Exam 5 - Emergency Kit

Question 1

Name the level 1 (basic critical drugs)

Answer 1

1. Endogenous catecholamine (Epinephrine)
2. Histamine blocker
3. Oxygen
4. Vasodilater (Nitroglycerin)
5. Bronchodilator
6. Anti-hypoglycemic
7. Fibrinolytic

Question 2

Which level 1 basic critical drug is used for respiratory distress?

Answer 2

Endogenous catecholamine

Oxygen

Question 3

Name the indications of Endogenous catecholamine

Answer 3

Rapid relief of hypersensitivity reactions

Anaphylaxis

Question 4

Name the two Histamine blockers found in an emergency kit

Answer 4

1. diphenhydramine (Benadryl)

2. chlorpheniramine (Chlor-Trimeton)

Question 5

What are the indications for histamine blockers?

Answer 5

Used for allergic reactions
Angioedema
Anaphylaxis

Question 6

What is the indication for oxygen use?

Answer 6

Used for any emergency situation where respiratory distress is evident

Question 7

Name the drug considered a Vasodilator found in emergency kits

Answer 7

Nitroglycerin

Question 8

What are the indications for nitroglycerin?

Answer 8

Prophylaxis

Management and treatment of patients with angina

Question 9

Name the drug considered a bronchodilator found in emergency kits

Answer 9

albuterol (beta 2 agonist) inhaler

Question 10

Indications for albuterol

Answer 10

Used for relief of bronchospasm in patients with COPD

Question 11

Name a few examples of Anti-hypoglycemics used in emergency kits

Answer 11

Orange juice
Cake icing in tube
Regular soft drinks
Glucose = paste, tablets

Question 12

What is the fibrinolytic found in emergency kits

Answer 12

Chewable aspirin

Question 13

Indication for chewable aspirin when in emergency

Answer 13

Pre-hospital admission drug for MI

Question 14

List the Level 2 (Often in basic kits too) drugs

Answer 14

1. Respiratory stimulant
2. Histamine blocker
3. Analgesic
4. Anticonvulsant
5. Anti-hypertensive
6. Anti-hypoglycemic
7. Glucocorticoid (anti-inflammatory)
8. Vasoconstrictor
9. Anticholinergic

Question 15

Name the level 2 Respiratory stimulants

Answer 15

Aromatic ammonia

Spirits of ammonia (Smelling salts)

Question 16

What is the indication of the level two respiratory stimulants

Answer 16

Treatment of fainting (***NOT respiratory depression caused by opioids)

Question 17

Name the level 2 Histamine Blocker found in emergency kits

Answer 17

diphenhydramine (oral administration)

Question 18

Indication for level 2 histamine blocker

Answer 18

mild allergic reactions

angioedema

Question 19

What is the level 2 analgesic often found in kits

Answer 19

Morphine sulfate

Question 20

Indication for Level 2 analgesic

Answer 20

Used for pain/anxiety with MI

Question 21

Name the Level 2 anticonvulsant often found in kits

Answer 21

diazepam (valium)

Question 22

Indication for Level 2 Anticonvulsant

Answer 22

Used for status epileptics and severe recurrent convulsive seizers

Question 23

Indications for Level 2 Anti-hypertensive

Answer 23

Anti-anginal

Used for treatment of tachycardia and hypertension

Question 24

Name the level 2 Anti-hypertensive drugs found in kits

Answer 24

Beta blockers such as esmolol and labetalol

Question 25

Name the Level 2 anti-hypoglycemic drugs found in kits

Answer 25

glucagon HCl | 50% Dextrose

Question 26

Indication of Level 2 glucocorticoid (anti-inflammatory)

Answer 26

- treatment of adrenocortical insufficiency - treatment of shock - control of severe or incapacitating allergic conditions that are intractable to conventional treatment of asthma and allergic reactions

Question 27

Name the level 2 glucocorticoid

Answer 27

hydrocortisone sodium succinate (Solu-cortef)

Question 28

Name the level 2 vasoconstrictor

Answer 28

methoxamine (Vasoxyl)

Question 29

Indication for the level 2 vasoconstrictor

Answer 29

support or maintenance of blood pressure

Question 30

Indications for the Level 2 anticholinergic

Answer 30

Used as antisialagogue for pre anesthesia - restore heart rate and arterial pressure when vagal stimulation causes sudden decrease in pulse rate and cardiac action - lessen degree of AV heart block - Overcome severe bradycardia and syncope due to hyperactive carotid sinus reflex

Question 31

Name the Level 2 anticholinergic

Answer 31

atropine

Question 32

List the Level 3 drugs (advanced cardiac life-support drugs)

Answer 32

1. Alkalinizing agent 2. Analgesic 3. Anti-dysrhythmic 4. Anti-cholinergic 5. Calcium salt 6. Endogenous catecholamine (Epinephrine)

Question 33

List the Level 3 Anti-dysrhythmic drugs

Answer 33

1. lidocaine (Xylocaine) 2. bretylium tosylate (Bretylol) 3. Procainamide (Pronestyl) 4. Verapamil (Calan)

Question 34

Name the Level 3 Alkalinizing agents

Answer 34

Sodium bicarbonate

Question 35

Indications for sodium bicarbonate

Answer 35

Documented pre-existing metabolic acidosis - Not frequently used due to many adverse effects - Used after other interventions

Question 36

Indications for Level 3 Analgesic drugs

Answer 36

treatment of anxiety/pain due to MI | Manage pain unresponsive to non-opioid analgesics

Question 37

What is the drug of choice for suppression of ventricular tachycardia and ventricular fibrillation?

Answer 37

lidocaine (Xylocaine)

Question 38

What is the indication of calcium salt

Answer 38

treatment of acute hyperkalemia, hypocalcemia or calcium channel blocker toxicity

Question 39

Name the Level 4 (antidotes)

Answer 39

``` Benzodiazepine Antagonist (flumazenil) Opioid antagonist (naloxone, naltrexone) ```