Aspirin (Trade Name) and Acetylsalicylic Acid (Generic Name) Quiz

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Questions and Answers

What is the generic name for Aspirin?

  • Acetylsalicylic Acid (correct)
  • Nitrodur
  • Tridil
  • Nitroglycerin

Which of the following is a contraindication for Aspirin?

  • Angina
  • Chest pain
  • Fever
  • Active bleeding (correct)

What is the mechanism of action for Aspirin?

  • Increases subendocardial blood flow
  • Vascular smooth muscle relaxation
  • Decreases preload and reduces myocardial oxygen demand
  • Blocks the formation of thromboxane A and inhibits platelet aggregation (correct)

What is the first-line agent for treating pulmonary edema from congestive heart failure?

<p>Nitroglycerin (D)</p> Signup and view all the answers

What is the recommended dosage of Nitroglycerin for an adult with chest pain?

<p>0.4 mg (2% solution) SL spray (B)</p> Signup and view all the answers

Which of the following is a contraindication for Nitroglycerin?

<p>Hypotension (C)</p> Signup and view all the answers

What is the mechanism of action for Nitroglycerin?

<p>Vascular smooth muscle relaxation (A)</p> Signup and view all the answers

What is the recommended dosage of Nitroglycerin for an adult with pulmonary edema from congestive heart failure?

<p>10-20 mcg/min IV drip (B)</p> Signup and view all the answers

What is the recommended dosage of Aspirin for an adult with chest pain, myocardial infarction, or unstable angina?

<p>162-324 mg PO (C)</p> Signup and view all the answers

What is the recommended dosage of Nitroglycerin for a pediatric patient?

<p>No prehospital administration suggested (C)</p> Signup and view all the answers

What is the generic name for Pressin?

<p>Vasopressin (D)</p> Signup and view all the answers

Which of the following is NOT a contraindication or caution for atropine?

<p>Hypothermic bradycardia (B)</p> Signup and view all the answers

What is the maximum adult dose of atropine for cardiac indications?

<p>3.0 mg (C)</p> Signup and view all the answers

Which of the following is NOT a serious adverse reaction of vasopressin?

<p>Hyperkalemia (A)</p> Signup and view all the answers

What is the pediatric dose of atropine for organophosphate poisoning in children under 12 years old?

<p>0.05 mg/kg IVP initially, repeat doubling dose q 5 min until muscarinic symptoms reverse (A)</p> Signup and view all the answers

What is the indication for vasopressin according to the ACLS algorithm?

<p>Alternative to epinephrine for ventricular fibrillation (B)</p> Signup and view all the answers

Which of the following is NOT a mechanism of action for atropine?

<p>Causes vasoconstriction (D)</p> Signup and view all the answers

What is the adult dosage of vasopressin?

<p>40 units IV push single dose only (B)</p> Signup and view all the answers

Which of the following is NOT a common adverse reaction of vasopressin?

<p>Hypoglycemia (B)</p> Signup and view all the answers

What is the minimum dose of atropine for pediatric cardiac indications?

<p>0.1 mg (D)</p> Signup and view all the answers

Which of the following is a serious adverse reaction of Aspirin (Acetylsalicylic Acid)?

<p>GI bleeding (D)</p> Signup and view all the answers

What is the mechanism of action of Nitroglycerin?

<p>Vascular smooth muscle relaxation (A)</p> Signup and view all the answers

Which of the following is a contraindication for Aspirin (Acetylsalicylic Acid)?

<p>Active GI ulcers (D)</p> Signup and view all the answers

What is the recommended adult dosage of Nitroglycerin for chest pain or angina?

<p>0.4mg SL spray or tablet every 3-5 minutes (D)</p> Signup and view all the answers

Which of the following is a contraindication for Nitroglycerin?

<p>All of the above (D)</p> Signup and view all the answers

What is the recommended adult dosage of Aspirin (Acetylsalicylic Acid) for chest pain, myocardial infarction, or unstable angina?

<p>162-324mg PO (C)</p> Signup and view all the answers

Which of the following is a serious adverse reaction of Nitroglycerin?

<p>Hypotension (A)</p> Signup and view all the answers

What is the generic name for Nitrostat, Nitrospan, Nitrodisc, Nitrodur, and Tridil?

<p>Nitroglycerin (A)</p> Signup and view all the answers

Which of the following is a less serious adverse reaction of Aspirin (Acetylsalicylic Acid)?

<p>Nausea (D)</p> Signup and view all the answers

What is the classification of Nitroglycerin?

<p>Nitrate, Vasodilator (D)</p> Signup and view all the answers

Which of the following is NOT a consideration for the use of vasopressin?

<p>It should be administered as a continuous infusion (D)</p> Signup and view all the answers

Which of the following is a serious adverse reaction associated with vasopressin?

<p>Myocardial infarction (C)</p> Signup and view all the answers

What is the mechanism of action for vasopressin?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is a contraindication for the use of atropine?

<p>All of the above (D)</p> Signup and view all the answers

What is the mechanism of action for atropine?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is NOT an indication for atropine?

<p>Supraventricular tachycardia (B)</p> Signup and view all the answers

What is the maximum adult dose of atropine for cardiac indications?

<p>3 mg (D)</p> Signup and view all the answers

Which of the following is a common adverse reaction of atropine?

