Cardiac meds
Priority decision making
What's the mechanism
Stop the drug
SATA round
100

First-line for symptomatic bradycardia

What is Atropine

100

A patient on Heparin has: aPTT=110. What is the priority action?

What is hold heparin

100

Which drug blocks dopamine breakdown and replaces it?

What is Carbidopa/levodopa

100

Patient on Allopurinol develops rash. What is the action?

What is stop immediately

100

Patient on Canagliflozin. Select ALL concerning findings:

A. Polyuria

B. Confusion

C. Nausea

D. Yeast infection

B,C

200

Used in cardiac arrest

What is Epinephrine

200

A patient on Morphine has: RR 8, O2 sat 89%. What TWO actions are priority?

What is give naloxone + support airway

200

Which drug works by: blocking glucose reabsorption in kidneys?

What is Canagliflozin

200

Patient on Phenytoin develops blistering rash. What are you concerned about?

What is Stevens-Johnson syndrome

200

Patient on Propofol. Select ALL priorities:

A. Monitor airway

B. Monitor BP

C. Encourage ambulation

D. Continuous ECG

A,B,D

300

Drug for ventricular arrhythmias

What is Lidocaine

300

A patient on Methotrexate reports: fever, mouth sores, fatigue. Which are concerning? (SATA) 

A. fever

B. Mouth sores

C. Fatigue

D. Hair loss

A,B,C

300

Which drug: blocks acetylcholinesterase and increases Ach?

What is Neostigmine

300

Patient on methimazole develops sore throat. What is the condition?

What is agranulocytosis

300

Patient on Amphotericin B. Select ALL to monitor:

A. Creatinine

B. Potassium

C. Glucose

D. Urine output

A,B,D

400

Alpha blocker used for extravasation

What is Phentolamine

400

A patient receiving Alteplase develops:

sudden headache

confusion

What is happening?

What is intracranial hemorrhage

400

Which drug: destroys thyroid tissue with radiation?

What is Radioactive iodine I-131

400

Patient on Doxorubicin has: SOB, edema. What complication?

What is heart failure

400

Which requires staying upright:

Alendronate or calcium?

What is alendronate

500

Heart failure ARNI drug

What is Sacubitril/valsartan

500

Patient with Parkinson's on Carbidopa/levodopa:

jerky movements

What does this mean?

What is dyskinesia

500

Patient on Neostigmine: sweating, bradycardia, diarrhea. 

What is happening?

What is cholinergic crisis

500

Patient on Vasopressin:

confusion, headache, low sodium

Diagnosis?

What is hyponatremia

500

A pt: received succinylcholine. Develops: muscle rigidity, temp 105, tachycardia.

What is: 1. the condition, 2. The medication to give, 3. The FIRST action

1. Malignant hyperthermia

2. Dantrolene

3. stop triggering agent

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