In-House

Question 1

Acetaminophen

Answer 1

Generic name: Tylenol
Type: Non-NSAID
Use: pain reliever and fever reducer

Dose: 500-1000mg (2x 500mg tablets)

Pediatric dosing: 160mg/5ml and standard dosing is 15mg/kg

Contraindications/ Side effects: Filtered through the liver and cause increased damage

Question 2

Adenosine

Answer 2

Generic name: Adenocard
Type: antiarrhythmic
Use : Convert Supraventricular Tachycardia (SVT)

Dose (How to take): Provider does it
Contraindications/ Side effects: Death (stops heart)

Question 3

Afrin Nasal Spray

Answer 3

Generic name: Oxymetazoline HCL
Type: vasoconstrictor
Use: Treats nasal congestion by shrinking the swollen mucous membranes; treats nose bleeds

Dose (How to take): 30mL spray
Contraindications/ Side effects: Can cause rebound swelling and increased nasal congestion

Question 4

Albuterol Sulfate

Answer 4

Type: Bronchodilator
Use (What it does): Treats bronchospasms in patients with RSV, Asthma, COPD and other respiratory illness
Dose: Prefilled
Contraindications/ Side effects: Anxiety, shakes/tremors, increased/irregular HR

Question 5

Aspirin

Answer 5

Type: Antiplatelet
Use (What it does): Treats chest pain and potential heart attacks. Prevents blood clots.
Dose (How to take): 81-324mg (4x tabs)

Contraindications/ Side effects: Can cause increased bleeding in patients who have intestinal bleeding, ulcers, blood clotting disorders and anemia

Question 6

Atropine

Answer 6

Type: HR
Use (What it does): Treats symptomatic bradycardia
Dose (How to take): 0.5-1mg IV
Contraindications/ Side effects: Increases HR

Question 7

Cefazolin

Answer 7

Generic name: Ancef
Type: Cephalosporin antibiotic
Use: Treat bacterial infections
Dose (How to take): 250mg- 1g IVPB in 500mL or 1000mL Normal saline
Contraindications/ Side effects: Should not be given to patients allergic to penicillin family antibiotics.

Question 8

Ceftriaxone

Answer 8

Generic name: Rocephin
Type: Cephalosporin antibiotic
Use (What it does): Treat bacterial infections
Dose (How to take):
->IM- mix with 1% Lidocaine for comfort
->IV- mix with Normal Saline
Contraindications/ Side effects: Check with the provider if patient has allergy to penicillin family

Question 9

Clindamycin

Answer 9

Generic name: Cleocin
Type: Antibiotic

Use (What it does): Treat bacterial infections including strep throat, ear infections, pelvic inflammatory disease (PID) and pneumonia.

Dose (How to take):300-900 mg IVPB in 500mL-1000mL Saline bag

Contraindications/ Side effects: Watch for diarrhea and rashes with sensitivity to this medication

Given as an alternative medicine to those of the penicillin family.

Question 10

Clonidine

Answer 10

Generic name: Catrapres, Clophelin
Type: BP

Use (What it does): Lowers BP via decrease of peripheral vascular resistance

Dose (How to take): 1 (0.1) Tablet

Contraindications/ Side effects:
-Monitor the patient for fast, slow, pounding, or uneven heartbeat, light headedness, dizziness, and fainting

Question 11

Dexamethasone

Answer 11

Generic name: Decadron
Type: Corticosteroid
Use (What it does): decreases swelling throughout the airways
Dose (How to take):
-->Arm- 4MG IM or Slow IV Push
-->Butt- 8MG IM or Slow IV Push
--> They come in 4mg/mL doses
Contraindications/ Side effects: May increase the blood sugar in diabetic patients because it is a glucocorticoid.

Question 12

Dextrose 50%

Answer 12

Type: Sugar water
Use (What it does): Treats symptomatic hypoglycemia (Low blood sugar)
Dose (How to take): (1mL/kg IV)
Contraindications/ Side effects: Increased blood sugar

Question 13

Diazepam

Answer 13

Generic name: Valium
Type: Sedative
Use (What it does): Treats anxiety(mostly), muscle spasms or seizures
Dose (How to take): 2-10 mg IV or IM
Contraindications/ Side effects: Cause drowsiness, slurred speech, and impaired coordination

*Patient has to have family present to administer (they have to drive)

Question 14

Diphenhydramine

Answer 14

Generic name: Benadryl
Type: Antihistamine
Use (What it does): Treats allergic reactions and anaphylaxis
Dose (How to take): 25-50 mg Slow IV Push or IM
Contraindications/ Side effects: Sedative effects. Can knock out patient if rapidly pushed. Use IV if possible to push slow in order to decrease side fx

Question 15

Epinephrine

Answer 15

Type: Vasoconstrictor
Use (What it does): Treats patients suffering from asthma, allergic reactions, or other types of allergic reactions
Dose (How to take): 1:1000 (DOC ONLY) IM ONLY
Contraindications/ Side effects: Increases BP and HR; May cause patient to be jittery

Question 16

Famotidine

Answer 16

Generic name: Pepcid
Type: Antacid and Antihistamine

Use (What it does): Given as a histamine blocker in severe allergic reactions or as an antacid in patients with GERD or other GI-related presentations

Dose (How to take): 20-40mg IVPB in 500 mL or 1000mL

Contraindications/ Side effects: May lead to a prolonged QT interval or other cardiac arrhythmia

