Antidotes
Respiratory Drugs
Sedatives
Cardiac Drugs
Narcotics
Medication Uses
Nervous System Medications
Paramedicine
Medication Calculation
12 lead & Pharm
100
Correct drug/dose/route for a narcotic overdose?
Naloxone - 0.4-2mg IV/IM/IO, or 1-5mg ETT, or 1-2mg Mucosal Atomizer Device
100
Albuterol is what class of Medication?
What is a Beta-2 agonist / Bronchodilator
100
Primary treatment of a person with agitated Delirium
What are benzodiazepines
100
Name the drug and dose and class:
Also known as: Adrenalin
Epinephrine 1:10,000 - Cardiac Arrest: 1mg IV/IO q 3-5mins
100
Narcotics can be reversed with ______________ at ______ dose
Narcan 0.4mg
100
Which medication as variable effects dependent on the dose and is know for dissociation. Hint* can cause hypotension in catecholamine depleted patients.
What is Ketamine
100
Sympatholytic also known as ______________ *Hint end in -olol*
What is a Beta Blocker
100
A 34-year-old male is found unresponsive on a park bench. He is difficult to arouse and has the following assessment findings: RR 4/min, SpO₂: 78% on room air, miosis, Cool, pale skin, Pulse 48 bpm, BP 88/52 mmHg
What is the primary goal of naloxone administration?
To restore adequate spontaneous respirations, not necessarily full consciousness.
100
You are preparing to administer a medication to a patient weighing approximately 270 pounds. Because the medication is dosed according to weight, you must convert the patient's weight to kilograms which equals ________.
123 kg
100
Patient presents with generalized weakness and heartburn for 2 hours, he had taken sildenafil 4 hours prior along with his usual medications, describe his treatment and 12 lead presentation
LCA occulsion / Anterior, Septal MI
Avoid Nitroglycerin, ASA 324mg, O2 and Morphine, Plavix and transport
200
What medication is the antidote if your patient overdosed on their Metoprolol?
Glucagon 3 mg IV
200
Brand names for this respiratory medication include Proventil and Ventolin
What is albuterol?
200
Name the drug and dose and class:
Also known as: Midazolam
Versed (benzodiazepine)- 1-5mg IV/IO/IN, or 5mg IM
200
Amiodarone is which class of antidysrhythmic
Class III: Potassium Channel Blockers : Ventricular Antidysrhythmic
200
All types of narcotics are known as a _____________, which allows them to create sedation.
CNS depressant
200
What class of medication is used to manage seizures?
What is Benzodiazepines?
200
Sympathomimetic that stimulates alpha, beta-1, and beta-2 receptor sites
What is Epinephrine
200
You respond to a 44 year old female complaint of dizziness and weakness. HR 32, BP 74/40
History:Heart transplant 2 years ago.
Which ACLS medication is unlikely to work and what medication should be used instead?
Atropine
Use: Epinephrine infusion & Dopamine infusion or Transcutaneous pacing
200
During the morning drug inventory of your unit, you notice that you have a solution of 10% calcium chloride available. Based on the commonly used weight/volume percentage, you know that this solution contains _________________
10 grams/100 cc.
200
A 58-year-old dialysis patient is weak and confused. BP 82/54. HR 138. What medication should be administered first?
Calcium Chloride or Gluconate
300
You are dispatched to a local farm for a patient presenting with Respiratory distress and AMS. You find the patient altered, drooling, vomiting, diaphoretic, upon auscultation you hear wheezing and the patients pupils are constricted. What is the toxicological emergency and what is your antidote / dose.
Atropine, 2-4 mg or Pralidoxime (2 Pam Chloride) 1-2 g
300
What is the contraindications for the use of methylprednisolone prehospital?
There are no contraindications
300
Name the drug and dose and class:
Also known as: Amidate
Etomidate (Sedative/hypnotic): 0.1-0.3mg IV/IO
300
Name the drug and dose and class: Also known as: Adenosine
Adenocard (Antidysrhythmic/organo-nucleopeptide) - 1st dose - 6mg rapid IV push, 2nd dose - 12mg rapid IV push
300
What are the adverse effects of Fentanyl?
Nausea, Vomiting, Chest Wall rigidity, Respiratory Depression.
300
Decreases Myocardial workload by reducing myocardial oxygen demand by reducing preload and afterload.
