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NBRC Questions > RRT Questions: Pharmacology B > Flashcards

RRT Questions: Pharmacology B Flashcards

1
Q

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

A

Hypotension

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2
Q

What drug is given in rapid sequence induction?

A

Propofol

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3
Q

What if you can’t give Propofol?

A

Give Etomidate.

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4
Q

What’s the most common NMBA?

What’s the onset and duration?

A

Succinylcholine
Onset: 30 sec
Duration: 5-10

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5
Q

What conditions would you not want to give succinylcholine?

A

Metabolic Acidosis
Hyperkalemia
Increased ICP

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6
Q

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

A

Rocuronium

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7
Q

What is a drug that reverses Rocuronium?

5 drugs and 2 classes

A

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

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8
Q

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

A

Doxapram

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9
Q

What’s the therapeutic blood levels for Methylxanthines?

A

10-20 mcg/ml

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10
Q

What’s conscious sedation?

A

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

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11
Q

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

A

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

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12
Q

Name two side effects from Benzodiazapines.

A

Hypotension and Resp Depression

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13
Q

What’s the trade name for flumazenil?

A

Romazicon

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14
Q

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

A

Dexmedetomidine
Onset: Less than 5 min
Duration: 10 min

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15
Q

Morphine is a good drug for heart patients. Why?

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

A

Vasodilates coronary arteries.

Inhibits the cough reflex

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16
Q

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

A

Fentanyl

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17
Q

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

A

Mannitol

18
Q

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.

A

Acetazolamide
Metabolic acidosis.
Renal or respiratory failure

19
Q

Loop diuretics can cause metabolic ___.

What should you give for that?

A

Metabolic alkalosis.

Give potassium.

20
Q

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

A

Clopidogrel or ticlopidine

21
Q

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

A

Heparin
LMW Heparin (Lovenox)
Fondaparinux

22
Q

What class of drug is Procainamide?

A

Calcium Channel Blocker

23
Q

What class of drug is Nicardipine?

A

Calcium Channel Blocker

24
Q

What class of drug is Verapamil?

A

Calcium Channel Blocker

25
Q

What class of drug is Isoproterenol?

A

Vasopressor

26
Q

What class of drug is Dobutamine?

A

Vasopressor

27
Q

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

A

Hydrocortisone

28
Q

What class of drug is Milrinone?

A

Inotropic & Vasodilator

29
Q

What class of drug is Nitroprusside?

A

Vasodilator

30
Q

What class of drug is Desmopressin?

A

Anti-Diuretic Agent

31
Q

What drug is given for diabetes insipidus or bedwetting?

A

Desmopressin

32
Q

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

A

MetHb

33
Q

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

A

bacterial infection.

34
Q

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

A

Dapsone. (Treats acne)

Most common cause of MetHb in ER.

35
Q

How do you treat MetHb?

A

Give Methylene Blue or Ascorbic Acid.

36
Q 
When giving antibiotics, first give this class of antibiotic: \_\_\_
If alergic, give \_\_\_.
A

Pennicillin

Cephalosporin

37
Q

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

A

Give an aminoglycoside (Gentamycin, Tobramycin)

38
Q

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

A

Fluroquinolone

Levofloxacin and Ciprofloxacin

39
Q

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

A

Vancomycin

40
Q

What drug do you give for tuberulosis? (x2)

A

Isoniazid and Rifampin

41
Q

Ribavirin is used to treat ___ infections.

A

Viral

42
Q

Name two drugs given for RSV:

A

RespiGam and Palivizumaub

NBRC Questions (22 decks)

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