Pharmacology

Question 1

Acetaminophen indications

Answer 1

Fever, pain relief

Question 2

Acetaminophen contraindications

Answer 2

Liver disease

Question 3

Acetaminophen dosage (adult)

Answer 3

325-1000 mg PO every 4-6hrs

Question 4

Acetaminophen dosage (peds)

Answer 4

15 mg/kg PO every 4-6hrs

Question 5

Adenosine indications

Answer 5

SVT/PSVT

Question 6

Adenosine contraindications

Answer 6

Bradycardia, drug-induced tachycardia, 2-3rd heart blocks, A-fib/flutter, V-tach

Question 7

Adenosine dosage (adults)

Answer 7

6mg rapid IV/IO push + 20cc saline - 3 total times every 1-2 min

Question 8

Adenosine dosage (peds)

Answer 8

0.1 mg/kg (max 6mg) + 5-10cc saline - 2 total times after 1-2 min

Question 9

Albuterol indications

Answer 9

Asthma, bronchospasms

Question 10

Albuterol contraindications

Answer 10

Cardiac dysrhythmias

Question 11

Albuterol dosage (adults + peds)

Answer 11

2.5mg in 3ml of saline

Question 12

Amiodarone indications

Answer 12

V-fib, unstable V-tach

Question 13

Amiodarone contraindications

Answer 13

CHF, cardiogenic shock, bradycardia, unpaced 2-3rd degree heart block

Question 14

Amiodarone dosage (adults)

Answer 14

Pulseless V-tach/V-fib arrest: 300mg, 1x rpt at 150mg

V-tach with pulse: 150mg IV drip over 10 minutes - Max of 2.2g

Question 15

Amiodarone dosage (peds)

Answer 15

Pulseless V-tach/V-fib arrest: 5 mg/kg IV

V-tach with pulse: 5mg/kg IV drip over 20-60 min - Max of 15mg

Question 16

Aspirin indications

Answer 16

Mi or angina, mild to moderate pain/fever

Question 17

Aspirin contraindications

Answer 17

GI bleed, hemorrhagic stroke, asthma, children

Question 18

Aspirin dosage (adults)

Answer 18

Pain/fever: 325-650mg every 4 hours

MI or angina: 162-324mg

Question 19

Atropine sulfate indications

Answer 19

Unstable bradycardia, organophosphate or nerve poisoning

Question 20

Atropine sulfate contraindications

Answer 20

Tachycardia, hypothermia, active MI and hypoxia

Question 21

Atropine sulfate dosage (adult)

Answer 21

Bradycardia: 1 mg over 3-5 min. Max 3mg

Poisoning: 1-5mg, rpt every 3-5min until cessation of bronchial secretions

Question 22

Atropine sulfate dosage (peds)

Answer 22

Bradycardia NOT responding to epi: 0.02mg/kg IV - Max of 1mg for child, 3mg for adolescent

Poisoning: 0.05mg/kg, rpt every 20-30 min until cessation of bronchial secretions

Question 23

Calcium chloride indications

Answer 23

Hyperkalemia/magnesemia, hypocalcemia, calcium channel blocker overdose

Question 24

Calcium chloride contraindications

Answer 24

Hypercalcemia, V-fib during cardiac resuscitation

Question 25

Calcium chloride dosage (adult)

Answer 25

1-2g (10-20ml) slow IV of 10% solution

Question 26

Calcium chloride dosage (peds)

Answer 26

20 mg/kg slow IV of 10% solution

Question 27

Dextrose indications

Answer 27

Hypoglycemia, AMS, coma, seizure

Question 28

Dextrose contraindications

Answer 28

Hyperglycemia, intracranial hemorrhage, known or suspected stroke in the absence of hypoglycemia

Question 29

Dextrose dosage (adult)

Answer 29

12.5-25g slow IV (25-50ml 50%, 125-250 ml 10%

Question 30

Dextrose dosage (peds)

Answer 30

0.5-1g/kg IV of 25%

Question 31

Diazepam (Valium) indications

Answer 31

Seizure activity, anxiety, muscle relaxation, sedation for pacing/cardioversion, acute alcohol withdrawal

Question 32

Diazepam (valium) contraindications

Answer 32

Respiratory depression, head injury w/ CNS depression, shock, and coma

Question 33

Diazepam (valium) dosage (adult)

Answer 33

Seizures: 5-10mv IV over 2 mins every 10-15 min as needed - Max of 30mg

Prep for pacing/cardioversion: 5-15 mgIV 10 min prior

Question 34

Diazepam (valium) dosage (peds)

Answer 34

Under 5 yrs: 0.2-0.5mg slow IV push over 2 min every 2-5 min - Max of 5mg

5 or older: 1mg slow IV push over 2 min every 2-5 min - Max of 10mg

Question 35

Diltiazem indications

Answer 35

A-fib/flutter, multifocal atrial tachycardia, SVT/PSVT refractory to Adenosine

Question 36

Diltiazem contraindications

Answer 36

2nd/3rd degree heart block, hypotension, cardiogenic shock, ventricular rhythms, sick sinus syndrome, Wolf-Parkinson-White syndrome, acute MI, V-tach

Question 37

Diltiazem dosage (adult)

Answer 37

15-20mg IV over 2 min, rpt in 15 min at 20-25 over 2 min