Phase 2 medications

Question 1

Sodium bicarb class

Answer 1

Alkalinizing buffer agent

Question 2

sodium bicarb indications

Answer 2

1. cardiopulmonary arrest
2. metabolic acidosis
3. tryicyclic overdose
4. hyperkalemia
5. crush injury

Question 3

sodium bicarb contraindications

Answer 3

alkalosis

Question 4

sodium bi carb adverse effects

Answer 4

1. metabolic acidosis
2. crystalization if mixed with epi iv

Question 5

sodium bi carb dossages

Answer 5

adult and pedi: 1meq/kg/ iv/io

Question 6

sodium bi carb packaging

Answer 6

50 meq in 50 ml’s

Question 7

Amiodarone class

Answer 7

1. antiarrhytmic
2. sodium, calcium, and potassium channel blocker

Question 8

Amiodarone indication

Answer 8

1. wide complex tachycardia
2. v-fib/ pulsless v tach

Question 9

amiodarone contraindications

Answer 9

1. hypotension
2. 2nd or 3rd degree block
3. chf
4. symptomatic bradycardia
5. known allergy or hypersensitivity

Question 10

amiodarone adverse effects

Answer 10

1. av conduction abnormalities
2. bradycardia
3. headache
4. hypotension
5. torsades de pointes
6. nausea/ vomiting

Question 11

amiodarone doseage wide complex tachycardia ( vtach with a pulse stable)

Answer 11

1. adult: 150 mg into 100 ml d5w over 10 mins
2. Pedi: 5 mg / kg over 20-60 min

Question 12

amiodarone dosage for v fib / pulsless v tach ( cardiac arrest)

Answer 12

1. ADULT: 1st dose: 300 mg iv bolus, 2nd dose is 150 mg iv bolus
2. PEDI: 5 mg / kg bolus during cardiac arrest ( may repeatx2 for v-fib/ pulsless v-tach)

Question 13

amiodarone packaging

Answer 13

150 mg in 3 ml

Question 14

amiodarone contraindications

Answer 14

none in emergency situations

Question 15

Mag sulfate class

Answer 15

1. intracellular electrolyte
2. calcium channel blocker

Question 16

mag sulfate indications

Answer 16

1. torsades de pointes
2. reactive airway disease
3. eclampsia / seizure

Question 17

mag sulfate contraindications

Answer 17

1. 2nd and 3rd degree heart blok
2. patients on digitalis
3. known allergy / hypersensitivity

Question 18

Mag sulfate adverse effects

Answer 18

1. cns depression
2. hypotension
3. repiratory depression
4. nausea/ vomiting

Question 19

mag sulfate dosage reactive airway disease

Answer 19

1. adult 2 gm in 100 cc d5w iv infusion over 10 min
2. pediatric 50 mg/ kg in 100 cc d5w iv infusion over 10 min

Question 20

mag sulfate dosage for torsades de pointes with a pulse

Answer 20

1-2 gm in 100 cc d5w iv/ io infusion over 5-60 min

Question 21

mag sulfate sulfate dosage for torsades de pointes without a pulse (cardiac arrest)

Answer 21

1-2 gm iv / io diluted in 10 ml of crystalloid

Question 22

mag sulfate dosage for eclamtic seizures

Answer 22

1. mag 4gm in 100 cc d5w iv infusion over 20 min

or

2. mag 4gm im 2 gm in each glute

Question 23

Mag sulfate packaging

Answer 23

5 grams in 10 ml

2 grams per milleter

Question 24

Epi class

Answer 24

1. sympathomaemetic
2. alpha and beta adrenergic agonist

Question 25

Epi indications

Answer 25

1. cardiopulmoary arrest
2. anaphylaxis
3. reactive airway disease
4. pediatric croup
5. bradycardia
6. shock

Question 26

Epi contraindications

Answer 26

none in emergency

Question 27

Epi adverse affects

Answer 27

1. anxiety
2. chest pain
3. headache
4. palpitations
5. tachycardia
6. tremors
7. vetricular ectopi
8. nausea vomiting

Question 28

Epi cardiac arrest dose

Answer 28

Adult .5 epi 1:1000 im may repeat once

pedi 1:1000 .01mg/kg every 3-5 min

Question 29

Epi post arrest infusion dose

Answer 29

Adult 1:1000 .1-.5 mcg/kg/min iv/ io infusion