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DG Pharm Test > Indications > Flashcards

Indications Flashcards

1
Q

Albuterol sulfate

A

Bronchospasm

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2
Q

Amiodarone

A

Cardiac Arrest Pt with shock refractory VF/VT

For recurrent VF/VT following successful cardioversion of VF/VT

Wide complex tachycardia not requiring immediate cardioversion due to hemodynamic instability

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3
Q

Aspirin

A

Suspected acute coronary syndrome

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4
Q

Atropine sulfate

A

Symptomatic bradycardia

To improve conduction in 2nd° and 3rd° heart block or pacemaker failure

Organophosphate poisoning

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5
Q

Calcium gluconate

A

Adult pulseless arrest associated with any of the following clinical conditions:
. Known hyperkalemia
. Renal failure with/without hemodialysis history
. calcium channel blocker overdose

Not indicated for routine treatment of pulseless arrest

Adult or pediatric calcium channel blocker overdose with hypotension, bradycardia.

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6
Q

Cyanokit

A

Suspected moderate or severe exposure to carbon monoxide, cyanide, or combination of both.

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7
Q

Dextrose

A

hypoglycemia

Unconscious or altered mental status patient with unknown etiology

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8
Q

Diphenhydramine

A

Allergic Reaction

Dystonic medication reactions or restlessness

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9
Q

DuoDote

A

Suspected nerve agent exposure accompanied with signs and symptoms of nerve agent poisoning

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10
Q

Epinephrine

A

Pulseless Arrest

Severe allergic/anaphylactic reaction

Airway obstruction secondary to croup or epiglottitis

Severe asthma

Bradycardia with poor perfusion

Medical hypotension/shock refractory to fluid resuscitation

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11
Q

Fentanyl

A

Moderate to severe pain

Treatment of shivering after therapeutic induced hypothermia

(The object of pain management is not the removal of all pain, but rather, to make the patient’s pain tolerable enough to allow for adequate assessment, treatment and transport)

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12
Q

Glucagon

A

Altered level of consciousness where hypoglycemia is suspected and IV access is unavailable

Hypotension, bradycardia from beta blocker or calcium channel blocker overdose

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13
Q

Haloperidol

A

Sedation of severely agitated combative patient

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14
Q

Ipratropium Bromide (Atrovent)

A

Bronchospasm

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15
Q

Ketamine

A

Adult patient for signs of excited delirium where the safety of patient and/or providers is of substantial concern

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16
Q

Magnesium sulfate

A

Torsades de pointes associated with prolonged QT interval

Severe bronchial spasm on responsive to continuous Albuterol, ipratropium, and IM epinephrine.

Pregnancy > 20 weeks gestational age with evidence of eclampsia or preeclampsia:
. Pre-eclampsia: hypertension >180 mmHg systolic or >120 mmHg diastolic, localized edema, headache and/or altered mental status
. Eclampsia: preeclampsia + seizures

17
Q

Methylprednisolone (solu-medrol)

A

Anaphylaxis

severe asthma

COPD

18
Q

Midazolam (versed)

A

Status Epilepticus

Sedation of the severely agitated/combative patient

Sedation for cardioversion or transcutaneous pacing (TCP)

Chemical sedation post intubation in the awake patient. Strongly considered use after successful ET tube placement confirmation via capnography.

19
Q

Morphine sulfate

A

Pain management

cardiogenic pulmonary edema

20
Q

Naloxone (Narcan)

A

For reversal of suspected opioid – induced CNS and respiratory depression.

Coma Of unknown origin.

Seizure of unknown etiology (rule out narcotic overdose, specifically proproxyphene)

21
Q

Nitroglycerin

A

Pain or discomfort due to suspected acute coronary syndrome

Pulmonary edema due to congestive heart failure

22
Q

Ondansetron (Zofran)

A

Nausea and vomiting

23
Q

Oxygen

A

Suspected hypoxemia or respiratory distress from any cause

Acute chest or abdominal pain

Hypotension/shock states from any cause

Trauma

Suspected carbon monoxide poisoning

Obstetrical Complications, childbirth

24
Q

Phenylephrine (intranasal) (neosephine)

A

Prior to nasotracheal intubation to induce vasoconstriction of the nasal mucosa.

Nose Bleed

25
Q

Racemic epinephrine

A

Bronchial spasm in bronchiolitis.

Strider at rest in croup.

Suspected epiglottitis in adults or children.

Strider from miscellaneous causes in adults

26
Q

Sodium bicarbonate

A

Tricyclic overdose with arrhythmias, widened QRS complex, hypotension, seizures

Suspected hyperkalemic pulseless arrest: consider in patients with renal failure

27
Q

Topical ophthalmic anesthetics

A

Pain secondary to eye injuries and corneal abrasions

Topical anesthetic to facilitate Eye irrigation

28
Q

Adenosine

A

Narrow complex supraventricular tachyarrhythmia

Stable, undifferentiated, regular, monomorphic wide complex tachycardia

DG Pharm Test (5 decks)

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