What is Morphine
300
Name the drug and dose and class:
Also known as: Diazepam
Valium (Benzodiazepine) - Anxiety: 2-5mg IV/IM
Seizures: 5-10mg IV/IM/PR
Premed: 5-15mg IV
300
A 68-year-old male presents with severe respiratory distress. He has diffuse wheezing, crackles halfway up both lungs, pink frothy sputum, BP 228/132, HR 132, SpO₂ 84%, ETCO₂ 28.
Your partner reaches for a DuoNeb. Explain why this may be harmful and what medication should be prioritized.
Nitroglycerin, CPAP, High-flow oxygen
Albuterol may worsen tachycardia and myocardial oxygen demand.
300
You are ordered to give 2.0 mg of epinephrine 1:10,000 by the endotracheal route during cardiac arrest as the intravenous line has not yet been established. Epinephrine is supplied as 0.1 mg/mL. How many milliliters will you give?
20 mL
300
This patient presents with pulmonary edema and BP 230/120.
What medication is most appropriate?
Nitroglycerin
400
You patient presents with Hyperactivity, Dilated pupils, Psychosis, Hypertension, Tachycardia, Tachypnea, Chest pain, and Agitation. On your 3 lead you find a narrow tachycardia at 230 bpm, you have attempted vagal maneuvers, Adenosine and Synchronized cardioversion at 50 and 100J with no resolve. What did your patient take and how to you manage it?
Stimulates / Sympathomimetics: Cocaine, Crack, Bath salts, Speed.
ABC’s, IV, O2, Monitor, fluids, treat arrhythmias, treat seizures, benzodiazepines for refractory SVT or chest pain.
400
Anticholinergic brochodilator indicated for asthma, reversible bronchoconstriction secondary to COPD or inhaled irritants, and contraindicated in the presence of CHF, or an atropine, soy, or peanut allergy.
What is Ipratropium 500mcg in 3ml NSS via nebulizer at 6LPM
400
Common sedative that can cause hypotension in patients with severe catecholamine depleted states?
Ketamine
400
Which phase of the ventricular cardiac action potential is primarily affected by Class I antiarrhythmic?
Phase 0 (Rapid Depolarization)
400
List 5 major signs and symptoms of opiate overdose
Pinpoint pupils, Hypotension, Bradycardia, Respiratory Depression, Hypothermia (CNS Depression), Coma or death
400
What is the correct drug regime and doses for a hypoglycemic, chronic alcoholic?
Dextrose 50% 25g and 100 mg of thiamine
400
What is the class and dose of Succinycholine?
Depolarizing Neuromuscular blocking agent. 1.0-1.5 mg / kg
400
A 76-year-old dialysis patient complains of weakness. HR 28, BP 82/40
Your partner prepares atropine. Why will atropine likely fail, and what medication should be given immediately?
The bradycardia is secondary to hyperkalemia, not increased vagal tone. Calcium Chloride immediately
400
You are treating a pediatric patient for bradycardia. The patient weighs approximately 10 kilograms. Protocol indicates that 0.01 mg/kg IV/IO should be given. What is the dose of epinephrine for this patient?
0.1 mg
400
Your 67-year-old female patient presents with generalized weakness and fatigue for the past 8 hours. She denies chest pain but reports mild nausea and states, "I just haven't felt right all day."
BP: 142/88, HR: 94, RR: 18, SpO₂: 97% on room air
Concerned about her age and vague symptoms, you obtain a 12-lead ECG.
What is the 12-lead abnormality? Which medication has been shown to reduce mortality in acute myocardial infarction rather than simply improve symptoms?
Hyperacute T waves in Anterior leads, Anterior MI and ASA
500
Calcium is important in the management of two toxic exposures / overdoses.
What is Calcium channel blockers and hydrofluoric acid.
500
Sympathomimetic/tocolytic indicated for reversible bronchospasm and to inhibit labor. Contraindicated in hypertension, dysrhythmias, and seizures. Also known as Brethine.
Terbutaline - Bronchodilator - 0.25mg SQ (max 0.5mg in 4 hours). Premature Labor - 2-5-10mg/min IV/IO
500
Name the drug and dose and class: Also known as: Romazicon. Hint* Benzodiazepine antagonist
Flumazenil 0.1-1mg
500
Enalapril (Vasotec) is what type of medication
ACE Inhibitor / Antihypertensive
500
What routes can Fentanyl be administered?
IV, IN
500
Cold sepsis should recieved which medication for hypotension
Epi
500
Receptor in the sympathetic nervous system that causes increased inotrophy and chronotrophy as well as vasodilation.
