Medications

Question 1

Acetaminophen Adult and Ped Dose

Answer 1

975 mg

15mg/ kg to a Max of 975 mg

Question 2

Acetaminophen Contraindications

Answer 2

• Hypersensitivity
• Liver or renal insufficiency
• Undergoing Chemotherapy

Question 3

ASA Dose

Answer 3

160 mg PO

Question 4

ASA Contraindications

Answer 4

-Hypersensitive
- Active GI bleed
- Hx of asthma with sensitivity to ASA

Question 5

Gravol Dose

Answer 5

50 mg SIVP/ IM every 4 hours

25 mg for pts over 65 Years old

Question 6

Gravol Contraindications

Answer 6

Hypersensitive to Gravol, Benadryl, or propylene glycol
Narrow angle glaucoma
Pts who have ingested large amounts of depressants (ETOH)

Question 7

Benadryl Dose

Answer 7

Elixir- 50 mg PO

1mg/ kg IM/ SIVP to a max of 50 mg

Question 8

D50W Dose - Hypoglycaemia

Answer 8

25 mg SIVP every 5 min to a Max of 50 mg - titrated to improve BGL to 4.0 mmol

Question 9

D50W Dose - Hypoglycaemia with a STROKE

Answer 9

12.5 g SIVP Repeat in 5 min only if BGL is less than 3.0 mmol , to a max of 25 mg

Question 10

D50W Dose - Hypoglycaemia with head injury

Answer 10

12.5 g repeat in 5 min if BGL less than 4.0 mmol, to a max of 25 g

Question 11

EPI - Dose for Anaphylaxis

Answer 11

0.3 mg repeat in 5 mins to a total of 0.9 mg

Question 12

EPI - Bronchospasm with impending respiratory failure

Answer 12

0.3 mg IM repeat in 20 mins to a max of 0.9 mg

Question 13

Glucagon Dose for adult Hypoglycaemia

Answer 13

1 mg IM every 15 min to a total of 2 mg

Question 14

Ibuprofen Dose And Contraindications

Answer 14

400 mg PO

• Hypersensitive to ibuprofen or other NSAIDS
  -Asthma
  -Hx of significant renal disease, except renal colic
  -Suspected Intracranial bleeding
• Diagnosis of Chrons/ ulcerative colitis/ IBD
  -Hx of GI bleed
  -Sub-arachnoid hemorrhage (thunder clap headache)
  -Pregnancy
  -Pt taking oral anticoagulants
  -Use caution when administering to a pt 65 years or older
  DO NOT give if pt has taken max dose within 6 hours

Question 15

Ipatropium Bromide adult dose

Answer 15

1 puff every 30-60 sec to a max of 15 puffs
20 mcg per puff

Have pt hold breath for 5-10 seconds and have 5 breaths into the chamber before removing it

500 mcg nebulized - to a Max of 1500 mcg

Question 16

Naloxone Dose

Answer 16

0.05 mg IV ( diluted 1mg & 9 ml saline ) 0.5 ml every 2 mins until respiratory effort begins

Or 0.8 IM every 5 mins to a Max of 3.2 ( 4 doses )

Or 2 mg intranasal every 3-5 mins to a max of 4 mg ( 2 doses )

Question 17

Nitro Dose

Answer 17

0.4 mg SL every 5 mins as needed or until SBP less than 100 mmHg

Patch- 0.8 mg/HR

Question 18

Nitro Contraindications

Answer 18

SBP less than 100
Right ventricular infarct
Pts taking phosphodiesterase inhibitors- Mandatory OLMC

Question 19

Nitrous Oxide dose

Answer 19

Self administered

Question 20

Nitrous Oxide Contraindications

Answer 20

• Inability to follow verbal instructions
• Intoxicated with drugs or alcohol
• Head injury with altered mental status
• Thoracic injury suspicious for pneumothorax
• Abdominal pain and distension suspected bowel obstruction ( because of its capacity to diffuse into air-containing spaces )

— Invert canister 3 times prior to administration
— administer early while obtaining IV assess for acp giving narcotics

Question 21

Oral Glucose Dose

Answer 21

25 g PO do not repeat dose

Question 22

Oral glucose contraindications

Answer 22

Unconscious Pt

Question 23

Sp02 target for General Hypoxemia

Answer 23

92% -96%

Question 24

Sp02 Target for acute stroke

Answer 24

Do not give unless under 90% Titrated to 92%-96%

Question 25

Sp02 target for Acute coronary syndrome

Answer 25

Do not give unless less than 90% , titrated to 90%-92%

Question 26

Sp02 target for childbirth

Answer 26

Target for 92%-96%

Question 27

Sp02 target for C02 retainers

Answer 27

88% - 92%

Question 28

Salbutamol Dose

Answer 28

1 puff every 30 - 60 seconds to a Max of 30 puffs

100 mcg per puff

Ask them to hold breath for 5- 10 seconds

5 breaths into the chamber before removing it

5 mg Nebulized as needed

Question 29

Salbutamol contraindications

Answer 29

Hypersensitivity
Tachydysrhythmias