Medication Administration

Question 1

Glucagon

Answer 1

Action: Releases stored sugar in the liver.
Indication: Hypoglycemia W/O patent IV line
Dose: 1mg/mL (IM/SQ)
Contraindication: NONE

Question 2

Thiamine (Vitamin B12)

Answer 2

Action: Allows better absorption of glucose into the cells.
Indication: Hypoglycemic pt. known alcoholism OR malnourished
Dose: 100mg/mL (IV)
Contraindication: NONE

Question 3

Nitroglycerin

Answer 3

Action: Vasodilator
Indication: Chest Pain & Pulmonary Edema
Dose: 0.4mg-(SL)
           1gm-(TD)
Max Dose: SL=1.2mg
                   TD=1gm
Contraindication: BP <100 systolic
                              SED in last 72hrs

Question 4

Dextrose 50mL (D50)

Answer 4

Action: Raises blood glucose level.
Indication: Hypoglycemia (<60mg/dL)
Dose: 25gm/50mL (IV)
Contraindication: No patent IV line.

Question 5

Duo-Neb

Answer 5

Action: Bronchodilator
Indication: Anaphylaxsis & Asthma
Dose: 2.5mg/3mL- Albuterol
           0.5mg/2.5mL- Ibatropium Bromide
Max Dose: Until S&S relief.
Contraindication: NONE

Question 6

Naloxone Hydrochloride (Narcan)

Answer 6

Action: Blocks absorption of Opiate Receptors
Indication: Opioid/CNS Depressant Overdose
Dose: 2mg/mL (IV,IM,SQ)
Max Dose: 10mg/10mL (5 doses)
Contraindication: NONE

Question 7

Morphine Sulfate

Answer 7

Action: Vasodilator
Indication: Chest Pain & Pulmonary Edema
Dose: 1st Dose=4mg/0.4mL (IV)
2nd Dose=4mg/0.4mL (if needed) (IV)
3rd Dose=2mg/0.2mL (if needed) (IV)
Max Dose: 10mg/mL (3 doses)
Contraindication: BP <100 systolic

Question 8

Furosemide (Lasix)

Answer 8

Action: Diuretic
Indication: Pulmonary Edema
Dose: 20mg/2mL (if not prescribed)  (IV)
           40mg/4mL (if prescribed)  (IV)
Max Dose: 1 Dose
Contraindication: BP <100 systolic

Question 9

Magnesium Sulfate

Answer 9

Action: Smooth muscle relaxer.
Indication: Pre-Eclampsia (BP>140/90 or 20 above normal, Excessive weight gain)
Eclampsia (seizure or postictal)
(Severe) Asthma
Dose: Pre-Eclampsia: 2gm-50mL D5W-Macro drip-1gtt/sec-10min

    Eclampsia: 4gm-50mL D5W-Macro drip-1gtt/sec-10min

    (Severe) Asthma: 2gm-50mL D5W-Macro drip-1gtt/2sec-20min                                            Contraindication: NONE Transport: Left-Lateral Recumbant, No lights, No siren.

Question 10

Diphenhydramine (Benadryl)

Answer 10

Action: Antihistamine
Indication: Anaphylaxsis
Dose: 25mg/0.5mL (IV)
           50mg/mL (IM)
Contraindication: NONE

Question 11

Diazepam (Valium)

Answer 11

Action: Sedative
Indication: Seizures
Dose: 5mg/mL (IV,IM,SQ)
Max Dose: 10mg/2mL (2 doses)
Contraindication: NONE

Question 12

Epinephrine

Answer 12

Action: Vasoconstrictor & Bronchodilator
Indication: Anaphylaxsis
Asthma (severe)
Dose: Asthma (severe): 0.3mg/0.3mL-1:1,000 (IM/SQ)
Anaphylaxsis (moderate): 0.3mg/0.3mL-1:1,000 (IM/SQ)
0.3mg/3mL-1:10,000 (IV)
Anaphylaxsis (severe): 0.3mg/0.3mL-1:10,000 (IV)
0.5mg/0.5mL-1:10,000 (IV)
Max Dose: 2 doses
Contraindication: NONE

Question 13

Sodium Bicarbonate

Answer 13

Action: Blocks absorption of Tricyclic OD & Alkalizes blood in Aspirin OD.
Indication: Tricyclic OD & ASA OD
Dose: 1st Dose=1mEq/kg (IV)
           2nd Dose=0.5mEq/kg (IV)
Max Dose: 2 doses
Contraindication: NONE

Question 14

Atropine Sulfate

Answer 14

Action: Blocks absorption of Organophosphate Poisoning.
Indication: Organophosphate Poisoning
Dose: 2mg/5mL (IV) incriments, until cessation of S.L.U.D.G.E.
Max Dose: until S&S relief.
Contraindication: NONE
S- salivation
L- lacrimation
U- urination
D- defecation
G- gastrointestinal distress
E- emesis