Multco Drugs

Question 1

Used for sedation of combative pts. Dose

Answer 1

Geodon (ziprasidone). 10-20 mg IM

Question 2

How long is action of single dose of Geodon after administration via IM injection

Answer 2

15-30 minutes

Question 3

Do not use Geodon with pt with known hx of ___prolongation. recent acute MI, and ….

Answer 3

QT, decompensated heart failure

Question 4

What class is Geodon?

Answer 4

Major Tranquilizer (antipsychotic)

Question 5

What is drug dose of VT with a pulse and Amio

Answer 5

150MG mixed with 100ML NSin Buretrol and administered over 10 minutes

Question 6

What are four contraindications of ASA

Answer 6

Allergy, HX of active bleeding disorder (hemophilia), current ulcer or GI bleed, or suspected aortic dissection

Question 7

What is dose of Calcium Gluconate? or long is the push if someone has a pulse and what is length of push if in cardiac arrest?

Answer 7

10ml vial at 10% Calcium gluconate, slow push if pt has a pulse 30-60 seconds

If in cardiac arrest, push 5-10 seconds

Question 8

What is Mag Sulfate given for?

Answer 8

Torsades or with a longer transport-Asthma

Question 9

Mag sulfate is given for Torsades over what duration?

Answer 9

1-2 minutes

Question 10

What is the dose of Torsades?

Answer 10

2 grams

Question 11

In a non arrest PT what are three precautions with Mag?

Answer 11

Hypotension, bradycardia, and decreased reflexes

Question 12

What are four indications of Ketorolac?

Answer 12

Age 2-64, Musco skeletal pain, flank pain from suspected kidney stones, or back pain

Question 13

What is dose of Toradol IV and IM

Answer 13

15 mg IV and 30 mg IM

Question 14

What are the nine contraindications of Toradol

Answer 14

Trauma system entry, Hx of renal issues, Hx of Liver disease, allergies to ASA or NSAIDS, known pregnancy or lactating females, PT taking anticoagulants, Active or suspected bleeding(hemophilia), Hx of ulcer or GI bleed, suspected cardiac chest pain

Question 15

What is dose for Esmolol in VF and VT

Answer 15

.5mg/kg

Question 16

What is dose is used with ROSC with esmolol

Answer 16

100mcg/kg/min

Question 17

VF and VT, what is the dose of a 70kg PT esmolol

Answer 17

3.5ML, it is packaged in ML vials with 100 mg

Question 18

What routes can benedryl be taken?

Answer 18

IV,IO, deep IM, PO

Question 19

What can be given for N/V?

Answer 19

Benadryl (1mg/kg-up to 50) or ondansetron (8mg tab)

Question 20

How is Odansetron stored in vials?

Answer 20

2mg/ML in 2 ML vial=4mg

Question 21

When esmolol is given in conjunction with Amio what needs to be done?

Answer 21

Flush line before and after Esmolol

Question 22

What is dose of Etomidate for cardioversion?

Answer 22

.15mg/kg IV/IO

Question 23

If Etomidate is unavailable what is second drug to use? and the dose

Answer 23

Ketamine 1/mg/kg ideal body weight

Question 24

What is dose for Succinylcholine for someone six or older and above 20kg?

Answer 24

1.5mg/KG

Question 25

Ketamine may be preferred drug in these PTS due to bronchodilator effects

Answer 25

Less than 35 with severe Asthma

Question 26

If Succinylcholine is unavailable then substitute with Vec or Roc. What are those doses?

Answer 26

Vec .1mg/kg and Roc 1mg/KG

Question 27

What are three reasons to reduce the dose of Adenosine in half?

Answer 27

Hx of cardiac transplant, pts on carbamazepine (Tegretol) or dipyridamole (Persantine), any dose through a central line

Question 28

What is the dose for Dexamethasone on a PT above 40kg?

Answer 28

10 mg IV,IO,IM,PO

Question 29

What are the three indications for Dexamethasone

Answer 29

Moderate to severe asthma/COPD, Severe allergic reaction, or croup

Question 30

Dexamethasone is a synthetic steroid that suppresses....

Answer 30

acute and chronic inflammation

Question 31

What are the five contraindications of TXA for traumatic injury?

Answer 31

GCS=3 with no reactive pupil, greater than one hour since injury or unknown time, seizure/MI/stroke/dialysis (head injury only), drowning, or hanging

Question 32

GCS needs to be ____ or have systolic BP greater than ____ TO USE TXA

Answer 32

3-12 and greater than 70mmHg

Question 33

Sodium bicarb can be used to treat hyperkalemia. What is the dose?

Answer 33

50 mEq

Question 34

How many vials of calcium gluconate do you give for Hyperkalemia with a pulse?

Answer 34

Two vials

Question 35

What drug is given for suspected calcium channel blocker OD, Hydrofluoric acid poisoning and iatrogenic magnesium intoxication?

Answer 35

Calcium gluconate

Question 36

What is given to VT with a pulse?

Answer 36

150mg Amio infusion mixed with 100 ml of NS in Buretrol and administered over 10 minutes

Question 37

What are three things that can cause Hyperkalemia?

Answer 37

Renal failure, Rhabdomyolysis, and crush injury