PCP Drugs

Question 1

Glucagon class, indications, contraindications

Answer 1

Class: Pancreatic hormone, antihypoglycemic
Indications: Hypoglycaemia, hypoglycemia w/ unsuccessful IV
Contraindications: pheochromocytoma, allergy or hypersensitivity.

Question 2

Glucagon dose and route

Answer 2

Dose (adults): 1.0mg IM
Pediatrics: 0.5mg (weight <25kg) 1.0mg (weight >=25kg)

Must be reconstituted with glycerine

Question 3

ASA class, indications, contraindications

Answer 3

Class: platelet aggregation inhibitor
Indication: Chest pain of suspected ischemic origin
Contraindications: Severe bleeds, Stroke, head injury, asthma exacerbated by ASA, NSAID allergy, Pediatrics with viral symptoms.

Question 4

ASA dose and route

Answer 4

Dose: 160mg PO chewed
Pediatrics: 160mg PO chewed only if patient has a history of ischemic cardiac nature.

Question 5

Nitroglycerin class, indications, contraindications

Answer 5

Class: anti-anginal, nitrate
Indications: chest discomfort of suspect cardiac ischemia
Contraindications: SBP <90(with Rx) SBP <100(without Rx), ED drugs (viagra, Levitra in last 24hr, Cialis in last 48hr), allergy, severe anemia, pericardial tamponade, (HR 50-150)

Question 6

Nitroglycerin dose and route

Answer 6

Dose: 0.4mg SL sprayed. Repeat Q3-5 min

Clinicall mandatory if patient doesn’t have prescription.

Question 7

Naloxone class, indication, contraindications

Answer 7

Class: narcotic (opioid) antagonist
Indications: respiratory depression, altered mental status with suspected OD
Contraindication: allergy, neonates

Question 8

Naloxone dose and route

Answer 8

Dose: 0.4mg, 0.4mg, 0.8mg, 2.0mg IM Q3-5
Pediatrics: 0.1mg/kg, max dose 2.0mg

Question 9

D10W class, indications, contraindications

Answer 9

Class: carbohydrate substrate
Indications: hypoglycaemia
Contraindications: none

Question 10

D10W dose and route

Answer 10

Dose: 10-25g (100-250ml of 10% solution) IV

Question 11

Epinephrine class, indications, contraindications

Answer 11

Class: sympathomimetic
Indications: croup, anaphylaxis, severe bronchospasm
Contraindications: hemodynamically unstable tachyarrhythmia

Question 12

Epinephrine dose and route

Answer 12

Dose: (Croup) 5.0mg nebulized 1-12 year old. <1 year old 0.5mg/kg to max 5.0mg
(Anaphylaxis) 0.5mg 1:1000 IM Q5 max 3 dose
(Severe bronchospasm) 0.5mg IM Q5-20
Pediatrics: 0.01mg/kg max 0.5mg IM max 3 dose
Clinicall mandatory for croup and bronchospasm

Question 13

Dimenhydrinate class, indication, contraindications

Answer 13

Class: antiemetic, antihistamine, anticholinergic, antivertigo
Indication: nausea, vomiting
Contraindications: hypersensitive to caffeine, gravol, or Benadryl.
Patients 11 years old and younger (PCP)

Question 14

Dimenhydrinate dose and route

Answer 14

Dose: 25-50mg IM/IV. 12.5mg for frail elderly patients.

Question 15

Transexamic acid class, indications, contraindications

Answer 15

Class: antifibrinolytic
Indications: hypoperfusion suggestive of bleeding
Contraindications: hypersensitivity, dialysis, greater than 3 hours after the injury

Question 16

Transexamic acid dose and route

Answer 16

Dose: 1.0mg over 10min IV.

Question 17

Salbutamol class, indications, contraindications

Answer 17

Class: sympathomimetic, bronchodilator
Indications: bronchospasm with wheezing
Contraindications: hypersensitivity, hemodynamically unstable tachyarrhythmias

Question 18

Salbutamol dose and route

Answer 18

Dose: 5.0mg nebulized or 4x100mcg MDI PRN
Pediatrics: 2.5mg nebulized if age <1. 
Weight <20kg 5x100mcg MDI
Weight >20kg 10x100mcg MDI 
Weight <10kg not indicated
Max of 3 rounds

Question 19

Nitrous oxide class, indications, contraindications

Answer 19

Class: analgesic gas
Indications: moderate to severe pain
Contraindications: decompression sickness, inhalation injury, ventilation, inability to comply, NTG in last 5 minutes, embolism, pneumothorax
Cautions: COPD, facial trauma, abdominal distension, drowsy drugs, shock.
Must auscultate chest prior to administering.

Question 20

Nitrous oxide dose and route

Answer 20

Dose: bite stick inhaled PRN