Paramedic Pharmacology Study
Test Questions with All Correct
Answers
What is the MOA of Mannitol? - Answer-Promotes the movement of fluid from the
intracellular space to the extracellular space. Decreases cerebral edema and
intracranial pressure. Promotes urinary excretion of toxins
What are the indications of Mannitol? - Answer-Cerebral edema, reduced intracranial
pressure for certain cause, rhabdomyolysis, blood transfusion reactions
What is the adult dose of Mannitol? - Answer-0.5-1g/kg IV infusion over 5-10min.
Additional doses of 0.25-2g/kg can be given every 4-6 hours for diuretic effect. 3-8
hours for reduction of intracranial pressure
Meperidine Hydrochloride is also known as? - Answer-Demerol
What is the class of Meperidine Hydrochloride? - Answer-Opioid analgesic, schedule II
drug
What is the MOA of Meperidine Hydrochloride? - Answer-Synthetic opioid analgesic
whose effects on the central nervous system and smooth muscle organs are similar to
morphine, primarily acting as an analgesic and a sedative
What are the indications of Meperidine Hydrochloride? - Answer-Analgesia for moderate
to severe pain.
What is the adult dose of Meperidine Hydrochloride? - Answer-50-100mg IM,SC 25-
50mg slow IV
Metaproterenol Sulfate is also known as? - Answer-Alupent
What is the class of Metaproterenol Sulfate? - Answer-Beta-2 adrenergic agonist
bronchodilator
What is the MOA of Metaproterenol Sulfate? - Answer-Acts directly on the bronchial
smooth muscle causing relaxation of the bronchial tree and peripheral vasculature.
,What are the indications of Metaproterenol Sulfate? - Answer-Bronchial asthma,
reversible bronchospasm secondary to bronchitis, COPD
What is the adult dose of Metaproterenol Sulfate? - Answer-MDI: 2-3 inhalations 3-4
hours (2min between inhalations)
Neb: 0.2-0.3mL of a 5% solution diluted in 2.5mL saline
Methyperdnisolone Sodium Succinate is also known as? - Answer-Solu-Medrol
What is the class of Solu-Medrol? - Answer-Corticosteroid
What is the MOA of Solu-Medrol? - Answer-Highly potent synthetic glucocorticoid that
suppresses acute and chronic inflammation; potentiates vascular smooth muscle
relaxation beta-adrenergic agonists
What are the indications for Solu-Medrol? - Answer-Acute spinal cord trauma,
anaphylaxis, bronchodialtor for unresponsive asthma.
What is the adult dose of Solu-medrol? - Answer-Spinal cord trauma; 30mg/kg IV over
30minutes
Asthma, COPD, Anaphylaxis: 1-2mg/kg IV
Metoprolol Tartrate is also known as? - Answer-Lopressor
What is the class of Metoprolol Tartrate? - Answer-Beta blocker, beta-selective,
antihypertensive, antidysrhythmic
What is the MOA of Metoprolol Tartrate? - Answer-Decreases heart rate, conduction
velocity, myocardial contractility, and caridac output. Used to control SVT. Considered
second line agent after adenosine, diltiazem, or digitalis derivative
What are the indications for Metoprolol Tartrate? - Answer-PSVT, atrial flutter, atrial
fibrillation, reduces myocardial ischemia and damage in patients with AMI.
What is the adult dose of Metoprolol Tartrate? - Answer-5mg slow IV push at 5min
intervals max dose of 15mg
What is Midazolam Hydrochloride also known as? - Answer-Versed
What is the class of Midazolam? - Answer-Benzodiazepine, short/intermediate acting;
schedule IV drug
What is the MOA of Midazolam? - Answer-Reversibly interacts with gamma-amino
butryic acid (GABA) receptors in the CNS causing sedative, anxiolytic, amnesic, and
hypnotic effects
,What are the indications of Midazolam? - Answer-Sedation for medical procedures
What is the adult dose of Midazolam? - Answer-2-2.5mg slow IV over 2-3 minutes. May
be repeated to total max of 0.1/kg
Morphine Sulfate is also known as? - Answer-Roxanol, MS Contin
What is the Class of Morphine? - Answer-Opioid analgesic, schedule II narcotic
What is the MOA of Morphine? - Answer-Alleviates pain through CNS action.
