3 Flashcards
Routes for administration of valium to 4 yr. old
IV, IO, Rectal
Routes for Epinephrine
IV, ET, SQ
Routes of Medication from Slowest to Fastest
PO, SQ, IM, ET, IV
Seizures without regaining consciousness in between
Status Epilipticus (Diazepam 2.5 mg (or 5mg) Incremental Dosing to 10 mg total IV dose)
Serious side effect of Venipuncture
Air Embolism
Shunt
Do Not use for Medical Access
Side effects of Bretylium
Both Supine And Postural Hypotension
Side Effects of EPI
Palpations, High BP, Tachycardia
Side Effects of Lidocaine
Hypotension, Bradycardia
Side effects of Verapamil
Tachycardia (WPW) (Wolfe-Parkinson White) problems)
Slowest to Fastest Routes
PO, SQ, IM, ET, IV
SQ Epinephrine for
Mild allergic reaction
SQ injection
Into fatty tissue
Sub Q
Contraindication
The Adult Dose of Epinephrine in Asthma is
0.3 mg to 0.5 mg
The drug choice for treating Hyperkalemia is
Calcium Chloride
The drug used to alleviate intracranial pressure in a head injury
Mannitol
The fastest route of administration of the following IM, SQ, SC, ET is
ET
The first drug to treat pediatric Bradycardia is
Oxygen
The flow rate for KVO (keep vein open) is
10 ml / hr
The initial dose of Bretylium for V - Fib
5 mg / kg
The IV Solution closest to Blood Plasma is
Lactated Ringers
The Lidocaine Dose for Pulseless V Tach (and V Fib) is
1.5 mg / kg then 1.5 mg / kg
The Major Hazard involved in a catheter through the needle system is the chance of
Catheter Embolis
The most appropriate indication for ammonia ampules would be to
Terminate a syncope episode
The need for increasing the amounts of a drug in order to achieve a desired effect is called
Tolerance
The oxygen delivery device used for emphysema is the
Nasal cannula or venturi mask
The Pediatric Dose of Lidocaine
1 mg / kg
The Pediatric Dose of Lidocaine is (1 mg / kg) for a 20 lb Child
9 mg
The Pediatric Dose of SQ Epinephrine is
0.01 mg / kg
The pharmacological treatment of Anaphylactic Shock
Epinephrine & Benadryl
The Rate of KVO is
10 ml / hr
The route that is Not a parenteral route of drug administration
Oral
The second dose of Sodium Bicarbonate is
1 gm / kg
The Technique that will Not help Distend a Vein for Venipuncture is to
Elevate the Arm
The treatment for Sinus Bradycardia is with PVC’s is
Atropine. You Don’t Give Lidocaine
Therapeutic Range
Range of plasma concentration Not likely to produce desire effect with least like hood of toxicity
Thrombi (blood clot) arising in deep leg veins
Migrate to lungs (will lodge in lungs)
Tourniquet does what
Restricts Venous Flow
Treatment for Overdose Tricyclic
Bicarb
Treatment for Pulmonary Edema
O2, IV, NTG 0.4mg (1/150 gm), Lasix 40 mg, Morphine Sulfate 2 mg
Treatment of Acute Asthma
EPI 1:1,000 IV 0.3 mg
Two Common Tricyclic Antidepressants are
Elavil and Tofranil
Universal Blood Donor
O
Universal Blood Recipient
AB
Use an EOA when a patient has overdosed on
Valium
Use D5W for
Medication Mix
Valium
5 - 10 mg pregnant having seizures
Valium dose for status Epilipticus
2.5 mg - 10 mg slow IVP
Venipuncture causes
Air Embolism
Verapamil & Adenocard
Decrease Heart Rate and are used in SVT
Verapamil does what
Decrease Vasoconstriction, Decrease Conductivity
Verapamil is Contraindicated for
Wolff - Parkinson - White Syndrome (WPW)
Verapamil is used on all of the following except
Cardiogenic Shock
Verapamil used for
SVT, Not for Cardiogenic Shock
Warn patient of side effect of Atropine
Blurred Vision
What are 2 medications for depression
NOT Haldol
What are the Disadvantages of Thrombolytic Therapy
Costly and may cause Excessive Bleeding
What can be expected from Beta Agonist Drugs
Increased Heart Rate
What condition Contraindicates the SQ Route
Hypovolemia
What do you use Procainamide for, & what are the “4” end points
Antiarryhthmic - used for PVC, V-tach, Maintenance of normal sinus rhythm after conversion from A-fib or flutter. 4 - End points - Arrhythmia resolved, QRS complex widens by 50%, PR interval is prolonged, BP drops > 15 mmHg or toxic side effects develop.
