Uh, Oh, I overdosed.
Abdominal/Thoracic
Dosages
Calculations
Contraindications
100

What is your maximum dose for Narcan?

There is no max, dummy. 

100

You plan to perform a needle decompression on a patient with a suspected tension pneumothorax, what are your landmarks? 

What is the mid clavicular, between 2nd and 3rd intercostal space or mid axillary, between 5th and 6th intercostal space. 

100

What is your dose for Fentanyl for an adult?

1 mcg/kg with a max initial dose of 100 mcg. 

100

What is the drip rate for a Ami for a patient in V-tach with a pulse (your drip factor is set to 10 and it is placed in a 50 mL bag)

50 gtts

100

This vasodilator when used in conjunction with erectile dysfunction medications can cause severe hypotension. 

Nitroglycerin 

200

I have attempted to overdose on Zofran and I am now experiencing involuntary muscle contractions and spasms, what medication should be administered?

Diphenhydramine 25-50 mg 

200

The liver, is known for producing this greenish-yellow fluid that helps break down fats during digestion. 

What is Bile. 

200

What is your Ketamine dose for pain management?

What is your maximum initial dose?

What is your maximum cumulative dose?


0.25 mg/kg

25 mg

100 mg

200

You have placed 1 mg of Epi 1:1000 in 250 mL normal saline, what is your concentration in mcg/mL?

4 mcg/mL

200

This medication is contraindicated to patient's with head injuries as it may increase ICP. 

Ketamine 

300

I have taken a handful of my anti-depressant medication, my QRS complex is beginning to show signs of widening, what medication should be administered? 

Sodium Bicarb 1-2 mEq/kg IVP

300

Located in the right lower abdominal quadrant, this organ is commonly known for rebound tenderness. 

What is the Appendix.

300

You plan to intubate your pediatric patient, what is your dose for Atropine in the event of RSI?

0.02 mg/kg

300

You are scheduled to give Amiodarone at 1mg/min for successful conversion of V-Tach, you place 300 mg of Amiodarone in a 500 mL bag of normal saline, what is your gtts using a micro drip set?

100 gtts

300

A patient had recent upper GI surgery, what respiratory intervention may be contraindicated or recommended to be used in caution.  

CPAP

Can cause gastrointestinal distention  

400

Other than Atropine, what medication may be considered during a beta blocker overdose attempt if your patient is symptomatic? 

Glucagon 5 mg IVP

400

This triangular shaped object is located at the bottom of the sternum.  

Xiphoid Process

400

Your initial dose of Succinylcholine did not work, what is your second dose?

1.0 mg/kg

400

What is the parkland formula?

How much should be given in the first 8 hours?

4 x Kg x TBSA burned

1/2 the total dose

400

This medication is contraindicated when patient's have a known history of WPW.  

Adenosine

May trigger V-fib

500

What drug should be considered in Monoamine Oxidase Inhibitor overdoses and why?

Midazolam (0.1 mg/kg) for temperature control

500

The first portion of the small intestine

Duodenum

500

A patient with the age of 65 or greater will receive how much Cardizem for their 2nd dose.  

20 mg

500

If you were ordered to remove the liquid from 1 spray of nitro via a syringe (1 mL) and place it in a 50 mL bag to drip at a rate of 10 mcg/min, what would be your gtts at a macro drip set?

12.75 gtts

500

Your patient was recently removed from a house fire, with extensive burns and needs to be intubated, what drug from your RSI protocol is contraindicated? 

Succinylcholine 

Can lead to severe hyperkalemia