TEEX Paramedic Med Group 4 Exam
Questions With New Update Solutions
/. Sodium Bicarbonate Class - Answer-alkalinizing agent
/.Sodium Bicarbonate Actions - Answer-neutralizes excess acids; increases pH
/.Sodium Bicarbonate Indications - Answer-1. metabolic acidosis (Ethylene glycol, ASA,
TCA OD)
2. hyperkalemia
3. promote excretion of barbiturates
4. promote excretion of myoglobin after crush injury or electrocution
5. status asthmatics
6. prolonged CPR
/.Sodium Bicarbonate Contraindications - Answer-hypokalemia; alkalotic states
/.Sodium Bicarbonate Precautions - Answer-1. corrective dosage essential to avoid
elevating pH too high
2. deactivates catecholamines (don't mix w/ Epi in arrest)
3. precipitates with calcium (chalk)
4. delivers large sodium load
/.Sodium Bicarbonate Side Effects - Answer-1. alkalosis
2. increases vascular volume (hypertonic) resulting in pulmonary edema
3. hypokalemia and dysrhythmias
4. can transiently increase PaCO2
/.Sodium Bicarbonate Dosage - Answer-1 mEq/kg followed by 0.5mEq/kg every 10
minutes as indicated by blood gases
/.Sodium Bicarbonate Route - Answer-IV/IO
/.Sodium Bicarbonate How Supplied - Answer-prefilled syringe; adult: 50mEq/50ml;
pediatric: 10mEq/10ml
/.Sodium Bicarbonate Pediatric Dosage - Answer-1mEq/kg followed by 0.5mEq/kg
every 10 minutes as indicated by blood gases
/.Sodium Bicarbonate Onset/Duration - Answer-seconds, 10 mins
/.Furosemide (Lasix) Class - Answer-loop diuretic
,/.Furosemide Actions - Answer-1. inhibits reabsorption of Sodium and Chloride
2. increases osmolarity in the loop of Henle
3. promotes prompt diuresis
4. vasodilation
/.Furosemide Indications - Answer-CHF, pulmonary edema
/.Furosemide Contraindications - Answer-1. pregnancy
2. dehydration
3. hypovolemia
4. hypokalemia
5. patients taking Lithium (Lasix blocks the renal excretion of Lithium) reciprocate
/.Furosemide Precautions - Answer-protect medication from light
/.Furosemide Side Effects - Answer-1. nausea/vomiting
2. hypokalemia
3. dehydration
/.Furosemide Dosage - Answer-0.5 to 1.0mg/kg IV over 1-2 mins (generally if Pt takes
lasix, the higher dosage is needed)
Furosemide
/.Furosemide Route - Answer-IV
/.Furosemide How Supplied - Answer-vial, ampule or prefilled syringe: 40mg/4ml or
100mg/10ml
/.Furosemide Pediatric Dosage - Answer-1mg/kg IV/IO
/.Furosemide Onset/Duration - Answer-5 mins, 4-6 hrs
/.Labetalol (Normodyne/Trandate) Class - Answer-sympathetic blocker
/.Labetalol (Normodyne/Trandate) Actions - Answer-1. selectively blocks Alpha 1
2. non-selectively blocks Beta receptors
/.Labetalol (Normodyne/Trandate) Indications - Answer-hypertensive crisis
/.Labetalol (Normodyne/Trandate) Contraindications - Answer-1. bronchial asthma
2. CHF
3. 2nd & 3rd degree heart block
4. bradycardia
5. COPD
6. cardiogenic shock
, /.Labetalol (Normodyne/Trandate) Precautions - Answer-1. constantly monitor vitals and
EKG
2. atropine should be available
/.Labetalol (Normodyne/Trandate) Side Effects - Answer-1. bradycardia
2. heart block
3. CHF exacerbation
4. bronchospasm
5. postural hypotension
/.Labetalol (Normodyne/Trandate) Dosage - Answer-10mg by slow IV infusion over 2
mins; doses of 20mg can be repeated in 10 mins until desired supine BP is obtained or
until 150mg max
/.Labetalol (Normodyne/Trandate) Route - Answer-IV infusion or slow IV push
/.Labetalol (Normodyne/Trandate) How Supplied - Answer-100mg vial (5mg/ml in 20ml)
/.Labetalol (Normodyne/Trandate) Pediatric Dosage - Answer-safety in children has not
been established
/.Labetalol (Normodyne/Trandate) Onset/Duration - Answer->5 mins, 3-6 hrs
/.Metoprolol (Lopressor) Class - Answer-beta blocker, beta 1 selective,
antihypertensive, antidysrhythmic
/.Metoprolol (Lopressor) Actions - Answer-decreases heartrate, conduction velocity,
myocardial contractility, and cardiac output
/.Metoprolol (Lopressor) Indications - Answer-1. PSVT
2. atrial flutter
3. atrial fibrillation
4. reduces myocardial ischemia and damage in pts with AMI
/.Metoprolol (Lopressor) Contraindications - Answer-1. heart failure
2. 2nd or 3rd degree AV block
3. 1st degree heart block if PR interval is >/= 0.24s
4. sick sinus syndrome
5. cardiogenic shock
6. bradycardia
/.Metoprolol (Lopressor) Precautions - Answer-1. may potentiate antihypertensive
effects when given to pts taking calcium channel blockers or MAOIs
2. catecholamine-depleting drugs may potentiate hypotension
3. sympathomimetic effects may be antagonized
