Card Set Information
MORE FINAL QUESTIONS
More final questions 5/2/11
The max cumulative dose for attropine is?
Bretylium is used for:
V Tach, V fib refrac to Lido
Bretylium first dose is:
5 mg/kg IV
Bretylium second dose is:
10 mg/kg/15-30 mins to a max of 30 mg/kg
CaCl is primarily used prehospital for?
Benadryl is contraindicated for _____.
Cardizem is classed as a ____.
Epi max dose is?
There is no max
Epi pedi cardiac arrest dose is _____.
0.01 mg/kg 1:10,000 IV/IO
Etomidate is trade named?
Romazicon is dosed @ _____.
0.2 mg IV over 30-60 sec up to 1 mg
Glucagon can be used in what 2 situations w/what doses?
Hypoglycemia 1 mg IM/SC
Beta blocker OD 50-150 mcg/kg over 1 min
Isoproterenol is in 1 algorithm. What is it?
Bradycardia refrac to atropine
Mag works by:
Acting as a CCB, CNS depressant, Anticonvulsant
Depresses function of smooth, skeletal & cardiac muscles
Solu medrol is dose @ what for spinal injury?
30 mg/kg IV over 15 min
At its weight based max you may run this much procainamide into your 80 kg pt.
Aminophyline is classed as a _____.
Chlordiazepoxide is generic for ____.
Morphine is classed as a ____ ____.
Morphine is contraindicated for COPD/Asthma. Why?
Causes resp depression
Racemic epi is indicated for ____.
Phenergan is classed as a ____.
Trade name anectine is generic named ____.
Tridil is classed as a ____.
Thiamine is dosed @ _____.
Verapamil is classed as a ____.
Verapamil would be bad to use in a wide QRS b/c it?
Slows AV conduction causing it to widen further
Adenosine should be used secondary to an attempt @?
Albuterol is trade named ____.
Amiodarone has a contraindication of ____ & ____.
2nd & 3rd degree heart blocks
Atrovent is generic named ?
Atropine works by?
Stimulating the parasympathetic NS & vagus nerve
Atropine is used for what 3 things?
Organo Phosphate Poisoning
Atropine is precautioned for ____ & for ____.
AMI & for glaucoma
An LBBB has a ____ deflection b/f the J point.
An extreme right axis & an upright V1 equals
An rSr pattern b/f the j point is what?
Which left hemiblock has the highest mortality rate?
Posterior hemiblock @ 71% b/c for it to occur 2 separate blood supplies have to be damaged
Name 3 hypertension meds.
What class of drug is toradol?
What does Flumazenil do?
Pharmacodynamics is defined as:
How a drug interacts with the body to cause its effects
The 6 rights of med admin are:
Pregnancy Code A means:
Adequate studies in pregnant women have not demonstrated a risk to the fetus in the 1st trimester or later trimesters
Pharmacokinetics is defined as:
How drugs are transported into and out of the body
Biotransformation is defined as:
How a drug changes body chem in order to achieve its desired effect
Name 2 drug routes & give examples of each
Parenteral - IV, IO, IM, SC,
Enteral - PO, PR, UDT, Topical
A receptor site is defined as:
Place a drug binds to to achieve its desired result
Schedule II drug is:
High abuse potential
Has medical uses
ie cocaine, morphine
Schedule I drug is:
High abuse potential
No medical use
ie heroin, LSD
Schedule III drug is:
Less abuse than I & II
Accepted med uses
ie vicodin, Tylenol w/codeine
Schedule IV drug is:
Accepted med uses
ie Valium, Xanax
An anesthetic is defined as a drug that:
A drug that causes an absence of all sensation
An analgesic is defined as a drug that:
A drug that relieves the sensation of pain
An agonist is a drug that:
Drug that binds to a receptor & causes it to initiate the expected response
Beta agonist effects include:
Beta 1 - Vasoconstriction, Bronchoconstriction
Beta 2 - Vasodilation, Bronchodilation
Opiate properties include:
A prototype drug is defined as:
A drug within a class that exhibits ALL of the properties of that class
Name 3 antianginal agents.
Name 2 prehospital analgesics.
MS, Nubain, Aspirin, Butorphanol/Stadol, Fentanyl, Meperidine/Demerol
Name 1 diuretic.
