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EMT Drug Quiz > Drug Quiz 4 > Flashcards

Drug Quiz 4 Flashcards

Atropine, Narcan, Nasal Spray, and Pralidoxime

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NREMT® EMT flashcards
1
Q

what is parasympatholytic?

A

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

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2
Q

Describe the three ways Atropine works.

A

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

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3
Q

what kind of poisoning indicates for the use of atropine?

A

Organophosphate poisoning

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4
Q

Organophosphate poisons include…

5

A 
Sarin
Pesticides
Insecticides
Cyanide
Mustard gas
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5
Q 
What would indicate that patient should not recieve Atropine?
A. Tachycardia
B. Nothing in an emergency setting
C. Hypotension
D. Upset stomach
A

B. Nothing in the emergency setting

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6
Q

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

A

D.Hemodynamically significant Bradycardia

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7
Q

Side effects of atropine include:

7

A 
Dizziness
Headache
Dialated pupils
Urine Retention
Tachycardia
Anxiety
Dry Mouth
Palpitations
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8
Q 
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
A

A. Call medical control

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9
Q

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

A

FALSE.

just use precaution

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10
Q

Atropine cannot be administered in a patient with hypertension.

A

FALSE.

just use precaution

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11
Q

What is the route of atropine?

A

Intramuscular.

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12
Q

How MUST atropine be administered?

A

Via auto-injector

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13
Q 
What is a precaution involved with Naloxone (Narcan)?
A. Hypertension
B. Patient with COPD
C. Short acting
D. None in the emergency setting
A

C. Short acting

Overdose state can return.

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14
Q

Name the two precautions using Naloxone?

A

Can cause witdrawal symptoms

Short acting

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15
Q

What class of drug is Narcan classified as?

A

Narcotic antagonist

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16
Q

What is the over all effect of Naloxone?

A

Reversing the effects of Narcotics

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17
Q

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

(8)

A 
Seizures
Tremulousness
Vomiting
Nausea
Sweating
Tachycardia
Increase in blood pressure
cardiac arrest
18
Q

Narcan can cause Cardiac Arrest.

A

True.

19
Q 
The Adult dosage for Naloxone is
A. .3 mg 
B. 400-800mg
C. 2.5-5mg
D. 0.4-2mg
A

D. 0.4-2mg

20
Q

What is route for Narcan?

A

Nasally via atomizer

21
Q 
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
A

B. 2mg

THE MAX PED DOSE IS 2 mg

22
Q 
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
A

A. Administer again in 5 minutes

23
Q

The pediatric Naloxone dose is __________ nasally via atomizer.

A

0.1 mg per kg

max 2mg

24
Q

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

A

True.

25
Q

Narcan is indicated for

A

Narcotic overdose

Synthetic analgesic overdose

26
Q

What is the drug class of Oxymetazoline?

A

Vasoconstrictor

27
Q 
What is the contraindication of Nasal Spray?
A. COPD
B. Significant hypertension
C. Significant hypotension
D. Hypersensitivity
A

B. Significant Hypertension

28
Q

There are NO precautions for nasal spray/Oxymetazoline

A

True

29
Q

When should nasal spray be administered?

A

Epistaxis (nose bleed)

Nasal Intubation

30
Q

The pediatric dose for nasal spray.

A

1-2 sprays IN AFFECTED NOSTRIL.

31
Q

The adult dosage for nasal spray.

A

2 sprays IN AFFECTED NOSTRIL

32
Q

Side effects of oxymetazoline include:

4

A

Sneezing/Burning
Stinging
Dryness
Nostril Irritation

keep in mind that side effects are usually mild

33
Q 
What is the contraindication of Narcan?
A. COPD
B. Significant hypertension
C. Significant hypotension
D. Hypersensitivity
A

D. Hypersensitivity

34
Q

Pralidoxime should be administered before Atropine.

A

FALSE.

2-PAM SHOULD ONLY FOLLOW ATROPINE ADMINISTRATION

35
Q

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

A

one auto-injector then per medical control.

36
Q

Something to remember about 2-Pam

A

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

37
Q

Side effects of Pralidoxime

A

Erratic behavior

Excitement

38
Q

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

A

Laryngospasm, tachycardia, and muscle rigidity.

39
Q

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

A

Poisonings other than organophosphates

40
Q

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

(3)

A

Muscle twitching. respiratory depression, and paralysis

41
Q

What class is 2-pam?

A

Cholinesterase reactivator

42
Q

The 2 functions of 2-pam?

A

Reactivates cholinesterase [in cases of organophosphates]

deactivates certain organophos. by direct chemical reaction

EMT Drug Quiz (4 decks)

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