Suppresses fear and anxiety centers in the brain. Depresses brainstem respiratory
centers. Increses peripheral venous capacitance and decreases venous return.
Decreases preload and afterload, which decreases myocardial oxygen demand.
What are the indications of Morphine? - Answer-Severe CHF, acute cardiogenic
pulmonary edema, chest pain associated with acute myocardial infarction, analgesia for
moderate to severe acute and chronic pain
What is the adult dose of Morphine? - Answer-STEMI: Initial dose of 2-4mg slow IV.
Repeat dose 2-8mg at 5-15 minute intervals. NSTEMI/Unstable angina. 1-5 mg IV push
if symptoms not relieved by nitrates, use with caution.
Nalbuphine Hydrochloride is also known as? - Answer-Nubain
What is the class of Nalbuphine? - Answer-Synthetic opioid agonist/antagonist
What is the MOA of Nalbuphine? - Answer-Activates opiate receptor in limbic system of
the CNS. Analgesic similar to Morphine on a milligram for milligram basis. Agonist and
antagonist properties. May be preferred for chest pain in setting of acute MI because it
reduces the myocardial oxygen demand without reducing the blood pressure.
What are the indications of Nalbuphine? - Answer-Chest pain associated with acute MI,
moderate to severe acute pain.
What is the adult dose of Nalbuphine? - Answer-2-5mg slow IV. my repeat 2mg dose
PRN to max dose of 10mg.
Naloxone Hydrochloride is also known as? - Answer-Narcan
What is the class of Naloxone? - Answer-Opioid antagonist, antidote
What is the MOA of Naloxone? - Answer-Competitive inhibition at narcotic receptor sites
Reverses respiratory depression secondary to opiate drugs. Completely inhibits the
effect of morphine
What are the indications of Naloxone? - Answer-Opiate overdose
, What is the adult dose of Naloxone? - Answer-0.4-2mg IM/IV/IO/SQ/ET/Intranasal. May
repeat dose every 5min up to 10mg
What is Nifedipine also known as? - Answer-Procardia, Adalat
What is the class of Nifedipine? - Answer-Calcium channel blocker
What is the MOA of Nifedipine? - Answer-Inhibits movement of calcium ions across cell
membranes; calcium channel blocker; arterial and venous vasodilator; reduces preload
and afterload; prevents coronary artery spasm and decreases total peripheral
resistance; reduces myocardial oxygen demand; does not prolong AV nodal conduction
What are the indications of Nifedipine? - Answer-Hypertensive crisis, angina pectoris
What is the adult dose of Nifedipine? - Answer-10mg SL or Buccal. May repeat every
30min
Nitroglycerin is also known as? - Answer-Nitrostat, nitro-bid, tridil
What is the class of Nitro? - Answer-Vasodilator
What is the MOA of Nitro? - Answer-Smooth muscle relaxant acting on vasculature,
bronchial, uterine, intestinal smooth muscle. Dilation of arterioles and veins in the
periphery. Reduces preload and afterload, decreasing workload of the heart and therby
myocardial oxygen demand.
What is the class of Activated Charcoal? - Answer-Absorbent
What is the MOA of Activated Charcoal - Answer-Absorbs Toxic substances from the
gastrointestinal tract.
What are the Indications for Activated Charcoal - Answer-Most oral poisonings, and
medication overdoses; can be sued after evacuation of poisons
What is the adult dose of Activated Charcoal - Answer-1 to 2 g/kg PO or Nasogastric
tube
What else is Adenosine know as? - Answer-Adenocard
What is the class of Adenosine? - Answer-Antidysrhythmic
What is the MOA of Adenosine? - Answer-Slows conduction through the AV node; can
interrupt re-entrant pathways; slows heart rate by acting directly on the sinus
pacemaker cells by slowing impulse formation. The drug of choice for re-entry SVT. Can
Test Questions with All Correct
Answers
What is the MOA of Mannitol? - Answer-Promotes the movement of fluid from the
intracellular space to the extracellular space. Decreases cerebral edema and
intracranial pressure. Promotes urinary excretion of toxins
What are the indications of Mannitol? - Answer-Cerebral edema, reduced intracranial
pressure for certain cause, rhabdomyolysis, blood transfusion reactions
What is the adult dose of Mannitol? - Answer-0.5-1g/kg IV infusion over 5-10min.