Question 17

Ibuprofen

Answer 17

Generic name: Motrin
Type: Non- Steroidal Anti-Inflammatory Drug
Use (What it does): Treats fever and mild to moderate pain
Dose (How to take):
-> Adult - TAUC = 1 600mg PO tablet
-> Pediatriac- 100mg/5mL
Contraindications/ Side effects:

Question 18

Ipratropium Bromide

Answer 18

Generic name: Atrovent
Type: Bronchodilator
Use (What it does): Treat bronchospasms associated with COPD, Emphysema, Asthma and respiratory illnesses

Dose (How to take): Prefilled (2.5mg/mL) in a nebulizer and can mix with albuterol for a duoneb

Contraindications/ Side effects: May cause tachycardia (Increased HR), light headedness and shakes

Question 19

Furosemide

Answer 19

Generic name: Lasix
Type: Loop Diuretic

Use (What it does): Decreases edema and swelling (typically associated with congestive heart failure, liver disease, kidney disease, and other medical conditions)

Dose (How to take): 20-80mg IV slow push

Contraindications/ Side effects: May cause increased blood sugars ; muscle cramps and dehydration w/ prolonged use; may lower serum potassium levels in patient. May lead to sensitivity to the sun.

Question 20

Kenalog

Answer 20

Generic name: Triamcinolone (AKA- cortisone shot)
Type: Corticosteroid
Use (What it does): Reduces the actions of chemicals in the body

Dose (How to take): 10mg IM

Contraindications/ Side effects: Watch for pain, redness, and swelling at injection site; May cause aggression, agitation and anxiety. All steroids can cause weight gain

Question 21

Ketorolac

Answer 21

Generic name: Toradol
Type: NSAID
Use (What it does): Decrease swelling and or treat moderate to severe pain

Dose (How to take):

• ->60mg IM only
• ->30mg IV drip

Contraindications/ Side effects: May worsen symptoms associated with kidney failure; May increase bleeding

Question 22

Maalox

Answer 22

Generic name: Aluminum and magnesium hydroxide
Type: Anatacid
Use (What it does): Neutralize stomach acid (viable treatment for Gastroesophageal Reflux Disease (GERD) symptoms
Dose (How to take): 30 mL PO and may be mixed with 10mL of Viscous Lidocaine to make a GI cocktail

Question 23

Morphine

Answer 23

Type: Narcotic
Use (What it does): Treat moderate to severe pain
Dose (How to take): 2-4mg slow IV push (over 2minutes) or 2-10mg IM
Contraindications/ Side effects: May decrease the patients blood pressure and respiratory drive; causes drowsiness; needs to have a ride

Question 24

Metroclopramide

Answer 24

Generic name: Reglan
Type: Antiemetic

Use (What it does): Treat severe nausea/vomiting , migraines, and symptoms associated with
GERD

Dose (How to take): 10mg Im or IVPB in a 500mL or 1000mL Normal Saline Bag

Contraindications/ Side effects: Cannot be given via IV push because it can cause tardive dyskinesia (involuntary muscle movements)

Question 25

Naloxone

Answer 25

Generic name: Narcan Type: Opioid antagonist Use (What it does): Reverses the effect of an opioid. Decreases Repertory drive and LOC due to narcotic overdose Dose (How to take): 0.4mg slow IVP Contraindications/ Side effects: Pushing to fast may cause vomiting or aggression

Question 26

Nitrostat

Answer 26

Generic name: Nitroglycerin Sublingual Tablets Type: Vasodilator Use (What it does): reduces eripheral vascular resistance and reduces the workload on the heart; Given for angina(chest pain); relieves ischemic chest pain--associated with heart attacks Dose (How to take): 1 sublingual tablet (0.4mg) every 5 minutes until patient is either pain free or a maximum of 3 doses Contraindications/ Side effects: May decrease the pulse rate and blood pressure. IV must be established before administering. Stop if patient becomes hypotensive

Question 27

Ondanstron

Answer 27

Generic name: Zofran Type: Antiemetic Use (What it does): Treats nausea and vomiting Dose (How to take): 4mg IV (most effective pathway) or IM Contraindications/ Side effects: May lead to constipation

Question 28

Promethazine

Answer 28

Generic name: Phenergan Type: Antihistamine; Antiemetic Use (What it does): Treats itching or hives; Treats nausea and vomiting Dose (How to take): 12.5-25mg IM Only Contraindications/ Side effects: Can cause necrosis of veins; Makes drowsy; can make irritable

Question 29

Solu-Medrol

Answer 29

Generic name: Methylprednisolone Type: Corticosteroid Use (What it does): Anti-inflammatory medication associated with respiratory illnesss such as Asthma and COPD. Decrease systemic swelling in allergic reactions Dose (How to take): 125mg IM or Slow IV Push Contraindications/ Side effects: Can increase blood sugar in diabetic patients

Question 30

Unasyn

Answer 30

Generic name: (Ampicillin Sodium/ Sulbactam Sodium) Type: Penicillin Family Use (What it does): treats bacterial infections Dose (How to take): 1.5-3g IVPB Contraindications/ Side effects: (Painful as a shot) Contraindicated in patients diagnosed with Mononucleosis. Use cautiously in patients who have kidney disease or decreased renal function.

Question 31

Viscous Lidocaine

Answer 31

Type: Local anesthetic Use (What it does): Treats pain in the mouth, throat or esophagus. Dose (How to take): Stocked in 100mL bottles but given in a 10mL dose PO. Can be given with 30mL of Maalox to make GI cocktail for GERD treatment Contraindications/ Side effects: ONLY GIVEN ORALLY. MAY CAUSE NUMBING OF LIPS, MOUTH AND TONGUE.