Week 1

Question 1

What is another name for epinephrine?

Answer 1

Adrenalin and Adrenaline

Question 2

What class is epinephrine?

Answer 2

Sympathomimetic

Question 3

What does epinephrine do?

Answer 3

Alpha 1, beta 1, beta 2 stimulation in a dose related manner.

Question 4

Epinephrine is a first line drug for what?

Answer 4

V-Fib / Pulseless V-Tach
PEA
Asystole

Question 5

What is the dose and route of epinephrine (1:10,000)?

Answer 5

1.0 mg q 3-5 minutes
IV, IO, ET
No maximum dose

Question 6

What are the contraindications for epinephrine?

Answer 6

Hypovolemic shock
Hypertension
Coronary insufficiency

Question 7

What are the side effects of epinephrine?

Answer 7

Hypertension
Tachycardia
Dysrhythmias

Question 8

What is another name for lidocaine?

Answer 8

Xylocaine

Question 9

What class is lidocaine?

Answer 9

Antidysrhythmic

Question 10

What does lidocaine do?

Answer 10

Increases fibrillation threshold

Decreases ventricular irritability

Question 11

When should you use lidocaine?

Answer 11

Second line drug for v-fib, pulseless v-tach
Optional for v-tach with pulse
First line for v-ectopy

Question 12

What is the dose and route of lidocaine?

Answer 12

1.0-1.5 mg/kg
Max dose is 3.0 mg/kg
IV IO and ET

Question 13

What are the contraindications for lidocaine?

Answer 13

Heart block
Bradycardia
Adam stokes syndrome

Question 14

What are the side effects of lidocaine?

Answer 14

Lightheadedness
Blurred vision
Numbness
Hypotension

Question 15

What are the special notes for lidocaine?

Answer 15

Overdose toxicity causes seizures.

Cut max dose in half for >70 yrs old or anyone with renal or hepatic failure.

Question 16

What drug class is atropine sulfate?

Answer 16

Parasympatholytic

Question 17

What does atropine sulfate do?

Answer 17

Enhances sinus automaticity

Enhances AV conduction

Question 18

When do you use atropine sulfate?

Answer 18

First line for bradycardia
First line for heart blocks
Organophosphate poisoning

Question 19

What is the dose and route of atropine sulfate?

Answer 19

0.5 mg rapid IV or IO (ET normal speed)
Max 3.0 mg adult
Max 0.04 mg/kg pedi

Question 20

What are the contraindications for atropine sulfate?

Answer 20

Tachycardia and narrow angle glaucoma

Question 21

What are the side effects of atropine sulfate?

Answer 21

Tachycardia and dysthymia

Can cause reflex bradycardia if given too slow or in insufficient quantities.

Question 22

What is a trade name for adenosine?

Answer 22

Adenocard

Question 23

What class of drug is adenosine?

Answer 23

Antidysrhythmic

Question 24

What does adenosine do?

Answer 24

Interrupts re-entry pathways

Slows av conduction

Question 25

When do you give adenosine?

Answer 25

First line for SVT (Supraventricular Tachycardia)

Question 26

What is the dose and route for adenosine?

Answer 26

6 mg rapid IV or IO
- if ineffective -
12 mg rapid IV or IO with a max of 18 mg

Question 27

What are the contraindications for adenosine?

Answer 27

Heart blocks and SSS (Sick Sinus Syndrome)

Question 28

What are the side effects of adenosine?

Answer 28

Chest pain
Shortness of breath
Nausea

Question 29

What are the special notes for adenosine?

Answer 29

Transient period of asystole - no longer than 10 seconds.