Drug Indication

Question 1

Glucagon

Answer 1

Hypoglycemia (when IV dextrose is not available)
Beta blocker overdose
Calcium blocker overdose

Question 2

Sodium bicarbonate

Answer 2

TCA overdose
Acidosis (crush injuries, hyperkalemia, etc.)
Cardiac arrest with suspected hyperkalemia (renal failure)

Question 3

Tranexamic acid
(TXA)

Answer 3

Severe hemorrhage < three hours (including postpartum hemorrhage)

Question 4

Diphenhydramine
(Benadryl)

Answer 4

Allergic reaction
Anaphylaxis
Dystonic reaction

Question 5

Acetaminophen
(Tylenol)

Answer 5

Pediatric fever >100.4°F (38°C)
Some protocols may allow for pain management

Question 6

Flumazenil
(Romazicon)

Answer 6

Benzodiazepine oversedation

Question 7

Ondansetron
(Zofran)

Answer 7

Nausea or vomiting

Question 8

Succinylcholine (SUX)
Anectine

Answer 8

RSI

Question 9

Magnesium sulfate

Answer 9

Asthma
Eclampsia
Hypermagnesaemia (Torsades de Pointes)

Question 10

Calcium gluconate 10%

Answer 10

Hyperkalemia
Hypermagnesemia
Calcium channel blocker overdose
Hydrofluoric acid

Question 11

Naloxone
(Narcan)

Answer 11

Respiratory depression with suspected opioid overdose

Question 12

Dextrose

Answer 12

Hypoglycemia
(<40 neonates)

Question 13

Diltiazem
(Cardizem)

Answer 13

Atrial fibrillation with rapid ventricular response
May be used for SVT as well

Question 14

Labetalol
(Trandate)

Answer 14

Hypertensive emergency (ACS)
SVT

Question 15

Amiodarone
(Corderone)

Answer 15

Ventricular fibrillation
Ventricular tachycardia
Pulseless ventricular tachycardia

Question 16

Atropine sulfate

Answer 16

Symptomatic bradycardia
Organophosphate poisoning
RSI for pediatrics

Question 17

Hydralazine
(Apresoline)

Answer 17

Hypertensive crisis
High blood pressure in preeclampsia and eclampsia

Question 18

Aspirin
(Acetylsalicylic acid - ASA)

Answer 18

Chest pain
Signs and symptoms of ACS

Question 19

Heparin
(Lovenox)

Answer 19

STEMI with signs and symptoms of ACS

Question 20

2% lidocaine
(Xylocaine)

Answer 20

Alternative to amiodarone:
ventricular fibrillation
Ventricular tachycardia
Pulseless, ventricular tachycardia
*local anesthetic for IO infusion

Question 21

Nitroglycerin
(Nitrostat)

Answer 21

ACS chest pain
CHF pulmonary edema

Question 22

Furosemide
(Lasix)

Answer 22

CHF pulmonary edema

Question 23

Albuterol
(Proventil/Ventolin)

Answer 23

Bronchospasm (bronchoconstriction): i.e., asthma, COPD, bronchitis, anaphylaxis, etc.

Question 24

Ipatropium bromide
(Atrovent)

Answer 24

Bronchospasm (bronchoconstriction): i.e., Asthma, COPD, bronchitis, anaphylaxis, etc.

Question 25

Epinephrine 1:1,000 (adrenaline)

Answer 25

Anaphylaxis Bronchospasm Upper airway swelling (severe croup or epiglottitis)

Question 26

Dexamethasone (Decadron)

Answer 26

Adrenal crisis (Addison’s/ CAH) Anaphylaxis Asthma COPD Allergic reaction

Question 27

Methylprednisolone (Solu-Medrol)

Answer 27

Adrenal crisis (Addison’s/CAH) Anaphylaxis Asthma COPD Allergic reaction

Question 28

Droperidol

Answer 28

Psychotic disorder (disruptive, not dangerous) Nausea and vomiting Headache

Question 29

Morphine

Answer 29

Pain Preload reduction (CHF, a MI)

Question 30

Midozalam (Versed)

Answer 30

Seizure Sedation Stimulant overdose

Question 31

Haloperidol (Haldol)

Answer 31

Psychotic disorder (disruptive, not dangerous) – not drug related

Question 32

Ketorolac (Toradol)

Answer 32

Pain Renal colic (kidney stones)

Question 33

Ketamine (Ketalar)

Answer 33

Pain Excited delirium RSI induction

Question 34

Fentanyl (Sublimaze)

Answer 34

Pain

Question 35

Etomidate (Amidate)

Answer 35

RSI induction

Question 36

Norepinephrine (Levophed)

Answer 36

Hypotension (refractory to fluids)

Question 37

Epinephrine drip (A “pressor”)

Answer 37

Hypotension (refractory fluids) Adult bradycardia Anaphylactic shock

Question 38

Dopamine (Intropine)

Answer 38

Hypotension (refractory to fluids) Cardiogenic shock Adult bradycardia

Question 39

Epinephrine 1:10,000 (Cardiac epi)

Answer 39

Cardiac arrest Severe bradycardia in pediatrics Heart rate below 60 in neonates

Question 40

Adenosine (Adenocard)

Answer 40

Reentry SVT (WPW, AVRT, AVNRT)