Indications

Question 1

Adenosine

Answer 1

• SVT

- Fast narrow complex >160 in stable pt

Question 2

Albuterol

Answer 2

Respiratory distress with bronchospasms

• Asthma
• Allergic reaction/anaphylaxis
• Pneumonia
• COPD

Question 3

Amiodarone

Answer 3

• V-tach with pulse

- Pulseless V-Tach or V-Fib

Question 4

Aspirin

Answer 4

Chest pain of suspected cardiac origin

Question 5

Atropine Sulfate

Answer 5

• Symptomatic bradycardia

- Organophosphate overdose

Question 6

Brethine

Answer 6

-Obstructive SOB; Asthmas, bronchitis, emphysema (When refractory to albuterol and atrovent)

Question 7

Calcium Gluconate

Answer 7

Adult pulseless arrest associated with any of the following conditions:
-known hyperkalemia
-renal failure with or without hemodialysis history
-calcium channel blocker
(NOT indicated for routine treatment of pulseless arrest)

Question 8

Cardizem

Answer 8

• Rapid A-Fib (>170)
• Rapid A-Flutter (>170)
• Multifocal atrial tachycardia
• SVT refractory to Adenosine

Question 9

Detrose 50%

Answer 9

• Documented hypoglycemia
• Coma of unknown origin
• Seizures of unknown origin

Question 10

Diazepam

Answer 10

• Seizure activity
• Procedures (cardioversion)
• Extreme anxiety

Question 11

Diphenhydramine

Answer 11

• Allergic reaction/anaphylaxis

- Acute dystonia (muscle contractions)

Question 12

Dopamine

Answer 12

If unable to control pressure in;

• Cardiogenic shock
• Symptomatic bradycardia refractory to atropine
• Distributive shock (excessive vasodilation)

Question 13

Epi 1:1000

Answer 13

• Asthma refractory to Albuterol
• Allergic reaction with SOB
• Symptomatic bradycardia refractory to atropine

Question 14

Epi 1:10,000

Answer 14

Pulseless;

• V-tach/fib
• PEA
• Asystole

Anaphylaxis (shock)

Question 15

Etomidate

Answer 15

• RSI

- Procedures

Question 16

Fentanyl

Answer 16

• Pain control
• Undiagnosed ABD pain
• Isolated trauma
• Myocardial infaction

Question 17

Flumazenil

Answer 17

• Provider caused overdose

- Reverse sedation of Benzodiazepine

Question 18

Furosemide

Answer 18

Cardiac pulmonary edema

Question 19

Glucagon

Answer 19

• Hypoglycemia with no vascular access
• Esophageal spasm
• Beta blocker overdose

Question 20

Haloperidol

Answer 20

Chemical restraint

Question 21

Ipratroprium

Answer 21

Obstructed SOB;

• Asthmas
• Bronchitis
• Emphysema
• Pneumonia

Question 22

Lidocane

Answer 22

• V-tach with pulse
• Pulseless V-tach or V-fib
• Local anesthetic for relief of pain during IO fluid administration

Question 23

Lorazepam

Answer 23

• Seizures
• Procedures
• Extreme anxiety

Question 24

Magnesium Sulfate

Answer 24

• Seizures of eclampsia
• Refractory bronchoconstriction (status asthmaticus not responsive to beta-adrenegic drugs)
• Torsades de pointes

Question 25

Mannitol

Answer 25

Increased ICP

Question 26

Metoclopramide

Answer 26

Nausea

Question 27

Metoprolol

Answer 27

- Hypertension crisis - Peri infarct - Chemically inducted tachycardia

Question 28

Midazolam

Answer 28

- Seizures - Procedures - Extreme anxiety

Question 29

Morphine Sulfate

Answer 29

- Isolated injuries | - Chest pain of cardiac origin

Question 30

Naloxone

Answer 30

- Known/suspected opioid overdose - Pinpoint non-responsive pupils - Unconscious unresponsive

Question 31

Nitroglycerine

Answer 31

- Angina or anginal equivalent discomfort | - Cardiac Pulmonary edema

Question 32

Opthaine

Answer 32

Foreign body sensation in the eye

Question 33

Oxytocin

Answer 33

Uncontrollable post partum hemorrhage, after all productions of conception have expelled

Question 34

Procainamide

Answer 34

- V-tach with a pulse | - A-fib with WPW

Question 35

Promethazine

Answer 35

Nausea

Question 36

Racemic Epinephrine

Answer 36

- Croup; refractory to other treatments

Question 37

Sodium Bicarbonate

Answer 37

- Suspected Metabolic Acidosis - Cardiac arrest >20min - Hyperkalemia w/ QRS widening - Tricyclic overdose w/ QRS widening

Question 38

Methylprednisone Sodium

Answer 38

- Obstructive SOB | - Allergic reaction / Anaphylaxis

Question 39

Succinylcholine

Answer 39

RSI

Question 40

Thiamine

Answer 40

- Dehydration / Malnourishment | - Chronic alcoholism

Question 41

Vecuronium Bromide

Answer 41

- RSI | - Post intubation, keep them sedated

Question 42

Verapamil

Answer 42

- SVT refractory to adenosine | - A-fib / A-flutter >170bpm

Question 43

Zofran

Answer 43

Nausea

Question 44

Ketamine

Answer 44

- Adult patient with signs of excited delirium | - Sedative agent for RSI