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Paramedic Review (kp) > Pharm 3 > Flashcards

Pharm 3 Flashcards

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1
Q

what are the three classes of acetylsalicylic acid (aspirin)?

a. analgesic
b. antipyretic
c. anti-inflammatory
d. all of the above

A

d. all of the above

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2
Q

what class is bumetanide (Bumex)?

a. loop diuretic
b. corticosteroid
c. antibiotic
d. organic nitrate

A

a. loop diuretic

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3
Q

what dose of dopamine would you use for cardiogenic shock?

a. 1-2 mcg/kg/min
b. 2-10 mcg/kg/min
c. 10-20 mcg/kg/min
d. 20-40 mcg/kg/min

A

b. 2-10 mcg/kg/min

FYI - per nwmc a.o.:
SBP >70 (2.5 mcg/kg/min) and
SBP <70 (5 mcg/kg/min)

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4
Q

what do you administer that is a suspended mixture and is indicated if the patient has ingested toxins?

A

activated charcoal (class: adsorbent)

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5
Q

what is can be administered for hypocalcemia?

A

calcium chloride

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6
Q

if a drug needs to pass the blood-placenta barrier, it must be _______.

a. free form
b. intravenous
c. lipid soluble
d. enteral

A

c. lipid soluble

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7
Q

what is a contraindication for amiodarone (Cordarone)?

a. second degree AV block
b. third degree AV block
c. amiodarone allergy
d. all of the above

A

d. all of the above

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8
Q

what drug is a beta-1 agonist?

a. glucagon (Gluca-gen)
b. thiamine (vit V1)
c. epinephrine
d. midazolam (Versed)

A

c. epinephrine

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9
Q

what drug is a pituitary hormone and polypeptide?

a. oxytocin (Pitocin)
b. insulin (Humulin)
c. epinephrine
d. thiamine (vit B1)

A

a. oxytocin (Pitocin)

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10
Q

what medication antagonizes action of acetylcholine transmission from the vagal nerve?

a. lorazepam (Ativan)
b. phenylephrine (Neo-synephrine)
c. methylprednisolone (Solu-Medrol)
d. ipratropium bromide (Atrovent)

A

d. ipratropium bromide (Atrovent)

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11
Q

what medication may be administered for PSVT that is refractory to adenosine?

a. albuterol
b. atropine
c. diltiazem (Cardizem)
d. amiodarone

A

b. diltiazem (Cardizem)

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12
Q

what is a contraindication for adenosine (Adenocard)?

a. second degree AV block
b. third degree AV block
c. sick sinus syndrome
d. all of the above

A

d. all of the above

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13
Q

what class of shock may you give morphine to?

a. cardiogenic
b. anaphylactic
c. hypovolemic
d. distributive

A

a. cardiogenic

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14
Q

each nitroglycerin tablet is ____ mg, and may be repeated to a total of ____ doses.

a. 0.4, 3
b. 0.2, 4
c. 0.6, 3
d. 0.8, 2

A

a. 0.4, 3

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15
Q

what medication has the following characteristics: anti-inflammatory effects, immunosuppressive effects, and stabilizes cellular membranes

A

methylprednisolone (Solu-Medrol)

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16
Q

you find patient that has chest pain, SOB, rales, and BP 148/50, which medication do you provide first?

a. albuterol
b. magnesium sulfate
c. oxygen
d. naloxone (Narcan)

A

c. oxygen

17
Q

this medication when given inadvertently as an intra-arterial injection may produce an ateriospasm resulting in necrosis and potential amputation

A

lorazepam (Ativan)

18
Q

what is a contraindication of succinylcholine?

a. hyperkalemia
b. muscle disorders
c. burn victim
d. ocular injuries
e. all of the above

A

e. all of the above

19
Q

what medication combines with cholinergic receptors of the motor end plate to produce depolarization hydrolyzed by acetylcholinesterase?

A

succinylcholine

20
Q

what medication stimulates alpha receptors causing vasoconstriction?

a. naloxone (Narcan)
b. atropine
c. phenylephrine nasal spray (Neo-synephrine)
d. lidocaine

A

c. phenylephrine nasal spray

21
Q

this medication is a potent bronchodilator and catecholamine with alpha and beta effects which increase HR and BP

A

epinephrine

22
Q

what is an indication for giving epinephrine IM or Sub-Q?

a. severe bronchospasm
b. bronchiolitis
c. asthma
d. all of the above

A

d. all of the above

23
Q

what is a contraindication for magnesium?

A

hypermagnesemia

24
Q

what medication would you give for post-partum hemorrhage?

A

oxytocin (Pitocin)

25
Q

what medication effects the limbic system, thalamus, and hypothalamus and reduces the seizure threshold?

A

midazolam (Versed)

26
Q

what medication has an off-label or secondary use that relaxes or inhibits the GI system?

A

glucagon

27
Q

what is a synthetic adrenocorticoid with predominance of glucocorticoid action and serves as an anti-inflammatory?

A

dexamethasone

28
Q

what medication is required for carbohydrate metabolism (often indicated in patients with chronic alcoholism or suspected Wernicke or Korsakoff syndrome)

A

Thiamine (vit B1)

29
Q

what medication is a histamine H1-receptor antagonist (blocks histamine receptors)?

A

diphenhydramine (Benadryl)

30
Q

what class of drug has anti-inflammatory and immunosuppressive effects?

A

glucocorticosteriods

31
Q

when would you use a lidocaine pre-mixed bag of 2 g in 500 mL with an infusion dose of 2 mg/min?

A

this is the maintenance infusion for ROSC after VF or pVT

32
Q

what medication would be for the suppression of ventricular arrhythmias (VF, VT, PVCs)? and what dose(s)?

A

lidocaine:
pulseless 1.0 - 1.5
without pulse 0.5 - 0.75

33
Q

what are vasopressors for post ROSC?

a. dopamine infusion
b. epinephrine infusion
c. nitroglycerin infusion
d. both a and b

A

d. both a and b

Paramedic Review (kp) (9 decks)

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