Indications

Question 1

Albuterol Sulfate (2)

Answer 1

• Treatment of bronchospasm
• Treatment of hyperkalemia

Question 2

Ipratropium Bromide (2)

Answer 2

• Bronchoconstriction– asthma and COPD
• Ipratropium may be given in a combination with albuterol anytime albuterol is indicated

Question 3

Magnesium Sulfate (3)

Answer 3

• Eclampsia and preeclampsia
• Torsades de pointes
• Severe bronchospasm in patients with asthma or COPD

Question 4

Methylprednisolone Sodium Succinate (2)

Answer 4

• Acute bronchospastic disease (asthma or COPD)
• Adrenal insufficiency

Question 5

Morphine Sulfate (1)

Answer 5

• Analgesia

Question 6

Naloxone (1)

Answer 6

• Reversal of acute opioid toxicity

Question 7

Nitroglycerin (3)

Answer 7

• Chest pain, particularly when ACS is suspected
• Hypertensive emergency
• CHF with pulmonary edema

Question 8

Succinylcholine (1)

Answer 8

• Induction of paralysis to facilitate ET intubation

Question 9

Etomidate (1)

Answer 9

• Induction of anesthesia for rapid sequence intubation

Question 10

Dexamethasone (2)

Answer 10

• Reactive airway disease: acute exacerbation of bronchial asthma
• Anaphylaxis

Question 11

Ketamine (3)

Answer 11

• Delirium with agitated behavior
• Induction agent for intubation
• Pain control

Question 12

Midazolam (4)

Answer 12

• Seizures
• Sedation
• Agitation / delirium with agitated behavior
• Uncontrolled shivering in hyperthermia

Question 13

Phenylephrine (2)

Answer 13

• Facilitation of nasotracheal intubation
• Epistaxis

Question 14

Diphenhydramine (2)

Answer 14

• Treatment of allergic reactions
• Treatment or prevention of acute dystonic reactions to antipsychotic drugs

Question 15

Racemic Epinephrine (4)

Answer 15

• Bronchial asthma
• Treatment of bronchospasm
• Croup
• Laryngeal edema

Question 16

Acetaminophen (2)

Answer 16

• Temporary relief of fever
• Mild to moderate pain

Question 17

Atropine (2)

Answer 17

• Symptomatic bradycardia
• Nerve agent/ organophosphate and carbamate insecticide toxicity

Question 18

Vasopressin (2)

Answer 18

• Septic shock
• Variceal hemorrhage

Question 19

Lidocaine (3)

Answer 19

• Cardiac arrest due to V Fib or pulseless V Tach
• Wide complex tachycardia with pulse
• Pain management after IO insertion in conscious patients

Question 20

Epinephrine (6)

Answer 20

• Cardiac arrest
• Bradycardia
• Anaphylaxis
• Shock
• IM for severe wheezing
• Nebulized for croup and bronchiolitis

Question 21

Adenosine (1)

Answer 21

• To convert hemodynamically stable narrow complex regular tachycardia with a pulse

Question 22

Amiodarone (4)

Answer 22

• V fib
• Pulseless V tach
• Regular wide complex tachycardia w/ pulse
• Irregular wide complex tachycardia

Question 23

Sodium bicarbonate (3)

Answer 23

• Cardiac arrest when hyperkalemia or TCA overdose is suspected
• TCA overdose
• Extremity trauma, crush syndrome

Question 24

Aspirin (1)

Answer 24

• Adult patients with suspected ACS

Question 25

Fentanyl (1)

Answer 25

- Severe pain of any etiology

Question 26

Calcium chloride (2)

Answer 26

- Suspected hyperkalemia - Antidote for Ca channel blocker overdose

Question 27

Dopamine (1)

Answer 27

- Treatment of refractory cardiogenic or distributive shock

Question 28

Norepinephrine (1)

Answer 28

- Hypotension unresponsive to IV fluid resuscitation

Question 29

Verapamil (3)

Answer 29

- A flutter / A fib with RVR - Multifocal atrial tachycardia - Vasospastic and unstable angina

Question 30

Diltiazem (2)

Answer 30

- Narrow complex tachyarrhythmias (Afib/Aflutter) - SVT not responding to adenosine