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Questions and Answers
Acetaminophen is indicated for which of the following pain levels?
Acetaminophen is indicated for which of the following pain levels?
- Moderate pain (4-6 on pain scale) only after NSAIDs have failed to provide relief
- Mild pain (1-3 on pain scale) or moderate pain (4-6 on pain scale) when other medications are contraindicated (correct)
- Severe pain (8-10 on pain scale) when opioids are not effective
- Moderate to severe pain (4-7 on pain scale) regardless of contraindications
What is the correct intravenous/intraosseous (IV/IO) dose of acetaminophen for an adult patient?
What is the correct intravenous/intraosseous (IV/IO) dose of acetaminophen for an adult patient?
- 1gm IV/IO infusion given over 15 minutes, single dose only.
- 500mg IV/IO infusion over 30 minutes, may repeat once after an hour (correct)
- 1.5gm IV/IO infusion over 60 minutes, single dose only
- 750mg IV/IO bolus, repeat every 4 hours as needed
A pediatric patient requires acetaminophen. What is the correct IV/IO dose?
A pediatric patient requires acetaminophen. What is the correct IV/IO dose?
- 10mg/kg, max 500mg, IV/IO bolus.
- 15mg/kg, max of 1gm, IV/IO infusion over 15 minutes, single dose only.
- 20mg/kg, max 1.5g, IV/IO infusion over 30 minutes. (correct)
- Divide into 10mg/kg doses and administer orally.
Adenosine is indicated for:
Adenosine is indicated for:
What is the correct dosing regimen of adenosine for adults?
What is the correct dosing regimen of adenosine for adults?
Albuterol is indicated in the treatment of:
Albuterol is indicated in the treatment of:
What is the maximum dose of nebulized albuterol that can be administered for respiratory distress?
What is the maximum dose of nebulized albuterol that can be administered for respiratory distress?
What is the correct dose and route of administration for aspirin in a patient experiencing an acute myocardial infarction?
What is the correct dose and route of administration for aspirin in a patient experiencing an acute myocardial infarction?
Aspirin is indicated in the treatment of:
Aspirin is indicated in the treatment of:
Atropine is indicated for which of the following conditions?
Atropine is indicated for which of the following conditions?
What is the maximum total dose of atropine that can be administered to an adult patient for symptomatic bradycardia?
What is the maximum total dose of atropine that can be administered to an adult patient for symptomatic bradycardia?
An adult patient with organophosphate poisoning requires atropine. What is the correct initial dose?
An adult patient with organophosphate poisoning requires atropine. What is the correct initial dose?
A 10-year-old patient presents with organophosphate poisoning. What is the correct initial dose of atropine?
A 10-year-old patient presents with organophosphate poisoning. What is the correct initial dose of atropine?
Calcium chloride is indicated for:
Calcium chloride is indicated for:
In which scenario would you administer calcium chloride without a base hospital order?
In which scenario would you administer calcium chloride without a base hospital order?
What Calcium Chloride dosage is administered to adults?
What Calcium Chloride dosage is administered to adults?
A 5-year-old patient is suffering from calcium channel blocker poisoning. What is the correct dose of calcium chloride?
A 5-year-old patient is suffering from calcium channel blocker poisoning. What is the correct dose of calcium chloride?
D10 is indicated for what condition?
D10 is indicated for what condition?
Which of the following is a correct adult dose of Acetaminophen?
Which of the following is a correct adult dose of Acetaminophen?
When should you consider administering Adenosine?
When should you consider administering Adenosine?
What is the correct follow-up action after a dose of adenosine is administered?
What is the correct follow-up action after a dose of adenosine is administered?
Besides respiratory illnesses, albuterol can also be used in treating:
Besides respiratory illnesses, albuterol can also be used in treating:
What is the preferred route of administration for aspirin during a suspected myocardial infarction?
What is the preferred route of administration for aspirin during a suspected myocardial infarction?
What is a sign that Atropine administration may be helpful?
What is a sign that Atropine administration may be helpful?
For a symptomatic bradycardic adult patient needing atropine, how often can you repeat the dose?
