Meds

Question 1

Name 3 actions of epinephrine.

Answer 1

1. Increase HR
2. Increase myocardial contractility
3. Increase systemic vascular resistance

Question 2

What is the effect of atropine?

Answer 2

Increase HR (in non-neonates)

Question 3

What is the effect of amiodarone?

Answer 3

To reverse ventricular arrhythmias

Question 4

What is the effect of adenosine?

Answer 4

To reverse supra ventricular arrythmias

Question 5

Name 2 effects of dopamine

Answer 5

1. Increase vasoconstriction

2. Increase blood pressure

Question 6

What is the effect of dobutamine

Answer 6

Increase myocardial contractility

Question 7

Name 2 effects of benzodiazepines

Answer 7

1. Sedation

2. Control seizures

Question 8

Name 4 drugs that can be given via ETT

Answer 8

1. Lidocaine
2. Atropine
3. Naloxone
4. Epinephrine

Question 9

What are three things you need to think about any kid when you’re writing a medication?

Answer 9

1. Renal dosing or liver dosing adjustment
2. Allergies
3. Ketogenic diet (no meds with carbs)

Question 10

What questions should you always ask yourself before writing for IVIG?

Answer 10

1. Have they gotten this in the past and hx of prior reactions?
2. Have I written for premedication and does there need to be any epi or steroids written for

Question 11

What types of patients should you always check dosing with the pharmacist on?

Answer 11

Any renal or liver patient.

Question 12

A child who is on chronic steroids for their lupus comes into the ED with gastro. What do you need to think about?

Answer 12

Do they need stress dose steroids in the setting of acute illness?

Question 13

You have a 4 day old who presents to the ED with poor feeding and cyanosis. You suspect a critical heart lesion. What med should you give?

Answer 13

Prostaglandins (PGE1)

Keeps ductus arteriosus open