Medications

Question 1

Aspirin: Dose

Answer 1

160-325 mg

Question 2

Aspirin: Route

Answer 2

Orally

Question 3

Aspirin: Action

Answer 3

Inhibits normal aggregation of platelets inside injured or damaged coronary arteries.

Question 4

Aspirin: Indication

Answer 4

1. Chest pain/ discomfort of suspected Acute Coronary Syndrome.
2. Approval from Medical Direction

Question 5

Aspirin: Contraindication

Answer 5

Allergy to Aspirin

Question 6

Glucose: Dose

Answer 6

1 Tube

Question 7

Glucose: Route

Answer 7

Orally

Question 8

Glucose: Action

Answer 8

Increases blood glucose levels

Question 9

Glucose: Indication

Answer 9

• Altered Mental Status
• History of Diabetes controlled by medication (or) BGL, 70mg/dL
• Ability to swallow
• Approval by Medical Direction

Question 10

Glucose: Contrainidication

Answer 10

• Unable to swallow (or) unresponsive

- Confirmed BGL >70mg/dL

Question 11

Activated Charcoal: Dose

Answer 11

1g/kg

Question 12

Activated Charcoal: Route

Answer 12

Orally

Question 13

Activated Charcoal: Action

Answer 13

1. Adsorbs to poisons in the stomach.
2. Prevents the absorption by the body.
3. Enhances their elimination by the body.

Question 14

Activated Charcoal: Indication

Answer 14

1. Ingested poison by mouth within the last 60 minutes.

2. Approval from medical direction.

Question 15

Activated Charcoal: Contraindication

Answer 15

1. Altered Mental Status
2. Swallowed Acids or Alkalis
3. Cyanide Overdose
4. Unable to Swallow

Question 16

MDI/SVN: Dose

Answer 16

Determined by Medical Direction

MDI- 1 puff delivers precise dose
SVN- Dose is delivered over 5-10 minutes

Question 17

MDI/SVN: Route

Answer 17

Inhaled

Question 18

MDI/SVN: Action

Answer 18

Beta 2 agonist- dilates bronchiole smooth muscle

Question 19

MDI/SVN: Indication

Answer 19

1. Respiratory Distress
2. Prescribed Medication
3. Approval from Medical Direction

Question 20

MDI/SVN: Contraindication

Answer 20

1. Patient is not responsive enough to use MDI or SVN
2. Not prescribed to patient
3. Patient has already taken the max dosage prior to arrival.

Question 21

Nitroglycerin: Dose

Answer 21

0.4 mg

Question 22

Nitroglycerin: Route

Answer 22

Sublingual

Question 23

Nitroglycerin: Action

Answer 23

1. Dilates blood vessels
2. Decreases workload of the heart
3. Decreases cardiac oxygen demand

Question 24

Nitroglycerin: Indication

Answer 24

1. Chest pain/discomfort of suspected cardiac origin

2. Approval from medical direction

Question 25

Nitroglycerin: Contraindication

Answer 25

1. SBP < 90mmHg 2. SBP drops greater than 30 mmHg from baseline 3. HR < 50 or > 100bpm 4. Suspected Head Injury 5. Patient is an infant or child 6. Patient has taken 3 doses prior to arrival 7. Patient has taken Erectile Dysfunction (ED) medication in the past 24-48 hours

Question 26

Epinephrine: Dose

Answer 26

Adult (> 66 lbs): 0.3 mg | Child (< 66 lbs): ) 0.15 mg

Question 27

Epinephrine: Route

Answer 27

Intramuscular (IM)

Question 28

Epinephrine: Action

Answer 28

Mimics the responses of the sympathetic nervous system

Question 29

Epinephrine: Indication

Answer 29

1. Signs and Symptoms of anaphylaxis/ severe allergic reaction (including respiratory distress and/or shock) 2. Approval from medical direction

Question 30

Epinephrine: Contraindication

Answer 30

None

Question 31

Naloxone Hydrochloride: Trade Name

Answer 31

Narcan

Question 32

Naloxone Hydrochloride: Dose

Answer 32

0.4 - 2 mg dependent on the route

Question 33

Naloxone Hydrochloride: Route

Answer 33

Intranasal (can also be administered with auto-injector; IM)

Question 34

Naloxone Hydrochloride: Action

Answer 34

Competitively binds with opioid receptors and blocks the ability of the drug to bind with the receptor site.

Question 35

Naloxone Hydrochloride: Indication

Answer 35

1. Suspected or known opioid intoxication who have CNS depression with respiratory depression, hypotension, or bradycardia. 2. Approval from medical direction

Question 36

Naloxone Hydrochloride: Contraindication

Answer 36

Allergy to naloxone