Transcript Which drug (other than Valium) may be used to terminate status

Which drug (other than Valium)
may be used to terminate
status epilepticus?
50% Dextrose
Also Ativan (lorazepam)
You carry only one injectable
drug which may normally be a
color other than clear.
1) What drug is it?
2) What color?
1) Valium
2) pale yellow
What is the first drug of choice in
Pulseless Electrical Activitiy
(PEA)?
Epinephrine
What is the generic name for:
1) Narcan
2) Isuprel
3) Lasix
4) Valium
1) Naloxone
2) Isoproterenol
3) Furosemide
4) Diazepam
You have been ordered to give 8
mg. of drug Alpha 1. It is
supplied in 2 mg/ml. How
many ml should you give?
4 ml.
2 mg.
1 ml.
=
2X = 8;
X = 4 ml.
8 mg.
X
Why should the total number of
nitroglycerine tablets taken per
angina attack be limited?
to minimize hypotension
Name two drugs carried on the
ambulance which may cause
CNS depression
1) Benadryl
2) morphine
3) Valium
Name two contraindications for
the administration of Syrup of
Ipecac
1) coma (decreased LOC)
2) convulsions
3) caustic/corrosive ingestion
4) <1mL/Kg hydrocarbons
5) cyclic OD
Use with caution:
1) cardiac disease
2) last 1/2 of pregnancy
What volume of Epinephrine
1:1000 will contain 0.4 mg?
0.4 mL
What does atropine do to pupils?
dilates
What is the ANS action of
glucagon?
sympathomimetic
Name all the drugs carried in the
ambulance which can safely be
given down the ET tube
1) Lidocaine
2) Atropine
3) Naloxone
4) Epinephrine
5) Vasopressin
Name all the drugs carried in
the ambulance which should
be given down the ET tube
None. AHA recommends using
IO if IV access is not easily
obtained. All drugs may be
given via IO.
What is the formula for
calculating the dose for a bolus of
Lidocaine?
1 to 1.5 mg per Kg
Why is it undesirable to give
medications IM to a chest pain
patient?
Later diagnosis will be more
difficult since IM injections will
elevate the same serum enzymes
as a MI
What is the name of the narcotic
which may be used to treat
diarrhea?
Lomotil
What may happen if sodium
bicarbonate is mixed with:
1) Calcium
2) Epinephrine
1) it precipitates
2) the epinephrine is inactivated
You have just placed 200 mg of drug Beta 2
into a 250 cc bag. Your orders are to infuse
40 mcg/min. How many gtts/min will you
give? No peeking!
200 mg into 250 cc bag
200 mg. = 200,000 mcg = 80 mcg
250 cc
250 cc
1 cc (60 gtts)
80 mcg. = 40 mcg.
60 gtts
X
80 X = 2400
X=30 gtts/min.
Name the two primary problems
that are treated with epinephrine
1:1000
1) allergic reaction
2) asthma
What is the duration of action of
Lidocaine?
10-20 minutes
Name a side effect of Lidocaine
which indicates that too large a
dose has been given, and that the
infusion of Lidocaine should be
stopped.
1) convulsions
2) hypotension
3) bradycardia
4) heart block
If you want to give a patient 60
mL of D5W in one hour, how
many drops per minute should
you give:
1) using mini-drip
2) using regular drip
1) 60 gtts/min.
2) 10 gtts/min.
Name two effects that Isuprel has
on the heart.
Increased conduction
Increased Rate
Increased Strength of contraction
so:
Increased cardiac output
Increased myocardial O2 demand
Increased ventricular irritability
How long should a patient be
allowed to continue in seizure
activity before Valium is given?
5 minutes
What is the first drug of choice to
treat sinus bradycardia with
PVC’s?
atropine
If you give a patient 50 mL of
50% dextrose, how many grams
did you give?
25 grams of dextrose
List the four end-points for
giving Procainamide
17 mg/kg
rhythm converts
QRS widens
hypotension
What is the standard dosing
of Adenosine
1) initial
2) repeat
1) 6 mg
2) 12 mg
What type of drug is Compazine?
Phenothiazine
Name two more phenothiazines
thorazine, haldol, prolixin,
mellaril, stelazine
What is the other name for
Diltiazem
Cardizem
What kind of drug is Elavil?
Cyclic antidepressant
What is the standard
concentration of solution for an
infusion of Lidocaine
1 gram in 250 cc
What is the standard
concentration of solution for an
infusion of Dopamine?
400 mg in 250 cc
You have been ordered to infuse
Dopamine at 20 mcg/kg/min to a
patient who weighs 132 lbs. At
what drip rate will you flow the
medication?
132 lbs. / 2.2 = 60 kg.
20 mcg/kg x 60 kg = 1200 mcg total
dose
400 mg Dopamine = 400,000 mcg
250 cc
250 cc
But wait…..there’s more!
400,000 mcg = 1600 mcg
250 cc
1 cc (60 gtts)
1600 mcg = 1200 mcg (total dose)
60 gtts
X gtts
1600 X = 72000
X= 45 gtts/min (whew!) and it’s
Remember this one?
Dose x weight x 60
1600
So…
20 mcg x 60 kg x 60
1600
72000 = 720 = 90 = 45 gtts/min (it works!)
1600 = 16 = 2
Give one trade name for
Albuterol
Proventil, Ventolin
Which is more likely to cause
respiratory depression:
IV Valium or Rectal Valium
IV Valium