Medications

Question 1

Acetaminophen Indications

Answer 1

mild to moderate pain

Question 2

Acetaminophen Contraindications (5)

Answer 2

allergy, liver dysfunction, liver disease, liver injury, Acetaminophen-
induced liver disease

Question 3

Acetaminophen Adult Dosages

Answer 3

500-1,000 mg PO, May repeat once after 4 hours
24-hour maximum: 3 g (3,000 mg)
w/ liver dysfunction: 24-hour max 1-2 g (1,000 mg - 2,000 mg)

Question 4

Acetylsalicylic Acid Indications

Answer 4

Chest pain or signs and symptoms consistent with cardiac ischemia

Question 5

Acetylsalicylic Acid Cautions - BRAPS

Answer 5

Bleeding, Recent internal bleed, Anticoags, Pregnancy, recent Surgery

Question 6

Acetylsalicylic Acid Contraindications (DAAAP)

Answer 6

Dosage (162mg), Asthma, Allergy, Acute bleed, Peds

Question 7

Acetylsalicylic Acid Adult Dosages

Answer 7

162 mg PO chewed and swallowed

Question 8

Dextrose Indications

Answer 8

Suspected or known hypoglycemia

Question 9

Dextrose Contraindications

Answer 9

NA

Question 10

Dextrose Adult Dosages

Answer 10

10-25 g IV (equivalent to 100-250 mL of D10W solution)

Question 11

DimenhyDRINATE Indications

Answer 11

Prevention or control of nausea caused by motion sickness, relief of moderate to severe nausea and vomiting

Question 12

DimenhyDRINATE Contraindications

Answer 12

sensitivity to dimenhydrinate, diphenhydramine, or
caffeine derivatives

Question 13

DimenhyDRINATE Adult Dosages

Answer 13

25-50 mg IV/IM or 12.5 mg IV/IM in elderly or frail patients; repeat
dose x1 after 4-6 hours
Give IM dose as direct injection; IV dose should be diluted with
saline; administer medication at rate of 25 mg/min

Question 14

Minimum age for PCP to administer DimenhyDRINATE?

Answer 14

12 years

Question 15

EPINEPHrine Indications

Answer 15

Anaphylaxis, Severe bronchospasm, Severe croup

Question 16

EPINEPHrine Contraindications

Answer 16

None

Question 17

EPINEPHrine Adult Dosage

Answer 17

Anaphylaxis: 0.5 mg IM every 5 minutes; may repeat up to 3 times
Severe bronchospasm: Clinicall consultation recommended
0.5 mg IM every 5-20 minutes

Question 18

Glucagon Indications

Answer 18

Suspected or confirmed hypoglycemia where IV access
is unavailable

Question 19

Glucagon Contraindications

Answer 19

Hypersensitivity, Pheochromocytoma

Question 20

Glucagon Adult dosages

Answer 20

1 mg IM

Question 21

Glucose 40% Oral Gel - Indications

Answer 21

Known or suspected hypoglycemia in a conscious
patient where there is no risk of aspiration or choking

Question 22

Glucose 40% Oral Gel - Contraindication

Answer 22

airway management

Question 23

Glucose 40% Oral Gel - Caution

Answer 23

position 3/4 prone and suction ready

Question 24

Glucose 40% Oral Gel - Adult Dosage

Answer 24

15 g glucose PO (equivalent to one 38 g tube or 32 ml pouch)
Repeat at 5 minutes as necessary; no limit

Question 24

Ibuprofen - Indications

Answer 24

mild to moderate pain

Question 25

Ibuprofen - Contraindications

Answer 25

Hypersensitivity to ibuprofen or other nonsteroidal anti- inflammatory drugs Active GI hemorrhage or ulcers Pregnancy (first, second, or third trimesters)

Question 26

Ibuprofen - Adult Dosages

Answer 26

300-400 mg PO; may repeat every 4-6 hours; maximum daily dose 1,200 mg/day

Question 27

Naloxone - Contraindications

Answer 27

Allergy or known hypersensitivity to naloxone; Neonates

Question 28

Naloxone - Indications

Answer 28

Reversal of respiratory depression caused by suspected narcotic intoxication

Question 29

Naloxone - Adult Dosages

Answer 29

Naloxone IM/IV every 3 minutes as required; maximum 4 doses First dose:0.4 mg IM/IV Second dose: 0.4 mg IM/IV if required Third dose: 0.8 mg IM/IV if required Fourth dose: 2 mg IM/IV if required (IV preferred) Clinicall consultation required prior to administration of further doses

Question 30

Nitroglycerin - Contraindications

Answer 30

Bp < 110, ED drugs - Viagra/Levitra 24 hours; Cialis 48 hours, Allergy/sensitivity, Anemia, Prescription (their own, or clinicall consultation), Pulse <50 or >150, Severe Anemia, Restrictive pericarditis, pericardial tamponade, Documented right sided acute myocardial infarction

Question 31

Nitroglycerin Adult Dosages

Answer 31

Clinicall consultation required if no prior prescription for nitroglycerin or if more than 3 doses are required. 0.4 mg SL every 3-5 minutes Verify systolic blood pressure prior to administering each dose; systolic blood pressure must be ≥ 110 mmHg and heart rate must be between 50 and 150 bpm.

Question 32

Nitrous Oxide - Indication

Answer 32

Self-administered relief from moderate to severe pain

Question 33

Nitrous Oxide - Cautions

Answer 33

Shock, abdominal distension, depressant drugs, facial injury, COPD

Question 34

Nitrous Oxide - Contraindications

Answer 34

Pneumothorax, Air Embolism/Decompression Sickness, Inhalation Injury, Nitroglycerin w/i last 5 minutes, Bullous emphysema, Altered LOC, Gross abdominal distension

Question 35

Nitrous Oxide - Adult Dosages

Answer 35

Self-Administered to effect

Question 36

Salbutamol - Indications

Answer 36

Bronchospasm

Question 37

Salbutamol - contraindications

Answer 37

Known hypersensitivity to salbutamol

Question 38

Salbutamol - Adult dosages

Answer 38

5 mg nebulized; repeat doses back to back as necessary 4 x 100 mcg via metered dose inhaler; repeat as required

Question 39

Tranexamic Acid (TXA) - Indications

Answer 39

Signs of shock or hypoperfusion, in association with an injury suggestive of occult or ongoing hemorrhage

Question 40

Tranexamic Acid (TXA) - Contraindications

Answer 40

Hypersensitivity to tranexamic acid Gastrointestinal hemorrhage Time since injury to administration > 3 hours Age < 12 years

Question 41

Tranexamic Acid (TXA) - Adult Dosages - ongoing hemorrhage

Answer 41

2g IV push over 1 min

Question 42

Tranexamic Acid (TXA) - Adult Dosages - Postpartum hemorrhage or hypoperfusion in maternal vaginal bleeding > 20 weeks

Answer 42

2 g IV push over 1 minute clinicall consultation required prior to administration of tranexamic acid