Quiz 1: Aspirin, Nitroglycerin, and IV Fluids/Lactated Ringers

Question 1

Aspirin: Brand Name

Answer 1

Bayer, St. Joseph’s

Question 2

Aspirin: Classification

Answer 2

Platelet aggregator inhibitor

Question 3

Aspirin: Pharmacokinetics

Answer 3

Effects: 15 minutes
Duration: 4-6 hours

Question 4

Aspirin: Mechanism of Action

Answer 4

Inhibits platelet aggregation

Question 5

Aspirin: Indications for Field Use

Answer 5

Chest pain consistent with acute coronary syndrome (ACS)

Question 6

Aspirin: Contraindications

Answer 6

Hypersensitivity to NSAIDs, No use in children

Question 7

Aspirin: Side/Adverse Effects

Answer 7

Abdominal pain, Heartburn, N/V, prolonged bleeding

Question 8

Aspirin: Routes of Administration

Answer 8

Oral (preferably chewable)

Question 9

Aspirin: How Supplied

Answer 9

81mg chewable tablets

Question 10

Aspirin: Dosages

Answer 10

Adult: 81mg-325mg

Pediatric: NONE

Question 11

Aspirin: Special Considerations

Answer 11

Baby aspirin is typically more palatable and easier to chew

Question 12

Nitroglycerin: Brand Name

Answer 12

Nitro-stat, Tridil

Question 13

Nitroglycerin: Pharmacokinetics

Answer 13

Effects: 1-2 minutes
Duration: <20 minutes

Question 14

Nitroglycerin: Mechanism of Action

Answer 14

Coronary artery vasodilation reduced workload on heart via peripheral vasodilation

Question 15

Nitroglycerin: Indications for Field Use

Answer 15

Chest pain consistent with acute coronary syndrome (ACS)

Question 16

Nitroglycerin: Contraindications

Answer 16

Hypotension, known hypersensitivity, sexually-enhancing drug usage

Question 17

Nitroglycerin: Side/Adverse Effects

Answer 17

Headache, tingling in the mouth, dizziness, decrease in BP

Question 18

Nitroglycerin: Routes of Administration

Answer 18

Sublingual

Question 19

Nitroglycerin: How Supplied

Answer 19

0.4mg tablet; metered dose spray 0.4 mg/spray

Question 20

Nitroglycerin: Dosages

Answer 20

Adult: 0.4mg

Pediatric: NONE

Question 21

Nitroglycerin: Special Considerations

Answer 21

Establish IV access prior to administration. Dose may be repeated if pain persists and BP is still stable

Question 22

Nitroglycerin: Classification

Answer 22

Nitrate — vasodilator

Question 23

IV Fluids (NS)/Lactated Ringers: Brand Name

Answer 23

NS 0.9% / LR

Question 24

IV Fluids (NS)/Lactated Ringers: Classification

Answer 24

Isotonic Crystalloid

Question 25

IV Fluids (NS)/Lactated Ringers: Pharmacokinetics

Answer 25

Variable

Question 26

IV Fluids (NS)/Lactated Ringers: Mechanism of Action

Answer 26

Temporarily expand the vascular volume

Question 27

IV Fluids (NS)/Lactated Ringers: Indications for Field Use

Answer 27

Hypovolemia, Heat exhaustion, Heat stroke, and diabetic keto acidosis

Question 28

IV Fluids (NS)/Lactated Ringers: Contraindications

Answer 28

Heart failure watch for fluid overload

Question 29

IV Fluids (NS)/Lactated Ringers: Side-Adverse Effects

Answer 29

Hemodilution and electrolyte imbalance

Question 30

IV Fluids (NS)/Lactated Ringers: Routes of Administration

Answer 30

IV and IO

Question 31

IV Fluids (NS)/Lactated Ringers: How Supplied

Answer 31

250mL, 500mL, or 1000mL bags

Question 32

IV Fluids (NS)/Lactated Ringers: Dosages

Answer 32

Bolus: protocol dependent KVO: 30mL/hour

Question 33

IV Fluids (NS)/Lactated Ringers: Special Considerations

Answer 33

Verify lung sounds pre/post administration