Drugs

Question 2

Acetaminophen Indications

Answer 2

Mild to moderate pain

Question 3

Acetaminophen contraindications

Answer 3

-Hypersensitivity
-Severe hepatic liver impairment or active liver disease
-Given in past 4hrs or at daily maximum (4000mg)
-if overdose is suspected

Question 4

Acetaminophen dosage

Answer 4

500-1000mg PO every 4hrs.
(Patients with liver disease max dose is 2000mg)

Question 5

ASA indications

Answer 5

Chest pain or signs/symptoms of cardiac ischemia

Question 6

ASA Contraindications

Answer 6

-Hypersensitivity
-bronchospasm or respiratory reaction from ASA or NSAIDS
-active/recent bleeding or ulcers
-Peds patient with viral illness
CAUTIONS
-recent surgery
-pregnancy
-taking anticoagulants

Question 7

ASA dosage

Answer 7

162mg PO (chewed and swallowed)

Question 8

Epinephrine indication

Answer 8

Anaphylaxis

Question 9

Epinephrine contraindications

Answer 9

None

Question 10

Epinephrine dosage

Answer 10

0.5mg IM every 5 mins. Repeat 3 times if needed

Question 11

Glucagon indications

Answer 11

Hypoglycemia

Question 12

Glucagon contraindications

Answer 12

-Hypersensitivity
-insulinoma
-pheochromocytoma
-IN glucagon not for 4yrs and under

Question 13

Glucagon dosage

Answer 13

1mg IM or 3mg IN — clinicall to administer second doses

Question 14

Ibuprofen indications

Answer 14

Mild to moderate pain

Question 15

Ibuprofen contraindications

Answer 15

-Hypersensitivity
-active GI hemorrhage or ulcers
-pregnancy
-renal dysfunction
-anticoagulants

Question 16

Ibuprofen dosages

Answer 16

300-400mg PO
May repeat every 4-6hrs. Max dose is 1200mg

Question 17

Methoxyflurane (Penthrox) indications

Answer 17

Moderate to severe pain - must be conscious to self admin.

Question 18

Mehtoxyflurane (Penthrox) contraindications

Answer 18

C.H.E.C.K.
-Cardiac instability or respiratory depression
-Hypersensitivity
-Established malignant hypothermia
-Consciousness
-Kidneys
+ Under 18, pregnant/intended pregnancy or breastfeeding
-tetracycline
-muscular dystrophy

Question 19

Methoxyflurane (Penthrox) dosages

Answer 19

3ml self admin. Max of 6ml. May repeat after 20 mins

Question 20

Naloxone indications

Answer 20

Reversal of respiratory depression in suspected narcotic intoxication

Question 21

Naloxone contraindications

Answer 21

Allergy or hypersensitivity

Question 22

Naloxone dosages

Answer 22

0.4mg IM, 0.4mg IM, 0.8mg IM, 2mg IM
Every 3 minutes as required. Clinicall for more dosages

Question 23

Nitroglycerin indications

Answer 23

Chest pain suggestive of acute coronary syndrome

Question 24

Nitroglycerin contraindications

Answer 24

-Hypersensitivity
-Boner pills (viagra & levitra in last 24hrs
Cialis in last 48hrs)
-Anemia
-Pericardial issues
-Hypovolemia or hypotension
-documented right sided acute MI
-systolic BP under 110mmHg
-HR less than 50 or more than 150

Question 25

Nitroglycerin dosages

Answer 25

0.4mg SL every 3-5mins up to 3 times.
-must call clinical prior to admin if patient has no prior prescription or for more than 3 doses
-Verify systolic BP and HR before every dose

Question 26

Nitrous Oxide indications

Answer 26

Self-administered relief from moderate to severe pain suggestive

Question 27

Nitrous Oxide contraindications

Answer 27

P.A.I.N.D.I.E. S.A.D.F.C.
-pneumothorax
-air embolism
-inhalation injury
-nitroglycerin in last 5 mins
-decompression sickness
-inability to comply
-enclosed spaces

-shock
-abdominal distension
-depressant drugs
-facial injuries
-COPD

Question 28

Nitrous oxide dosages

Answer 28

Self admin to effect

Question 29

Salbutamol indications

Answer 29

Bronchospasm

Question 30

Salbutamol contraindications

Answer 30

Hypersensitivity

Question 31

Salbutamol dosages

Answer 31

-4x100mg via MDI, repeat as required
-5mg nebulized, repeat as necessary