Additional doses of 0.25-2g/kg can be given every 4-6 hours for diuretic effect. 3-8
hours for reduction of intracranial pressure
Meperidine Hydrochloride is also known as? - Answer-Demerol
What is the class of Meperidine Hydrochloride? - Answer-Opioid analgesic, schedule II
drug
What is the MOA of Meperidine Hydrochloride? - Answer-Synthetic opioid analgesic
whose effects on the central nervous system and smooth muscle organs are similar to
morphine, primarily acting as an analgesic and a sedative
What are the indications of Meperidine Hydrochloride? - Answer-Analgesia for moderate
to severe pain.
What is the adult dose of Meperidine Hydrochloride? - Answer-50-100mg IM,SC 25-
50mg slow IV
Metaproterenol Sulfate is also known as? - Answer-Alupent
What is the class of Metaproterenol Sulfate? - Answer-Beta-2 adrenergic agonist
bronchodilator
What is the MOA of Metaproterenol Sulfate? - Answer-Acts directly on the bronchial
smooth muscle causing relaxation of the bronchial tree and peripheral vasculature.
,What are the indications of Metaproterenol Sulfate? - Answer-Bronchial asthma,
reversible bronchospasm secondary to bronchitis, COPD
What is the adult dose of Metaproterenol Sulfate? - Answer-MDI: 2-3 inhalations 3-4
hours (2min between inhalations)
Neb: 0.2-0.3mL of a 5% solution diluted in 2.5mL saline
Methyperdnisolone Sodium Succinate is also known as? - Answer-Solu-Medrol
What is the class of Solu-Medrol? - Answer-Corticosteroid
What is the MOA of Solu-Medrol? - Answer-Highly potent synthetic glucocorticoid that
suppresses acute and chronic inflammation; potentiates vascular smooth muscle
relaxation beta-adrenergic agonists
What are the indications for Solu-Medrol? - Answer-Acute spinal cord trauma,
anaphylaxis, bronchodialtor for unresponsive asthma.
What is the adult dose of Solu-medrol? - Answer-Spinal cord trauma; 30mg/kg IV over
30minutes
Asthma, COPD, Anaphylaxis: 1-2mg/kg IV
Metoprolol Tartrate is also known as? - Answer-Lopressor
What is the class of Metoprolol Tartrate? - Answer-Beta blocker, beta-selective,
antihypertensive, antidysrhythmic
What is the MOA of Metoprolol Tartrate? - Answer-Decreases heart rate, conduction
velocity, myocardial contractility, and caridac output. Used to control SVT. Considered
second line agent after adenosine, diltiazem, or digitalis derivative
What are the indications for Metoprolol Tartrate? - Answer-PSVT, atrial flutter, atrial
fibrillation, reduces myocardial ischemia and damage in patients with AMI.
What is the adult dose of Metoprolol Tartrate? - Answer-5mg slow IV push at 5min
intervals max dose of 15mg
What is Midazolam Hydrochloride also known as? - Answer-Versed
What is the class of Midazolam? - Answer-Benzodiazepine, short/intermediate acting;
schedule IV drug
What is the MOA of Midazolam? - Answer-Reversibly interacts with gamma-amino
butryic acid (GABA) receptors in the CNS causing sedative, anxiolytic, amnesic, and
hypnotic effects
,What are the indications of Midazolam? - Answer-Sedation for medical procedures
What is the adult dose of Midazolam? - Answer-2-2.5mg slow IV over 2-3 minutes. May
be repeated to total max of 0.1/kg
Morphine Sulfate is also known as? - Answer-Roxanol, MS Contin
What is the Class of Morphine? - Answer-Opioid analgesic, schedule II narcotic
What is the MOA of Morphine? - Answer-Alleviates pain through CNS action.