What is the Beta Receptor
500
A 61-year-old male called 911 for chest pain that resolved before your arrival. He tells you,
"I feel fine now. I think I'll just stay home."
What medication did the patient most likely take at home, and what does this 12-lead display?
Nitro and Wellen's Sign (LAD stenosis)
500
You are ordered to give 250 ml of 0.9% normal saline to a patient over 20 minutes. You are using a macroinfusion set (10 gtts/ml). What will you set your drip rate at?
125 gtts/min
500
A 67-year-old male presents with crushing substernal chest pain for 45 minutes. BP 156/92, HR 82, SpO₂ 97%. He has taken no medications today and is allergic to salicylates. What medication should be administered first?
Fluid Bolus / challenge of 250-500ml
600
Your patient presents with Tachycardia, Tachypnea, Respiratory Depression, Hypotension. On scene you find a bottle of Desipramine. What did you patient OD and what is your management? 
Tricyclic antidepressants
ABC’s, IV, O2, Monitor, fluids, Treat dysthymias, if prolonged QT interval, torsades or hyperkalemia present on 12 lead: 1mEq/kg Sodium Bicarb
600
A beta agonist drug is given only by inhalation, can be used to treat croup and is associated with rebound worsening after the medication has worn off.
What is Racemic Epinephrine?
600
Which medication can not be administered to patients with Adrenal insufficiency or sepsis when performing a RSI?
Etomidate
600
Class IV antidysrhythmic can not be administered with what type of medications
Class IV Calcium Channel Blockers can not be administered with Beta Blockers
600
Narcotics should not be administered to patients who are?
ETOH intoxication, Hypotensive, No way to maintain respirations or ventilations
600
Which medication and dose is administered for a Acute extrapyramidal symptom following administration of Haldol?
Diphenhydramine 25-50 mg
600
You are treating a patient who is experiencing status epilepticus. After initial management of the airway, breathing, and circulation, what is your first line drug for management and dose?
Valium / Diazepam 5-10 mg IV
600
Based off this patient 12 lead EKG what medicaitons should be avoided?
Haloperidol, Droperidol, Amiodarone, Azithromycin & Ondansetron
600
You are ordered to administer 2 mg/min of lidocaine to a patient who has received a bolus of lidocaine during cardiac arrest. You have prepared the lidocaine by placing 1 gram in 250 cc of D5W. You are utilizing a microdrip (60 gtts/mL) administration set. What is the correct drip rate?
30 gtts/min
600
Which medication should NOT be administered?
NO Adenosine, Diltiazem, Beta blockers
700
Correct Drug/Dose/Route for a Magnesium Sulfate overdose?
Calcium Chloride - 5-20ml 10% solution slow IV/IO push, repeat PRN
700
Medication is used in severe bronchospasm for patients refractory respiratory distress following typical asthma treatment. Know to relax the smooth muscles.
What is magnesium sulfate.
700
Metadone is what class of medication
Opioid
700
What class of antiarrhythmic has a very therapeutic index, patients cannot receive CA Channel blockers while taking and with toxicity can produce visual disturbances, bradycardia and ventricular arrhythmias
What is cardiac glycosides, (Digoxin / Quinidine / Lanoxin; Digitoxin; Digitalis)
700
A Semisynthetics Opiate commonly sold over the counter cold, flu and cough medication that is commonly used by adolescents.
Dextromethophan
700
Which antipyretic inhibits production of prostaglandins to reduce fever?
Ketorolac (Toradol)
700
Naturally occurring hormone; antidiuretic hormone (ADH) secreted by pituitary gland; sympathomimetic effects
What is Vasopressin
700
A 58-year-old female with a history of Addison's disease presents with altered mental status, profound hypotension (BP 68/40), vomiting, and severe respiratory distress. Despite aggressive airway management, you determine that rapid sequence intubation is required.
Which medication is contraindicated, and what medication should be selected instead?
Etomidate is contraindicated; Ketamine preferred
700
You are treating a 220-pound male patient in cardiogenic shock. The physician has ordered that you administer 5 mcg/kg/min to this patient. You prepare the infusion by placing 200 mg of dopamine into 250 mL of D5W. Using a microdrip (60 gtts/mL) administration set, what will you set the rate of infusion at (gtts/min)?
38 gtts/min
700
What medication should you NOT administer to your patient?
What is Amiodarone or Lidocaine?