Medications

Question 1

What is the action of albuterol

Answer 1

Selective beta 2 adrenergic receptor agonist

Broncodialator and positive chronotrope

Question 2

What does it mean if a drug is a positive chronotrope?

Albuteral is an example

Answer 2

May change the heart rate and rhythm by affecting the electrical conduction system of the heart and the nerves that influence it

Question 3

Why would albuterol be a potential treatment for hyperkalemia

Paramedic shit but good to know

Answer 3

It causes potassium to move across cell membranes inside cells. This lowers serum ptassium concentration

Question 4

What is the onset time for albuterol

What the duration of the treatment

Answer 4

5-15 min after inhalation

Duration of 3-4 hours

Question 5

Albuterol indications?

Answer 5

Bronchospasms

Question 6

Contraindications for albuterol

Answer 6

Severe tachycardia is a relative contraindication

Question 7

Adverse reactions of albuterol

Answer 7

-Tachycardia
-Palpations
-Dysrhythmias

Question 8

Drug interactions for albuterol

Answer 8

-Sympathomimetics may exacerbate advers cardiovascular effects
-Beta blockers may antagonize albuterol

Question 9

What are sympathomimetics?

Answer 9

Drugs that stimulate the sympathetic nervous system

Question 10

Single neb dose for albuterol and flow rates

Answer 10

2.5 mg in 3ml of solution at a flow rate of 6-8lpm

Question 11

In the ambulance is albuterol premixed?

Answer 11

No, it comes premized. One dose is one little container

Question 12

Continuous nebulizer dose with flow rates

Answer 12

Place 3 premixed containers of albuterol (2.5mg/3ml) for a total dose of 7.5mg/9ml into nebulizer and run continuous at 6-8lpm

Question 13

How many times can you repeat a sigle neb dose of albuterol?

For an adult

Answer 13

May repeat twice for a total of 3 doses

Question 14

Can you repeat a continuous neb dose?

Answer 14

No

Question 15

Are the doseages different for albuterol in pediatrics?

Answer 15

No. same dose, same flow rates, same total doseages

Question 16

How many times can you repeat a dose of albuterol through an MDI

2 answers

Pediatrics and adults

Answer 16

3 total doses for all age ranges

Question 17

When would you consider an in line nebulizer treatment

Answer 17

CPAP or endotracheal intubation

Question 18

What is the description of zofran?

Hint - Its a whole lot of fancy words and receptors

Answer 18

Selective seritonin 5-HT3 receptor antagonist antiemetic

Question 19

What is an Antiemetic?

Answer 19

Treats nausea and vomiting

Question 20

Contraindicaitons for zofran

Hint - 1 is a fancy paramedic thing and the other one is a precaution

When can you use zofran under said precaution

Answer 20

• Prolonged QT interval
• Use with caution in first trimester pregnancy and should be reserved for only those patients with severe dehydration and intractable vomiting

Question 21

What drug can paramedics give IV for N/V

This is only for style points

Answer 21

Reglan

10 extra points for being a nerd

Question 22

How many times can you repeat a zofran dose for an adult?

How long after initial dose can you repeat?

Answer 22

Repeat once

After 10 min

Question 23

What age ranges can you give 4mg of zofran PO/ODT/IV/IM?

Answer 23

Adult and pediatrics greater than or equal to 4 years old

Question 24

Can you repeat zofran dose for pediatrics of any age?

Answer 24

No

Question 25

Dose of zofran for pediatrics 6 moths to 4 years old? | PO/ODT/IV

Answer 25

2mg

Question 26

If you are considering zofran for a pediatric patient <6 months what do you need to do prior to administration?

Answer 26

Contact base on this one

Question 27

Can you give aspirin for patients already taking anticoagulants?

Answer 27

Yes

Question 28

Dose for aspirin

Answer 28

324 mg PO (4 81mg tablets)

Question 29

Action of aspirin

Answer 29

Platelet inhibitor It is also an analgesic and antipyretic

Question 30

If a drug has analgesic properties what does that mean? | Ex - Aspirin

Answer 30

Relieve pain

Question 31

If a drug has antipyretic properties what does that mean? | Ex - aspirin

Answer 31

Used to prevent or lower fevers

Question 32

Diphenhydramine dose for adults | Benadryl

Answer 32

50 mg PO

Question 33

Adverse reactions of epinephrine

Answer 33

- Tachycardia and tachydysrhythmia - Hypertension Anxiety - Potential angina pectoris

Question 34

Drug interactions of epinephrine | Style points

Answer 34

Sodium bicarbonate

Question 35

Dose of epinephrine for adult IM | Can you repeat the dose?

Answer 35

0.3 mg of 1:1000 solution | repeat x1

Question 36

what are the 6 rights

Answer 36

-Drug -documentation -dose -route -time -patient

Question 37

Pediatric dose for epinephrine IM without auto injector | precise med math equation ## Footnote And dirty math way

Answer 37

0.01mg/kg | 0.15 mg for <25kg ## Footnote 0.3mg for >25kg

Question 38

What is the concentation of epinephrine IM

Answer 38

1:1000

Question 39

Concentration for epinephrine IV | Paramedic shit ## Footnote Style points

Answer 39

1:10,000

Question 40

Why is the IM concentraiton for Epinephrine higher than IV concentration? | Critical thinking style points

Answer 40

IV goes straight through the system IM is absorbed and loses potency through the process.

Question 41

What are the internal dose related causes of epinephrine | (4)

Answer 41

- Increased HR - Myocardial contractility and oxygen demand - Peripheral Vasoconstriction -Bronchodilation