<p>All of the above (D)</p> Signup and view all the answers

What is the minimum dose of atropine for pediatric cardiac indications?

<p>0.02 mg/kg (B)</p> Signup and view all the answers

Which of the following is a consideration for the use of atropine?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary classification of Aspirin (Acetylsalicylic Acid)?

<p>Analgesic (A)</p> Signup and view all the answers

Which of the following best describes the indication for Nitroglycerin?

<p>Chest Pain (D)</p> Signup and view all the answers

What is a common adverse reaction associated with Aspirin (Acetylsalicylic Acid)?

<p>Bronchospasm (D)</p> Signup and view all the answers

Which of the following is a serious adverse reaction to Nitroglycerin?

<p>Hypotension (C)</p> Signup and view all the answers

What action does Aspirin (Acetylsalicylic Acid) have on platelets?

<p>Inhibits aggregation (B)</p> Signup and view all the answers

Which condition is Aspirin (Acetylsalicylic Acid) relatively contraindicated with?

<p>Pregnancy (A)</p> Signup and view all the answers

What is the primary action mechanism of Nitroglycerin?

<p>Relaxes vascular smooth muscle (B)</p> Signup and view all the answers

Which of the following is a less serious adverse reaction to Nitroglycerin?

<p>Tinnitus (D)</p> Signup and view all the answers

What is a common adverse reaction associated with Nitroglycerin?

<p>Headache (B)</p> Signup and view all the answers

What is the mechanism of action for vasopressin that causes uterine contractions in large doses?

<p>Naturally occurring hormone - ADH released from pituitary (D)</p> Signup and view all the answers

Which of the following is a serious adverse reaction associated with atropine administration?

<p>Paradoxical bradycardia if given too slowly (C)</p> Signup and view all the answers

What is the recommended maximum adult dose of atropine for cardiac indications?

<p>3 mg (B)</p> Signup and view all the answers

Which of the following is a contraindication for the use of atropine?

<p>Angle-closure glaucoma (C)</p> Signup and view all the answers

Which of the following is NOT a mechanism of action for atropine?

<p>Inhibiting insulin secretion (A)</p> Signup and view all the answers

What is the recommended adult dosage of vasopressin according to the ACLS algorithm for ventricular fibrillation?

<p>40 units IV push as a single dose only (B)</p> Signup and view all the answers

Which of the following is a common adverse reaction associated with vasopressin administration?

<p>Abdominal cramps (C)</p> Signup and view all the answers

Which of the following is a contraindication or caution for the use of atropine?

<p>All of the above (D)</p> Signup and view all the answers

What is the mechanism of action for atropine that causes relaxation of smooth muscle in the bronchial tree?

<p>Parasympatholytic effect (C)</p> Signup and view all the answers

Which of the following is a serious adverse reaction associated with vasopressin administration?

<p>Hypertension (D)</p> Signup and view all the answers

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Study Notes

  • Vasopressin:

    • Trade Name: Pressin
    • Generic Name: Vasopressin
    • Classification: Vasopressor, similar to catecholamine
    • Indication: Alternative to epinephrine in ACLS algorithm for Ventricular fib
    • Dosage: Adult 40 units IV Push single dose only
    • Action Mechanism: Natural hormone - ADH released from pituitary, non-adrenergic peripheral vasoconstrictor, increases water absorption in renal tubules, causes uterine contractions
    • Adverse Reactions: Serious - MI, bradycardia, angina; Common - abdominal cramps, N/V, tremors, headache

  • Atropine:

    • Trade Name: Atropine
    • Generic Name: Atropine
    • Classification: Anticholinergic
    • Indication: Hemodynamically compromised symptomatic bradycardia (non-AMI), other specific conditions
    • Dosage: Adult 1.0 mg rapid IVP q 3-5 min up to max 3 mg or 0.04 mg/kg
    • Action Mechanism: Parasympatholytic, increases myocardial oxygen demand, relaxes smooth muscle in GI tract, causes bronchial relaxation
    • Adverse Reactions: Serious - paradoxical bradycardia if given too slowly or below minimum dose, dry mouth, blurred vision, tachycardia

  • Aspirin:

    • Trade Name: Aspirin
    • Generic Name: Acetylsalicylic Acid
    • Classification: Antiplatelet, non-narcotic analgesic, antipyretic
    • Indication: Cardiac chest pain, angina, AMI, fever, inflammation
    • Dosage: Adult 162-324 mg PO for chest pain/MI/unstable angina
    • Action Mechanism: Blocks thromboxane A formation, inhibits platelet aggregation
    • Adverse Reactions: Serious - GI bleeding, anaphylaxis; Common - nausea, vomiting, rash

  • Nitroglycerin:

    • Trade Names: Nitrostat, Nitrospan, Nitrodisc, Nitrodur, Tridil
    • Generic Name: Nitroglycerin
    • Classification: Nitrate, Vasodilator
    • Indication: Chest Pain/Angina, MI, pulmonary edema from CHF
    • Dosage: Adult 0.4mg SL spray or tablet q. 3-5 minutes; IV drip at 10-20 mcg/min
    • Action Mechanism: Vascular smooth muscle relaxation, decreases preload and myocardial O2 demand, coronary artery dilation
    • Adverse Reactions: Serious - hypotension, bradycardia; Common - headache, lightheadedness

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