Professional Exam Prep – Drugs Section | 50
Accurate Questions with Solutions for ACCS
Fentanyl, Morphine, and Hydromorphone (Dilaudid) are all Narcotics, what drug reverses the adverse
affects of decreased Respiratory Rate and Heart Rate? - ✔✔Narcan
A drug that blocks pain is considered what class? - ✔✔An Opiod
Ketorolac (Toradol) and Ibuprofen are Nsaids. Which drug out of these two have an adverse affect of
renal failure? - ✔✔Toradol (Ketorolac)
Why are Nsaids used in combination with opiods? - ✔✔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? - ✔✔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? - ✔✔Physostigmine,
Phenobarbital is used for sedation and alcohol withdrawal issues
What type of agent is physostigmine? - ✔✔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? - ✔✔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? - ✔✔Discontinue! Very common on exam
, Etomidate (Amidate) is a very common medication used in Rapid Sequence Intubation. What is the
adverse affect? - ✔✔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? -
✔✔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? - ✔✔ICU delirium,
epinephrine. Risperidone (Risperdal)
What Neuromuscular blocking agent is non reversible and cannot be used with hyperkalemia? -
✔✔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) - ✔✔When patient is difficult to
ventilate with high plateau pressures with ventilatory dyssynchrony consider this drug. (Asthma!)
Reversal agents are edrophonium, pyridostigmine, and neostigmine.
Mivacurium (Mivacron) and Pancuronium are paralytics non depolarizing, what are the adverse affects
of this drug and reversal agents? - ✔✔Tachycardia and Hypertension. Reversal agents are edrophonium,
pyridostigmine, and neostigmine.
What is a nebulized drug for stridor, inflammation or edema in upper airway? - ✔✔Racemic epinephrine
What is nebulized as a local anesthetic for procedures? Also slows heart rate and is used for what two
rhythms? - ✔✔Lidocaine V tach and V fib
What drug is considered a respiratory stimulant and to be considered with COPD? - ✔✔Doxapram
Accurate Questions with Solutions for ACCS
Fentanyl, Morphine, and Hydromorphone (Dilaudid) are all Narcotics, what drug reverses the adverse
affects of decreased Respiratory Rate and Heart Rate? - ✔✔Narcan
A drug that blocks pain is considered what class? - ✔✔An Opiod
Ketorolac (Toradol) and Ibuprofen are Nsaids. Which drug out of these two have an adverse affect of
renal failure? - ✔✔Toradol (Ketorolac)
Why are Nsaids used in combination with opiods? - ✔✔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? - ✔✔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? - ✔✔Physostigmine,
Phenobarbital is used for sedation and alcohol withdrawal issues
What type of agent is physostigmine? - ✔✔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? - ✔✔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? - ✔✔Discontinue! Very common on exam
, Etomidate (Amidate) is a very common medication used in Rapid Sequence Intubation. What is the
adverse affect? - ✔✔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? -
✔✔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? - ✔✔ICU delirium,
epinephrine. Risperidone (Risperdal)
What Neuromuscular blocking agent is non reversible and cannot be used with hyperkalemia? -
✔✔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) - ✔✔When patient is difficult to
ventilate with high plateau pressures with ventilatory dyssynchrony consider this drug. (Asthma!)
Reversal agents are edrophonium, pyridostigmine, and neostigmine.
Mivacurium (Mivacron) and Pancuronium are paralytics non depolarizing, what are the adverse affects
of this drug and reversal agents? - ✔✔Tachycardia and Hypertension. Reversal agents are edrophonium,
pyridostigmine, and neostigmine.
What is a nebulized drug for stridor, inflammation or edema in upper airway? - ✔✔Racemic epinephrine
What is nebulized as a local anesthetic for procedures? Also slows heart rate and is used for what two
rhythms? - ✔✔Lidocaine V tach and V fib
What drug is considered a respiratory stimulant and to be considered with COPD? - ✔✔Doxapram
