Drugs

Question 1

Tranexamic Acid Dose:

Answer 1

To prepare loading dose, mix one (1) gram TXA in 100 mL of D5W. Attach a 15 drop set and infuse at 150 drops/min over ten (10) minutes.

Question 2

Tranexamic Acid Indications

Answer 2

1. Systolic blood pressure less than 90 mmHg.
2. Patients over 65 years of age with systolic blood pressure less than 110 mmHg.
3. Tachycardia with heart rate greater than 120 beats per minute with signs of hypoperfusion present (confusion, altered mental status, cool extremities, etc.).

Question 3

Aspirin Dose

Answer 3

Give four (4) 81 mg chewable tablets (324 mg total dose) PO as soon as possible after the onset of chest pain.

Question 4

Aspirin Indications

Answer 4

Chest pain suggestive of an acute myocardial infarction.

Question 5

ONDANSETRON (Zofran) Dose

Answer 5

Give 4 mg. Place tablet on patient’s tongue. The tablet dissolves quickly. (AEMT may give SL or PO)

Question 6

ONDANSETRON (Zofran) Indications

Answer 6

1. Severe vomiting or nausea.

2. Consider as a prophylactic adjunct to prevent nausea and vomiting when administering narcotic analgesics.

Question 7

GLUCOSE, ORAL (Insta-Glucose) Dose

Answer 7

One tube/24 grams

1. Assure signs and symptoms of altered mental status with a known history of diabetes.
2. Assure patient is conscious and can swallow and protect the airway.
3. Administer glucose:
   a. Between cheek and gum
   b. Place on tongue depressor between cheek and gum.

Question 8

GLUCOSE, ORAL (Insta-Glucose) Indications

Answer 8

Patient with altered mental status and a known history of diabetes controlled by medication.

Question 9

Meloxicam Dose

Answer 9

7.5-15 mg PO once daily.

15 mg each tab.

Question 10

Meloxicam Indications

Answer 10

Mild to moderate pain.

Question 11

ERTAPENEM Dose

Answer 11

1g IV/IO/IM every 24h (For IV/IO, reconstitute with 10mL NS then add to 100ml normal saline bag for infusion over a 30 minute interval; for IM, 3.2mL 1.0% lidocaine without epinephrine)

Question 12

ERTAPENEM Indications

Answer 12

1. Penetrating torso trauma
2. Major extremity trauma
3. Septic shock

Question 13

DIPHENHYDRAMINE (Benadryl) Dose

Answer 13

Adult: Give 1 mg/kg up to 50 mg IM or slow IV push (25 mg/min)
Vial containing 50 mg in 1 mL

Question 14

DIPHENHYDRAMINE (Benadryl) Inications

Answer 14

1. Anaphylaxis, as an adjunct to epinephrine.
2. Severe vomiting and motion sickness.
3. To treat dystonic reactions and extrapyramidal effects caused by haloperidol and phenothiazines.

Question 15

EpiPen Dose

Answer 15

EpiPen contains 0.3 mg of epinephrine.

Hold injector firmly against thigh for a minimum of 10 seconds to allow for full dose delivery.

Question 16

EpiPen

Answer 16

Patient exhibiting the assessment findings of an allergic reaction (shock and/or respiratory distress).

Question 17

ALBUTEROL (Proventil) Dose

Answer 17

Using a small volume nebulizer, adjust the oxygen flowmeter to 6 to 10 L/min to produce a steady, visible mist.
Adult: Give 2.5 mg (3 mL of 0.083% solution) with a mouthpiece or facemask.
Repeat every 10 minutes, up to 4 treatments, if needed.

Question 18

ALBUTEROL (Proventil) Indications

Answer 18

1. Bronchial asthma.
2. Reversible bronchospasm associated with chronic bronchitis and emphysema.
3. Anaphylactic respiratory distress.
4. Crush syndrome.

Question 19

KETAMINE (Ketalar) Dose

Answer 19

20 mg IV/IO over 30 seconds or 50 mg IM/IN (adult). May repeat as needed every 20-30 minutes as needed or
Adult: IV: Pain Augmentation (if pain persists after maximum dose of first
line analgesic2 is given): Give 0.15 mg/kg IV over 30 seconds. May repeat as needed every 20 minutes to a maximum of three doses.
Vial 200 mg in 20 mL.

Question 20

KETAMINE (Ketalar) Indications

Answer 20

Pain augmentation as an adjunct to an opiate analgesic.

Question 21

PLASMA-LYTE Dose

Answer 21

Infuse 500ml – 1L via IV/IO

Question 22

PLASMA-LYTE Indications

Answer 22

For fluid replacement and plasma volume expansion when blood or plasma is not available, and for adjunctive treatment of shock and hypovolemic states caused by hemorrhage, burns, surgery, sepsis, trauma, dehydration, or heat injury.

Question 23

MORPHINE Dose

Answer 23

0.1 mg/kg IV at 1 mg/min, not to exceed 20 mg, titrated to effect. Or, 0.1 mg/kg IM, not to exceed 10 mg (1.0 mL); repeat IM dose in 10 minutes if necessary.

Question 24

Narcan Dose

Answer 24

IV: Give 2 mg IV at 0.4 mg/min.
IN: Give 0.1 mg/kg up to 2 mg IN (. volume in each nostril).
IM: Give 0.1 mg/kg up to 2 mg IM.
If no response to initial dose of naloxone, repeat dose x 1. If still no response, contact Medical Control.