Epi, Albuterol, Dyphenhydromine

Question 1

Diphenhydramine classification

Answer 1

Antihistamine

Question 2

Diphenhydramine trade name

Answer 2

Benadryl

Question 3

Diphenhydramine desired effects

Answer 3

Block histamine effects in allergic reactions
Inhibits motion sickness and nausea vomiting

Question 4

Diphenhydramine mechanism of action

Answer 4

Blocks histamine response

Question 5

Diphenhydramine indications

Answer 5

Allergic reactions
Anaphylactic shock (post epinephrine administration)

Question 6

Diphenhydramine contraindications

Answer 6

Glaucoma
Pregnancy
Ulcer with symptoms of obstruction
Patience with anticoinergic syndrome

Question 7

Diphenhydramine adverse reactions

Answer 7

Drowsiness
Hypertension
Palpations

Question 8

Diphenhydramine precaution

Answer 8

Asthma; May thicken secretions

Question 9

Diphenhydramine adult dosing

Answer 9

25 mg IVP or 50 mg IM

Question 10

Diphenhydramine pediatric dosing

Answer 10

1 mg/kg IVP or IM (Max dose 50 mg)

Question 11

Albuterol classification

Answer 11

Sympathomimetic bronchodilator

Question 12

Albuterol trade name

Answer 12

Proventil, Ventolin

Question 13

Albuterol desired effect

Answer 13

Relieve attacks of bronchospasms

Question 14

Albuterol mechanism of action

Answer 14

Stimulates bronchial beta 2 receptors

Question 15

Albuterol indications

Answer 15

Asthma / wheezing
COPD
Toxic inhalation

Question 16

Albuterol Contraindications

Answer 16

Tackyarrhythmias
Hypersensitivity

Question 17

Albuterol adverse reactions

Answer 17

Tachycardia
Palpations
Hypertension
Nausea / vomiting

Question 18

Albuterol adult dosing

Answer 18

2.5 mg / 3 ml unit dose via nebulizer every 10-20 minutes repeat twice

Question 19

Albuterol pediatric dosing

Answer 19

2.5 mg / 3 ml unit dose via nebulizer every 10-20 minutes repeat twice

Question 20

Epinephrine classification

Answer 20

Catecholamine, sympathomometic

Question 21

Epinephrine trade name

Answer 21

Adrenaline

Question 22

Epinephrine desired effect

Answer 22

Vaser construction, bronchodilation, increase in heart rate and force of contraction

Question 23

Epinephrine mechanism of action

Answer 23

Stimulate alpha and beta adrenergic receptors

Question 24

Epinephrine Indications

Answer 24

Cardiac arrest
Anaphylaxis
Broncospasms
Shock or bradycardia

Question 25

Epinephrine Contraindications

Answer 25

None for cardiac arrest
Intracranial hemorrhage
Patients with CAD (coronary artery disease)
Tacky arrhythmias
Angina

Question 26

Epinephrine adverse reactions

Answer 26

Palpations
Techcardia
Nausea / vomiting
Cardiac ischemia

Question 27

Epinephrine precautions

Answer 27

Caution in patients with CAD in non-arrest situations
Caution with in patients with arrhythmias

Question 28

Epinephrine adult dosing
cardiac arrest

Answer 28

1 mg 1:10,000 IV/IO EVERY 3-5 MINUTES

ET tube dose, 2 mg 1: 1000 with 10 ml normal saline

Question 29

Epinephrine adult dosing
Anaphylaxis

Answer 29

0.3 mg 1:1,000 IM

0.1-0.3 1:10,000 slow IVP with shock

Question 30

Epinephrine pediatric dosing
Cardiac arrest

Answer 30

0.01mg/kg 1:10,000 IV/IO 3-5 min

ET dose; 0.1mg/kg 1:1,000 with 2ml NS

Question 31

Epinephrine pediatric dose
Anaphylaxis

Answer 31

0.01 mg / kg 1:1,000 IM

Question 32

Epinephrine pediatric dose
Croup

Answer 32

0.5mg/kg 1:1,000 nebulizer
Max 5mg/ml

Question 33

Epinephrine pediatric dosing
Newborn resuscitation

Answer 33

0.01-0.03mg/kg 1:10,000 IV/IO push 3-5min