For a symptomatic bradycardic adult patient needing atropine, how often can you repeat the dose?
What symptoms would lead you to administer calcium chloride?
What symptoms would lead you to administer calcium chloride?
When administering medications to treat hyperkalemia resulting from a crush injury, you need which of the following:
When administering medications to treat hyperkalemia resulting from a crush injury, you need which of the following:
Which factors determine the atropine dosage for a pediatric patient with organophosphate poisoning?
Which factors determine the atropine dosage for a pediatric patient with organophosphate poisoning?
What is the role of a normal saline flush following adenosine administration?
What is the role of a normal saline flush following adenosine administration?
Which EKG rhythm is most likely to respond positively to adenosine administration?
Which EKG rhythm is most likely to respond positively to adenosine administration?
What is the most likely issue if Albuterol doesn't seem to be helping a wheezing patient?
What is the most likely issue if Albuterol doesn't seem to be helping a wheezing patient?
If a patient is already taking 81mg of aspirin daily, how should you manage aspirin administration during a suspected MI?
If a patient is already taking 81mg of aspirin daily, how should you manage aspirin administration during a suspected MI?
Which of the following is the most concerning side effect of atropine administration?
Which of the following is the most concerning side effect of atropine administration?
Why must calcium channel blocker overdoses be treated so aggressively?
Why must calcium channel blocker overdoses be treated so aggressively?
What symptoms will alert you to the need to administer D10?
What symptoms will alert you to the need to administer D10?
For a pediatric patient experiencing moderate pain, when might acetaminophen be considered over other pain medications?
For a pediatric patient experiencing moderate pain, when might acetaminophen be considered over other pain medications?
Why is adenosine given as a rapid IVP followed by a saline flush?
Why is adenosine given as a rapid IVP followed by a saline flush?
A patient with asthma is not responding to the first dose of nebulized albuterol. What is the next appropriate step?
A patient with asthma is not responding to the first dose of nebulized albuterol. What is the next appropriate step?
Why is aspirin administered during a suspected myocardial infarction?
Why is aspirin administered during a suspected myocardial infarction?
What is the primary mechanism of action that makes atropine effective in treating organophosphate poisoning?
What is the primary mechanism of action that makes atropine effective in treating organophosphate poisoning?
Why is calcium chloride administered in cases of hyperkalemia?
Why is calcium chloride administered in cases of hyperkalemia?
What is the greatest risk when administering D10 to a patient?
What is the greatest risk when administering D10 to a patient?
A patient complains of mild pain and is requesting pain medication. Their chart shows a history of liver disease. Which medication is most appropriate?
A patient complains of mild pain and is requesting pain medication. Their chart shows a history of liver disease. Which medication is most appropriate?
What common respiratory illness should be ruled out before administering albuterol?
What common respiratory illness should be ruled out before administering albuterol?
Why is aspirin chewed instead of swallowed whole during an MI?
Why is aspirin chewed instead of swallowed whole during an MI?
An otherwise healthy patient is having bradycardia from severe pain. What would provide the most benefit?
An otherwise healthy patient is having bradycardia from severe pain. What would provide the most benefit?
When is acetaminophen the MOST suitable analgesic choice?
When is acetaminophen the MOST suitable analgesic choice?
What is the MOST important consideration when administering intravenous acetaminophen to a patient?
What is the MOST important consideration when administering intravenous acetaminophen to a patient?
After administering the initial dose of adenosine, the patient's heart rhythm does not convert. What is the next appropriate step?
After administering the initial dose of adenosine, the patient's heart rhythm does not convert. What is the next appropriate step?
Why is a rapid IV push (IVP) followed by a saline flush crucial when administering adenosine?
Why is a rapid IV push (IVP) followed by a saline flush crucial when administering adenosine?
Which of the following patients would MOST likely benefit from albuterol administration?
Which of the following patients would MOST likely benefit from albuterol administration?
A patient with a history of asthma is experiencing acute respiratory distress with severe wheezing. After the first 2.5mg nebulized albuterol treatment, there is minimal improvement. What is the MOST appropriate next step?
