Drug Quiz 4

Question 1

what is parasympatholytic?

Answer 1

A class of drugs that work against/block the parasympathetic nervous system.

Question 2

Describe the three ways Atropine works.

Answer 2

1) blocks acetylcholine receptors
2) increases heart rate
3) decreases gastrointestinal secretions

Question 3

what kind of poisoning indicates for the use of atropine?

Answer 3

Organophosphate poisoning

Question 4

Organophosphate poisons include…

5

Answer 4

Sarin
Pesticides
Insecticides
Cyanide
Mustard gas

Question 5

What would indicate that patient should not recieve Atropine?
A. Tachycardia
B. Nothing in an emergency setting
C. Hypotension
D. Upset stomach

Answer 5

B. Nothing in the emergency setting

Question 6

What is one indication for the administration of Atropine?
A. Acute ingested poisonings
B. Erectile dysfunction
C. Pulmonary Embolism
D. Hemodynamically significant Bradycardia

Answer 6

D.Hemodynamically significant Bradycardia

Question 7

Side effects of atropine include:

7

Answer 7

Dizziness
Headache
Dialated pupils
Urine Retention
Tachycardia
Anxiety
Dry Mouth
Palpitations

Question 8

Before the administration of the Atropine, the EMT should
A. Call medical control
B. Check blood pressure
C. Control the airway
D. Nothing in the emergency setting

Answer 8

A. Call medical control

Question 9

If a patient has tachycardia, the EMT should NOT administer atropine.

Answer 9

FALSE.

just use precaution

Question 10

Atropine cannot be administered in a patient with hypertension.

Answer 10

FALSE.

just use precaution

Question 11

What is the route of atropine?

Answer 11

Intramuscular.

Question 12

How MUST atropine be administered?

Answer 12

Via auto-injector

Question 13

What is a precaution involved with Naloxone (Narcan)?
A. Hypertension
B. Patient with COPD
C. Short acting
D. None in the emergency setting

Answer 13

C. Short acting

Overdose state can return.

Question 14

Name the two precautions using Naloxone?

Answer 14

Can cause witdrawal symptoms

Short acting

Question 15

What class of drug is Narcan classified as?

Answer 15

Narcotic antagonist

Question 16

What is the over all effect of Naloxone?

Answer 16

Reversing the effects of Narcotics

Question 17

Because of the abrupt reversal of a narcotic, side effects of Narcan include:

(8)

Answer 17

Seizures
Tremulousness
Vomiting
Nausea
Sweating
Tachycardia
Increase in blood pressure
cardiac arrest

Question 18

Narcan can cause Cardiac Arrest.

Answer 18

True.

Question 19

The Adult dosage for Naloxone is
A. .3 mg 
B. 400-800mg
C. 2.5-5mg
D. 0.4-2mg

Answer 19

D. 0.4-2mg

Question 20

What is route for Narcan?

Answer 20

Nasally via atomizer

Question 21

A school child weighs 35kg, How much Narcan can you give them?
A. 3.5mg 
B. 2 mg
C. not indicated for children
D. One tablet

Answer 21

B. 2mg

THE MAX PED DOSE IS 2 mg

Question 22

You gave a 6 year old child 1.9 mg of Naloxone. It seems to have no effect, what should you do?
A. Administer again in 5 minutes
B. Assume the child will not survive.
C. Initiate CPR
D. Administer epinephrine

Answer 22

A. Administer again in 5 minutes

Question 23

The pediatric Naloxone dose is __________ nasally via atomizer.

Answer 23

0.1 mg per kg

max 2mg

Question 24

Narcan can be administered in comatose state of unknown origin to rule out narcotic overdose.

Answer 24

True.

Question 25

Narcan is indicated for

Answer 25

Narcotic overdose | Synthetic analgesic overdose

Question 26

What is the drug class of Oxymetazoline?

Answer 26

Vasoconstrictor

Question 27

``` What is the contraindication of Nasal Spray? A. COPD B. Significant hypertension C. Significant hypotension D. Hypersensitivity ```

Answer 27

B. Significant Hypertension

Question 28

There are NO precautions for nasal spray/Oxymetazoline

Answer 28

True

Question 29

When should nasal spray be administered?

Answer 29

Epistaxis (nose bleed) | Nasal Intubation

Question 30

The pediatric dose for nasal spray.

Answer 30

1-2 sprays IN AFFECTED NOSTRIL.

Question 31

The adult dosage for nasal spray.

Answer 31

2 sprays IN AFFECTED NOSTRIL

Question 32

Side effects of oxymetazoline include: | 4

Answer 32

Sneezing/Burning Stinging Dryness Nostril Irritation *keep in mind that side effects are usually mild*

Question 33

``` What is the contraindication of Narcan? A. COPD B. Significant hypertension C. Significant hypotension D. Hypersensitivity ```

Answer 33

D. Hypersensitivity

Question 34

Pralidoxime should be administered before Atropine.

Answer 34

FALSE. | 2-PAM SHOULD ONLY FOLLOW ATROPINE ADMINISTRATION

Question 35

What is the ped and adult dosage for 2-Pam?

Answer 35

one auto-injector then per medical control.

Question 36

Something to remember about 2-Pam

Answer 36

Ensure YOUR safety and protection and safety of other emergency personnel.

Question 37

Side effects of Pralidoxime

Answer 37

Erratic behavior | Excitement

Question 38

_______, _______, and ________ can occur following rapid administration.

Answer 38

Laryngospasm, tachycardia, and muscle rigidity.

Question 39

What are/is the contraindication(s) of pralidoxime?

Answer 39

Poisonings other than organophosphates

Question 40

Indications of severe organophosphate poisoning where 2-pam should be administered? (3)

Answer 40

Muscle twitching. respiratory depression, and paralysis

Question 41

What class is 2-pam?

Answer 41

Cholinesterase reactivator

Question 42

The 2 functions of 2-pam?

Answer 42

Reactivates cholinesterase [in cases of organophosphates] | deactivates certain organophos. by direct chemical reaction