Which drug other than valium may be used to terminate status epilepticus
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Which drug (other than Valium) may be used to terminate status epilepticus?. 50% Dextrose Also Ativan (lorazepam). You carry only one injectable drug which may normally be a color other than clear. 1) What drug is it? 2) What color?. 1) Valium 2) pale yellow.

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50 dextrose also ativan lorazepam
50% DextroseAlso Ativan (lorazepam)


You carry only one injectable drug which may normally be a color other than clear.1) What drug is it?2) What color?


1 valium 2 pale yellow
1) Valium color other than clear.2) pale yellow



Epinephrine
Epinephrine Activitiy (PEA)?


What is the generic name for 1 narcan 2 isuprel 3 lasix 4 valium
What is the generic name for: Activitiy (PEA)?1) Narcan2) Isuprel3) Lasix4) Valium


1 naloxone 2 isoproterenol 3 furosemide 4 diazepam
1) Naloxone Activitiy (PEA)?2) Isoproterenol3) Furosemide4) Diazepam


You have been ordered to give 8 mg. of drug Alpha 1. It is supplied in 2 mg/ml. How many ml should you give?


4 ml. supplied in 2 mg/ml. How many ml should you give?

2 mg. = 8 mg.

1 ml. X

2X = 8;

X = 4 ml.



To minimize hypotension
to minimize hypotension per angina attack be limited?



1 benadryl 2 morphine 3 valium
1) Benadryl depression2) morphine 3) Valium



1) coma (decreased LOC) of Ipecac2) convulsions3) caustic/corrosive ingestion4) <1mL/Kg hydrocarbons5) cyclic OD Use with caution:1) cardiac disease2) last 1/2 of pregnancy



0 4 ml
0.4 mL of Ipecac



Dilates
dilates of Ipecac



Sympathomimetic
sympathomimetic of Ipecac



1 lidocaine 2 atropine 3 naloxone 4 epinephrine 5 vasopressin
1) Lidocaine be given down the ET tube2) Atropine3) Naloxone4) Epinephrine5) Vasopressin


Name all the drugs carried in the ambulance which be given down the ET tubeshould be given down the ET tube


None. AHA recommends using IO if IV access is not easily obtained. All drugs may be given via IO.



1 to 1 5 mg per kg
1 to 1.5 mg per Kg Lidocaine?



Later diagnosis will be more difficult since IM injections will elevate the same serum enzymes as a MI



Lomotil
Lomotil diarrhea?


What may happen if sodium bicarbonate is mixed with 1 calcium 2 epinephrine
What may happen if sodium bicarbonate is mixed with: diarrhea?1) Calcium2) Epinephrine


1 it precipitates 2 the epinephrine is inactivated
1) it precipitates diarrhea?2) the epinephrine is inactivated


You have just placed 200 mg of drug Beta 2 into a 250 cc bag. Your orders are to infuse 40 mcg/min. How many gtts/min will you give? No peeking!


200 mg into 250 cc bag bag. Your orders are to infuse 40 mcg/min. How many gtts/min will you give? No peeking!

200 mg. = 200,000 mcg = 80 mcg

250 cc 250 cc 1 cc (60 gtts)

80 mcg. = 40 mcg.

60 gtts X

80 X = 2400

X=30 gtts/min.



1 allergic reaction 2 asthma
1) allergic reaction epinephrine 1:10002) asthma



10 20 minutes
10-20 minutes epinephrine 1:1000


Name a side effect of Lidocaine which indicates that too large a dose has been given, and that the infusion of Lidocaine should be stopped.


1 convulsions 2 hypotension 3 bradycardia 4 heart block
1) convulsions large a dose has been given, and that the infusion of Lidocaine should be stopped.2) hypotension3) bradycardia4) heart block


If you want to give a patient 60 mL of D5W in one hour, how many drops per minute should you give:1) using mini-drip2) using regular drip


1 60 gtts min 2 10 gtts min
1) 60 gtts/min. many drops per minute should you give:2) 10 gtts/min.


Name two effects that isuprel has on the heart
Name two effects that Isuprel has on the heart. many drops per minute should you give:


Increased conduction many drops per minute should you give:Increased RateIncreased Strength of contraction so:Increased cardiac outputIncreased myocardial O2 demandIncreased ventricular irritability



5 minutes
5 minutes activity before Valium is given?



Atropine
atropine with PVC’s?



25 grams of dextrose
25 grams of dextrose did you give?


List the four end points for giving procainamide
List the four end-points for did you give? giving Procainamide


17 mg kg rhythm converts qrs widens hypotension
17 mg/kg did you give?rhythm convertsQRS widenshypotension


What is the standard dosing of adenosine 1 initial 2 repeat
What is the standard dosing did you give?of Adenosine1) initial2) repeat


1 6 mg 2 12 mg
1) 6 mg did you give?2) 12 mg



Phenothiazine
Phenothiazine did you give?





Cardizem
Cardizem did you give?



Cyclic antidepressant
Cyclic antidepressant did you give?



1 gram in 250 cc
1 gram in 250 cc infusion of Lidocaine



400 mg in 250 cc
400 mg in 250 cc infusion of Dopamine?


You have been ordered to infuse Dopamine at 20 mcg/kg/min to a patient who weighs 132 lbs. At what drip rate will you flow the medication?


132 lbs. / 2.2 = 60 kg. a patient who weighs 132 lbs. At what drip rate will you flow the medication?

20 mcg/kg x 60 kg = 1200 mcg total dose

400 mg Dopamine = 400,000 mcg

250 cc 250 cc

But wait…..there’s more!


400,000 mcg a patient who weighs 132 lbs. At what drip rate will you flow the medication? = 1600 mcg

250 cc 1 cc (60 gtts)

1600 mcg = 1200 mcg (total dose)

60 gtts X gtts

1600 X = 72000

X= 45 gtts/min (whew!) and it’s easier still…..


Remember this one? a patient who weighs 132 lbs. At what drip rate will you flow the medication?

Dose x weight x 60

1600

So…

20 mcg x 60 kg x 60

1600

72000 = 720 = 90 = 45 gtts/min (it works!)

1600 = 16 = 2


Give one trade name for albuterol
Give one trade name for Albuterol a patient who weighs 132 lbs. At what drip rate will you flow the medication?


Proventil ventolin
Proventil, Ventolin a patient who weighs 132 lbs. At what drip rate will you flow the medication?


Which is more likely to cause respiratory depression iv valium or rectal valium
Which is more likely to cause respiratory depression: a patient who weighs 132 lbs. At what drip rate will you flow the medication?IV Valium or Rectal Valium


Iv valium
IV Valium a patient who weighs 132 lbs. At what drip rate will you flow the medication?


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