Drug Quiz 2 Flashcards
Epinephrine, Benadryl, Albuterol
What is a sympathomimetic?
A class of drugs that mimics the effects of the sympathetic NS (which is the flight or fight response)
What is the physiological response of administering epinephrine?
Bronchodilation and can constrict blood vessels in certain areas of the body (vasoconstrictor)
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 healthy female having a severe allergic reaction
Why is not recommended to give a full dose of epineprine to an adult taking beta-blockers?
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
Epinephrine can precipitate cardiac ischemia.
True
What is the adult dosage for epinephrine?
If less than 50 years: .3 mg
if more than 50 years: .15mg
Name a situation where you would half the normal adult dosage of epi
if the patient pulse is higher than 150 bpm
Contraindications of epi:
hint:5
Hypersensitivity Underlying Heart disease hypertension Pregnancy Tachyarrhythmias
you should be cautious administering epinephrine with _________ and the ______.
debilitated patients: elderly
The pediatric dose of epinephrine is ______.
.15mg
What is the function of an antihistamine?
Works against histamine, blocking receptors
can also have some sedative effects
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
D. Call medical control for approval
What is not a side effect of epi? A. bradycardia B.Palpitations C. tremor D. Anxiousness and a headache
A. Bradycardia
It actually causes tachycardia
When should Benadryl NOT be administered?
Nursing Mothers
Patients with Asthma
Infants less than 3 months old
If a child needs Diphenhydramine and they weigh 26 kg, how much medication should be administered and in what way?
26 mg per os (PO)
ped dosage is 1 mg per kg
The adult dosage of Benadryl is ______mg PO.
25-50mg PO
Three indications od diphenhydramine:
1- Anaphylaxis
2-Allergic reaction
3-?????
Dystonic reactions due to phenothiazines
The side effects of Bendryl
5
Sedation Palpitations Drying of brochial secretions headache blurred vision
What is the one precaution with diphenhydramine?
HYPOTENSION
Adult dosage of Albuterol is ____mg (3cc) via _______ continuously, with ___ doses if _____ of heart disease and HR is _______
2.5-5mg; via nebulizer continuously; 3 doses; NO HISTORY of HD; HR is LESS THAN 150
Recommended Pediatric dosing of Proventil
2.5mg (3cc) via nebulizer #3 times if no history of HD and HR is LESS THAN 200
You can give Albuterol/Proventil/Ventolin to patient without a presciption.
FALSEEEEEEE. FALSE FALSE FALSE
What is the overall function of Albuterol?
Bronchodilation
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
B. Monitor BP, Pulse, and EKG closely
Indications of Albuterol
COPD
Asthma
You should use caution administering Proventil to a patient with an underlying heart condition.
TRUE
ALB dosing < 1 year
1.25 mg
ALB dosing 1-6 years
1.25-2.5 mg
ALB dosing 6-14 years
2.5mg
ALB dosing 15+ years
2.5-5mg
Same as adult dose
When should you not administer ALB?
2
Symptomatic Tachycardia
Hypersensitivity
Side effects of ALB
5
Palpitations, anxiety, headache, dizziness, sweating
