Quiz 3

Question 1

Epinephrine

Answer 1

Classification- sympathomimetic
Mech of action- Alpha and beta agonist
Indications- anaphylaxis - hives, stridor, wheezing
Contraindications - hypertension, hypothermia — all relative
Route- intramuscular auto injector
Dosage- adult .3MG — Pedi .15MG 1:1000

Question 2

Naloxone Hydrochloride
Narcan
Pin point pupils - respiratory depression — altered mental status

Answer 2

Classification- opioid antagonist / antidote
Mechanism- reverse respiratory depression secondary to opiate drugs
Indications- opiate overdose
Contraindications- caution in narcotic dependent patients / neonates or narcotic addicted mothers
Route- intranasal
Dosage- 1mg each nostril for minimum single dose 2mg — repeat 5 min intervals to max of 10mg total

Question 3

Asprin

ASA

Answer 3

Classification - nonsteroidal anti-inflammatory
Mechanism of action— lowers blood ability to clot
Indications- chest pain of cardiac orgin
Contraindications- history of GI bleeding or stomach ulcers, allergy, daily dose of blood thinners
Route- Oral
Dosages- adults 2-4 81MG chewable asprin total 162-324mg

Question 4

Activated Charcoal - AC

Answer 4

Classification- adsorbent
Mechanism of action- binds toxic substances stoping GI absorption
Indications- suspected ingestion of drugs or chemicals
Contraindications- compromised airway or ingestions of iron or ethanol
Route- oral
Dosages — 1G / KG, max of 50G

Question 5

Nitroglycerin - NTG

Answer 5

Classification— vasodilator
MOA— reduces preload and afterload to the heart
Indications — chest pain of cardiac origin, acute pulmonary edema
Contraindications — blood pressure less than 90mmHG systolic, ED meds in last 24-48 hours
Route — sublingual
Dosage — adult .4mg may repeat 3-5 mins

Question 6

Oxygen

Answer 6

classification – Gas
MOA – increase % of oxygen in inhaled air
indications - increased oxygen demand, hypoxia, chest pain of cardio emergecny
contraindications - none
route - inhaled
dose - nasal cannula 2-6LPM – non-rebreather 10-15LPM BVM 15-25LPM

Question 7

oral glucose

Answer 7

classification – carbohydrate
mech of action - increases blood glucose levels
indications - low blood glucose level (sub 60) with altered mental status
contraindications - inability to swallow or respond
route - oral
dosage - 1G per KG – max dose of 50G