Medications

Question 1

Epinephrine Autoinjector:

Answer 1

Proper indication: Severe allergic reaction (anaphylaxis)
- Appropriate doses: 0.3-0.5mg for adults, 0.15 for children
- Contraindications: Myocardial infarction (none in the emergency
situation)
- Side effects: Hypertension, tachycardia, anxiety, pain at the site of
injection

Question 2

Oxygen:

Answer 2

Proper indication: Hypoxia or suspected hypoxia
- Appropriate doses: 10-15LPM via NRB Mask
- Contraindications: Actively smoking

Question 3

Albuterol:

Answer 3

Proper indication: Asthma, difficulty breathing with wheezing
- Appropriate doses: 2.5mg in 3mL (nebulizer), 1 - 2 puffs MDI
- Contraindication: Hypersensitivity, severe tachycardia, myocardial
infarction
- Side effects: Hypertension, anxiety, restlessness

Question 4

Aspirin:

Answer 4

Proper indication: Chest pain when considering myocardial infarction
- Appropriate doses: 162mg - 324mg (pre-hospital: 4…81mg tablets=324mg, chewed)
- Contraindications: Allergy, recent GI bleed
- Side effects: Nausea, vomiting, stomach pain, GI bleeds, allergic
reaction

Question 5

Atrovent (Ipratopium Bromide):

Answer 5

Proper indication: Asthma, COPD, difficulty breathing with wheezing
(strongly consider protocol)
- Appropriate doses: 1 - 2 puffs
- Contraindications: Hypersensitivity, allergies to soy or peanuts
- Side effects: Dry mouth, headache

Question 6

Nitroglycerin:

Answer 6

Proper indication: Chest pain while considering angina or myocardial
infarction
- Appropriate doses: 0.4mg (sublingual) repeat every 3-5 minutes up to
3 doses
- Contraindications: Hypotension, recent use of phosphodiesterase
inhibitors (Viagra, Cialis, Levitra)
- Side effects: Hypotension, vomiting, headache dizziness, nausea, burning under
the tongue

Question 7

Activated charcoal:

Answer 7

Proper indication: Most oral poisonings; overdose
- Appropriate doses: 1g - 2g/kg
- Contraindications: Decreased level of consciousness, overdose of
corrosives, caustic or petroleum substances
- Side effects: Nausea, vomiting, constipation, black stools

Question 8

Oral glucose:

Answer 8

Proper indication: Low blood glucose (hypoglycemia)
- Appropriate doses: 1/2 - 1 tube (25g)
- Contraindications: Unconscious, actively vomiting
- Side effects: Nausea, vomiting

Question 9

Naloxone:

Answer 9

Proper indication: Possible opioid overdose
- Appropriate doses: 2.0mg IN repeat after 5 mins in needed
- Contraindications: Use caution in narcotic-dependent patients