Injectable Medicines

Question 1

Adenosine (Adenocard)

Answer 1

Cardiovascular Agent

Duration: Seconds to minutes and the site is the antecubital area via large bore IV.

Question 2

Diphenhydramine (Benadryl)

Answer 2

Anti-histamine blocker that works on H-1 receptor site
Used for allergic reactions, hives, itching, rhinitis
Duration: 4-6 hours
IM: 25-50 mg, 25 1.5” needle, large deep muscle
IV: 25 mg diluted over 2 min

Question 3

Dexamethasone (Decadron)

Answer 3

Glucocorticoid steroid that decreases inflammation
Used for inflammation, allergies, septic shock
IM: 5-10 mg, 25G 1.5” needle, large deep muscle (Glute)
IV: up to 10 mg
Avoid in diabetics

Question 4

Diltiazem (Cardizem)

Answer 4

Slow electrical conduction of heart and normalize heart rhythm. Used treatment of rapid atrial fibrillation.
IV: 15-20 mg

Question 5

Epinephrine

Answer 5

Used for acute asthma attacks, croup, allergic reactions (anaphylaxis) and cardiac arrest.
.3 mg, 25G 1 1/2”
Skin over triceps
Contraindication: tachycardia

Question 6

Famotidine (Pepcid)

Answer 6

Short term treatment of duodenal ulcer, gastritis, allergic reactions
Duration 10-12 hours with 10-20mg diluted over 2 min
Contraindicated in renal disease

Question 7

Furosemide (Lasix)

Answer 7

Treatment of edema associated with CHF used for management of hypertension
IM: 20-40 mg in 1 or more doses
25G 1 1/2” needle in glute
IV: 20-40 mg

Question 8

Humulin (R) Insulin

Answer 8

Treatment for diabetes mellitus
8-12 units per dose with Insulin Syringe
Contraindications: Allergy to any ingredient in regular insulin

Question 9

Lovenox

Answer 9

Prevention of DVT which may lead to pulmonary embolism. And used for those with chest pain and MI.
Duration: 24 hours
Dosage: 1mg/kg with prefilled syringe in Abdomen
NOT GIVEN BY IV
Contraindications: Recent epidural

Question 10

Methlprednisone (Solumedrol)

Answer 10

Anti-inflammatory for acute and chronic inflammatory diseases (skin conditions, ulcerative colitis, arthritis, lupus)
Duration: 6-8 hours
IM: 125 mg, 25G 1 1/2” needle in glute
IV: 10-250 mg undiluted over 2 min
Contraindications: systemic fungal infections and avoid in diabetics

Question 11

Metaprolol (Lopressor)

Answer 11

Reduces heart rate and is useful in treating abnormal heart rhythms lowering BP and is helpful in treating heart pain.
PO: 50 mg
IV: 5 mg undiluted over 2 min
Contraindication: cardiogenic shock

Question 12

Reglan (Metoclopramide)

Answer 12

Prevention of Nausea and vomiting, gastroparesis, migraine, headache
Duration: 1-2 hours
IM: 10 mg, 25G 1 1/2” in glute
IV: 5-1- mg diluted with 10cc of NS over 2 min

Question 13

Rocephin (Ceftriaxone)

Answer 13

Antibiotic used for pulmonary, skin, sinus, and UTI.
Duration: 12-24 hours
IM: 250 mg mixed with .9ml 1% lidocaine, 25G 1 1/2” glute only
1000mg mixed with 2.1ml 1% lidocaine in glute only
IV: 250 and 1000 mg given over 2 minutes
Contraindications: allergy to cephalosporins (Keflex, Omnicef)

Question 14

Tetanus and Diptheria Booster

Answer 14

IN urgent care used for patients with wound and puncture injuries and not given by IV.
IM: .5 ml, 25G 1 1/2” in delt

Question 15

Toradol (Ketorolac)

Answer 15

Pain management
Duration: 6-8 hours
Given IM (60 mg) and IV (30 mg)
Large deep muscle and over 2 min respectively
Contraindications: Aspirin, severe liver or kidney disease, peptic ulcer disease

Question 16

Zofran

Answer 16

Prevention of nausea and vomiting
Duration:4-6 hours
IM: 1-8 mg, 25G 1 1/2” in glute
IV: 2-8 mg undiluted over 2 min

Question 17

Influenza Vaccine

Answer 17

Prevention of Flu

25G 1 1/2” in delt

Question 18

Pneumococcal Vaccine

Answer 18

Prevention of pneumonia and other infections

IM: .5 ml, 25G 1 1/2” in deltoid

Question 19

Hep B Vaccine

Answer 19

Prevention of Hep B given in 3 doses

IM: .5 ml, 25 G 1 1/2” in delt

Question 20

Nalbuphine Hydrochloride (Nubain)

Answer 20

Pain Management 
Duration: 6 hours
IM and IV
In glute and 10mg for both
Contraindications: opioids