RRT Questions: Pharmacology B

Question 1

What’s a potential side effect from rapid sequence induction?

Answer 1

Hypotension

Question 2

What drug is given in rapid sequence induction?

Answer 2

Propofol

Question 3

What if you can’t give Propofol?

Answer 3

Give Etomidate.

Question 4

What’s the most common NMBA?

What’s the onset and duration?

Answer 4

Succinylcholine
Onset: 30 sec
Duration: 5-10

Question 5

What conditions would you not want to give succinylcholine?

Answer 5

Metabolic Acidosis
Hyperkalemia
Increased ICP

Question 6

If you can’t give Succinylcholine, what should you give?

Answer 6

Rocuronium

Question 7

What is a drug that reverses Rocuronium?

5 drugs and 2 classes

Answer 7

Neostigmine, Pyridostigmine, and Edrophonium are anticholinesterases.
There’s also anticholinergics, Atropine and glycopyrrolate

Question 8

What drug is used to stimulate breathing in COPD’ers?

Answer 8

Doxapram

Question 9

What’s the therapeutic blood levels for Methylxanthines?

Answer 9

10-20 mcg/ml

Question 10

What’s conscious sedation?

Answer 10

That’s when a patient is calm and easily aroused.

Question 11

What does RASS stand for? What’s the highest and lowest scales on the RASS? Where do you want your patient?

Answer 11

Richmond Agitation Sedation Scale
Highest: Combative +4
You want Drowsey (-1) or Light Sedation (-2)
Lowest: Unarousable (-5)

Question 12

Name two side effects from Benzodiazapines.

Answer 12

Hypotension and Resp Depression

Question 13

What’s the trade name for flumazenil?

Answer 13

Romazicon

Question 14

What drug is given to sedate intubated and mechanically ventilated patients?
What’s the onset and duration?

Answer 14

Dexmedetomidine
Onset: Less than 5 min
Duration: 10 min

Question 15

Morphine is a good drug for heart patients. Why?

One drawback to morphine is that it inhibits the ___ reflex.

Answer 15

Vasodilates coronary arteries.

Inhibits the cough reflex

Question 16

If you can’t give morphine, what drug can you give?

Answer 16

Fentanyl

Question 17

What drug do you give for cerebral edema and drug overdose?

Answer 17

Mannitol

Question 18

What drug is given for cerebral edema and/or peripheral edema?
When you give this drug, you can put the patient into metabolic ___.
Name two conditions where you can’t give this drug.

Answer 18

Acetazolamide
Metabolic acidosis.
Renal or respiratory failure

Question 19

Loop diuretics can cause metabolic ___.

What should you give for that?

Answer 19

Metabolic alkalosis.

Give potassium.

Question 20

If you can’t give aspirin, what two drugs can you give for platelet aggregation inhibition?

Answer 20

Clopidogrel or ticlopidine

Question 21

For anti-thrombotic therapy, give ___.
If you can’t give that, give ___, aka ___.
And if you can’t give that, give ___.

Answer 21

Heparin
LMW Heparin (Lovenox)
Fondaparinux

Question 22

What class of drug is Procainamide?

Answer 22

Calcium Channel Blocker

Question 23

What class of drug is Nicardipine?

Answer 23

Calcium Channel Blocker

Question 24

What class of drug is Verapamil?

Answer 24

Calcium Channel Blocker

Question 25

What class of drug is Isoproterenol?

Answer 25

Vasopressor

Question 26

What class of drug is Dobutamine?

Answer 26

Vasopressor

Question 27

If patient is still hypotensive after vasopressors, then give ___ for shock and after fluid repletion.

Answer 27

Hydrocortisone

Question 28

What class of drug is Milrinone?

Answer 28

Inotropic & Vasodilator

Question 29

What class of drug is Nitroprusside?

Answer 29

Vasodilator

Question 30

What class of drug is Desmopressin?

Answer 30

Anti-Diuretic Agent

Question 31

What drug is given for diabetes insipidus or bedwetting?

Answer 31

Desmopressin

Question 32

In patients with no heart problems who have a sudden or recent onset of cyanosis that is unresponsive to 100% O2, consider ___.

Answer 32

MetHb

Question 33

A patient with fever, chills, yellow/green sputum, and WBC 20,000: Suspect ___.

Answer 33

bacterial infection.

Question 34

A teenage patient who is cyanotic and unresponsive to 100% O2: Suspect ___ overdose.

Answer 34

Dapsone. (Treats acne) | Most common cause of MetHb in ER.

Question 35

How do you treat MetHb?

Answer 35

Give Methylene Blue or Ascorbic Acid.

Question 36

``` When giving antibiotics, first give this class of antibiotic: ___ If alergic, give ___. ```

Answer 36

Pennicillin | Cephalosporin

Question 37

What class of drug do you give to treat gram negative infections? Give two examples.

Answer 37

Give an aminoglycoside (Gentamycin, Tobramycin)

Question 38

Give an example of a class of broad spectrum antibiotic and two examples of drugs in this class.

Answer 38

Fluroquinolone | Levofloxacin and Ciprofloxacin

Question 39

What drug is known as a very potent antibiotic that treats very serious, life threatening infections?

Answer 39

Vancomycin

Question 40

What drug do you give for tuberulosis? (x2)

Answer 40

Isoniazid and Rifampin

Question 41

Ribavirin is used to treat ___ infections.

Answer 41

Viral

Question 42

Name two drugs given for RSV:

Answer 42

RespiGam and Palivizumaub