What does Naloxone reverse
Demerol (something like that) (Naloxone blocks OPI receptors)
What drug is administered for a patient suffering from COPD
Aminophylline
What drug is used for Cardiogenic shock
Dopamine (to raise BP)
What drug is used for Ventricular Dysrhythmias
Procainamide
What happens if you give Narcan to a Heroin patient
Causes Withdrawals
What is 150lbs. in kg
68 kg
What is Not treated with Verapamil or Calan
Wide Complex V Tach of Unknown Origin
What is the best method to use on an LSD patient
Talk Down
What is the Drug of Choice for COPD
O2, Albuterol
What to do before administration of D5W
Glucose Check
When administering D50, IV
Be careful for infiltration tissue necrosis
When Beta Receptors are Stimulated
The Heart Rate Increases
When giving D50, what would happen if it Infiltrates IV
Cause Tissue Necrosis
When starting a tourniquet, it is applied so
That it occludes venous return, but allow arterial flow
When you administer glucose, what does it do
Stimulates the release of Glucagon
Which agency that regulates drugs
Drug & Cosmetic Act of 1970
Which don’t you Expect to see in ASA OD
Hypoventilation (Acidosis Hypervent)
Which is the Agency the Regulates Drugs
Drug and Cosmetic Act of 1970
Worst complication for Retavase
Bleeding
WPW (Wolfe-Parkinson-White) patient with PSVT’s give
Adenocard 6-12-12 mg.
You are to draw up 400 mg of Dopamine that comes 25 mg / cc. The number of cc’s you will draw up to put in the bag is
16 cc’s
You give 25 gm of Dextrose from a 100 cc amp of 50 % Dextrose
50 cc’s of Dextrose will be given
Young Adult, Mild Asthma
2.5 mg Albuterol Inhaled
A drug used in the field to counteract a severe Tricyclic Overdose
Sodium Bicarbonate
1 transmission of AIDS
Sexual contact
1 Pupil Blown the Other Sluggish
Neuro Shock
17 year old male in transport with severe headache
Aneurysm
18 yr old c/o Stiff Neck, Fever, Headache
Meningitis
21 yr. Old male with asthma - Drug, dose & route
Albuterol 2.5 mg via nebulizer
21 yr. old male with chest pain after coughing
Spontaneous Pneumothorax
23 year old gym rat has explosive headache, this indicates
Subarachnoid Aneurysm
3 systems that Regulate Acid Base Balance
Buffer, Respiratory, Renal
34 yr. Old male appears Jaundiced with Sclera, No appetite, Lost 10 lbs. In 3 wks., Nauseated, Generally Fatigued, Low fever, and Sudden distaste to cigarettes
Viral Hepatitis
37 yr. old male, Staggering, Slurred speech, Cool, Clammy, Acting Bizarre
Hypoglycemia
51 year old farmer has cramps & diarrhea, this indicates
Organophosphate Poisoning
51 yr old female P 110, BP 112/92, RR 18, do all Except
Administer Norepinephrine by titrated IV infusion
55 yr. old female mother of four has RUQ pain, nausea & vomiting. She possibly has
Cholecystitis
61 yr. Old woman is unconscious with a pulse & stable, treatment
O2 monitor
7.45
Acidosis
A 22 yr old woman complains of severe pain in RLQ. She has not eaten in 12 days and is constipated. She most likely has
Appendicitis
A 28 yr old that has been depressed is unconscious, sweating, pinpoint pupils, skin & fine muscle fasciculation, and is tearing excessively
These are signs of a Lithium OD
A 28 yr. old that has been depressed in unconscious, sweating, pinpoint pupils, skin and fine muscle fasciculation, and is tearing excessively. The toxic amount taken is
Parathione
A 55 yr old female mother of four has RUQ pain, nausea & vomiting. She may have
Cholecystitis
A 55 yr old patient with P 50, P Wave for every QRS, P - R Interval of 0.16, Cold and Clammy with BP 70/50 with Sinus Bradycardia. The patient should be given
0.5 mg Atropine
A 62 yr old female is taking Digitalis. Her chief complaint is that she is weak and dizzy. She is awake, alert, and vitals are WNL. The treatment should be
Monitor, IV, Transport
A chemical mediator for the parasympathetic nervous system is
Acetylcholine
A condition is frequently ( chief complaint ), Rapid Speech
Amphetamine Reaction
A Diabetic patient who is complaining of a headache. The most important information about this complaint is