A patient with a history of asthma is experiencing acute respiratory distress with severe wheezing. After the first 2.5mg nebulized albuterol treatment, there is minimal improvement. What is the MOST appropriate next step?
In the context of acute myocardial infarction (AMI), why is aspirin administered?
In the context of acute myocardial infarction (AMI), why is aspirin administered?
A patient is suspected of having an acute myocardial infarction (AMI) but reports being allergic to oral medications. What is the MOST appropriate alternative route of aspirin administration?
A patient is suspected of having an acute myocardial infarction (AMI) but reports being allergic to oral medications. What is the MOST appropriate alternative route of aspirin administration?
Which of the following assessment findings would warrant the administration of atropine?
Which of the following assessment findings would warrant the administration of atropine?
A 50-year-old male presents with a heart rate of 40 bpm, is hypotensive, and complains of dizziness. The medication protocol allows for atropine administration. After administering the initial dose of atropine, what is the MOST important reassessment?
A 50-year-old male presents with a heart rate of 40 bpm, is hypotensive, and complains of dizziness. The medication protocol allows for atropine administration. After administering the initial dose of atropine, what is the MOST important reassessment?
For which of the following conditions would calcium chloride be MOST appropriate?
For which of the following conditions would calcium chloride be MOST appropriate?
In which of the following scenarios is calcium chloride administration MOST likely indicated without requiring a base hospital order?
In which of the following scenarios is calcium chloride administration MOST likely indicated without requiring a base hospital order?
Why should you administer D10 to a patient.
Why should you administer D10 to a patient.
A patient presents with mild pain (rated 3/10) after a minor injury. They have a history of liver disease. Which analgesic medication is MOST appropriate?
A patient presents with mild pain (rated 3/10) after a minor injury. They have a history of liver disease. Which analgesic medication is MOST appropriate?
A patient with COPD is in severe respiratory distress. Auscultation reveals diffuse wheezing. Before administering albuterol, it is MOST important to rule out:
A patient with COPD is in severe respiratory distress. Auscultation reveals diffuse wheezing. Before administering albuterol, it is MOST important to rule out:
During a suspected myocardial infarction (MI), why is aspirin administered in chewable form rather than swallowed whole?
During a suspected myocardial infarction (MI), why is aspirin administered in chewable form rather than swallowed whole?
A patient is experiencing symptomatic bradycardia due to severe pain from a fractured femur. Which initial intervention would MOST likely provide the greatest benefit:
A patient is experiencing symptomatic bradycardia due to severe pain from a fractured femur. Which initial intervention would MOST likely provide the greatest benefit:
A patient presents with a heart rate of 180 and narrow QRS complexes on the ECG. After vagal maneuvers are unsuccessful, what medication should be prepared next?
A patient presents with a heart rate of 180 and narrow QRS complexes on the ECG. After vagal maneuvers are unsuccessful, what medication should be prepared next?
A patient with asthma is in severe respiratory distress. After initial treatment with albuterol, the patient shows signs of improvement, but the wheezing persists. What is the MOST appropriate step in management?
A patient with asthma is in severe respiratory distress. After initial treatment with albuterol, the patient shows signs of improvement, but the wheezing persists. What is the MOST appropriate step in management?
A patient is undergoing treatment for organophosphate poisoning with atropine. Which of the following indicates that the atropine is having a therapeutic effect?
A patient is undergoing treatment for organophosphate poisoning with atropine. Which of the following indicates that the atropine is having a therapeutic effect?
A patient with end-stage renal disease on dialysis is in cardiac arrest. Which is MOST likely a cause, and therefore an indication for calcium chloride?
A patient with end-stage renal disease on dialysis is in cardiac arrest. Which is MOST likely a cause, and therefore an indication for calcium chloride?
Following the administration of D10 to a patient with hypoglycemia, which assessment finding would indicate the MOST successful treatment?
Following the administration of D10 to a patient with hypoglycemia, which assessment finding would indicate the MOST successful treatment?
