Truama Drugs

Question 1

Activated Charcoal class and dose

Answer 1

Antidote
Adsorbent agent

25g-50g PO/NG

Question 2

Activated charcoal indications

Answer 2

Suspected overdose or accidental ingestion of drugs or chemicals through oral/GI route

Question 3

Activated charcoal contraindications and adverse effects

Answer 3

Contra- 
ALOC or risk of LOC
No gag reflexes
TCA overdose
Acids,alkalis, methanol, cyanide, lithium 

Adverse-
N/V
Constipation 
Aspiration
Diarrhea

Question 4

Ketamine class and dose

Answer 4

Class-
Non barbiturate anesthetic

Dose-
RSI: 1-2mg/kg IV/IO
3-4mg/kg IM

Pain-
5-20mg IV
25-50mg IM
20-40 IN split between nares

Peds- 0.05-0.2mg/kg IV
0.25-0.75mg/kg IM

Question 5

Ketamine indications and adverse effects

Answer 5

Inda-
RSI
Excited delirium
Pain management

Adverse-
Increased ICP
Purposeless tonic-clonic movements
N/V
Bronchial secretions

Question 6

Ketamine contraindications

Answer 6

Less then 3 MO
Schizophrenic episodes
Pregnancy

Question 7

Etomidate class and dose

Answer 7

Class-
Sedative hypnotic

Dose-
0.3mg/kg IV/IO

Question 8

Etomidate indications and adverse effects

Answer 8

Inda-
Induction of responsive pts prior to admin of neuromuscular blocking agents for RSI

Adverse-
Resp depression
N/V
Pain on injection

Question 9

Succinycholine class and dose

Answer 9

Class-
Neuromuscular blocking agent

Dose-
1-2mg/kg IV/IO

Question 10

Succinylcholine indications and adverse effects

Answer 10

Inda-
To achieve paralysis to facilitate endotracheal intubation in pts per RSI

adverse-
Bradycardia
Pressor response

Question 11

Succinylcholine contraindications

Answer 11

Rhabdomyolysis
Inability to BVM ventilate
Burns between 1week and 6 months of age
History of malignant hyperthermia

Question 12

Tranexamic acid class and dose

Answer 12

Class-
Anti-fibrinolytic

Dose-
1gram in 100cc NS given over 10 minutes

Question 13

TXA indications and adverse effects

Answer 13

Inda-
Any trauma casualty who is anticipated to need significant blood transfusion by having significant traumatic injury with evidence of severe bleeding

Adverse-
Visual disturbances
Occasional thromboembolic event

Question 14

TXA Contraindications

Answer 14

Pts with significant closed head injury

Question 15

Vecuronium class and dose

Answer 15

Class-
Neuromuscular blocking agent

Dose-
Initial- 0.15mg/kg IV/IO
Maintenance- 0.05-0.1mg/kg IV/IO

Question 16

Vecuronium indications and adverse effects

Answer 16

Inda-
For treatment of ventilatory difficulties secondary to bucking or combativeness in incubated pts
As primary paralytic in place of succinylcholine

Adverse-
Bradycardia

Question 17

Vecumronium contraindications

Answer 17

Inability to BVM ventilate pt