When was Insulin taken last
A distraught elderly person urinates while upon the stretcher and does Not inform you until she is finished. The behavior is called
Regression
A light image is changed into an electrical message that goes to the brain via the
Optic Nerve
A local alcoholic on a cold night is found to be unarousable, in V Fib, and is Apnec. Treatment should include (in order)
Airway, Defibrillate 3 times, CPR, Transport
A man repeatedly dived today and made a fast ascent from the last dive. He is complaining of Joint pains, Tingling legs, & abdominal pain. The patient has
Decompression sickness
A migrant worker has been picking tomatoes. He suddenly C/O a Headache and Dizziness. Upon Physical Exam, he has Strong, bounding Pulse and Hot, flushed Skin. He also begins to have Seizures. ( Heat Stroke) Treatment of the patient would Not include using
Diazepam 15 mg IV
A patient complains of Dyspnea. He is Cyanotic, has Rales, Reg. P 140, BP 150/120, with a Pink, Frothy Sputum. He has
Pulmonary Edema
A patient complains of shortness of breath. On assessment he has pursed lips and barrel chest, which indicates
Emphysema (“Pink puffers”), Chronic Bronchitis is called (“Blue bloaters”)
A patient has a history of SOB, Orthopnea, and coughing up pink tinged mucus. The patient most likely has
Left Heart Failure
A patient has neurological problems such as a CVA or a seizure. You would, therefore, not want to administer
IV 5% Dextrose wide open
A patient has crying spells and refuses to eat. She is unkempt and lethargic. Physical exam reveals No abnormalities. She is most likely suffering from
Depression
A patient has one pupil that is dilated and non-reactive, while the other is slow to respond. This is a form of a
Neurological crisis
A patient in obvious Diabetic Acidosis will show
Warm & Dry Skin
A patient is found on the floor in a pool of vomit, shaking, confused and frightened of spiders on the wall (there are no spiders). Patient has quite drinking for 2 days and is experiencing
Withdraws (DT’s)
A patient is Presenting with Left Side Chest Pain Associated with SOB is found to be Cyanotic. Breath Sounds are Distant over the Left Lung. These findings probably Indicate a
Spontaneous Pneumothorax
A patient is Unconscious, Incontinent, and having Generalized Muscle Relaxation and Contraindications, what type of seizure
Grand Mal Seizure
A patient presents with Rapid Onset Dyspnea, Urticaria (hives), Tachypnea, and blood pressure of 80/60. This patient is suffering from
Anaphylactic Shock
A patient that has been taking Haldol and is Exhibiting Extra pyramidal Reactions should be treated by giving
Benadryl
A patient was acting funny, cold and sweaty. He is now unconscious. The patient was most likely suffering from
Hypoglycemia / Drug Overdose
A patient with a Stroke should be transported
Affected Side Down
A patient with ICP, you would expect what Sx / Sx
Increased Blood Pressure, Decreased Pulse, Irregular Respirations
A patient with ICP, you would expect what symptoms
Increased BP, Decreased Pulse
A patient with slow heart rate, skipping a beat, with chest pain and stable vitals (shown strip) treatment is
O2, IV, Pain management
A person that you would have to restrain is an
Enraged person
A person witnesses a murder and mutilation of several bodies. He appears to be paralyzed while his physical assessment reveals no injury or abnormality. You should
Conversion Hysteria
A Problem with Semi - Circular Canals in the Ear Causes
Vertigo
A prolonged P - R Interval id Indicative of a
First degree Heart Block
A pulsating mass in the abdomen with back pain is most likely an
Aortic Aneurysm
A Scuba Diver has Tingling in the Hand and Feet with Frothy Red Sputum. The patient Should be Transported in
Trendelenberg on his Left Side
A sign Not associated with Anaphylaxis is
Hypertension
A sign of Intracranial Pressure is
Elevated BP
A sign of Irreversible Shock
Bradycardia
