Pharmacology

Question 1

Indications for Acetaminophen?

Answer 1

Mild to moderate pain, fever

Question 2

Contraindications for Acetaminophen?

Answer 2

Hypersensitivity, ETOH hepatatis, acute liver injury, acetaminophen induced liver disease

Question 3

Dose of Acetaminophen?

Answer 3

Adult: 500-1000mg PO
PEDS: Under 30 kg 15mg/kg PO, 30-50 kg 500mg PO, over 50kg same as adult.

Question 4

Adverse effects of Acetaminophen?

Answer 4

Uncommon but can include rash and hives, constipation develops with long term use.

Question 5

Indications for ASA

Answer 5

CP or symptoms consistent with cardiac ischemia

Question 6

Contraindications for ASA

Answer 6

Hypersensitivity, ASA allergic reaction, active or recent bleeding of any kind, pediatric patients with signs and symptoms consistent with viral illness.

Question 7

Dosages of ASA

Answer 7

Adult 162mg PO.

Question 8

MOA of ASA

Answer 8

Inhibits formation of thromboxane A2 which is a potent platelet aggregator and vasoconstrictor.

Question 9

Adverse effects of ASA

Answer 9

Irritation of GI tract, antiplatelet effects may result in minor bruising or bleeding

Question 10

What class of medication is Adenosine?

Answer 10

Anti-Arrhythmic

Question 11

Adenosine indications

Answer 11

Conversion and termination of SVT’s

Question 12

Adenosine contraindications

Answer 12

Hypersensitivity, second or third degree AV block, patients who have a known or suspected accessory pathway ( when presented with irregular or polymorphic WCT)

Question 13

Procedure for the use of Adenosine?

Answer 13

Given very quickly in a proximal vein close to central circulation as possible (Right ACF), adenosine is chased with 20-30mL saline push at the top of the IV line. Maintaining pressure on the downstream plunger during administration. Ensure an ECG is being recorded during the admin of adenosine.

Question 14

Dose of Adenosine

Answer 14

Adult: 6mg with 12 mg follow up if not successful during the first time. Both doses are rapid IV push.

Peds: Initial: 0.1mg/kg to maximum of 6mg IVP
Follow-Up: 0.2mg/kg to max dose of 12mg IVP.

Question 15

MOA of Adenosine

Answer 15

Slows the conduction of impulses through the AV node by hyper polarizing the cell. Extending the refractory period and terminating the rhythm

Question 16

Adverse effects of Adenosine

Answer 16

Common: Light-headed, flushing, sob, chest pressure and nausea. These effects are normal and self limiting, patients should be warned they may occur.

Question 17

5 effects of anasthetics?

Answer 17

Unconsciousness
Amnesia
Inhibition of Autonomic Reflexes
Analgesia
Skeletal Muscle Relaxation

Question 18

2 neurotransmitters responsible for pain?

Answer 18

Substance P and Glutamate

Question 19

What are the interventions in an ACS patient?

Answer 19

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Question 20

What are all the interventions that can be considered in a respiratory patient?

Answer 20

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