Name 1 parasymphalytic.
Name 3 antiarrhythmic drugs.
Lido, Amio, Procainamide, Bretylium, Verapamil, Cardizem, Adenosine
Indications for benadryl.
3 indications for dopamine
To increase cardiac output
Non hypovolemic hypotension
Dosage range for dopamine?
Available routes for narcan?
IV, IO, IM, IN
Dosage range for narcan.
0.4 -2mg up to 10mg
Class of drug for procardia (nifedipine).
Class of drug: Propranolol
Indication for vecuronium (norcuron):
Paralytic for RSI
Actions of etomidate:
Short acting hypnotic w/no analgesic effects & limited cardiovascular effects
Class of drug: Isoproterenol (isuprel):
Indication for Isoproterenol:
Class of drug: Ipecac
Class of drug: Verapamil
What is the prototype benzo?
What does SLUDGE stand for?
If a rhythm is reg the most accurate way to calculate heart rate is to count the num of small squares between 2 R waves & divide the number into ______.
The QRS in A fib is ____.
Atrial rhythms originate in the ____ ____.
Name a factor that is not assoc w/an increased incidence of SIDS:
Poisons fr bacterial cells when they die are called:
The largest % of water in the body is ____ fluid.
As blood vol is lost due to traumatic inj, the body's response is to:
Increase HR & close precapillary sphincters
Describe an antibody:
A substance produced by B lymphocytes that binds w/an antigen
The primary constituent of plasma is ____.
The process of cell division by which the body grows is known as ____.
Drugs w/high abuse potential & no acceptable medical benefits are classified as Schedule ____.
A properly placed ____ ____ effectively isolates the trachea for ventilation & protection fr aspiration
The leading cause of death fr unintentional inj in the US is:
What is a likely response to a dry drowning?
What measure most effectively protects EMS workers fr infectious disease?
What IV solution will remain in the vascular system the longest?
Your pt is a toddler w/burns to the back of his head and his entire back. What % is he injured?
You arrive @ an MCI. What is the first thing you should do?
Scene size-up and set up command
Define Guillain Barre Syndrome.
A virus that triggers nerve damage and rapid loss of motor function
Poisons released fr dying bacterial cells are called ____.
Polio often ends in ____.
According to the AHA the gold standard treatment for V-Fib is _____.
High quality CPR
What are the S&S of Cardiac Tamponade?
Rapid Weak Pulse
Decreasing systolic BP
Narrowing Pulse Pressures
What are the S&S of Cardiogenic Shock.
What are the S&S of Becks Triad?
Distant, muffled heart sounds
What are the S&S of cardiac tamponade?
Thickening of artery walls due to build up of fatty materials
Describe an AAA.
Ballooning of the abdominal aorta >50%. Usually asymptomatic unless rupture occurs
What are the S&S of an AAA?
10/10 low back, flank, abdomen & groin pain
What is thermolytic Inadequacy?
Failure of body's thermoregulatory mechanisms to compensate adequately
Hyperthermia is described as:
Unusually high core body temp
Passive cooling techniques include:
Ice Paks in arm pits, groin
What is the result of left sided heart failure?
Increased back pressure into the circulatory system
What is the result of right sided heart failure?
Increased back pressure into systemic venous circulation
What is coughing up of clear or pink sputum indicative of?
How do we make D10NS?
Draw 50ccs fr a 250 bag and add 25g in 50ccs of D50
What are the 4 types of thermolysis?
What is the acronym AEIOUTIPS used for & what does each stand for?
What are the 2 divisions of the autonomic NS?
Sympathetic - fight or flight
Parasympathetic - feed & breed
What are the 2 primary components of the CNS?
The afferent NS carries impulses where?
Toward the CNS
The efferent NS carries impulses where?
From brain & spinal cord to periphery
Name 5 toxic metabolic states.
What are S&S of pancreatitis?
Severe upper abd pain radiating to back
What are S&S of acute gastroenteritis?
Stomach pain or spasms
Loss of appetite
Ulcerative Colitis have S&S of:
Mucus like stool w/blood
Fever in severe cases
Different degrees of Abd pain
S&S of Crohn's disease include:
Porridge like stool
S&S of diverticulitis include:
Signs of lower GI bleeding
Give 4 causes of a ruptured blood vessel in the skull (head bleed).
