Drug Quiz- Current

Question 1

(brand name)
Class: 
action/description: 
indications: 
contraindications
precautions 
dosage/route 

Peds: dosage, route

Answer 1

()

Class:

Action/description:

indications:
contraindications:

Precautions:

dosage/route:

Peds: dosage, route:

Question 2

Atropine(brand name)
Class: 
action/description: 
indications: 
contraindications
precautions 
dosage/route 

Peds: dosage, route

Answer 2

Atropine (brand name)

Class: Parasympatholytic

action/description: Atropine blocks the parasympathetic NS, specifically the vagal effects on heart rate; doesn’t ↑ contractility but may ↑ myocardial O₂ demand; ↓ airway secretions

indications: Hemodynamically significant bradycardia, bradyasystolic arrest, organophosphate poisoning
contraindications: None in the emergency setting.
precautions: AMI, glaucoma

dosage/route:
Symptomatic bradycardia:
0.5-1mg IV / 2mg ET, repeat 3-5 min to 0.4 mg/kg

Asystole:
1 mg IV or 2mg ET, may repeat 3-5 min up to 0.04 mg/kg

Organophosphate poisoning;
2-5 mg IV/IM/IO, 10-15 min

Peds: dosage, route
Symptomatic bradycardia:
0.02 mg/kg IV, 0.04 mg/kg ET, may repeat in 5 min up to 1 mg

Organophosphate poisoning:
0.05 mg/kg IV/IM/IO 10-15 min

Question 3

Bicarb
(brand name)
Class: 
action/description: 
indications: 
contraindications
precautions 
dosage/route 

Peds: dosage, route

Answer 3

Bicarb
(NaHCO₃)

Class: Alkalizing agent

action/description: It provides vascular bicarbonate to assist the buffer system in reducing the effects of metabolic acidosis and in the treatment of some overdoses.

indications: Tricyclic antidepressant and barbiturate overdose, refractory acidosis, or hyperkalernia.
contraindications: None when used in severe hypoxia or late cardiac arrest.
precautions: May cause alkalosis if given in too large a quantity. It may also deactivate vasopressors and may precipitate with calcium chloride.

dosage/route: 1 mEq/kg IV
0.5 mEq/kg, 10 min

Peds: dosage, route: Same (may be given IO)

Question 4

Aspirin
(brand name)
Class: 
action/description: 
indications: 
contraindications
precautions 
dosage/route 

Peds: dosage, route

Answer 4

Aspirin
(acetylsalicylic aickd; alkaseltzer, Bayer, Empirin, St. Joseph Children’s)

Class: Analgesic, antipyretic, platelet inhibitor, anti-inflammatory

action/description: Aspirin inhibits agents that cause the production of inflammation, pain, and fever; relieves mild-moderate pain by acting on the Peripheral NS, lowers body temp in fever; inhibits platelet aggregation

indications: Chest pain suggestive of an MI
contraindications: Active ulcer disease, asthma

precautions : Bleeding disorders, children or teens w/ varicella or flu- like symptoms

dosage/route: 160-325 mg PO

Peds: dosage, route

Question 5

Nitroglycerin
(brand name)
Class: 
action/description: 
indications: 
contraindications
precautions 
dosage/route 

Peds: dosage, route

Answer 5

Nitroglycerin
(Nitrostat)

Class: Nitrate

action/description: Relaxes vascular smooth muscle → vasodilation, ↓ cardiac work, improved coronary blood flow

indications: Chest pain associated with angina and acute myocardial infarction, and acute pulmonary edema.
contraindications: Hypersensitivity, tolerance to nitrates, severe anemia, head trauma, hypotension, increased ICP, patients taking sildenafil, glaucoma, and shock.
precautions: May induce headache that is sometimes severe. Nitroglycerin is light sensitive and will lose potency when exposed to the air.

dosage/route: “1 tablet = 0.4 mg
SL tablet or spray; may be repeated q 3-5 min, max = 3 tablets, or 1/2 inch of topical ointment, or 0.4 mg (1 spray) SL, max 3 sprays/25 min”

Peds: dosage, route