxicity

Question 41

Hydroxocobalamin (cyanokit) contraindication

Answer 41

absolute: none relative: history of anaphylactic reaction to the drug.

Question 42

Hydroxocobalamin (cyanokit) dose

Answer 42

5 grams (2 vials) over 15 minutes

Question 43

Hydroxocobalamin (cyanokit) side effects

Answer 43

Flushing, urticaria, itching, rash, chest tightness, dyspnea, transient BP elevation, anaphylaxis, red skin, tears, sweat, and urine.

Question 44

Labetolol indication

Answer 44

Acute hypertensive crisis with end organ dysfunction unstable angina non q wave MI AAA SVT with RVR Ventricular tachycardia refractory to lidocaine

Question 45

Labetolol contraindication

Answer 45

cocaine or amphetamine OD CHF Hypertension

Question 46

Labetolol dose

Answer 46

HTN crisis: 5-10mg IV may repeat to total of 20mg IVP

Question 47

Labetolol side effects

Answer 47

Bronchospasm hypotension hallucination hyponatremia hyperkalemia

Question 48

Levophed (norepinephrine bitartrate) indication

Answer 48

neurogenic and cariogenic shock and septic shock BP<70 (hemodynamically significant hypotension)

Question 49

Levophed (norepinephrine bitartrate) contraindication

Answer 49

hypovolemia

Question 50

Levophed (norepinephrine bitartrate) dose

Answer 50

8-12mcg/min

Question 51

Levophed (norepinephrine bitartrate) side effects

Answer 51

HTN dysrhythmias angina reflex bradycardia tissue necrosis

Question 52

Methylprednisolone (solumedrol) indication

Answer 52

wheezing refractory to inhaled bronchodilators status asthmaticus severe anaphylaxis, in conjunction with epi and benadryl.

Question 53

Methylprednisolone (solumedrol) contraindication

Answer 53

known hypersensitivity to the product and its constituents

Question 54

Methylprednisolone (solumedrol) dose

Answer 54

60-125mg IV/IO, if there are no contraindications IM in asthma

Question 55

Methylprednisolone (solumedrol) side effects

Answer 55

HTN rare instances of anaphylactic reaction exacerbation of congestive heart failure Seizure