Quiz 4

Question 1

what are some Depolarizing and Non-depolarizing NMBAs?

Answer 1

Depolarizing:
- Succinylcholine (Anectine)
Non-depolarizing:
- Pancuronium (Pavulon)
- Rocuronium (Zemuron)
- Vecuronium (Norcuron)
- Cisatracurium (Nimbex)

Question 2

what are depolarizing and Non-depolarizing NMBAs used for?

Answer 2

Both:
-decrease spontaneous breathing
- decrease oxygen consumption
- paralysis
Depolarizing:
- Duration: 7-12 mins
- Intubation
Non-polarizing:
- Duration: 35-120 mins
- Continuous paralysis (pt. on continuous mechanical ventilation)

Question 3

What is the purpose of NMBAs and what should be given with them?

Answer 3

• Main purpose: Paralysis
• ALWAYS give wth a sedative

Question 4

what are the drugs of Benzodiazepines ?

Answer 4

• Ativan
• Valium
• Versed

Question 5

what are the uses for Benzodiazepines ?

Answer 5

• Anxiolytics: used for anxiety

Question 6

what are the reversal agents for non-depolarizing NMBAs?

Answer 6

• Neostigmine
• Sugammadex
• Edrophonium

Question 7

what is Precedex used for?

Answer 7

• ventilated patients
• stimulates Alpha 2 receptors

Question 8

what are the side effects of Precedex?

Answer 8

• bradycardia
• hypotension

Question 9

what agents have the suffix
-onium?

Answer 9

Non-depolarizing agents

Question 10

what is the most common duo of meds given for conscious sedation?

Answer 10

Versed and fentanyl

Question 11

what is the purpose of analgesia?

Answer 11

• pain reliever
  ANSWER IS PAIN

Question 12

Why do we use a train four device?

Answer 12

used to monitor the depth of paralysis

Question 13

what are the H’s and T’s?

Answer 13

H:
- Hypovolemia
- Hyperkalemia
- Hydrogen Ion (acidosis)
T:
- Tamponade (cardiac)
- Tension Pneumothorax
- Toxins (drug OD)
- Thrombosis

Question 14

How do we do a pain assessment?

Answer 14

• Visual analog scale
• number scale
• PQRST

Question 15

What is the main side effect of an opioid?

Answer 15

• Respiratory depression

Question 16

What is the reversal agent for opioids?

Answer 16

Narcan

Question 17

what are the anesthetic drugs?

Answer 17

• ketamine
• propofol (diprivan)
• ## etomidate

Question 18

what do Non-steroidal anti- inflammatory agents do ? (NSAIDS)

Answer 18

• Anti-inflammatory
• Antipyretic (fever reducer)
• Analgesic (pain reliever)

Question 19

What are some common NSAIDS?

Answer 19

• aspirin
• ibuprofen

Question 20

what are the routes of administration for ACLS medications?

Answer 20

First line: IV
then:
- IO (bone)
- ET tube

Question 21

what are the Antiarrhythmic Drugs?

Answer 21

Purpose: gets heart back into rhythm
- Lidocaine
- Procainamide
- Amiodarone

Question 22

what is the drug and dosage for stable ventricular tachycardia?

Answer 22

• Amiodarone
  Dosage:
• stable: 150mg

Question 22

what do we give atropine for?

Answer 22

symptomatic sinus bradycardia

Question 23

what is the dose of atropine?

Answer 23

1mg every 5 mins till HR is 60
- no more than 3 doses are to be given.

Question 24

what is adenosine used for?

Answer 24

Supraventricular tachycardia (SVT)
- long pause in heart rythym after admitting
- has a half-life of 10 seconds

Question 25

what is the dosage for adenosine?

Answer 25

Initial: 6mg (double if needed)

Question 26

what is the dosage for amiodarone?

Answer 26

• stable: 150mg
• Unstable: Starting dose = 300mg

Question 27

What is NAVEL?

Answer 27

N - Narcan
A - Atropine
V - Vasopressin, Valium, Versed
E - Epinephrine
L - Lidocaine

Question 28

what is the main ACLS medication and dosage for pulseless rythyms?

Answer 28

• Epinephrine
  Dosage:
• 1mg every 3-5 mins
• No limit

Question 29

what is NAVEL used for?

Answer 29

drugs that can go down an ET tube

Question 30

what is the beta blocker in atrial rhythms

Answer 30

Sotalol (betapace)

Question 31

what are the 4 pulseless rhythms?

Answer 31

• V Fib
• Asystole
• Pulseless Ventricular tachycardia
• PEA