Indications

Question 1

Adenosine

Answer 1

• SVT

- Fast narrow complex >160 in stable pt

Question 2

Albuterol

Answer 2

Respiratory distress with bronchospasms

• Asthma
• Allergic reaction/anaphylaxis
• Pneumonia
• COPD

Question 3

Amiodarone

Answer 3

• V-tach with pulse

- Pulseless V-Tach or V-Fib

Question 4

Aspirin

Answer 4

Chest pain of suspected cardiac origin

Question 5

Atropine Sulfate

Answer 5

• Symptomatic bradycardia

- Organophosphate overdose

Question 6

Calcium Gluconate

Answer 6

Adult pulseless arrest associated with any of the following conditions:
-known hyperkalemia
-renal failure with or without hemodialysis history
-calcium channel blocker
(NOT indicated for routine treatment of pulseless arrest)

Question 7

Detrose 50%

Answer 7

• Documented hypoglycemia
• Coma of unknown origin
• Seizures of unknown origin

Question 8

Diphenhydramine

Answer 8

• Allergic reaction/anaphylaxis

- Acute dystonia (muscle contractions)

Question 9

Epi 1:1000

Answer 9

• Asthma refractory to Albuterol
• Allergic reaction with SOB
• Symptomatic bradycardia refractory to atropine

Question 10

Epi 1:10,000

Answer 10

Pulseless;

• V-tach/fib
• PEA
• Asystole

Anaphylaxis (shock)

Question 11

Fentanyl

Answer 11

• Pain control
• Undiagnosed ABD pain
• Isolated trauma
• Myocardial infaction

Question 12

Glucagon

Answer 12

• Hypoglycemia with no vascular access
• Esophageal spasm
• Beta blocker overdose

Question 13

Haloperidol

Answer 13

Chemical restraint

Question 14

Ipratroprium

Answer 14

Obstructed SOB;

• Asthmas
• Bronchitis
• Emphysema
• Pneumonia

Question 15

Lidocane

Answer 15

• Local anesthetic for relief of pain during IO fluid administration

Question 16

Magnesium Sulfate

Answer 16

• Seizures of eclampsia
• Refractory bronchoconstriction (status asthmaticus not responsive to beta-adrenegic drugs)
• Torsades de pointes

Question 17

Midazolam

Answer 17

• Seizures
• Procedures
• Extreme anxiety

Question 18

Naloxone

Answer 18

• Known/suspected opioid overdose
• Pinpoint non-responsive pupils
• Unconscious unresponsive

Question 19

Nitroglycerine

Answer 19

• Angina or anginal equivalent discomfort

- Cardiac Pulmonary edema

Question 20

Racemic Epinephrine

Answer 20

• Croup; refractory to other treatments

Question 21

Sodium Bicarbonate

Answer 21

• Suspected Metabolic Acidosis
• Cardiac arrest >20min
• Hyperkalemia w/ QRS widening
• Tricyclic overdose w/ QRS widening

Question 22

Methylprednisone Sodium

Answer 22

• Obstructive SOB

- Allergic reaction / Anaphylaxis

Question 23

Zofran

Answer 23

Nausea

Question 24

Ketamine

Answer 24

• Adult patient with signs of excited delirium

- Sedative agent for RSI