Pharmacology
Scenarios
Everything goes I
Everything goes II
everything goes III
100
Tylenol & Aspirin are both analgesics in classification but they are also this classification as well.
What is antipyretic
100
Your 62 year old female patient has a history atrial fib. She called EMS today because she is experiencing palps and SOB. The monitor shows A-fib at a rate of 140. The patient is alert and oriented to 111/80. The patient is a candidate for all the following theurapeutic interventions EXCEPT: A.).....IV ACCESS B.) SYNCHRONIZED CARDIOVERSION C.) DILTIAZEM D.) BETA-BLOCKERS
synchronized cardioversion
100
Excessive preload over time would lead to: A) STRENGTHENING OF THE LEFT VENTRICLE B) WEAKNENING OF THE LEFT VENTRICLE C) INCREASED EJECTION FRACTION OF THE LEFT VENTRICLE D) DECREASED CAPACITY OF THE LEFT VENTRICLE
WEAKENING OF THE LEFT VENTRICLE
100
complications of MI include all the following EXCEPT A) Dysrythmia B) hypotension C) Pulmonary embolus D) heart failure
Pulmonary embolus
100
Myocardial Infarction: A.) Can result from coronary artery spasms B.) all of these C.) may cause hypotension D.) is the death of a portion of the heart muscle
all of these
200
First dose of Metoprolol
5 mg slow IV over 5 mins
200
The condition in which the heart's reduced stroke volume causes an overload of fluid in the body's other tissues is called.... A.) MI B.) Prinzmetal metal angina C.) CHF
CHF
200
_____ is a drop in systolic blood pressure of more than 10 mmhg with inspiration. A.) electrical alternans B.) pulsus alternans C.) Pulsus paradoxus D.) Pulse deficit
Pulsus paradoxus
300
This drug prolongs the action potential duration in cardiac tissue; affect sodium, potassium, and calcium channels, alpha and beta blocking properties. It is also a Class III drug
What is Amiodarone
300
Your patient's ECG shows a rhythm at a rate of 64, regular PR intervals, a PR interval of 0.24 seconds. and a QRS of 0.12 seconds. This best fits criteria for: A.) first degree AV block B.) third degree AV block C.) second degree AV block type 1 D.) second degree type II av block
first degree av block
300
which of the following is NOT a hemodynamic change that occurs secondary to acute myocardial infarction: A.) decreased ejection fraction B.) CHF C.) Pulmonary edema D.) Inadequate tissue perfusion
pulmonary embolism
400
Interactions of drugs with warfarin
Reacts with warfarin, digoxin, procainamide, quinidine, phenytoin
400
Your patient is a 43 year old male who is alert and oriented, complaining of SOB with excertion. He describes a 1-month history of shortness of breath with excertion. Medical hx includes a light heart attack 3 months ago. Physical exam reveals warm, dry skin; lungs with slight rales to the base bilaterally. HR 82, 122/68, RR 12 SAT 97. THE PATIENT IS MOST LIKELY EXCPERIENCING __________ VENTRICULAR FAILURE. A.) EARLY LEFT B) LATE LEFT C) LATE RIGHT D) EARLY RIGHT
EARLY LEFT
400
Which of the following is NOT a likely immediate cause of acute MI? ANSWERS: A) ...CORONARY ARTERY SPASMS, B.) .....ATHEROSCLEROTIC OCCLUSION OF A CORONARY ARTERY C.) .....CORONARY ARTERY OCCLUSION BY MICROEMBOLI D.) ......HYERPLIPIDEMIA
HYPERLIPIDEMIA
400
All of the following are asssessment findings consistent with angina EXCEPT A.) chest pain B.) chest pain relieved with rest C.) chest pain releived with nitro D.) ST segment elevation
ST segment elevation = injury
500
Pediatric dose to Versed IV/IO
0.05 mg/kg IV/IO
500
which of the following does not affect cardiac output: A.) SV B.) Preload C.) blood viscosity D.) venous return
blood viscosity
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