drugs given for what (adult)

Question 1

convert narrow complex tach to sinus rhythm (SVT)

Answer 1

Adenosine

6mg 1st

12mg 2nd

Question 2

Tx of bronchospasm in COPD / Asthma

Answer 2

Albuterol

2.5 mg with 2.5 ml NaCl Nebulized
max dose of 2 Tx’s

Question 3

SVT, V Tach with normal QT interval, VF or VT

without a pulse

Answer 3

Amiodarone

Pulseless VF VT (Dead man’s Dose) 300mg’s IV / IO 2nd
dose 150 mg’s IV/IO.

Other indications 150 mg’s IV/IO over 10
mins may repeat every 10 mins as needed. After conversion hang a drip

Question 4

chest pain

Answer 4

Aspirin

160-325 mgs

Question 5

Unstable bradycardia, Organophosphate poisoning,

nerve agent poisoning, RSI in peds, beta-blocker or calcium channel blocker OD

Answer 5

Atropine

Brady or Blocks–0.5mg–1mg, may repeat q 3-5 min to max dose of 3mg

Organo–2mg-4mg or higher maybe needed

Question 6

Pulmonary Edema, heart failure

Answer 6

Bumetanide

0.5-1mg

Question 7

Hypocalcemia, Hyperkalemia, Hypomagnesemia, beta blocker and calcium channel blocker toxicity

Answer 7

Calcium chloride

500-1000 repeat as needed

Question 8

Hypoglycemia, Altered LOC, Coma of unknown origin, seizure / status epilepticus

Answer 8

Dextrose

25 grams slow IVP 50% dextrose may be repeated as
necessary

Question 9

anxiety, ETOH withdraws, muscle relaxant, seizure,

medical procedure sedation, intubation sedation

Answer 9

Valium/Diazepam

Seizures-5mg IV over 5 mins or IO 10 mg

Anxiety–2-10mg IV/IM

Premedication for Cardioversion–5-15mg over 5 mins, 10 mins prior to cardioversion

Question 10

stable narrow complex tachycardia, A Fib or A Flutter

Answer 10

Diltiazem/cardizem

Initial dose
0.25 mg/kg IV over 2 mins

This may be repeated in 15 minutes @ 0.35 mg/kg IV

Question 11

Symptomatic relief of allergies, allergic reactions, and

anaphylaxis

Answer 11

Diphenhydramine

25-50mg IV/IM/IO/PO

Question 12

Cardiogenic and Septic shock, hypotension with low

cardiac output, Disruptive shock, 2nd line drug for bradycardia

Answer 12

Dopamine

5-20mcg/kg/min titrate to effect

Question 13

Cardiac arrest (asystole, PEA, VF and Pulseless VT) symptomatic bradycardia as an alternate infusion to Dopamine, hypotension from shock, allergic reaction, anaphylaxis, asthma

Answer 13

epinephrine

Anaphylaxis or asthma 0.3–0.5 mg of 1:1000

For cardiac arrest 1mg of 1:10,000 every 3-5 mins

For continued refractory hypotension/bradycardia administer epinephrine infusion at 2-10 mcg/minute IV/IO

Question 14

RSI

Nonbarbituate hypnotic, anesthesia induction agent

Answer 14

etomidate/amidate

0.2-0.6 mg/kg iv

Question 15

Pain management, anesthesia adjunct

Answer 15

Fentanyl

50–100 mcg (1 mcg/kg) IV/IO slow push up to 2 mins.
Max dose 150 mcg. IN is rapid push

Question 16

Heart failure, pulmonary edema, hypertensive crisis

Answer 16

Furosemide/lasix

0.5-1 mg/kg IV over 1-2 mins if no response double the
dose to 2 mg/kg

Question 17

Altered LOC when hypoglycemia is

suspected, may be used as a reversal agent in beta blocker and calcium channel blocker overdose

