Formulary

Question 1

Acetaminophen (ofirmev)
Class and action

Answer 1

Class: analgesic
Action: reduction of prostaglandin in CNS for pain relief

Question 2

Acetaminophen DOSE - Adult and ped

Answer 2

Pain management
Adult: 1000 mg IV/IO/PO
Ped: 15mg/kg max 1000 mg

IV GIVEN OVER 2 minutes

Question 3

Acetaminophen CONTRAINDICATIONS

Answer 3

Hypersensitivity, dose within 4 hours, 4 grams within 24-hour period, chronic liver disease, liver failure, hyperthermia with environmental etiology

Question 4

Acetylsalicyclic acid (aspirin)
CLASS and ACTION

Answer 4

Class: nonsteroidal anti-inflammatory (NSAID)
Action: platelet inhibition

Question 5

Aspirin dose ADULT AND PED

Answer 5

Chest pain 324 mg (4 x 81mg tablet)

Question 6

Aspirin CONTRAINDICATIONS

Answer 6

Allergy to aspirin

Question 7

Albuterol CLASS AND ACTION

Answer 7

Class: sympathomimetic
Action: bronchodilator

Question 8

Albuterol: Protocol and dose

Answer 8

Protocols: allergic reaction, drowning, hyperkalemia, respiratory distress, pediatric allergic reaction, pediatric drowning, pediatric respiratory distress

2.5mg in 3 mL SVN

Question 9

Albuterol CONTRAINDICATIONS adverse reactions

Answer 9

Hypersensitivity

Tachycardia, palpitations, anxiousness, headache

Question 10

Diphenhydramine hydrochloride (Benadryl)
CLASS AND ACTION

Answer 10

Class: antihistamine
Action: blocks histamine receptors, anticholinergic

Question 11

Diphenhydramine PROTOCOL AND DOSE

Answer 11

Protocol: allergic reaction, overdose/poisoning, peds allergic reaction, peds overdose/poisoning, dystonic reactions

Dose: adult - 50mg IV/IM/IO
PEDS - 1 mg/kg MAX 50 mg

Question 12

Benadryl CONTRAINDICATIONS AND ADVERSE REACTIONS

Answer 12

Contra. - hypersensitivity
Adverse: sedation, palpitations, decreased BP, headache, dries bronchial secretions, blurred vision

Question 13

Epinephrine 1:1000
CLASS AND ACTION

Answer 13

Class: sympathomimetic
Action: bronchodilation, positive chronotrope, positive inotrope

Question 14

Epi 1:1000
Protocol and Dose

Answer 14

Protocol:
allergic reaction - 0.5mg IM
peds. Allergic reaction - 0.01mg/kg
bradycardia - 0.1mg/kg ETT MAX 1mg
cardiac arrest - 0.1mg/kg ETT MAX 1 mg
respiratory distress 3-5 mg SVN if SpO2 <94%

Question 15

Epi 1:1000 dose

Question 16

Epi 1:1000; can you repeat dose?

Answer 16

Yes q 15 min to max of 1.5 mg for allergic reaction ADULT. q 5 min for pediatrics

Yes q 3-5 min for bradycardia or cardiac arrest PEDS

Question 17

Epi 1:10,000
PROTOCOL AND DOSE

Answer 17

Cardiac Arrest: 1 mg IV/IO // 2-2.5mg ETT
Peds. Bradycardia: 0.01mg/kg IV/IO
Peds Cardiac Arrest: “. “
Neonatal resuscitation: 0.01 mg/kg

Question 18

Epi 1:100,000
PROTOCOLS

Answer 18

push dose 1:100,000 10mcg
Repeat q 2-5 min to SBP >90

Used for allergic reaction, bradycardia, sepsis, shock.

Question 19

Epi 1:100,000 pediatric shock dose

Answer 19

0.1mcg/kg MAX 5mcg