Yo'self

Question 1

Adenosine (Adenocard)

Indications

Answer 1

1. Narrow-complex supraventricular tachyarrhythmia

2. Stable, undifferentiated, regular, monomorphic wide-complex tachycardia

Question 2

Albuterol Sulfate (Proventil, Ventolin)
Indications

Answer 2

Bronchospasm

*Wheezing associated with anaphylaxis should first be treated with epinephrine IM

Question 3

Amiodarone (Cordarone)

Indications

Answer 3

1. Cardiac arrest in patients with shock refractory VF/VT
2. Stable, wide-complex tachycardia
3. Following successful cardioversion of VF/VT

Question 4

Aspirin (ASA)

Indications

Answer 4

Suspected acute coronary syndrome

Question 5

Atropine Sulfate

Indications

Answer 5

1. Symptomatic bradycardia
2. 2nd and 3rd degree heart block
3. Organophosphate poisoning

Question 6

Calcium Gluconate

Indications

Answer 6

1. Adult pulseless arrest associated with any of the following clinical conditions: Known hyperkalemia, renal failure with or without hemodialysis history, calcium channel blocker overdose
2. Adult or pediatric calcium channel blocker overdose with hypotention, bradycardia
3. Not indicated for routine treatment of pulseless arrest.

Question 7

Dextrose 50%

Indications

Answer 7

1. Hypoglycemia

2. The unconcsious or altered mental status patient with an unknown etiology

Question 8

Diazepam (Valium)

Indications

Answer 8

1. Status epilepticus
2. Combative or severely agitated patients
3. Sympathomimetic overdose (e.g. cocaine, methamphetamine)
4. Severe musculoskeletal back spasms
5. Sedation for cardioversion or transcutaneous pacing (TCP)

Question 9

Diltiazem (Cardizem)

Indiciations

Answer 9

1. To control rapid ventricular rates (>150bpm) associated with A-fib and atrial flutter
2. Rapid, narrow-complex Paroxysmal Supraventricular Tachycardia (PSVT), unresponsive to adenosine

Question 10

Diphenhydramine (Benadryl)

Indications

Answer 10

1. Allergic reaction

2. Dystonic medication reactions or akathesia (restlessness)

Question 11

Dopamine (Intropin)

Indications

Answer 11

1. Hypotension refractory to adequate fluid resuscitation

2. Symptomatic bradycardia with signs of poor perfusion

Question 12

Epinephrine (Adrenalin)

Indications

Answer 12

1. Pulseless Arrest
2. Anaphylaxis
3. Asthma
4. Bradycardia with poor perfusion

Question 13

Fentanyl (Sublimaze)

Indications

Answer 13

1. Moderate to severe pain (The objective of pain management is not the removal of all pain but rather to make the patient’s pain tolerable enough to allow for adequate assessment, treatment, and transport
2. Treatment of shivering after therapeutic induced hypothermia (TIH).

Question 14

Furosemide (Lasix)

Indications

Answer 14

Cardiogenic Pulmonary Edema with prolonged transport times (>30min)

Question 15

Glucagon

Indications

Answer 15

1. Altered level of consciousness where hypoglycemia is suspected and IV access in unavailable
2. Hypotension, bradycardia from beta-blocker or calcium channel overdose.

Question 16

Haloperidol (Haldol)

Indications

Answer 16

Sedation of a severely agitated, combative patient

Question 17

Ipratropium Bromide (Atrovent)
Indications

Answer 17

Bronchospasm

Question 18

Lidocaine 2% Solution

Indications

Answer 18

Analgesic for intraosseous infusion

Question 19

Lorazepam (Ativan)

Indications

Answer 19

1. Acute anxiety
2. Sedation
3. Seizure management

Question 20

Magnesium Sulfate

Indications

Answer 20

1. Antiarrhymic: Torsade de pointes associated with prolonged QT interval
2. Respiratory: Severe bronchospasm unresponsive to continuous albuterol, ipratropium, and IM epinephrine.
3. Obstetrics: Pregnancy >20 weeks gestation age with evidence of preeclampsia (Hypertension >180mmHg sys. or >120 mmHg diastolic, localized edema, headache and/or AMS) or eclampsia (preeclampsia + seizures)

Question 21

Metoclopramide (Reglan)

Indications

Answer 21

Vomiting

Question 22

Methylprednisolone (Solu-Medrol)

Indicationes

Answer 22

1. Anaphylaxis
2. Severe asthma
3. COPD

Question 23

Midazolam (Versed)

Indications

Answer 23

1. Status epilepticus
2. Sedation of the severely agitated/combative patient
3. Sedation for cardioversion or transcutaneous pacing (TCP)

Question 24

Morphine Sulfate

Indications

Answer 24

1. Pain management

2. Cardiogenic pulmonary edema

Question 25

Naloxone (Narcan) | Indications

Answer 25

1. Reversal of suspected opioid-induced CNS and respiratory depression 2. Coma of unknown origin 3. Seizure of unknown etiology (rule out narcotic overdose, specifically propoxyphene)

Question 26

Nitroglycerine (Nitrostat, Nitroquick, etc) | Indications

Answer 26

1. Pain or discomfort due to suspected Acute Coronary Syndrome 2. Pulmonary edema due to congestive heart failure

Question 27

Ondansetron (Zofran) | Indications

Answer 27

Nausea and vomiting

Question 28

``` Oral Glucose (Glutose, Insta-Glucose) Indications ```

Answer 28

Known or suspected hypoglycemia and able to take PO

Question 29

Phenylephrine (Intranasal) | Indications

Answer 29

1. Prior to nasotracheal intubation to induce vasoconstriction of the nasal mucosa 2. Nose bleed

Question 30

Promethazine (Phenergan) | Indications

Answer 30

1. Nausea with concern for potential vomiting with motion sickness 2. Vomiting (if hypersensitive or unresponsive to Zofran)

Question 31

``` Racemic Epinephrine (Vaponephrine) Indications ```

Answer 31

1. Bronchospasm in bronchiolitis 2. Stridor at rest in croup 3. Suspected epiglottitis in adults or children 4. Stridor from miscellaneous causes in adults

Question 32

Sodium Bicarbonate | Indications

Answer 32

1. Tricyclic overdose with arrhythmias, widened QRS complex, hypotension, seizures 2. Suspected hyperkalemic pulseless arrest: consider in patients with renal failure

Question 33

Topical Ophthalmic Anesthetics | Indications

Answer 33

1. Pain secondary to eye injuries and corneal abrasions | 2. Topical anesthetic to facilitate eye irrigation