Answer 17

Glucagon

1mg IM/IN

Question 18

Persistent bronchospasms, COPD exacerbation

Answer 18

Ipratropium/atrovent

adult and pediatric 250-500 mcg neb with a max of 3 times

Question 19

Excited delirium, pain management, procedural sedation

Answer 19

Ketamine

adult and pediatric 1-2 mg/kg IVP over 1-2 minutes

Question 20

Moderate to severe hypertension

Answer 20

labetalol

10 mg IVP over 1-2 mins may repeat or double every 10 mins to a max of 150 mg

Question 21

Tx of acute bronchospasms in COPD and asthma pts

Answer 21

Levalbuterol/Xopenex

1.25–2.5 mg in 3 ml via Neb

Question 22

Alternative to Amiodarone in cardiac arrest, also

used as anesthetic in minor procedures

Answer 22

Lidocaine

Pulseless VF /VT 1-1.5 mg/kg IV/IO repeat dose 0.5-0.75mg/kg IV/IO with a max dose of 3 mg/kg
Drip 1-4 mg/min in Cardiac arrest conversion or Stable VT and wide complex Tachycardia

Question 23

Initial status epilepticus, severe anxiety,

sedation, chemical restraint

Answer 23

Lorazepam/ativan

Anxiety / Sedation 2 mg IV or 4 mg IM. For seizures 0.1
mg/kg IV max dose of 4 mgs

Question 24

Seizures of Eclampsia, torsades de pointes, hypomagnesemia,

Pulseless VF /VT that is refractory to amiodarone, severe status asthmaticus, and severe bronchospasm

Answer 24

Magnesium sulfate

Polymorphic VT or Torsades de Pointes 1-2G in a 100 cc bag IV/IO over 5-20 minutes.

Wheezing–1-2G in 100 ml bag NSS IV/IO over 15-30 minutes.

For seizure associated with eclampsia 1-4 g in a 100 cc bag over 10 mins max dose of 30-40 g / day

Question 25

Anaphylaxis, bronchodilator for unresponsive asthma

Answer 25

Methylprednisolone Sodium Succinate / Solu-medrol

1-2 mg/kg in adult and pediatrics

Question 26

Seizures, RSI, Chemical restraint

Answer 26

Midazolam/Versed

Seizures 0.2 mg/kg IM/IN max of 10 mg or 0.1 mg /kg IV max of 4 mg

Sedation 0.5–2.5 mg max of 0.1 mg/kg

Chemical restraint 5 mg IV/IM/IN

Question 27

Severe heart failure, acute cardiogenic pulmonary

edema, CP associated with MI, analgesic for acute or chronic pain

Answer 27

Morphine sulfate

2–4mg IV may repeat 2–8 mg max of 10 mg

Question 28

Opiate overdose, decreased LOC, coma of unknown

origin

Answer 28

Naloxone/Narcan

0.4-2 mg IM/IV/IO

Question 29

acute angina, ischemic chest pain, hypertension,

heart failure, pulmonary edema

Answer 29

Nitroglycerin

0.4 mg SL may repeat every 3-5 mins for a max dose of 3 doses.

Paste ½ inch–¾ inch (15-30 mg) Transdermal to chest

Question 30

Prevention and control of N/V

Answer 30

Ondansetron/Zofran

4mg IV/IM/PO/SL may repeat once in 10 mins

Question 31

Conscious pts with suspected hypoglycemia

Answer 31

Oral Glucose / Insta-Glucose

25G PO

Question 32

N/V, motion sickness, sedation for pts in labor

Answer 32

Promethazine / Phenergan

12.5–25 mg IV / deep IM

Question 33

Anesthesia induction, Anesthesia maintenance,

sedation for mechanically ventilated pts

Answer 33

Propofol/diprivan

1.5-3 mg/kg

Question 34

Metabolic acidosis during cardiac arrest, trycyclic antidepressant, aspirin and Phenobarbital overdoses, hyperkalemia, crush injuries

Answer 34

Sodium Bicarbonate

1meq/kg slow IVP/IO may repeat every 10 mins at 0.5meq/kg

Question 35

RSI
(neuromuscular blocker-depolarizing skeletal muscle
relaxant)

Answer 35

Succinylcholine

1–2 mg/kg rapid IVP repeat once if needed

*May be repeated in 5 min on adult and adolescent ONLY

*Do Not repeat dose in infants
May result in refractory brady or asystole

Question 36

RSI

Neuromuscular blocker

Answer 36

Vecuronium

0.1-0.2 mg/kg