MODULE 4 MEDICATIONS

Question 1

CALCIUM CHLORIDE

CLASSIFICATION

Answer 1

• ELECTROLYTE

Question 2

CALCIUM CHLORIDE

INDICATIONS

Answer 2

• HYPERKALEMIA
• HYPERMAGNESEMIA
• HYPOCALCEMIA
• CRUSH SYNDROME
• CALCIUM CHANNEL BLOCKER OVERDOSE

Question 3

CALCIUM CHLORIDE

CONTRAINDICATIONS

Answer 3

• NOT INDICATIED IN CARDIAC ARREST EXCEPT WHEN HYPERKALEMIA, HYPOCALCEMIA, OR CALCIUM CHANNEL TOXICITY IS HIGHLY SUSPECTED
• PATIENT TAKING DIGITALIS W/ SUSPECTED CALCIUM CHANNEL OVERDOSE

Question 4

CALCIUM CHLORIDE

ADVERSE EFFECTS

Answer 4

• BRADYCARDIA
• HYPOTENSION
• SYNCOPE
• CARDIAC ARREST
• ARRHYTHMIA

Question 5

CALCIUM CHLORIDE

DOSAGE (PEDIATRIC)

Answer 5

• 20MG/KG @ 100MG/MIN
• MAX DOSE 0.5G OR 5ML

Question 6

CALCIUM CHLORIDE

DOSAGE (ADULT)

Answer 6

• 2 - 4G SLOW IV/IO @ 100MG/MIN EVERY 10MIN
• EVERY 2 MIN IN CARDIAC ARREST SETTING

Question 7

DEXTROSE (D5W)

CLASSIFICATION

Answer 7

• MONOSACCHARIDE
• HYPERGLYCEMIC AGENT

Question 8

DEXTROSE (D5W)

INDICATION

Answer 8

• HYPOGLYCEMIA
• SEIZURE
• CARDIAC ARREST

Question 9

DEXTROSE (D5W)

CONTAINDICATION

Answer 9

• KNOWN HYPERGLYCEMIA
• INTERCRANIAL HEMORRHAGE
• CVA

Question 10

DEXTROSE (D5W)

DOSAGE (ADULT)

Answer 10

• D50W = 25G IV
• D10W = 100ML BOLUS

Question 11

DEXTROSE (D5W)

DOSAGE (PEDIATRIC)

Answer 11

• 0.5 - 1 G/KG

Question 12

GLUCAGON

CLASSIFICATIONS

Answer 12

• PANCREATIC HOROMONE
• HYPERGLYCEMIC AGENT

Question 13

GLUCAGON

INDICATIONS

Answer 13

• HYPOGLYCEMIC UNCONSCIOUS PATIENT
• CALMCIUM CHANNEL BLOCKER OD
• STEAKHOUSE SYNDROME
• BRADYCARDIA SECONDARY TO BETA BLOCKER OD

Question 14

GLUCAGON

CONTRAINDICATIONS

Answer 14

• KNOWN HYPERSENSITIVITY

Question 15

GLUCAGON

DOSAGE (ADULT)

Answer 15

• 1MG IM

Question 16

GLUCAGON

DOSAGE (PEDIATRIC)

Answer 16

• 1MG >20KG
• 0.5MG <20KG

Question 17

GLUCAGON

DOSAGE (BETA BLOCKER / CALCIUM CHANNEL BLOCKER OD)

Answer 17

• 1-3MG IVP FOLLOWED BY 3MG/HR INFUSION

Question 18

SODIUM BICARBONATE

CLASSIFICATION

Answer 18

• ALKALINIZING AGENT

Question 19

SODIUM BICARBONATE

INDICATION

Answer 19

• HPYERKALEMIA
• METABOLIC ACIDOSIS
• PHENOBARBIITAL OVERDOSE
• TRICYCLIC OVERDOSE
• PHOPHYLAXIS (PRIOR TO RELEASE IN CRUSH INJURY)

Question 20

SODIUM BICARBONATE

CONTRAINDICATION

Answer 20

• PRE -EXISTING ALKALOSIS

Question 21

SODIUM BICARBONATE

ADVERSE EFFECTS

Answer 21

• METABOLIC ALKALOSIS
• ACUTE HYPOKALEMIA
• HYPEROSMOLALITY
• POSSIBLE CHF
• EXASTERBATION OF CENTRAL VENOUS ACIDOSIS
• INHIBIT THE RELEASE OF EXCESSIVE OXYGEN IN TISSUES

Question 22

SODIUM BICARBONATE

DOSAGE

Answer 22

• 1 MEQ/KG IV/IO

Question 23

SODIUM BICARBANATE

DOSAGE (ADULT & PEDIATRIC CRUSH)

Answer 23

• ADULT: 50MEQ/250CC D5W (1ML/MIN INFUSION)
• PEDIATRIC: 0.5MEQ/KG

Question 24

THIAMINE (VITAMAN B12)

CLASSIFICATION

Answer 24

• VITAMIN B1

Question 25

THIAMINE (VITAMAN B12)

INDICATION

Answer 25

• MALNOURISHED OR ALCOHOLIC HYPOGLYCEMIC PATIENTS

Question 26

THIAMINE (VITAMAN B12)

CONTRAINDICATION

Answer 26

• HYPERSENSITIVITY

Question 27

THIAMINE (VITAMAN B12)

ADVERSE EFFECTS

Answer 27

• NAUSEA
• VOMITING
• DIZZINESS
• TREMORS
• NERVOUSNESS
• PALPATIONS
• TACHYCARDIA

Question 28

THIAMINE (VITAMAN B12)

DOSAGE

Answer 28

• 100MG IM/ SLOW IV/IO PUSH

Question 29

TORADOL (KETOROLAC)

CLASSIFICATION

Answer 29

• NONSTEROIDAL ANTI-INFLAMMATORY (NSAID)

Question 30

TORADOL (KETOROLAC)

INDICATION

Answer 30

• MODERATE TO SEVERE PAIN
• MUSCULOSKELRTAL PAIN/SPASM
• PT W/ HX OF NARCOTIC ABUSE

Question 31

TORADOL (KETOROLAC)

CONTRAINDICATION

Answer 31

• CVA
• HEAD TRAUMA
• RENAL FAILURE/DIALYSIS
• BLEEDING DISORDER
• ALLERGY TO ASA/NSAIDS
• PREGNANCY
• PEPTIC ULCERS

Question 32

TORADOL (KETOROLAC)

ADVERSE EFFECTS

Answer 32

• ANAPHYLAXIS SECONDARY TO HYPERSENSITIVITY
• EDEMA
• SEDATION
• BLEEDING
• RASH
• NAUSEA
• VOMITING

Question 33

TORADOL (KETOROLAC)

DOSAGE (ADULT)

Answer 33

• 30MG SLOW IV/IO/IM

Question 34

TORADOL (KETOROLAC)

DOSAGE (PEDIATRIC)

Answer 34

• 0.5MG/KG IV/IO/IM
• MAX OF 30 MG