Indications-Table 1

Question 1

Oxygen

Answer 1

Presence of or suspicion of hypoxemia

Question 2

Diazepam (Valium)

Answer 2

Seizures (status epilepticus), To induce sedation prior to painful procedures, Acute Anxiety

Question 3

Ativan

Answer 3

Seizures (status epilepticus)
To induce sedation prior to painful procedures Anxiety

Question 4

Midazolam (Versed)

Answer 4

Seizures (status epileticus)
To induce sedation prior to painful procedures

Question 5

Succinylcholine (anectine)

Answer 5

To facilitate endotracheal intubation

Question 6

Epinephrine

Answer 6

Cardiac Arrest: Asystole, VF, Pulseless VT, PEA; Symptomatic Bradycardia; Anaphylaxis; Severe Reactive Airway Disease

Question 7

Vasopressin

Answer 7

Cardiac Arrest

Question 8

Lidocaine

Answer 8

VT with a pulse
Alternative (second-line therapy) to Amiodarone in cardiac arrest from VF/Pulseless VT, and patients exhibiting hemodynamically stable, wide complex monomorphic VT
Malignant PVCs
-More than six unifocal PVCs a minute -Multifocal PVCs
-Couple ts
-R-on-T phenomena
Pain control associated with I/O infusion administration

Question 9

Amiodarone

Answer 9

Life-threatening ventricular and supraventricular dysrhythmias (VF, VT, A-Fib, A-Flutter, SVT, WPW)

Question 10

Atropine Sulfate

Answer 10

Symptomatic bradycardia Organophosphate/nerve agent poisoning

Question 11

Adenosine (Adenocard)

Answer 11

SVT refractory to vagal maneuvers including Wolff-Parkinson-White (WPW)
Symptomatic monomorphic wide-complex tachycardia with regular rhythm

Question 12

Diltiazem (Cardizem)

Answer 12

SVT refractory to Adenosine; Rapid A-fib or A-flutter

Question 13

Metoprolol (Lopressor, Toprol-XL)

Answer 13

Chest Pain associated with AMI, ACS; Angina pectoris; SVT

Question 14

Dopamine (Intropin)

Answer 14

Cardiogenic shock hemodynamically significant hypotension (sustolic BP of 70-100 mmHg not resulting from hypovolemia) symptomatic bradicardia

Question 15

Dobutamine

Answer 15

Short term management of CHF or cardiogenic shock Used to increase cardiac output without increasing rate

Question 16

Aspirin

Answer 16

Suspected AMI, chest pain, or ACS

Question 17

Nitroglycerin

Answer 17

Chest pain associated with angina pectoris or AMI Acute pulmonary edema
Congestive heart failure

Question 18

Sodium Bicarbonate

Answer 18

Severe acidosis (refractory to hyperventilation) Tricyclic antidepressant (TCA) overdose Barbiturate overdose
Known hyperkalemia

Question 19

Magneium Sulfate

Answer 19

Eclampsia, Torsades de Pointes, Asthma

Question 20

Oxytocin (Pitocin)

Answer 20

Postpartum hemorrhage

Question 21

Albuterol (Proventil, Ventolin)

Answer 21

Brochospasm, patients with reversible obstructive airway disease

Question 22

Atrovent (Ipratropium Bromide)

Answer 22

Brochospasm, patients with reversible obstructive airway disease

Question 23

Methylprednisolone (Solu-Medrol)

Answer 23

Severe Asthma, Anaphylaxis, or COPD

Question 24

50% Dextrose in Water (D50W or D50)

Answer 24

Hypoglycemia

Question 25

Glucagon (GlucaGen)

Answer 25

Hypoglycemia without IV access. Adjuvant treatment of toxic effects of CCB and beta-blockers

Question 26

Diphenhydramine (Benedryl)

Answer 26

Anaphylaxis; Moderate to severe allergic reactions; Acute extrapyramidal (dystonic) reactions

Question 27

Haloperidol

Answer 27

Behavioral emergencies with violent tendencies, including suicide

Question 28

Naloxone (Narcan)

Answer 28

Opiate overdose; Coma of unknown origin

Question 29

Furosemide (Lasix)

Answer 29

CHF, Acute pulmonary Edema

Question 30

Hydroxocobolamin (CyanoKit)

Answer 30

Treatment of known or suspected cyanide poisoning

Question 31

Calcium Chloride

Answer 31

Calcium channel blocker toxicity / overdose Prophylactically prior to IV calcium channel blockers Acute hyperkalemia
Acute hypocalcemia
Acute hypermagnesemia

Question 32

Activated Charcoal

Answer 32

Acute poison ingestion

Question 33

Morphine Sulfate

Answer 33

Chest Pain Associated with ACS; Pulmonary Edema, CHF, Pain management

Question 34

Fentanyl Citrate (Sublimaze)

Answer 34

Pain Management

Question 35

Ketorolac (Toridol)

Answer 35

Acute moderate to severe pain

Question 36

Acetaminophen

Answer 36

Fever

Question 37

Ibuprofen

Answer 37

Fever