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Drug Quiz 3

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Questions and Answers

What is the main effect of Adenosine on the SA node and vagal nerve terminals?

Cause Irregular Heart Rate
Decrease Heart Rate (correct)
Increase Heart Rate
No effect on heart rate

What is the recommended dose and route for administering this Adenosine medication to adults?

6 mg rapid IV/IO push followed by saline flush (correct)
12 mg rapid IV push without saline flush
6 mg intramuscular injection
6 mg oral administration

What is the class of Amiodarone (Cordarone)?

Class IV antidysrhythmic
Class III antidysrhythmic (correct)
Class I antidysrhythmic
Class II antidysrhythmic

What is the indication for using Amiodarone in patients with stable atrial rhythms?

Some stable atrial rhythms (D) Signup and view all the answers

What are the contraindications for using Amiodarone?

CHF, cardiogenic shock, bradycardia, 2nd or 3rd degree heart blocks with no pacemaker present, hypersensitivity to amiodarone or iodine (B) Signup and view all the answers

What is the maximum total dose of atropine for a child with bradycardia not responding to Epi?

1 mg (A) Signup and view all the answers

Which medication may potentiate the effects of atropine?

Antipsychotics (C) Signup and view all the answers

What are the contraindications for Calcium Chloride administration?

V-Fib during cardiac resuscitation, digitalis toxicity, hypercalcemia (B) Signup and view all the answers

What are the side effects of Calcium Chloride administration?

Bradycardia, hypotension, metallic taste in mouth (C) Signup and view all the answers

What is the onset of action for Diltiazem (Cardizem)?

2 - 5 minutes (B) Signup and view all the answers

What is the recommended adult dose of Diltiazem (Cardizem) for IV/IO administration?

15-20 mg over 2 minutes, may be repeated at 20-25 mg over 2 minutes (D) Signup and view all the answers

What should be used with caution when administering Diltiazem (Cardizem)?

Renal/liver impaired patients and those taking beta blockers (C) Signup and view all the answers

What are the indications for the use of dopamine?

Cardiogenic shock and septic shock (B) Signup and view all the answers

What is the recommended dose and route of administration for epinephrine in adults with anaphylaxis/asthma?

0.3-0.5 mg SQ/IM (C) Signup and view all the answers

What are the side effects associated with the use of epinephrine?

Hypertension, anxiety, cardiac dysrhythmias (B) Signup and view all the answers

What are the contraindications for using nitroglycerin?

Recent use of erectile dysfunction drugs (A) Signup and view all the answers

What is the recommended adult dose of Metoprolol (Lopressor) for slow IV administration?

5 mg at 1-2 min intervals up to 15 mg max (A) Signup and view all the answers

What is a potential side effect of Metoprolol (Lopressor) administration?

Bradycardia (C) Signup and view all the answers

What is the main action of norepinephrine (Levophed)?

Causing vasoconstriction and increased myocardial contractility (B) Signup and view all the answers

What is a potential side effect of norepinephrine (Levophed)?

Hypertension (D) Signup and view all the answers

What is the onset of action for sodium bicarbonate?

8-10 minutes (D) Signup and view all the answers

What is the primary action of sodium bicarbonate?

It binds to hydrogen ions to decrease blood pH (A) Signup and view all the answers

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