Questions With New Update Solutions
/. Sodium Bicarbonate Class - Answer-alkalinizing agent
/.Sodium Bicarbonate Actions - Answer-neutralizes excess acids; increases pH
/.Sodium Bicarbonate Indications - Answer-1. metabolic acidosis (Ethylene glycol, ASA,
TCA OD)
2. hyperkalemia
3. promote excretion of barbiturates
4. promote excretion of myoglobin after crush injury or electrocution
5. status asthmatics
6. prolonged CPR
/.Sodium Bicarbonate Contraindications - Answer-hypokalemia; alkalotic states
/.Sodium Bicarbonate Precautions - Answer-1. corrective dosage essential to avoid
elevating pH too high
2. deactivates catecholamines (don't mix w/ Epi in arrest)
3. precipitates with calcium (chalk)
4. delivers large sodium load
/.Sodium Bicarbonate Side Effects - Answer-1. alkalosis
2. increases vascular volume (hypertonic) resulting in pulmonary edema
3. hypokalemia and dysrhythmias
4. can transiently increase PaCO2
/.Sodium Bicarbonate Dosage - Answer-1 mEq/kg followed by 0.5mEq/kg every 10
minutes as indicated by blood gases
/.Sodium Bicarbonate Route - Answer-IV/IO
/.Sodium Bicarbonate How Supplied - Answer-prefilled syringe; adult: 50mEq/50ml;
pediatric: 10mEq/10ml
/.Sodium Bicarbonate Pediatric Dosage - Answer-1mEq/kg followed by 0.5mEq/kg
every 10 minutes as indicated by blood gases
/.Sodium Bicarbonate Onset/Duration - Answer-seconds, 10 mins
/.Furosemide (Lasix) Class - Answer-loop diuretic
,/.Furosemide Actions - Answer-1. inhibits reabsorption of Sodium and Chloride
2. increases osmolarity in the loop of Henle
3. promotes prompt diuresis
4. vasodilation
/.Furosemide Indications - Answer-CHF, pulmonary edema
/.Furosemide Contraindications - Answer-1. pregnancy
2. dehydration
3. hypovolemia
4. hypokalemia
5. patients taking Lithium (Lasix blocks the renal excretion of Lithium) reciprocate
/.Furosemide Precautions - Answer-protect medication from light
/.Furosemide Side Effects - Answer-1. nausea/vomiting
2. hypokalemia
3. dehydration
/.Furosemide Dosage - Answer-0.5 to 1.0mg/kg IV over 1-2 mins (generally if Pt takes
lasix, the higher dosage is needed)
Furosemide
/.Furosemide Route - Answer-IV
/.Furosemide How Supplied - Answer-vial, ampule or prefilled syringe: 40mg/4ml or
100mg/10ml
/.Furosemide Pediatric Dosage - Answer-1mg/kg IV/IO
/.Furosemide Onset/Duration - Answer-5 mins, 4-6 hrs
/.Labetalol (Normodyne/Trandate) Class - Answer-sympathetic blocker
/.Labetalol (Normodyne/Trandate) Actions - Answer-1. selectively blocks Alpha 1
2. non-selectively blocks Beta receptors
/.Labetalol (Normodyne/Trandate) Indications - Answer-hypertensive crisis
/.Labetalol (Normodyne/Trandate) Contraindications - Answer-1. bronchial asthma
2. CHF
3. 2nd & 3rd degree heart block
4. bradycardia
5. COPD
6. cardiogenic shock
, /.Labetalol (Normodyne/Trandate) Precautions - Answer-1. constantly monitor vitals and
EKG
2. atropine should be available
/.Labetalol (Normodyne/Trandate) Side Effects - Answer-1. bradycardia
2. heart block
3. CHF exacerbation
4. bronchospasm
5. postural hypotension
/.Labetalol (Normodyne/Trandate) Dosage - Answer-10mg by slow IV infusion over 2
mins; doses of 20mg can be repeated in 10 mins until desired supine BP is obtained or
until 150mg max
/.Labetalol (Normodyne/Trandate) Route - Answer-IV infusion or slow IV push
/.Labetalol (Normodyne/Trandate) How Supplied - Answer-100mg vial (5mg/ml in 20ml)
/.Labetalol (Normodyne/Trandate) Pediatric Dosage - Answer-safety in children has not
been established
/.Labetalol (Normodyne/Trandate) Onset/Duration - Answer->5 mins, 3-6 hrs
/.Metoprolol (Lopressor) Class - Answer-beta blocker, beta 1 selective,
antihypertensive, antidysrhythmic
/.Metoprolol (Lopressor) Actions - Answer-decreases heartrate, conduction velocity,
myocardial contractility, and cardiac output
/.Metoprolol (Lopressor) Indications - Answer-1. PSVT
2. atrial flutter
3. atrial fibrillation
4. reduces myocardial ischemia and damage in pts with AMI
/.Metoprolol (Lopressor) Contraindications - Answer-1. heart failure
2. 2nd or 3rd degree AV block
3. 1st degree heart block if PR interval is >/= 0.24s
4. sick sinus syndrome
5. cardiogenic shock
6. bradycardia
/.Metoprolol (Lopressor) Precautions - Answer-1. may potentiate antihypertensive
effects when given to pts taking calcium channel blockers or MAOIs
2. catecholamine-depleting drugs may potentiate hypotension
3. sympathomimetic effects may be antagonized
