ACLS/ Poisoning

Question 1

Some one overdosing on baths salts should be treated as what kind of OD?

Answer 1

Treat as amphetamine

Question 2

What drugs treats agitation from amphetamines

Answer 2

Benzodiazepines

Ativan, valium, lorazepam

Question 3

What drug treats OD of opioids?

Answer 3

Naloxone

Question 4

What drug treats benzodiazepine OD?

Answer 4

Flumazenil

Question 5

What kinds of drugs (rx of street) are depressants?

Answer 5

Opiates (codeine, morphine, heroin)
Barbiturates
Benzodiazepines
Ethanol

Question 6

What kind of drugs have anticholinergic effects?

Answer 6

Antihistamines
Antiparkinsons
Antipsychotics
Muscle relaxants

Question 7

What do anticholinergic agents cause in patients?

Answer 7

Delirium, tachycardia, dilated pupils, dry/flushed skin

Question 8

What kind of drugs have sympathomimetic effects?

Answer 8

Cocaine
Amphetamines
Decongestants
“Diet aids”

Question 9

What do sympathomimetic agents cause in patients?

Answer 9

Delusions, paranoia, tachycardia, HTN, hyperpyrexia, diaphoresis, mydriasis, hyper-reflexia

Question 10

How do opioids present?

Answer 10

Lethargy
Pinpoint pupils
Decreased HR, BP, bowel sounds
Flaccid muscles

Coma, respiratory depression

Question 11

Dose a drug to treat opioid OD

Answer 11

Naloxone 400mcg IV or IM q2-3min

Question 12

What would organophosphates present like?

Answer 12

Confusion
CNS depression
weakness
salivation
lacrimation
urinary/fecal incontinence
pulmonary edema
seizures

Question 13

Dose a drug to treat an organophosphate

Answer 13

Protopam 2g infusion in 100ml of 0.9% sodium chloride over 15-30min perioud

Question 14

What is length of time activated charcoal can be given after ingestion

Answer 14

60 minutes

Question 15

Antidote for antifreeze

Answer 15

Antizol

Question 16

Antidote for benzodiazepines

Answer 16

Flumazenil

Question 17

Antidote to iron toxicity

Answer 17

Desferal

Question 18

Antidote to digoxin

Answer 18

Digibind

Question 19

Antidote to insulin induce hypoglycemia

Answer 19

Glucagon

Question 20

Antidote to acetaminophen toxicity

Answer 20

Acetadote

Question 21

Dose epinephrine

Answer 21

1mg every 3-5min

follow each dose with a 20mL flush

Question 22

Dose vasopressin

Answer 22

40 units IV push one time

Question 23

What is vasopressin used for?

Answer 23

Alternative to epi

Question 24

What is epinephrine used for?

Answer 24

All types of cardiac arrest
anaphylaxis
acute asthmatic attacks

Question 25

Dose amiodarone for cardiac arrest

Answer 25

300mg IV push

consider repeat dose of 150mg in 3-5min

Question 26

Dose amiodarone for Wide-complex tachycardia

Answer 26

150mg over first 10min
repeat every 10 min prn
slow infusion to 360mg over 6 hrs

Question 27

What is amiodarone used for?

Answer 27

Wide variety of atrial & ventricular tachyarrhythmias

Question 28

Dose atropine sulfate for bradycardia

Answer 28

1mg IV push

Question 29

Dose atropine sulfate for asystole or PEA

Answer 29

1mg IV push
may be repeated at 3-5min intervals
give dose rapidly

Question 30

Dose adenosine

Answer 30

6mg rapid IV push

+20mL 0.9% NaCl

Question 31

Dose verapamil

Answer 31

2.5-5mg IV push over 2 min

Repeat doses of 5010mg every 15 to max 20mg

Question 32

Dose Metoprolol

Answer 32

5mg slow IV/IO push at 5min intervals

to total of 15mg

Question 33

Dose magnesium sulfate

Answer 33

1-2g IV push over 5-20min

diluent of 10mL 5% dextrose injection

Question 34

Dose Lidocaine for cardiac arrest

Answer 34

1-1.5mg/kg IV push

Question 35

Dose sodium bicarbonate

Answer 35

1mEq/kg IV push