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EMT Drug Quiz > Drug Quiz 2 > Flashcards

Drug Quiz 2 Flashcards

Epinephrine, Benadryl, Albuterol

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NREMT® EMT flashcards
1
Q

What is a sympathomimetic?

A

A class of drugs that mimics the effects of the sympathetic NS (which is the flight or fight response)

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2
Q

What is the physiological response of administering epinephrine?

A

Bronchodilation and can constrict blood vessels in certain areas of the body (vasoconstrictor)

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3
Q

When should you give .3mg of epi to an adult?
A. a healthy female having a severe allergic reaction
B. A school age child having anaphylaxis
C. An elderly woman
D. A middle aged adult with underlying heart problems

A

A. A healthy female having a severe allergic reaction

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4
Q

Why is not recommended to give a full dose of epineprine to an adult taking beta-blockers?

A

The epinenphrine would not the necessary effect as the beta blockers would prevent them from getting to the beta 2 receptors (having been blocked), which would then having the effect of bronchodilation

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5
Q

Epinephrine can precipitate cardiac ischemia.

A

True

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6
Q

What is the adult dosage for epinephrine?

A

If less than 50 years: .3 mg

if more than 50 years: .15mg

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7
Q

Name a situation where you would half the normal adult dosage of epi

A

if the patient pulse is higher than 150 bpm

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8
Q

Contraindications of epi:

hint:5

A 
Hypersensitivity
Underlying Heart disease
hypertension
Pregnancy
Tachyarrhythmias
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9
Q

you should be cautious administering epinephrine with _________ and the ______.

A

debilitated patients: elderly

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10
Q

The pediatric dose of epinephrine is ______.

A

.15mg

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11
Q

What is the function of an antihistamine?

A

Works against histamine, blocking receptors

can also have some sedative effects

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12
Q 
Before administering Diphenhydramine (benadryl), what should you, as an EMT, do?
A. Check vitals
B. Clean the area
C. Talk to bystanders
D. Call medical control for approval
A

D. Call medical control for approval

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13
Q 
What is not a side effect of epi?
A. bradycardia
B.Palpitations
C. tremor
D. Anxiousness and a headache
A

A. Bradycardia

It actually causes tachycardia

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14
Q

When should Benadryl NOT be administered?

A

Nursing Mothers
Patients with Asthma
Infants less than 3 months old

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15
Q

If a child needs Diphenhydramine and they weigh 26 kg, how much medication should be administered and in what way?

A

26 mg per os (PO)

ped dosage is 1 mg per kg

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16
Q

The adult dosage of Benadryl is ______mg PO.

A

25-50mg PO

17
Q

Three indications od diphenhydramine:
1- Anaphylaxis
2-Allergic reaction
3-?????

A

Dystonic reactions due to phenothiazines

18
Q

The side effects of Bendryl

5

A 
Sedation
Palpitations
Drying of brochial secretions
headache
blurred vision
19
Q

What is the one precaution with diphenhydramine?

A

HYPOTENSION

20
Q

Adult dosage of Albuterol is ____mg (3cc) via _______ continuously, with ___ doses if _____ of heart disease and HR is _______

A

2.5-5mg; via nebulizer continuously; 3 doses; NO HISTORY of HD; HR is LESS THAN 150

21
Q

Recommended Pediatric dosing of Proventil

A

2.5mg (3cc) via nebulizer #3 times if no history of HD and HR is LESS THAN 200

22
Q

You can give Albuterol/Proventil/Ventolin to patient without a presciption.

A

FALSEEEEEEE. FALSE FALSE FALSE

23
Q

What is the overall function of Albuterol?

A

Bronchodilation

24
Q

During the administration of Ventolin, what should the EMT?
A. Redose every 5 minutes until patient is stable
B. Monitor BP, Pulse and EKG closely
C. Suction airway and ventilate
D. See if symptoms get better/worse and reevaluate

A

B. Monitor BP, Pulse, and EKG closely

25
Q

Indications of Albuterol

A

COPD

Asthma

26
Q

You should use caution administering Proventil to a patient with an underlying heart condition.

A

TRUE

27
Q

ALB dosing < 1 year

A

1.25 mg

28
Q

ALB dosing 1-6 years

A

1.25-2.5 mg

29
Q

ALB dosing 6-14 years

A

2.5mg

30
Q

ALB dosing 15+ years

A

2.5-5mg

Same as adult dose

31
Q

When should you not administer ALB?

2

A

Symptomatic Tachycardia

Hypersensitivity

32
Q

Side effects of ALB

5

A

Palpitations, anxiety, headache, dizziness, sweating

EMT Drug Quiz (4 decks)

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