A patient with a suspected myocardial infarction is allergic to aspirin. Which medication would be the MOST appropriate substitute?
A patient with a suspected myocardial infarction is allergic to aspirin. Which medication would be the MOST appropriate substitute?
You are treating a patient with symptomatic bradycardia. After administering the maximum dose of atropine without improvement, what should be considered?
You are treating a patient with symptomatic bradycardia. After administering the maximum dose of atropine without improvement, what should be considered?
A patient presents with a calcium channel blocker overdose. What is the MOST important reassessment to make after the administration of calcium chloride?
A patient presents with a calcium channel blocker overdose. What is the MOST important reassessment to make after the administration of calcium chloride?
What concentration of dextrose is D10?
What concentration of dextrose is D10?
A patient presents with symptoms suggestive of organophosphate poisoning. After administering an initial dose of atropine, the patient's symptoms persist. How should the subsequent doses of atropine be adjusted?
A patient presents with symptoms suggestive of organophosphate poisoning. After administering an initial dose of atropine, the patient's symptoms persist. How should the subsequent doses of atropine be adjusted?
A patient with suspected hyperkalemia due to crush injury suddenly becomes bradycardic. Which intervention should be employed?
A patient with suspected hyperkalemia due to crush injury suddenly becomes bradycardic. Which intervention should be employed?
A patient with asthma is being treated with repeated doses of albuterol. Which side effect requires particularly close monitoring?
A patient with asthma is being treated with repeated doses of albuterol. Which side effect requires particularly close monitoring?
Following the administration of adenosine for SVT, a patient experiences a brief period of asystole. What is the MOST appropriate course of action?
Following the administration of adenosine for SVT, a patient experiences a brief period of asystole. What is the MOST appropriate course of action?
A patient with a suspected myocardial infarction (MI) refuses to chew the prescribed aspirin. What is the BEST alternative?
A patient with a suspected myocardial infarction (MI) refuses to chew the prescribed aspirin. What is the BEST alternative?
After administering D10 to a patient a provider accidentally gets some dextrose in the IV. What is the best action?
After administering D10 to a patient a provider accidentally gets some dextrose in the IV. What is the best action?
A patient experiences bronchospasm following an allergic reaction. Which of the following medications is MOST appropriate?
A patient experiences bronchospasm following an allergic reaction. Which of the following medications is MOST appropriate?
A patient presents with an acutely shortened QT interval. Which medication might have caused this?
A patient presents with an acutely shortened QT interval. Which medication might have caused this?
After administering a dose of adenosine to a patient in SVT, the cardiac rhythm converts to sinus rhythm. What should be the IMMEDIATE next step?
After administering a dose of adenosine to a patient in SVT, the cardiac rhythm converts to sinus rhythm. What should be the IMMEDIATE next step?
A patient with a suspected overdose on a calcium channel blocker becomes hypotensive and bradycardic. After establishing vascular access, which medication should be administered FIRST?
A patient with a suspected overdose on a calcium channel blocker becomes hypotensive and bradycardic. After establishing vascular access, which medication should be administered FIRST?
A patient with a blood glucose level of 60mg/dL exhibits confusion and combativeness. Which intervention is MOST appropriate?
A patient with a blood glucose level of 60mg/dL exhibits confusion and combativeness. Which intervention is MOST appropriate?
A patient complains of chest pain and is suspected of having a myocardial infarction. The patient's vital signs are stable, and they deny any allergies or contraindications. Which intervention would be MOST appropriate?
A patient complains of chest pain and is suspected of having a myocardial infarction. The patient's vital signs are stable, and they deny any allergies or contraindications. Which intervention would be MOST appropriate?
A patient with respiratory distress has audible wheezing and a history of asthma. The patient already has maxed out on albuterol. What is the following appropriate treatment for this patient?
A patient with respiratory distress has audible wheezing and a history of asthma. The patient already has maxed out on albuterol. What is the following appropriate treatment for this patient?
For a patient experiencing moderate pain (4/10) who has a known allergy to NSAIDs, what would be the most appropriate initial analgesic?
