Pharm 3

Question 1

what are the three classes of acetylsalicylic acid (aspirin)?

a. analgesic
b. antipyretic
c. anti-inflammatory
d. all of the above

Answer 1

d. all of the above

Question 2

what class is bumetanide (Bumex)?

a. loop diuretic
b. corticosteroid
c. antibiotic
d. organic nitrate

Answer 2

a. loop diuretic

Question 3

what dose of dopamine would you use for cardiogenic shock?

a. 1-2 mcg/kg/min
b. 2-10 mcg/kg/min
c. 10-20 mcg/kg/min
d. 20-40 mcg/kg/min

Answer 3

b. 2-10 mcg/kg/min

FYI - per nwmc a.o.:
SBP >70 (2.5 mcg/kg/min) and
SBP <70 (5 mcg/kg/min)

Question 4

what do you administer that is a suspended mixture and is indicated if the patient has ingested toxins?

Answer 4

activated charcoal (class: adsorbent)

Question 5

what is can be administered for hypocalcemia?

Answer 5

calcium chloride

Question 6

if a drug needs to pass the blood-placenta barrier, it must be _______.

a. free form
b. intravenous
c. lipid soluble
d. enteral

Answer 6

c. lipid soluble

Question 7

what is a contraindication for amiodarone (Cordarone)?

a. second degree AV block
b. third degree AV block
c. amiodarone allergy
d. all of the above

Answer 7

d. all of the above

Question 8

what drug is a beta-1 agonist?

a. glucagon (Gluca-gen)
b. thiamine (vit V1)
c. epinephrine
d. midazolam (Versed)

Answer 8

c. epinephrine

Question 9

what drug is a pituitary hormone and polypeptide?

a. oxytocin (Pitocin)
b. insulin (Humulin)
c. epinephrine
d. thiamine (vit B1)

Answer 9

a. oxytocin (Pitocin)

Question 10

what medication antagonizes action of acetylcholine transmission from the vagal nerve?

a. lorazepam (Ativan)
b. phenylephrine (Neo-synephrine)
c. methylprednisolone (Solu-Medrol)
d. ipratropium bromide (Atrovent)

Answer 10

d. ipratropium bromide (Atrovent)

Question 11

what medication may be administered for PSVT that is refractory to adenosine?

a. albuterol
b. atropine
c. diltiazem (Cardizem)
d. amiodarone

Answer 11

b. diltiazem (Cardizem)

Question 12

what is a contraindication for adenosine (Adenocard)?

a. second degree AV block
b. third degree AV block
c. sick sinus syndrome
d. all of the above

Answer 12

d. all of the above

Question 13

what class of shock may you give morphine to?

a. cardiogenic
b. anaphylactic
c. hypovolemic
d. distributive

Answer 13

a. cardiogenic

Question 14

each nitroglycerin tablet is ____ mg, and may be repeated to a total of ____ doses.

a. 0.4, 3
b. 0.2, 4
c. 0.6, 3
d. 0.8, 2

Answer 14

a. 0.4, 3

Question 15

what medication has the following characteristics: anti-inflammatory effects, immunosuppressive effects, and stabilizes cellular membranes

Answer 15

methylprednisolone (Solu-Medrol)

Question 16

you find patient that has chest pain, SOB, rales, and BP 148/50, which medication do you provide first?

a. albuterol
b. magnesium sulfate
c. oxygen
d. naloxone (Narcan)

Answer 16

c. oxygen

Question 17

this medication when given inadvertently as an intra-arterial injection may produce an ateriospasm resulting in necrosis and potential amputation

Answer 17

lorazepam (Ativan)

Question 18

what is a contraindication of succinylcholine?

a. hyperkalemia
b. muscle disorders
c. burn victim
d. ocular injuries
e. all of the above

Answer 18

e. all of the above

Question 19

what medication combines with cholinergic receptors of the motor end plate to produce depolarization hydrolyzed by acetylcholinesterase?

Answer 19

succinylcholine

Question 20

what medication stimulates alpha receptors causing vasoconstriction?

a. naloxone (Narcan)
b. atropine
c. phenylephrine nasal spray (Neo-synephrine)
d. lidocaine

Answer 20

c. phenylephrine nasal spray

Question 21

this medication is a potent bronchodilator and catecholamine with alpha and beta effects which increase HR and BP

Answer 21

epinephrine

Question 22

what is an indication for giving epinephrine IM or Sub-Q?

a. severe bronchospasm
b. bronchiolitis
c. asthma
d. all of the above

Answer 22

d. all of the above

Question 23

what is a contraindication for magnesium?

Answer 23

hypermagnesemia

Question 24

what medication would you give for post-partum hemorrhage?

Answer 24

oxytocin (Pitocin)

Question 25

what medication effects the limbic system, thalamus, and hypothalamus and reduces the seizure threshold?

Answer 25

midazolam (Versed)

Question 26

what medication has an off-label or secondary use that relaxes or inhibits the GI system?

Answer 26

glucagon

Question 27

what is a synthetic adrenocorticoid with predominance of glucocorticoid action and serves as an anti-inflammatory?

Answer 27

dexamethasone

Question 28

what medication is required for carbohydrate metabolism (often indicated in patients with chronic alcoholism or suspected Wernicke or Korsakoff syndrome)

Answer 28

Thiamine (vit B1)

Question 29

what medication is a histamine H1-receptor antagonist (blocks histamine receptors)?

Answer 29

diphenhydramine (Benadryl)

Question 30

what class of drug has anti-inflammatory and immunosuppressive effects?

Answer 30

glucocorticosteriods

Question 31

when would you use a lidocaine pre-mixed bag of 2 g in 500 mL with an infusion dose of 2 mg/min?

Answer 31

this is the maintenance infusion for ROSC after VF or pVT

Question 32

what medication would be for the suppression of ventricular arrhythmias (VF, VT, PVCs)? and what dose(s)?

Answer 32

lidocaine:
pulseless 1.0 - 1.5
without pulse 0.5 - 0.75

Question 33

what are vasopressors for post ROSC?

a. dopamine infusion
b. epinephrine infusion
c. nitroglycerin infusion
d. both a and b

Answer 33

d. both a and b