Pharmcology

Question 0

Oral glucose adverse effects

Answer 0

Not clinically significant

Question 1

Oral glucose indications

Answer 1

Altered mental status with diabetic history. Unconscious for unknown reason

Question 2

Oral glucose precautions

Answer 2

Patient without gag reflex may aspirate

Question 3

Oral glucose contraindications

Answer 3

Not clinically significant

Question 4

Oral glucose preparations

Answer 4

10-15 g

Question 5

Oral glucose dosage

Answer 5

10-15 g between gum and cheek. Consider single additional dose if not improved after 10 minutes.

Question 6

Acetaminophen indications

Answer 6

Patients three years and above judged to be in mild to moderate discomfort. Isolated musculoskeletal injuries such as sprains and strains. Pain related to childhood diseases such as headache, ear infection, and pharyngitis.

Question 7

Acetaminophen adverse effects

Answer 7

Not clinically significant

Question 8

Acetaminophen precautions

Answer 8

Does not eliminate need for transport for comprehensive evaluation of cause of pain and appropriate definitive treatment.

Question 9

Acetaminophen contraindications

Answer 9

Head injury, hypertension, administration of acetaminophen or medications containing acetaminophen within previous four hours, inability to swallow, respiratory distress, persistent vomiting, known or suspected liver disease, allergy to acetaminophen.

Question 10

Acetaminophen preparations

Answer 10

Unit does bottles only (DO NOT USE MULTI-DOSE BOTTLE)

unit dose: 160 mg/5 mL

Question 11

Acetaminophen dosage

Answer 11

Not indicated for less than age 3.
3-5 years: 160 mg.
6-9 years: 320 mg (2 unit doses of 160 mg).
10 years and above: four unit doses of 160 mg each for a total of 640 mg.
Obtain online medical direction for patient significantly underweight or overweight.

Question 12

Oxygen indications

Answer 12

All medical and trauma patients

Question 13

Oxygen adverse effects

Answer 13

High concentrations will reduce respiratory drive in some patients. Monitor these patients carefully.

Question 14

Oxygen precautions

Answer 14

Never withhold oxygen from anyone that needs it. Give with caution to COPD patients.

Question 15

Oxygen contraindications

Answer 15

None

Question 16

Oxygen dosage

Answer 16

Non-rebreather: 12-15 LPM or nasal cannula 2-6 LPM unless otherwise directed.

Question 17

Aspirin indications

Answer 17

Chest pain with suspected MCI. Not indicated for pediatric patients.

Question 18

Aspirin adverse effects

Answer 18

Heartburn, nausea, vomiting, wheezing

Question 19

Aspirin precautions

Answer 19

GI bleed and upset

Question 20

Aspirin contraindications

Answer 20

Known hypersensitivity

Question 21

Aspirin dosage

Answer 21

324 mg (four 81 mg tablets) or 325 mg tablet chewed.

Question 22

Activated charcoal indications

Answer 22

Poisoning by mouth

Question 23

Activated charcoal adverse effects

Answer 23

May cause vomiting.

Question 24

Activated charcoal precautions

Answer 24

Does not absorb all drugs and toxic substances. Requires medical consult.

Question 25

Activated charcoal contraindications

Answer 25

Altered mental status, patients who have received an emetic.

Question 26

Activated charcoal preparations

Answer 26

15 g, 25 g, or 50 g bottles.

Question 27

Activated charcoal dosage

Answer 27

Adult or pediatric: 1 g/kg or .5 g/lb

Question 28

Albuterol indications

Answer 28

Respiratory distress, bronchospasm or wheezing associated with asthma, chronic bronchitis, emphysema, allergic reactions

Question 29

Albuterol adverse effects

Answer 29

Tachycardia, palpitations, attention, angina, nervousness, anxiety, tremors, dizziness, headache, sweating, nausea, vomiting, sore throat.

Question 30

Albuterol precautions

Answer 30

Severe bronchospasm from repeated excessive use. Patient must have prescribed inhaler.

Question 31

Albuterol contraindications

Answer 31

Inhaler not prescribed for patient.

Question 32

Albuterol preparations

Answer 32

Handheld unit dose inhaler

Question 33

Albuterol dosage

Answer 33

2 doses (4 puffs) over a 30 minute period.

Question 34

Epinephrine auto-injector indications

Answer 34

Moderate to severe allergic reaction with respiratory distress or mild allergic reaction with history of life-threatening allergic reaction.

Question 35

Epinephrine auto-injector adverse effects

Answer 35

Tachycardia, angina, palpitations, headache, nausea, dizziness, hypertension, anxiety, nervousness, tremors.

Question 36

Epinephrine autoinjector precautions

Answer 36

Respiratory distress medical consult is required for patients greater than age 45 or any patient with a cardiac history.

Question 37

Epinephrine autoinjector contraindications

Answer 37

None in the presence of anaphylaxis.

Question 38

Epinephrine autoinjector preparations

Answer 38

Adult EpiPen: .3 mg; pediatric: .15 mg

Question 39

Epinephrine autoinjector dosage

Answer 39

Adult: .3 mg (age 3 or older); Pediatric: .15 mg (under age 3) Additional doses require medical consultation

Question 40

Nitroglycerin indications

Answer 40

Chest pain.

Question 41

Nitroglycerin adverse effects

Answer 41

Hypertension, headache, dizziness, tachycardia

Question 42

Nitroglycerin precautions

Answer 42

Patient must have own prescribed medicine. Reassess blood pressure before and after administration. If systolic blood pressure drops more than 20 mm Hg, obtain medical consult before further administration.

Question 43

Glycerin contraindications

Answer 43

Blood pressure 90 systolic or below; pulse 60 or below; under age 12; medicine not prescribed for patients; Viagra, Levitra, Cialis, Adcirca, or Revatio taken within past 48 hours. Medical consultation is required to override Viagra, Levitra or Cialis taken within the last 48 hours.

Question 44

Nitroglycerin preparations

Answer 44

Tablet or spray.

Question 45

Nitroglycerin dosage

Answer 45

One tablet or one spray= One dose. Repeat in 3-5 minutes. Maximum dosage=3 (patient and EMS administered) further doses require medical consult.