Medication List for P1 Practical: Indications and dosage

Question 1

Thiamine

Answer 1

1) Diabetic Emergency- If glucose under 60, pt is known alcoholic or malnourished

100 mg via IV

2) AMS - Unknown Etiology

100mg Via IM

Question 2

Naloxone Hydrochloride

(Narcan)

Answer 2

1) AMS - Unknown Etiology

2mg (Entire Box)

2) Overdose - CNS Depressant

2mg (Entire Box) MAX 10mg 2-2-2-2-2

3) Overdose - Hallucinogen

2mg (Entire Box) Max 10 mg 2-2-2-2-2

Question 3

Nitro

(Tabs, Spray, Paste)

Answer 3

1) Chest Pain / Suspected AMI

_{1” = 1 gram PASTE}

_{.4mg (MAX 1.2mg) .4 - .4 - .4 TABS/SPRAY}

2) Pulmonary Edema

_{.4mg (MAX 1.2 mg) .4 - .4 - .4 TABS/SPRAY}

_{IF CPAP use PASTE}

Question 4

Dextrose D50%

Answer 4

1) AMS - Unknown Etiology
25 gm = 50ml = Entire Blue Box

2) Diabetic Emergency (AMS or Unconcious)
25gm = 50 ml = Entire Blue Box

3) Eclampsia / Pre-Eclampsia (If Glucose under 60)
25 gm = 50 ml = Entire Blue Box

4) Seizures (If Glucose under 60)
25gm = 50ml = Entire Blue Box

Question 5

DuoNeb

(Albuterol & Atrovent)

Answer 5

1) Allergic reaction / Anaphylaxis
2) Asthma Bronchospasm
3) Pneomonia (Suspected)
4) Chronic Obstructive Pulmonary Disease (COPD)

Question 6

Magnesium Sulfate

Answer 6

1) Asthma / Bronchospasm
2gm over 20 min

2) Pre-Eclampsia
2gm over 10 min

3)Eclampsia
4gm over 10 min

Question 7

Aspirin

(Plavix if Allergy)

Answer 7

1) Chest Pain / Suspected AMI
81mg/pill (MAX 324 mg) Chew

2) Plavix (If pt is Allergic to Aspirin)
75mg/Pill (1 dose ONLY) Swallow

Question 8

Furosimide
(Lasix)

Answer 8

1) Pulmonary Edema
20mg if pt DOES NOT TAKE diuretics

40mg if pt DOES take

Question 9

Diphenhydramine
(Benadryl)

Answer 9

1) Allergic Reaction

• Mild
  _{50mg via IM}
• Moderate
  _{50mg via IM}
• Severe
  _{25mg via IV}

Question 10

Glucagon

Answer 10

1) Diabetic Emergency
1mg (1 unit) via IM

2) AMS - Unkown Etiology
1mg (1 unit) VIA IM

3) Hypertensive Emergency
1mg (1 unit) via IM

Question 11

Epinephrine

1:10,000

Answer 11

1) Moderate Allergic Reaction IF patient doesn’t improve with 1:1,000
_{0.3mg via IV}

2) Severe Allergic Reaction
0. 3mg via IV

_{Epi to be given in .1mg increments over 2 minutes}

Question 12

Epinehrpine

1:1,000

Answer 12

1) Moderate Allergic Reaction
_{0.3 mg via IM or SQ}

2) Asthma Bronchospasm
_{0.3mg via IM or SQ}