For a patient experiencing moderate pain (4/10) who has a known allergy to NSAIDs, what would be the most appropriate initial analgesic?
A patient with a history of liver disease requires pain relief. Which of the following is the MOST appropriate initial analgesic?
A patient with a history of liver disease requires pain relief. Which of the following is the MOST appropriate initial analgesic?
Following the administration of adenosine, a patient's heart rhythm converts from SVT to sinus rhythm, but they complain of chest pain. What is the MOST important next step?
Following the administration of adenosine, a patient's heart rhythm converts from SVT to sinus rhythm, but they complain of chest pain. What is the MOST important next step?
Adenosine is being administered for suspected SVT. What finding would be the BEST indication that it is working as expected?
Adenosine is being administered for suspected SVT. What finding would be the BEST indication that it is working as expected?
A patient with asthma is experiencing an acute exacerbation with increased wheezing, but their oxygen saturation is 98% on room air. What is the MOST appropriate initial dose of albuterol?
A patient with asthma is experiencing an acute exacerbation with increased wheezing, but their oxygen saturation is 98% on room air. What is the MOST appropriate initial dose of albuterol?
A patient with known COPD is in respiratory distress with wheezing. Despite the administration of 7.5mg of nebulized albuterol, the patient's condition is worsening, and their respiratory rate is now 36. What is the next step?
A patient with known COPD is in respiratory distress with wheezing. Despite the administration of 7.5mg of nebulized albuterol, the patient's condition is worsening, and their respiratory rate is now 36. What is the next step?
A patient is suspected of having an acute myocardial infarction but refuses to chew the prescribed aspirin due to its taste. What is the BEST alternative?
A patient is suspected of having an acute myocardial infarction but refuses to chew the prescribed aspirin due to its taste. What is the BEST alternative?
You are called to the scene of a 6 year old who was playing in their grandparent's garden and is now showing signs of significant respiratory distress, vomiting, and pinpoint pupils. What should be administered first?
You are called to the scene of a 6 year old who was playing in their grandparent's garden and is now showing signs of significant respiratory distress, vomiting, and pinpoint pupils. What should be administered first?
A patient with symptomatic bradycardia is receiving atropine. Which assessment finding indicates that atropine is having a therapeutic effect?
A patient with symptomatic bradycardia is receiving atropine. Which assessment finding indicates that atropine is having a therapeutic effect?
A patient is in cardiac arrest and has a history of end-stage renal disease (ESRD) on dialysis. Which of the following is MOST LIKELY a cause warranting the administration of calcium chloride?
A patient is in cardiac arrest and has a history of end-stage renal disease (ESRD) on dialysis. Which of the following is MOST LIKELY a cause warranting the administration of calcium chloride?
A patient overdoses on verapamil. Which of the following blocks the calcium channels in the heart, and is the appropriate treatment?
A patient overdoses on verapamil. Which of the following blocks the calcium channels in the heart, and is the appropriate treatment?
Following the administration of D10 to a hypoglycemic patient, which assessment finding indicates the MOST successful treatment?
Following the administration of D10 to a hypoglycemic patient, which assessment finding indicates the MOST successful treatment?
A patient with respiratory distress has audible wheezing and a history of asthma. What should you do after administering the maximum dose of albuterol?
A patient with respiratory distress has audible wheezing and a history of asthma. What should you do after administering the maximum dose of albuterol?
Your patient is stable, has a narrow QRS complex tachycardia, and possible SVT. What medication is most appropriate?
Your patient is stable, has a narrow QRS complex tachycardia, and possible SVT. What medication is most appropriate?
You are treating a patient with a calcium channel blocker overdose. After administering calcium chloride, what is the MOST important step you should take?
You are treating a patient with a calcium channel blocker overdose. After administering calcium chloride, what is the MOST important step you should take?
You arrive on scene for a 3 year old who was found pulseless and apneic. The child was playing near the garden shed. The child is bradycardic. What medication should you administer?
You arrive on scene for a 3 year old who was found pulseless and apneic. The child was playing near the garden shed. The child is bradycardic. What medication should you administer?
