Pharmacology #1
A patient in symptomatic bradycardia requires atropine. What is the adult ACLS dose?
What is 1 mg IV/IO every 3-5 minutes to a maximum of 3 mg.
What is the primary mechanism of action of albuterol?
What is beta-2 agonist causing bronchodilation?
What rhythm is characterized by an irregularly irregular rhythm with no discernible P waves?
What is atrial fibrillation?
Abdominal rigidity following blunt trauma most strongly suggests what underlying process?
What is peritoneal irritation from internal bleeding?
A diabetic patient has altered mental status and a blood glucose of 42 mg/dL. What is your next intervention?
What is start an IV/IO and administer dextrose?
Naloxone can be administered by several routes. Name three acceptable prehospital routes.
What is IV, IN, IO?
Nitrous oxide can be administered via what route in the prehospital setting?
What is inhaled?
Rhythm that is complete disconnection between the atria and ventricles?
What is a third degree block?
A restrained driver has bruising across the abdomen from a seatbelt. What occult injury should be high on your differential?
What is hollow organ injury?
You arrive to find a trauma patient with severe external hemorrhage from the leg and an absent radial pulse. What should be addressed first?
What is control the hemorrhage?
You are ordered to start epinephrine at 5 mcg/min. The infusion is mixed as 4 mg in 250 mL. Approximately how many mL/hr should you set the pump?
What is 18.75 mL/hr?
What is the most significant contraindication to nitroglycerin?
What is hypotension?
A patient with crushing chest pain, shortness of breath, and diaphoresis should be concerning for what pathology?
What is OMI?
A patient has a pelvic fracture, tachycardia, hypotension, and cool skin. What type of shock should be presumed until proven otherwise?
What is hemorrhagic shock?
A COPD patient has worsening dyspnea despite oxygen, an SpO₂ of 84%, and is tiring. What intervention should be strongly considered next?
What is CPAP/BiPAP?
A 20 kg pediatric patient is actively seizing. Midazolam is ordered at 0.2 mg/kg IN. How many milligrams should be administered?
What is 4 mg?
Combining sildenafil with nitroglycerin can result in what dangerous effect?
What is profound hypotension?
An unstable patient with a narrow complex tachycardia should have this intervention performed?
A trauma patient is hypotensive, has diminished breath sounds on the left, JVD, and worsening respiratory distress. What life-threatening injury should be suspected?
What is tension pneumothorax?
A patient with sepsis has received 30 mL/kg of fluids and remains hypotensive with a MAP of 55. What is the next major treatment priority?
What is initiate vasopressors?
A medic accidentally administers 1 mg of epinephrine IV push to a patient with a pulse instead of 10 mcg push-dose epinephrine. What is the most concerning immediate complication?
What is severe hypertension, dysrhythmias, myocardial ischemia, or cardiac arrest?
Will accept any of the above.
A medic accidentally administers 32mg of zofran what is the most concerning possible outcome?
What is prolonged QT leading to Torsades de Pointes?
Coved ST elevation in V1-V3 with a pseudo-RBBB pattern is characteristic of what syndrome?
What is Brugada Syndrome.
A patient has hypotension, muffled heart sounds, and jugular venous distention after penetrating chest trauma. What is the most likely diagnosis?
What is cardiac tamponade?
The mnemonic CHAD is used to determine stable vs unstable. What does the H stand for?
What is hypotension?