CORRECT ANSWERS 2024, 141 QUESTIONS AND
CORRECT ANSWERS, WITH COMPLETE SOLUTION.
ACETYLSALICYLIC ACID (ASPIRIN)
CLASS:
Nonsteroidal anti-inflammatory (NSAID)
ACTION:
Platelet Inhibition
DOSE:
ADULT: 324mg PO (81mg tablets x4)
PED: Not recommended for use
ROUTE:
PO (chew and swallow)
CONTRAINDICATIONS:
Allergy to Aspirin
ADVERSE REACTIONS:
None
RELATED PROTOCOLS:
Acute Coronary Syndrome
ACTIVATED CHARCOAL
CLASS:
Adsorbent
ACTION:
Inhibits gastrointestinal absorption of toxic substances
DOSE:
ADULT: 50gm PO
PED: 1.0 gm/kg; min dose 10gm; max dose 50gm
ROUTE:
PO
CONTRAINDICATIONS:
Altered mental status; ingestion of acids, alkalis, or petroleum distillates; inability to
swallow; previous administration of an emetic
ADVERSE REACTIONS:
,Nausea, vomiting
RELATED PROTOCOLS:
Overdose/Poisoning, Pediatric Overdose/Poisoning
ALBUTEROL
CLASS:
Sympathomimetic
ACTION:
Bronchodilator
DOSE:
ADULT: 2.5mg in 3.0ml SVN, repeat until
improvement
PED: 2.5mg in 3.0ml SVN, repeat until
improvement
ROUTE:
Inhalation by oxygen nebulization (O2 at 6-8 lpm)
CONTRAINDICATIONS:
Hypersensitivity to the drug
ADVERSE REACTIONS:
Tachycardia, palpitations, anxiousness, headache
RELATED PROTOCOLS:
Allergic Reaction, Chest Pain, Drowning, Hyperkalemia, Respiratory Distress, Pediatric
Allergic Reaction, Pediatric Drowning, Pediatric Respiratory Distress
DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL)
CLASS:
Antihistamine
ACTION:
Blocks histamine receptors; has some sedative effects; anticholinergic
DOSE:
ADULT: 50mg IM/IV
PED: 1.0 mg/kg IM/IV; max 50mg
ROUTE:
IV or deep IM
CONTRAINDICATIONS:
Hypersensitivity to the drug
, ADVERSE REACTIONS:
Sedation, palpitations, decreased blood pressure, headache, dries (thickens) bronchial
secretions, blurred vision
RELATED PROTOCOLS:
Allergic Reaction, Pediatric Allergic Reaction
EPINEPHRINE 1:1000
CLASS:
Sympathomimetic
ACTION:
Bronchodilation, positive chronotrope, positive inotrope
DOSE:
Allergic Reaction (Anaphylaxis):
ADULT: 0.5mg IM; may repeat q 15 min up to
max 1.5mg
PED: 0.01 mg/kg IM; max single dose 0.5mg;
may repeat q 5 min up to max 1.5 mg
ROUTE:
IM/IV/ETT/SVN
CONTRAINDICATIONS:
Underlying cardiovascular disease/angina, hypertension, pregnancy, pt. over 40 y/o,
hyperthyroidism
ADVERSE REACTIONS:
Palpitation due to tachycardia or ectopic beats may produce arrhythmia if cardiac
disease present, elevation of blood pressure, headache, anxiousness
RELATED PROTOCOLS:
Allergic Reaction, Cardiac Arrest, Pediatric Allergic Reaction, Pediatric Bradycardia,
Cardiac Arrest Non-Traumatic, Pediatric Neonatal Resuscitation, Pediatric Respiratory
Distress
GLUCAGON
CLASS:
Insulin antagonist
ACTION:
Reverses the effects of hypoglycemia
DOSE:
ADULT: 1.0mg IM for no IV access
PED: (AMS/SHOCK): 0.5mg IM (<20 kg); 1.0mg
IM (>20 kg) for no IV access;