A sign of Organophosphate Poisoning is
GI Disorders
A victim is found with bright red, frothy blood bubbling from the mouth which each exhalation, This is an indication of
Lung Damage
A woman is complaining of headaches and is seeing “halos around lights”. The physical exam finds that her corneas are hazed. The medic suspects
Acute Glaucoma
A woman is so frightened of heights that she cannot ride in an elevator. This is a
Phobia
A woman threatened to kill herself with barbiturates. She is willing to talk, but not open the door. You should
Conduct an interview from outside the door and communicate with the police
Abdomen Covering
Peritoneum
Abdominal muscle flexion on palpation
Guarding
Abdominal pain position of comfort
On their sides, lateral recumbent
Absorption of ingested toxins occurs within
The Small Intestines
Acetylcholine / Oxytocin are secreted by
The Pituitary Gland (pea shaped)
Acid and Base Balance
10 unit
Administration of IV hypertonic solution on a hydrated patient will
Draw water from cells to vascular space
Adrenal Gland Secrets / Releases
Epinephrine & Norepinephrine
Adult female, Tachycardia, don’t remember vitals
Try to calm her
Adult GCS scenario
13
Adult in Asthma Attack
Treatment is to Stop Bronchial Spasms
After IV O2 monitor in PE, what’s next
NTG 0.4 mg
Air Embolism
Diver with joint pain, Tingling in legs, Abdominal pain
Alkaline
Does most damage to the eye
All are clinical signs of shock, Except
Constricted Pupils
All are contagious, Except
Shingles
All are Dehydrated Sx / Sx Except
Decrease in Heart Rate
All are elements of Crushing Effect, Except
Decreased Peripheral Vascular Resistance
All are microorganisms, Except
Erythrocytes
All are organic causes of decreased LOC, Except
Death of a family member
All are signs & symptoms of dehydration except
JVD
All are signs of dehydration except
JVD and /or Polyuria depending on which test you get
All are signs of kidney stones Except
Frequent urination (UTI symptom)
All are signs of Pulmonary Embolus Except
JVD (other choices) Dyspnea, Pleural Pain, Tachy
All are signs of shock except
Deep regular respirations
All are Sx / Sx of Dehydration except
JVD
All are Sx /Sx of Tuberculosis, Except
Substernal chest pain that radiates to the arms
All are Types of Muscle, Except
Involuntary
All contagious Except
Shingles
All except
Pupil reaction in GCS
All of the following are common Sx / Sx of severe Hypertension, Except
Constricted Pupils
All of the following are events that leads to suspicion of child abuse except
Commutative
All of the following are Opportunistic Infections Associated with AIDS, Except
Appendicitis
All of the following are Sx /Sx of Insulin Shock, Except
Hypertension
All, Except
Pupil reaction in Glascow Coma Scale
Alpha
Constriction
Alpha I
Vasoconstriction
Alpha vs. Beta
Alpha Constrict, Beat Dilates
AMI
Cause death in 2 - 3 hours
AMS - Old lady keeps babbling
Encourage her to talk
An 85 yr old man has a severe headache, dizzy, nausea, and vomiting. His P 120, BP 210/120. He is experiencing a
Hypertensive Crisis
An ambulance driver with rapid HR & sweaty palms
Dump of Catecholamine
An ambulance is called to a house fire. Upon entering the burning house, a paramedic finds an unconscious woman. He decides to move her from the house using the fireman’s drag. The first step would be to
Tie the patients hands together
An athlete is sweaty, 101 degree F fever, Low BP, you suspect
Heat Exhaustion
Anaerobic
Lactic Acid
Anaphylactic & Septic Shock, Low BP due to
Vasodilation
Angina caused by physical or emotional stress is called
Stable Angina
Anterior Cord Syndrome
Decreased sensation of pain & temp below the level of lesion
Antidepressant
Elavil & Tofranil (ET)
Antipsychotic
Mellaril & Thorazine
Any patient who is angry, hostile or paranoid should be met with
Non aggressive behavior
Aphasia
Inability to produce or understand speech
Ask about allergy history
To prevent allergic reaction
Aspirin OD will leave patient in
Metabolic Acidosis