Where is a subdural Hematoma located & what are S&S?
Between the dura & arachnoid
S&S H/A & AMS
Where is an epidural hematoma located & what are S&S?
Between the duramater and the cranium
S&S Lucid interval followed by unconsciousness
Where is a subarachnoid hemorrhage & what are S&S?
Between arachnoid & pia meningeal layers
S&S Sudden onset severe H/A
Decorticate posturing is characterized by:
Elbows, wrists & fingers flexed
Legs extended w/inward rotation
Decerebrate posturing is characterized by:
Head arched backward
Arms extended by sides
Body rigid w/teeth clenched
TCA OD presents how on EKG?
Lg R in aVR
What determines a dry drowning?
An insignificant amt of water in the lungs
What determines a wet drowning?
A significant amt of water in the lungs
What is the mammalian diving reflex?
A reflex in mammals which optimizes respiration to allow staying underwater for extended periods of time
What is the primary cause of death in a drowning?
A fresh water drowning causes what in the lungs?
Causes alveoli to collapse fr lack of surfactant
A salt water drowning has what effect on the lungs?
Causes hypoxemia due to hypertonic nature of salt water
Also causes Pulmonary Edema
What does the xray look like in an ARDS pt?
What determines a drowning?
Death fr asphyxia due to suffocation caused by liquid entering the lungs
S&S of Beta blocker OD include:
Hx of Beta blocker use
Dull crampy abd pain that is not reproducable and is not effected by palpation is usually ____ fr someplace else.
A calf that is swollen, cool to the touch and sore is probably caused by ____ ____.
When checking for excursion the thumbs are placed on the ____ ____.
If insulin and beta blockers are taken together what can happen?
The beta blockers can mask the effects of hypoglycemia
Pupillary constriction, hypersalivation, wheezing, bradycardia are all part of what NS?
Inderol causes what?
Being respectful to a pt's family is an example of what duty?
Disadvantage of vascular replacement with isotonic crystaloids?
It get rapidly excreted
The least likely cause of PEA is _____.
A cardiac risk factor for stroke is _____.
Initial Algorithm for anaphylaxis simply put.
O2 -> Epi -> Benadryl
STEMI in 2,3,aVf = ____.
Left Ventricular MI
What is the time for the PRI?
0.12 - 0.20 sec
Aspiration causes ____ ____ & ____ ____.
Sexually assualted w/a foreign obj w/vaginal hemorrhage what is appropriate?
The leading cause of unintentional inj is _____.
An obligation to treat all pts fairly is legally known as ____.
A seizure w/rapid loss of consciousness & motor coordination, muscle spasms & jerky motions is known as ____ ____.
What is collace?
What is the Pedi dose of albuterol?
What is the pedi dose for Epi?
0.01mg/kg w/max single dose of 0.3-0.5mg SC
What is the Pedi dosage for benadryl (hint same as dog dosage).
1 mg/kg to a max of 50 mg
What is Pedi dosage for solu-medrol?
What is the minimum dose of atropine for a Pedi pt & why is there a minimum?
0.1 mg regardless of calc b/c lower dosage could cause reverse?
What is the max single dose of atropine for a pedi pt repeated how many times?
0.5 mg repeated twice
Give 3 S&S of symptomatic Bradycardia?
When BLS doesn't work for FBAO what is the ALS algorithm?
McGills & scope
Push R mainstem
Unresponsive w/tombstone T's & STEMI in V1-V4 equals?
Left ventricular hypertrophy shows how on an EKG?
R's > 35 boxes in 2 or more consecutive leads
What are 4 characteristics of SVT?
P's present but not discernible
Pedi pt w/uncontrollable drooling and SOB probably has ____.
Tx for an anteroseptal MI includes what med in what dose?
What part of the kidney forms urine?
Propranalol causes what effect on tropic properties?
A pregnant pt w/tearing abd pain & recent cocaine use is probably experiencing ____ ____.
Death fr an MI is most commonly caused by ____.
Which of the following is part of the mother's routine post pardum care? Oxytocin, fundal massage, 1000mL NS or Encourage mother to bear down to deliver placenta?