Suppresses fear and anxiety centers in the brain. Depresses brainstem respiratory
centers. Increses peripheral venous capacitance and decreases venous return.
Decreases preload and afterload, which decreases myocardial oxygen demand.
What are the indications of Morphine? - Answer-Severe CHF, acute cardiogenic
pulmonary edema, chest pain associated with acute myocardial infarction, analgesia for
moderate to severe acute and chronic pain
What is the adult dose of Morphine? - Answer-STEMI: Initial dose of 2-4mg slow IV.
Repeat dose 2-8mg at 5-15 minute intervals. NSTEMI/Unstable angina. 1-5 mg IV push
if symptoms not relieved by nitrates, use with caution.
Nalbuphine Hydrochloride is also known as? - Answer-Nubain
What is the class of Nalbuphine? - Answer-Synthetic opioid agonist/antagonist
What is the MOA of Nalbuphine? - Answer-Activates opiate receptor in limbic system of
the CNS. Analgesic similar to Morphine on a milligram for milligram basis. Agonist and
antagonist properties. May be preferred for chest pain in setting of acute MI because it
reduces the myocardial oxygen demand without reducing the blood pressure.
What are the indications of Nalbuphine? - Answer-Chest pain associated with acute MI,
moderate to severe acute pain.
What is the adult dose of Nalbuphine? - Answer-2-5mg slow IV. my repeat 2mg dose
PRN to max dose of 10mg.
Naloxone Hydrochloride is also known as? - Answer-Narcan
What is the class of Naloxone? - Answer-Opioid antagonist, antidote
What is the MOA of Naloxone? - Answer-Competitive inhibition at narcotic receptor sites
Reverses respiratory depression secondary to opiate drugs. Completely inhibits the
effect of morphine
What are the indications of Naloxone? - Answer-Opiate overdose
, What is the adult dose of Naloxone? - Answer-0.4-2mg IM/IV/IO/SQ/ET/Intranasal. May
repeat dose every 5min up to 10mg
What is Nifedipine also known as? - Answer-Procardia, Adalat
What is the class of Nifedipine? - Answer-Calcium channel blocker
What is the MOA of Nifedipine? - Answer-Inhibits movement of calcium ions across cell
membranes; calcium channel blocker; arterial and venous vasodilator; reduces preload
and afterload; prevents coronary artery spasm and decreases total peripheral
resistance; reduces myocardial oxygen demand; does not prolong AV nodal conduction
What are the indications of Nifedipine? - Answer-Hypertensive crisis, angina pectoris
What is the adult dose of Nifedipine? - Answer-10mg SL or Buccal. May repeat every
30min
Nitroglycerin is also known as? - Answer-Nitrostat, nitro-bid, tridil
What is the class of Nitro? - Answer-Vasodilator
What is the MOA of Nitro? - Answer-Smooth muscle relaxant acting on vasculature,
bronchial, uterine, intestinal smooth muscle. Dilation of arterioles and veins in the
periphery. Reduces preload and afterload, decreasing workload of the heart and therby
myocardial oxygen demand.
What is the class of Activated Charcoal? - Answer-Absorbent
What is the MOA of Activated Charcoal - Answer-Absorbs Toxic substances from the
gastrointestinal tract.
What are the Indications for Activated Charcoal - Answer-Most oral poisonings, and
medication overdoses; can be sued after evacuation of poisons
What is the adult dose of Activated Charcoal - Answer-1 to 2 g/kg PO or Nasogastric
tube
What else is Adenosine know as? - Answer-Adenocard
What is the class of Adenosine? - Answer-Antidysrhythmic
What is the MOA of Adenosine? - Answer-Slows conduction through the AV node; can
interrupt re-entrant pathways; slows heart rate by acting directly on the sinus
pacemaker cells by slowing impulse formation. The drug of choice for re-entry SVT. Can
