Pharm 4

Question 1

What is the duration of action for Morphine?

Answer 1

4-5 hours

Question 2

What medication would you consider for someone with seasickness?

Answer 2

Benadryl(Diphenhydramine)

Question 3

What medications are Sodium Channel blockers?

Answer 3

Lidocaine

Question 4

What medications are Calcium channel blockers?

Answer 4

Verapamil, Diltiazem

Question 5

What drugs does EMS carry that are considered antidysrhythmic?

Answer 5

Lidocaine, Amiodarone

Question 6

Which 3 drugs stop/slow down the AV node?

Answer 6

Verpamil, Adenosine, Diltiazem

Question 7

Aspirin inhibits the formation of what?

Answer 7

Thrombaxin A2

Question 8

Which medication relaxes smooth muscles, such as those in the esophagus, to prevent choking?

Answer 8

Glucagon

Question 9

Which medication is considered an anti-muscarinic/anti-cholinergic

Answer 9

Atropine

Question 10

Which medication may be indicated for croup?

Answer 10

Racemic Epi/Nebulized Epi

Question 11

According to AZDHS, what are the adverse reactions to Dexamethasone?

Answer 11

• If given IV should be given as slow IV push.
• Sodium retention,
  -fluid retention,
  -potassium loss,
  -hypokalemic alkalosis,
  -hypertension,
  -convulsions,
  hyperglycemia,
  -myocardial rupture following recent myocardial infarction.

Question 12

What are the adverse reactions to Versed? (midazolam)

Answer 12

Decreased respiratory drive and hypotension

Question 13

What IV push would be given for a patient who is alive?

Answer 13

Slow (except Adenosine)

Question 14

What IV push would be given for a patient who is dead?

Answer 14

Fast (except Mag)

Question 15

What is Epi’s effect on histamines?

Answer 15

Antagonizes

Question 16

What are Benadryl’s effects on histamines?

Answer 16

Blocks

Question 17

Which medication helps in the metabolism of Glucose?

Answer 17

Thiamine (Vitamin B1) Give for alchohol and people who are malnourished

Question 18

What are you worried about regarding Renal failure, and which medication would be considered if they are hypotensive?

Answer 18

Worried about potassium and fluid buildup

Give Dopamine 10-20 mcg/kg/min

Question 19

What med would be considered for septic and cardiogenic shock?

Answer 19

Dopamine 10-20 mcg/kg/min (for alpha 1 effects)

Question 20

Stable V-tach, which medications would be given?

Answer 20

Lidocaine .5-.75mg/kg

Amiodarone 150mg

Question 21

Which medication is gvien for chest pain and Pulmonary edema associated with CHF?

Answer 21

Nitro

Question 22

What lung sounds will you hear with CHF, Pneumonia, and ARDs?

Answer 22

Crackles

Question 23

Nitro works on the heart in what ways?

Answer 23

Decreases afterload, preload, and workload which increases efficiency

Question 24

Benzodiazepines (such as Lorazepam, Diazepam, and Midazolam) are which schedule of drugs?

Answer 24

schedule IV

Question 25

Morphine is which schedule drug

Answer 25

schedule II

Question 26

Ketamine is which schedule of drug?

Answer 26

Schedule III

Question 27

What receptors does Versed work on?

Answer 27

Gabareceptors

Question 28

If Ondansetron (Zofran) is given too fast, what paradoxical effect can happen?

Answer 28

nausea and vomiting

Question 29

Which receptors does Ondansetron block?

Answer 29

5-HTC and seratonin receptors

Question 30

What medication is given for extraperimetal reactions?

Answer 30

Benadryl 25-50mg

Question 31

What medication can induce extraperimetal reactions?

Answer 31

Anti-psycotics

Question 32

What is the dose, route, and onset of Glucagon?

Answer 32

1mg IM, onset 5-10 Mins

Question 33

What drugs can be given down the ETT?

Answer 33

NAVEL (Narcan, Atropine, Vasopressin, Epinephrine, Lidocaine)

Question 34

What schedule drug is Fentanyl?

Answer 34

Schedule II

Question 35

What is Succinylcholine?

Answer 35

Depolarizing agent, blocks acetycholine

Question 36

What is the mechanism of action for Atropine for symptomatic bradycardia?

Answer 36

Blocks the Vagus nerve

Question 37

What drug would be given for a amitriptyline overdose?

Answer 37

Sodium Bicarb 1 MeQ/Kg

Question 38

What is the dosage of Dopamine to work on the Beta 1 receptors?

Answer 38

5mcg/kg/min (2-10mcg/kg/min)

Question 39

What would be given for Organophosphate poisoning?

Answer 39

Atropine 2.5mg

Question 40

What is the dose of Benadryl

Answer 40

1mg/kg up to 25-50mg