Week One Medications Special Considerations

Question 1

albuterol
(special considerations)

Answer 1

No benefit shown in bronchiolitis

Question 2

naloxone
(special considerations)

Answer 2

Generally not beneficial in cardiac arrest

Question 3

nitroglycerin
(special considerations)

Answer 3

Hypotension is more common in older pts.
IV NTG must be administered with an infusion pump direct from the bottle
If a 12-lead EKG shows an inferior wall infarct, rule out RV infarction with a right-sided 12-lead before administering NTG.

Question 4

oxygen
(special considerations)

Answer 4

– Patients with carbon monoxide poisoning
may be hypoxemic with severe respiratory
distress despite Sp02 of 100% due to
carbon monoxide’s much higher affinity
for hemoglobin and subsequent
displacement of 02
– Use with caution on neonates as oxygen
toxicity may occur.
– High-flow 02 may decrease respiratory
drive in COPD patients (rare)