A patient complaining of chest pain is suspected of having a myocardial infarction. The patient's vital signs are stable, and they deny any allergies or contraindications. What initial intervention is MOST appropriate?
A patient complaining of chest pain is suspected of having a myocardial infarction. The patient's vital signs are stable, and they deny any allergies or contraindications. What initial intervention is MOST appropriate?
What is the reason you would administer Albuterol to a patient who is experiencing toxic gas inhalation?
What is the reason you would administer Albuterol to a patient who is experiencing toxic gas inhalation?
In which situation is Calcium Chloride indicated, without a base hospital order?
In which situation is Calcium Chloride indicated, without a base hospital order?
Flashcards
Acetaminophen Indications
Acetaminophen Indications
For mild to moderate pain scales of 1-5 or in moderate to severe pain where other medications are contraindicated or deferred
Acetaminophen Doses
Acetaminophen Doses
Adult - 1gm IV/IO infusion over 15 minutes. 1 dose only. Pediatric- 15mg/kg (max 1gm) IV/IO infusion over 15 minutes. single dose only.
Adenosine indications
Adenosine indications
Stable narrow complex SVT or wide complex tachycardia
Adenosine doses
Adenosine doses
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Albuterol indications
Albuterol indications
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Albuterol doses
Albuterol doses
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Aspirin indications
Aspirin indications
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Aspirin dose
Aspirin dose
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Atropine indications
Atropine indications
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Atropine doses
Atropine doses
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Calcium chloride and indications
Calcium chloride and indications
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Calcium chloride dose
Calcium chloride dose
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D10 indications
D10 indications
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Study Notes
- Study notes on ICEMA drug indications and doses
Acetaminophen
- Indicated for mild to moderate with pain scales of 1-5, or moderate to severe pain when other medications are not suitable.
- Adult dose: 1gm IV/IO infusion over 15 minutes, single dose only.
- Pediatric dose: 15mg/kg (up to 1gm max) IV/IO infusion over 15 minutes, single dose only.
Adenosine
- Indicated for stable narrow complex SVT or wide complex tachycardia.
- Adult dose only: 6mg rapid IVP followed by 20cc NS. If no conversion, administer 12mg rapid IVP followed by 20cc NS, repeat once more if needed.
Albuterol
- Indicated for asthma, allergic reaction, COPD, hyperkalemia, near drowning, toxic gas inhalation.
- Standard dose: 2.5mg nebulized, may repeat twice for a total of 7.5mg.
- For hyperkalemia: 2.5mg nebulized, may repeat twice or give 7.5mg continuously.
Aspirin
- Indicated for Acute Myocardial Infarction or myocardial ischemia.
- Adult dose only: 325mg PO tablet or 4 x 81mg chewable tablets (total 324mg).
Atropine
- Indicated for symptomatic Bradycardia and organophosphate poisoning.
- Adult dose for symptomatic bradycardia: 1mg IV/IO, repeat every 5 minutes up to 3mg max.
- Adult dose for organophosphate poisoning: 2mg IV/IO, repeat every 5 minutes if symptomatic
- Pediatric dose (under 14yo) for organophosphate poisoning: 0.05mg/kg (max 2mg), may repeat at 0.1mg/kg increments every 5 minutes if symptomatic.
Calcium Chloride
- Indicated for Calcium channel blocker poisoning.
- Indicated for cardiac arrest with suspected hypocalcemia, hyperkalemia, hypermagnesemia, or calcium channel blocker poisoning.
- Indicated for ESRD patients on dialysis with suspected hyperkalemia and hemodynamic instability alongside specific arrhythmias
- Indicated for suspected hyperkalemia due to crush injury (prolonged entrapment or abnormal EKG findings).
- Adult dose: 1gm IV/IO for all indications. Base hospital order required except for hyperkalemia due to crush injury.
- Pediatric dose (Base hospital order only): For Calcium channel blocker poisoning, administer 20mg/kg IV/IO over 5 minutes, up to 1gm max.
D10
- Indicated for hypoglycemia.
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