Drug Uses

Question 1

Acetaminophen

Answer 1

for treatment of pain as needed

Question 2

Albuterol

Answer 2

• Burns (respiratory distress with bronchospasm)
• Respiratory distress ?non-cardiac
• Allergic reaction in presence of respiratory distress
• Suspected hyperkalemia in the symptomatic patient (widened QRS complex and peaked T-waves)

Rich’s note: (respiratory distress)

Question 3

Amiodarone

Answer 3

Stable Ventricular Tachycardia (VT)

Reported/witness ≥ x2 AICD

Question 4

ASA

Answer 4

(Aspirin)
Discomfort/pain of suspected cardiac origin or discomfort/pain relieved with NTG SL (prior to arrival or EMS administered)

Question 5

Atropine

Answer 5

• Unstable bradycardia

- Organophosphate poisoning

Question 6

Atrovent

Answer 6

Respiratory distress ?non-cardiac

Allergic reaction in presence of respiratory distress
Added to Albuterol

Question 7

Benadryl

Answer 7

Extrapyramidal reactions

Allergic reaction/anaphylaxis

Question 8

CaCl2

Answer 8

“Calcium Chloride”

Symptomatic patient with suspected hyperkalemia (widened QRS complex or peaked T-waves)

Question 9

Charcoal

Answer 9

(Poisoning/OD)

Oral ingestion of poisoning or overdose if ingestion within 1 hour for uncomplicated ingestion of drug on the following list:
Acetaminophen, colchicine, beta blockers, calcium channel blockers, salicylates, valproate, oral anticoagulants (including anticoag rodenticides), Paraguat, amanita mushrooms (if not vomiting)

Question 10

D50

Answer 10

Hypoglycemia

Symptomatic patient with Altered LOC unresponsive to oral glucose agents
Dextrose

Question 11

Epinephrine (1:1,000)

Answer 11

Allergic reaction:
- Acute (facial/oral angioedema, bronchospasm, wheezing)
- Anaphylaxis (shock or cyanosis)
?Respiratory distress (?non cardiac), consider if severe or inadequate response to Albuterol/Atrovent and, if no known cardiac history, history of hypertension, or BP <150 or <40 yrs and history of asthma

Question 12

Epinephrine 1:10,000

Answer 12

Cardiac arrest

Question 13

Fentanyl Citrate

Answer 13

Treatment of Pain as needed with systolic BP ≥100

Discomfort/pain os suspected cardiac origin where systolic BP ≥100

Question 14

Glucagon

Answer 14

(Hypoglycemia)

Symptomatic patient with altered LOC with blood glucose of <60,
Unresponsive to oral glucose agents or if no IV

Question 15

Lidocaine

Answer 15

Stable VT

Reported/witnessed ≥ x2 AICD if pulse ≥60

Question 16

Morphine

Answer 16

For treatment of pain as needed with systolic BP ≥100

Discomfort/pain of suspected cardiac origin where systolic BP ≥100

Question 17

Narcan

Answer 17

(Opioid OD)

Symptomatic ?opioid OD with respiratory rate <12 (use caution in opioid dependent pain management patients)…

to drive the respiratory rate

Question 18

NTG (nitro)

Answer 18

(Chest pain)
Pain or discomfort of cardiac origin if BP >100
Respiratory distress ?CHG/cardiac origin
Fluid overload in hemodialysis patient

Question 19

Normal Saline (NS)

Answer 19

Definitive therapy
Crush injury with extended compression ≥2 hrs of extremity of torso
CVA: 250ml fluid bolus IV/IO with clear lungs to maintain BP >120
Symptomatic ?stimulant intoxication
?aortic aneurysm
Shock: hypovolemia
Shock: anaphylaxis, neurogenic
Shock: ?cardiac etiology, septic
Trauma
Discomfort/pain of ?cardiac origin with associated shock with clear lung sounds
Dysrhythmias with clear lung sounds
Burns ≥20% partial thickness or >5% full thickeness and >15yo

Question 20

Zofran (Ondansetron)

Answer 20

Nausea or vomiting

Question 21

Sodium Bicarbonate (NaHCO3)

Answer 21

Symptomatic patient with suspected hyperkalemia (widened QRS complex or peaked T-waves)
?Tricyclic OD with cardiac effects (hypotension, heart block or widened QRS)

Question 22

Versed

Answer 22

(sedative)

• Generalized seizure lasting >5 minutes
• Recurrent tonic-clinic seizure without lucid interval
• Eclamptic seizure
• Pre-cardioversion for conscious VT
• Excited Delirium
• Combative patient
• Discomfort associated with pacing
• Conscious VT prior to synchronized cardioversion