which drug (other than valium) may be used to terminate status epilepticus?
DESCRIPTION
Which drug (other than Valium) may be used to terminate status epilepticus?. 50% Dextrose Also Ativan (lorazepam). You carry only one injectable drug which may normally be a color other than clear. 1) What drug is it? 2) What color?. 1) Valium 2) pale yellow. - PowerPoint PPT PresentationTRANSCRIPT
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Which drug (other than Valium) may be used to terminate
status epilepticus?
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50% DextroseAlso Ativan (lorazepam)
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You carry only one injectable drug which may normally be a
color other than clear.
1) What drug is it?
2) What color?
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1) Valium
2) pale yellow
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What is the first drug of choice in Pulseless Electrical Activitiy
(PEA)?
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Epinephrine
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What is the generic name for:
1) Narcan2) Isuprel3) Lasix
4) Valium
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1) Naloxone2) Isoproterenol3) Furosemide4) Diazepam
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You have been ordered to give 8 mg. of drug Alpha 1. It is supplied in 2 mg/ml. How many ml should you give?
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4 ml.
2 mg. = 8 mg.
1 ml. X
2X = 8;
X = 4 ml.
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Why should the total number of nitroglycerine tablets taken per
angina attack be limited?
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to minimize hypotension
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Name two drugs carried on the ambulance which may cause
CNS depression
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1) Benadryl2) morphine
3) Valium
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Name two contraindications for the administration of Syrup of
Ipecac
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1) coma (decreased LOC)2) convulsions3) caustic/corrosive ingestion4) <1mL/Kg hydrocarbons5) cyclic OD
Use with caution:1) cardiac disease2) last 1/2 of pregnancy
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What volume of Epinephrine 1:1000 will contain 0.4 mg?
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0.4 mL
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What does atropine do to pupils?
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dilates
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What is the ANS action of glucagon?
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sympathomimetic
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Name all the drugs carried in the ambulance which can safely be
given down the ET tube
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1) Lidocaine2) Atropine3) Naloxone4) Epinephrine5) Vasopressin
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Name all the drugs carried in the ambulance which should be given down the ET tube
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None. AHA recommends using IO if IV access is not easily obtained. All drugs may be given via IO.
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What is the formula for calculating the dose for a bolus of
Lidocaine?
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1 to 1.5 mg per Kg
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Why is it undesirable to give medications IM to a chest pain
patient?
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Later diagnosis will be more difficult since IM injections will elevate the same serum enzymes
as a MI
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What is the name of the narcotic which may be used to treat
diarrhea?
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Lomotil
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What may happen if sodium bicarbonate is mixed with:
1) Calcium
2) Epinephrine
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1) it precipitates
2) the epinephrine is inactivated
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You have just placed 200 mg of drug Beta 2 into a 250 cc bag. Your orders are to infuse 40 mcg/min. How many gtts/min will you give? No peeking!
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200 mg into 250 cc bag
200 mg. = 200,000 mcg = 80 mcg250 cc 250 cc 1 cc (60 gtts)
80 mcg. = 40 mcg.60 gtts X
80 X = 2400
X=30 gtts/min.
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Name the two primary problems that are treated with epinephrine
1:1000
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1) allergic reaction
2) asthma
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What is the duration of action of Lidocaine?
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10-20 minutes
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Name a side effect of Lidocaine which indicates that too large a
dose has been given, and that the infusion of Lidocaine should be
stopped.
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1) convulsions2) hypotension3) bradycardia4) heart block
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If you want to give a patient 60 mL of D5W in one hour, how many drops per minute should
you give:
1) using mini-drip
2) using regular drip
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1) 60 gtts/min.
2) 10 gtts/min.
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Name two effects that Isuprel has on the heart.
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Increased conductionIncreased RateIncreased Strength of contraction
so:Increased cardiac outputIncreased myocardial O2 demandIncreased ventricular irritability
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How long should a patient be allowed to continue in seizure
activity before Valium is given?
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5 minutes
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What is the first drug of choice to treat sinus bradycardia with
PVC’s?
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atropine
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If you give a patient 50 mL of 50% dextrose, how many grams
did you give?
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25 grams of dextrose
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List the four end-points for giving Procainamide
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17 mg/kgrhythm converts
QRS widenshypotension
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What is the standard dosing of Adenosine
1) initial2) repeat
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1) 6 mg2) 12 mg
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What type of drug is Compazine?
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Phenothiazine
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Name two more phenothiazines
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thorazine, haldol, prolixin, mellaril, stelazine
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What is the other name for Diltiazem
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Cardizem
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What kind of drug is Elavil?
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Cyclic antidepressant
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What is the standard concentration of solution for an
infusion of Lidocaine
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1 gram in 250 cc
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What is the standard concentration of solution for an
infusion of Dopamine?
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400 mg in 250 cc
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You have been ordered to infuse Dopamine at 20 mcg/kg/min to a patient who weighs 132 lbs. At what drip rate will you flow the
medication?
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132 lbs. / 2.2 = 60 kg.
20 mcg/kg x 60 kg = 1200 mcg total dose
400 mg Dopamine = 400,000 mcg 250 cc 250 cc
But wait…..there’s more!
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400,000 mcg = 1600 mcg 250 cc 1 cc (60 gtts)
1600 mcg = 1200 mcg (total dose)60 gtts X gtts
1600 X = 72000
X= 45 gtts/min (whew!) and it’s easier still…..
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Remember this one?
Dose x weight x 60
1600
So…
20 mcg x 60 kg x 60
1600
72000 = 720 = 90 = 45 gtts/min (it works!)
1600 = 16 = 2
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Give one trade name for Albuterol
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Proventil, Ventolin
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Which is more likely to cause respiratory depression:
IV Valium or Rectal Valium
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IV Valium