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Questions and Answers
What is the maximum dose of [Name] that can be administered via the intravenous or intraosseous route in an adult experiencing anaphylaxis?
What is the maximum dose of [Name] that can be administered via the intravenous or intraosseous route in an adult experiencing anaphylaxis?
In what situation is the use of [Name] contraindicated due to potential for severe side effects?
In what situation is the use of [Name] contraindicated due to potential for severe side effects?
Which of the following medications is NOT mentioned as potentially interacting with [Name] to potentiate its effects?
Which of the following medications is NOT mentioned as potentially interacting with [Name] to potentiate its effects?
Which of these accurately describes the action of [Name] in the body?
Which of these accurately describes the action of [Name] in the body?
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What is the minimum weight requirement for administering [Name] orally to a patient?
What is the minimum weight requirement for administering [Name] orally to a patient?
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Which of the following is NOT a listed indication for using [Name] in the prehospital setting?
Which of the following is NOT a listed indication for using [Name] in the prehospital setting?
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What is the maximum single dose of epinephrine for a pediatric patient in a cardiac arrest scenario?
What is the maximum single dose of epinephrine for a pediatric patient in a cardiac arrest scenario?
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In the case of severe croup, epiglottitis, or bronchiolitis, what is the recommended route of administration for epinephrine?
In the case of severe croup, epiglottitis, or bronchiolitis, what is the recommended route of administration for epinephrine?
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What is the recommended initial dose of epinephrine for a child with bradycardia or cardiac arrest?
What is the recommended initial dose of epinephrine for a child with bradycardia or cardiac arrest?
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What is the recommended frequency of epinephrine administration for severe croup, epiglottitis, or bronchiolitis?
What is the recommended frequency of epinephrine administration for severe croup, epiglottitis, or bronchiolitis?
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What is the approximate duration of effect for epinephrine administered intravenously?
What is the approximate duration of effect for epinephrine administered intravenously?
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What is the recommended dose of etomidate for a child weighing 175 lbs?
What is the recommended dose of etomidate for a child weighing 175 lbs?
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What is a potential adverse effect of etomidate?
What is a potential adverse effect of etomidate?
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Which of the following is a contraindication for using etomidate?
Which of the following is a contraindication for using etomidate?
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Which of the following is NOT a contraindication or precaution for the use of epinephrine in the context of this content?
Which of the following is NOT a contraindication or precaution for the use of epinephrine in the context of this content?
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What is the recommended dosage of epinephrine for a pediatric patient experiencing anaphylaxis?
What is the recommended dosage of epinephrine for a pediatric patient experiencing anaphylaxis?
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Which of the following is NOT a direct action of epinephrine as stated in the content?
Which of the following is NOT a direct action of epinephrine as stated in the content?
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According to the content, what is the maximum total dose of epinephrine that can be administered via all routes?
According to the content, what is the maximum total dose of epinephrine that can be administered via all routes?
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What is the primary reason for administering epinephrine in cases of anaphylaxis?
What is the primary reason for administering epinephrine in cases of anaphylaxis?
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In the context of cardiogenic shock, why is epinephrine considered an alternative inopressor?
In the context of cardiogenic shock, why is epinephrine considered an alternative inopressor?
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Which of the following is the recommended dilution of epinephrine for IV administration in adults, as described in the content?
Which of the following is the recommended dilution of epinephrine for IV administration in adults, as described in the content?
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What is the purpose of administering epinephrine in cases of severe hypotension with a mean arterial pressure (MAP) of ≤45 mmHg?
What is the purpose of administering epinephrine in cases of severe hypotension with a mean arterial pressure (MAP) of ≤45 mmHg?
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Study Notes
Acetaminophen
- Non-salicylate antipyretic and non-opioid analgesic
- Indications for EMS: mild to moderate pain, headache, muscle aches
- Contraindications: severe hepatic impairment or severe dysrhythmias
- Side effects: rare severe skin reaction, redness, or rash
- Precautions: MOA inhibitors, TCAs, levothyroxine sodium potentiate effects; pregnancy
Epinephrine
- Action: vasoconstrictor, increases SVR and BP, stabilizes mast cells and basophils
- Indications for EMS: anaphylaxis, severe croup, epiglottitis, bronchiolitis, RSV
- Dose: adult anaphylaxis 0.1 mg IVP/IO, ped anaphylaxis 0.01 mg/kg slow IV/IO
- Contraindications: hypertension, cardiogenic shock, septic shock
- Side effects: severe hypertension, cardiac arrhythmias
Etomidate (Amidate)
- Sedative-hypnotic without analgesic activity
- Indications for EMS: alternate option to ketamine for sedation in children ≥ 10 and adults prior to ADV airway
- Contraindications: septic shock due to adrenal suppression, children 175 lbs
- Side effects: myoclonus, respiratory depression, apnea, laryngospasm
- Precautions: reduce pain at injection site
Fentanyl
- Class: synthetic opioid
- Indications for EMS: severe pain (7-10)
- Contraindications: intolerance to opioids, AMS (GCS ≤ 5), debilitated, SpO2 < 90% on 15 L O2
- Side effects: respiratory depression, hypoventilation, apnea, muscle rigidity, myoclonic movements
- Precautions: avoid over sedation, concurrent use of alcohol, benzos, SUD, COPD (respiratory depression)
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Description
This quiz covers the pharmacological aspects of pain management, including acetaminophen and epinephrine, their indications, contraindications, side effects, and precautions.
