Sharps Meds

Question 1

What route is Epi for Medical Cardiac Arrest?

Answer 1

IM

Question 2

What is the dose of Epi for Medical Cardiac Arrest?

Answer 2

0.01mg/kg, Max 0.5mg. Round to the nearest 0.05mg. Max 1 dose.

Question 3

What route is glucagon?

Answer 3

IM

Question 4

If the pt’s weight is less than 25kg, what is the dose of glucagon?

Answer 4

0.5 mg IM, 20 min interval, max 2 doses.

Question 5

If the pt’s weight is greater than 25kg, what is the dose of glucagon?

Answer 5

1 mg IM, 20 min interval, max 2 doses.

Question 6

What route is epi for bronchoconstriction?

Answer 6

IM

Question 7

What is the dose for epi for bronchoconstriction?

Answer 7

0.01mg/kg, max 0.5mg. Round to the nearest 0.05mg. Max 1 dose.

Question 8

What is the route for epi for anaphylaxis?

Answer 8

IM

Question 9

What is the dose for epi for anaphylaxis? (moderate to severe allergic reaction)

Answer 9

0.01mg/kg, max 0.5mg. Round to the nearest 0.05mg. Minimum 5-minute dosing interval, max 2 doses.

Question 10

What is the route for diphenhydramine?

Answer 10

IV/IM

Question 11

What is the dose of diphenhydramine for pts who weigh greater than or equal to 25kg but less than 50kg?

Answer 11

25mg. Max 1 dose.

Question 12

What is the dose of diphenhydramine for pts who weigh greater than or equal to 50kg?

Answer 12

50mg. Max 1 dose.

Question 13

What is the route for ketorolac?

Answer 13

IM/IV

Question 14

What is the dose for ketorolac?

Answer 14

For a pt greater than or equal to 12 yrs old, 10-15mg. Max of 15mg, max 1 dose.

Question 15

What are the routes for naloxone (in order of preference)?

Answer 15

IV/IM/IN/SC

Question 16

What is the dose for naloxone IM?

Answer 16

0.4mg, dosing interval 5 minutes, max 3 doses.

Question 17

What is the dose for naloxone IN?

Answer 17

2-4mg, dosing interval 5 minutes, max 3 doses.

Question 18

What is the dose for naloxone SC?

Answer 18

0.8mg, dosing interval 5 minutes, max 3 doses.

Question 19

What is the route for Dimenhydrinate?

Answer 19

IV/IM

Question 20

What is the dose of dimenhydrinate for pts greater than or equal to 25kg to less than 50kg?

Answer 20

25 mg. Max 1 dose.

Question 21

What is the dose of dimenhydrinate for pts greater than or equal to 50kg?

Answer 21

50mg. Max 1 dose.

Question 22

Do you dilute dimenhydrinate IM?

Answer 22

No, just for IV.

Question 23

What are the conditions for dimenhydrinate?

Answer 23

Greater than or equal to 25kg, unaltered.

Question 24

What are the contraindications for dimenhydrinate?

Answer 24

• Allergy or sensitivity to dimenhydrinate or other antihistamines.
• OD on antihistamines or anticholinergics or tricyclic antidepressants.

Question 25

What are the conditions for naloxone?

Answer 25

≥24hours old, LOA altered, RR <10 breaths/min.

Question 26

What are the contraindications for naloxone?

Answer 26

Allergy or sensitivity to naloxone.

Question 27

What are the conditions for ketorolac?

Answer 27

≥ 12 years, LOA unaltered, SBP normotension.

Question 28

What are the conditions for diphenhydramine?

Answer 28

≥25 kg

Question 29

What are the contraindications for diphenhydramine?

Answer 29

Allergy or sensitivity to diphenhydramine.

Question 30

What are the conditions for epi (moderate to severe allergic reaction)?

Answer 30

For anaphylaxis only.

Question 31

What are the conditions for epi (medical cardiac arrest)?

Answer 31

LOA altered, Anaphylaxis suspected as causative event.

Question 32

What are the contraindications for epi (same for both directives)?

Answer 32

Allergy or sensitivity to epi.

Question 33

What are the conditions for glucagon?

Answer 33

LOA altered, hypoglycemia.

Question 34

What are the contraindications for glucagon?

Answer 34

Allergy or sensitivity to glucagon. Pheochromocytoma

Question 35

What are the 5 rights?

Answer 35

* Right pt (conditions/indications/ contraindications) * Right time * Right route * Right med * Right dose

Question 36

What length needle is used for SC injections?

Answer 36

5/8"

Question 37

How is the needle held for a SC injection?

Answer 37

At a 45 degree angle, with the bevel facing up.

Question 38

What is the max vol/nare for IN med admin?

Answer 38

1 ml per nare.