ACCS Drugs from Study Exam questions
with correct answers
Fentanyl, Morphine, and Hydromorphone (Dilaudid) are all Narcotics, what drug
reverses the adverse affects of decreased Respiratory Rate and Heart Rate?
Answer✔✔ Narcan
A drug that blocks pain is considered what class? Answer✔✔ An Opiod
Ketorolac (Toradol) and Ibuprofen are Nsaids. Which drug out of these two have
an adverse affect of renal failure? Answer✔✔ Toradol (Ketorolac)
Why are Nsaids used in combination with opiods? Answer✔✔ To reduce the
amount of opiods used since Nsaids combat pain as well.
Diazepam (Valium), Lorazepam ( Ativan), Midazolam (Versed) are all anti anxiety
medications. These drugs can also suppress respiratory drive, what drug reverses
this adverse affect? Answer✔✔ Flumazenil
PHenobarbital and pentobarbital are barbiturates (usually now replaced by benzos)
for treatment of ICU sedation and seizures. Adverse effect is a decrease is HR, RR,
and BP. What drug reduces this, PH is a clue. Also, what differentiates these two
drugs for a specific treatment? Answer✔✔ Physostigmine, Phenobarbital is used
for sedation and alcohol withdrawal issues
What type of agent is physostigmine? Answer✔✔ An arousal agent, so this does
NOT REVERSE. Mostly used on barbiturates. Used with adverse affect of a
decrease in HR, RR, and BP.
, Dexmedetomidine (Precedex) is used alternatively to Propofol and is a good choice
for patients struggling to wean off of Propofol and other drugs, especially from
vent. Why? Answer✔✔ This drug does not result in respiratory depression
Propofol (Diprivan) is a medication used for pain and sedation. This drug wears off
quickly (NO REVERSAL NEEDED). If there is a hemo compromise shortly after
started or increasing (Decrease in BP), what is your action? Answer✔✔
Discontinue! Very common on exam
Etomidate (Amidate) is a very common medication used in Rapid Sequence
Intubation. What is the adverse affect? Answer✔✔ May increase ICP, so do NOT
use with TBI or Seizures
Ketamine (Ketalar) is another common RSI medication, what are the pros and cons
of this drug? Answer✔✔ Does not suppress respiratory drive, so it is a good
medication for an awake intubation. DO NOT use if patient is severely
hypertensive.
Haloperidol (Haldol) is used for what type of delirium, and what agent is used for
reversal, only if patient developed anaphylaxis? What drug is also used for the
same issue, but less common? Answer✔✔ ICU delirium, epinephrine. Risperidone
(Risperdal)
What Neuromuscular blocking agent is non reversible and cannot be used with
hyperkalemia? Answer✔✔ Succinylcholine (NEED to sedate!)
Nimbex (cisatracurium) is a paralytic used for mechanical ventilation when
needed. When is this considered to be used and what is its adverse affect, what
meds will reverse? (Rocuronium also is a paralytic with adverse affect of
bradycardia, same reversal agents) Answer✔✔ When patient is difficult to
ventilate with high plateau pressures with ventilatory dyssynchrony consider this
with correct answers
Fentanyl, Morphine, and Hydromorphone (Dilaudid) are all Narcotics, what drug
reverses the adverse affects of decreased Respiratory Rate and Heart Rate?
Answer✔✔ Narcan
A drug that blocks pain is considered what class? Answer✔✔ An Opiod
Ketorolac (Toradol) and Ibuprofen are Nsaids. Which drug out of these two have
an adverse affect of renal failure? Answer✔✔ Toradol (Ketorolac)
Why are Nsaids used in combination with opiods? Answer✔✔ To reduce the
amount of opiods used since Nsaids combat pain as well.
Diazepam (Valium), Lorazepam ( Ativan), Midazolam (Versed) are all anti anxiety
medications. These drugs can also suppress respiratory drive, what drug reverses
this adverse affect? Answer✔✔ Flumazenil
PHenobarbital and pentobarbital are barbiturates (usually now replaced by benzos)
for treatment of ICU sedation and seizures. Adverse effect is a decrease is HR, RR,
and BP. What drug reduces this, PH is a clue. Also, what differentiates these two
drugs for a specific treatment? Answer✔✔ Physostigmine, Phenobarbital is used
for sedation and alcohol withdrawal issues
What type of agent is physostigmine? Answer✔✔ An arousal agent, so this does
NOT REVERSE. Mostly used on barbiturates. Used with adverse affect of a
decrease in HR, RR, and BP.
, Dexmedetomidine (Precedex) is used alternatively to Propofol and is a good choice
for patients struggling to wean off of Propofol and other drugs, especially from
vent. Why? Answer✔✔ This drug does not result in respiratory depression
Propofol (Diprivan) is a medication used for pain and sedation. This drug wears off
quickly (NO REVERSAL NEEDED). If there is a hemo compromise shortly after
started or increasing (Decrease in BP), what is your action? Answer✔✔
Discontinue! Very common on exam
Etomidate (Amidate) is a very common medication used in Rapid Sequence
Intubation. What is the adverse affect? Answer✔✔ May increase ICP, so do NOT
use with TBI or Seizures
Ketamine (Ketalar) is another common RSI medication, what are the pros and cons
of this drug? Answer✔✔ Does not suppress respiratory drive, so it is a good
medication for an awake intubation. DO NOT use if patient is severely
hypertensive.
Haloperidol (Haldol) is used for what type of delirium, and what agent is used for
reversal, only if patient developed anaphylaxis? What drug is also used for the
same issue, but less common? Answer✔✔ ICU delirium, epinephrine. Risperidone
(Risperdal)
What Neuromuscular blocking agent is non reversible and cannot be used with
hyperkalemia? Answer✔✔ Succinylcholine (NEED to sedate!)
Nimbex (cisatracurium) is a paralytic used for mechanical ventilation when
needed. When is this considered to be used and what is its adverse affect, what
meds will reverse? (Rocuronium also is a paralytic with adverse affect of
bradycardia, same reversal agents) Answer✔✔ When patient is difficult to
ventilate with high plateau pressures with ventilatory dyssynchrony consider this
