Emergency Kit

Question 1

What is epinephrine used for

Answer 1

• respiratory distress
• rapid relief of hypersensitivity reactions
• anaphylaxis

Question 2

What is a histamine blocker for

Answer 2

• used for allergic reactions
• angioedema
• anaphylaxis

Question 3

Give an example of endogenous catecholamine

Answer 3

epinephrine 1:1000

Question 4

Give examples of histamine blocker

Answer 4

• diphenhydramine (Benadryl)
• chlorpheniramine (Chlor-Trimeton)

Question 5

How do you use an EpiPen

Answer 5

pull of grey safety cap, swing in an arch and hold in place for 10 SECONDS, massage injection site for 10 seconds

Question 6

Name all level 1 drugs

Answer 6

• CAVO FAB
• Endogenous Catecholamine=epinephrine
• Anti-histamine=diphenhydramine (Benadryl), chlorpheniramine (Chlor-Trimeton)
• Vasodilator= nitroglycerine
• Oxygen
• Fibrinolytic= chewable aspirin
• Anti-hypoglycemic
• Bronchodilator= albuterol

Question 7

What drug do you use in respiratory distress

Answer 7

oxygen

Question 8

What drug is a vasodilator

Answer 8

nitroglycerin

Question 9

What drug is used for angina

Answer 9

nitro

Question 10

albuterol is used for relief of____

Answer 10

bronchospasm in patients with COPD

Question 11

Level 1 drugs are considered

Answer 11

basic critical drugs

Question 12

What can be used as anti-hypoglycemic

Answer 12

• orange juice
• cake icing
• regular soft drinks
• glucose

Question 13

When do you take chewable aspirin

Answer 13

pre-hospital admission drug for MI

Question 14

Level 2 drugs

Answer 14

• Analgesic=morphine sulfate
• Glucocorticoid= hydrocortisone sodium succinate
• Anticonvulsant= diazepam (Valium)
• Vasoconstrictor= methoxamine (Vasoxyl)
• Anti-hypertensive= esmolol, labetalol
• Respiratory stimulant= aromatic ammonia, spirits of ammonia
• Anti-hypoglycemic= glucagon HCL, 50% dextrose
• Histamine blocker= diphenhydramine (Benadryl)
• Anticholinergic=atropine

Question 15

When do you NOT use repiratory stimulants

Answer 15

during respiratory depression caused by opioids

Question 16

What are histamine blockers used for

Answer 16

• mild allergic reactions
• angioedema
• uncomplicated skin reactions

Question 17

What is morphine sulfate used for

Answer 17

pain/anxiety with MI

Question 18

What anticonvulsant is used in Level 2

Answer 18

diazepam (Valium)

Question 19

What is diazepam (Valium) used for

Answer 19

status epilepticus and severe recurrent convulsive seizures

Question 20

What are beta blockers used for

Answer 20

tachycardia and hypertension (intraoperatively and postoperatively)

Question 21

give two examples of anti- hypoglycemic drugs

Answer 21

• glucagon HCL
• 50% dextrose

Question 22

What 3 things do you use glucocorticoids for

Answer 22

• adrenal insufficiency
• shock
• control of severe or incapacitating allergic conditions that are intractable to conventional treatment of asthma and allergic reactions

Question 23

what is methoxamine (Vasoxyl) indicated for

Answer 23

support or maintenance of blood pressure

Question 24

Atropine reduces the production of ____

Answer 24

saliva (antisialagogue)

Question 25

Atropine is used to

Answer 25

* restore heart rate and arterial pressure when vagal stimulation causes sudden decrease in pulse rate and cardiac action * lessen degree of AV heart block * overcome severe bradycardia and syncope due to hyperactive carotid sinus reflex

Question 26

When is sodium bicarbonate used

Answer 26

only after other interventions (defibrillation, CPR, lidocaine etc...) and in cases of pre-existing metabolic acidosis

Question 27

What 4 anti-dysrhythmic drugs are used

Answer 27

* lidocaine (Xylocaine) * bretylium tosylate (Bretylol) * procainamide (Pronestyl) * verapamil (Calan)

Question 28

When is lidocaine (Xylocaine) used

Answer 28

first choice for suppression of ventricular tachycardia and ventricular fibrillation

Question 29

procainamide (Pronestyl) is used to

Answer 29

suppress premature ventricular complexes (PVCs) and recurrent ventricular tachycardia that cannot be controlled by lidocaine

Question 30

What are calcium salts used for

Answer 30

* acute hyperkalemia * hypocalcemia * calcium channel blocker toxicity

Question 31

What type of epinephrine do you use for cardiac arrest

Answer 31

1:10,000 for IV or endotracheally

Question 32

What are level 4 drugs

Answer 32

antidotes

Question 33

What drug is used for benzodiazepine over dose

Answer 33

flumazenil (Romazicon)

Question 34

What drug is used for opioid depression (respiratory distress)

Answer 34

naloxone (Narcan), naltrexone

Question 35

Name the Level 3 drugs

Answer 35

* **ACE Triple A** * **A**nti-cholinergic, anti-dysrhythmic= atropine * **C**alcium salt= calcium chloride * **E**ndogenous catecholamine= epinephrine * **A**lkalinizing agent= sodium bicarbonate * **A**nalgesic= morphine sulfate * **A**nti-dysrhythmic= lidocaine (Xylocaine), bretylium tosylate (Bretylol), procainamide (Pronestyl), verapamil (Calan)