Questions and Answers
What is the classification of Acetaminophen/Tylenol?
Non-narcotic analgesic/antipyretic
What is the primary action of Norepinephrine/Levophed?
Causes peripheral vasoconstriction
What is the indication for Succinycholine/Anectine?
Rapid Sequence Intubation (RSI)
What is the primary action of Tranexamic Acid (TXA)?
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What is a contraindication for Norepinephrine/Levophed?
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What is a common side effect of Succinycholine/Anectine?
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What is the dose and route of administration for Acetaminophen/Tylenol?
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What is a warning for Tranexamic Acid (TXA)?
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What is the classification of Norepinephrine/Levophed?
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What is a common side effect of Acetaminophen/Tylenol?
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What is the dose and route of vasopressin for multisystem trauma?
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What is the classification of vasopressin?
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What is the indication for vasopressin in cardiac arrest?
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What are the side effects of vecuronium?
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What is the classification of vecuronium?
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What is the action of vecuronium?
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What is the dose and route of vecuronium for RSI?
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What is the warning for vecuronium in RSI?
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What is the side effect of vecuronium in RSI?
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What is the pediatric dose of vecuronium for RSI?
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Study Notes
Acetaminophen / Tylenol
- Classification: Non-narcotic analgesic and antipyretic
- Action: Inhibits cyclooxygenase
- Indications: Mild pain, moderate pain, and fever
- Dose and Route:
- 325-650 mg every 4-6 hours (oral)
- 650-1000 mg IV (intravenous)
- 1 gram (associated with nausea)
- PED: 10-15mg/kg every 4-6 hours
- Warnings and Interactions:
- Use with caution in children
- Monitor BP (blood pressure)
- Syncope (fainting) can occur
- If hypotension occurs, immediately wipe paste off
- Side Effects: Hypotension, dizziness
Norepinephrine / Levophed
- Classification: Sympathomimetic
- Action: Causes peripheral vasoconstriction
- Indications:
- Systolic BP < 0.5 mEq/kg
- Hyperventilation
- Cardiac arrest
- Hyperkalemia
- Dose and Route:
- Every 10 minutes
- Warnings and Interactions:
- Delivers large sodium load
- Can deactivate catecholamines
- Side Effects: Alkalosis
Succinylcholine / Anectine
- Classification: Neuromuscular blocking agent (depolarizing)
- Action: Skeletal muscle relaxer
- Indications: RSI (rapid sequence intubation)
- Dose and Route:
- 1-1.5 mg/kg IV
- 40-100 mg
- Warnings and Interactions:
- Paralysis occurs within 1 minute and lasts 8 minutes
- Side Effects: Hypotension, bradycardia, prolongs paralysis
Tranexamic Acid / TXA
- Classification: Anti-fibrinolytic
- Action: Promotes clotting factor
- Indications: Multisystem trauma
- Dose and Route:
- 1-2g over 10 minutes
- Warnings and Interactions:
- Contraindicated in brain bleed
- Side Effects: Nausea, vomiting, diarrhea, muscle pain
Vasopressin
- Classification: Hormone / Vasoconstrictor
- Action:
- Antidiuretic hormone
- Potent vasoconstrictor
- Indications: Cardiac arrest
- Dose and Route:
- 40 Units IV (single dose)
- Warnings and Interactions: None in the emergency setting
- Side Effects: Blanching of skin, hypertension, bradycardia
Vecuronium / Norcuron
- Classification: Neuromuscular block agent (non-depolarizing)
- Action:
- Skeletal muscle relaxant
- Paralyzes respiratory muscle
- Indications: RSI
- Dose and Route:
- 0.08-0.1 mg/kg IV
- Pediatric: 0.1 mg/kg IV
- Warnings and Interactions:
- ET intubation must be ready immediately
- Effect within 1 minute and lasts 30 minutes
- Side Effects: Prolonged paralysis, hypotension, bradycardia
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Description
This quiz covers the classification, action, and contraindications of Acetaminophen and Tylenol. Learn about its role as a non-narcotic analgesic and antipyretic.