NCTI PARAMEDIC TEST PAPER QUESTIONS AND
ANSWERS SET A+
✔✔Dextrose
Class - ✔✔carbohydrate
✔✔Dextrose
Mechanism of Action - ✔✔Rapidly increases glucose levels. Prevents brain injury from
prolonged hypoglycemis
✔✔Dextrose
Indications - ✔✔Hypoglycemia BS < 60, altered level of consciousness, coma of
unknown origin, seizure of unknown origin,
✔✔Dextrose
Contraindications - ✔✔CVA Intracranial hemorrhage.
✔✔Dextrose
Adverse Reactions / Side Effects - ✔✔Extravasation leads to tissue necrosis. Cerebral
hemorrhage , burning from IV infusion,
✔✔Dextrose
Dose and Administration - ✔✔Adult: 25 GRAMS of a 50% solution slow IV push.
Pediatric: 1 year and older; 0.5-1 g/kg of a 25 % solution slow IV/IO push. May be
repeated as necessary. Neonates and infants: 200-500 mg/kg of a 10%-25% solution
slow IV push (see below). May be repeated as necessary. maximum concentration of
12.5% (vasculature extremely sensitive to high concentrations).
✔✔Diazepam
,Class - ✔✔Benzodiazepine, long-acting; sedative-hypnotic; anticonvulsant; schedule IV
drug
✔✔Diazepam
Mechanism of Action - ✔✔Anticonculsant, sedation causes depression CNS, skeletal
muscle relaxant
✔✔Dextrose
Supplied - ✔✔25g/50ml
✔✔Diazepam
Indications - ✔✔Acute anxiety, acute alcohol withdrawal, muscle relaxant, seizure
activity, sedation for medical procedures (eg, intubation, ventilated patients,
cardioversion),
✔✔Diazepam
Supplied - ✔✔10mg/2ml
✔✔Diazepam
Contraindications - ✔✔Hypotension, acute ETOH
✔✔Diazepam
Adverse Reactions / Side Effects - ✔✔Dizziness, drowsiness, confusion, headache,
respiratory depression, hypotension,
✔✔Diazepam
Dose and Administration - ✔✔Adult: Seizure activity: 5-15 mg IV q 10-15 minutes PRN
(5 mg over 5 minutes) Premedication for cardioversion: 2-15 mg IV over 5-10 minutes
prior to cardioversion.
Pediatric: Seizure activity: 0.2 mg/kg to 0.5 mg/kg slow IV q 2-5 minutes up to 5 mg
(maximum dose 10 mg/kg). Rectal diazepam: 0.5 mg/kg via 2" rectal catheter and flush
with 2-3 mL air after administration.
✔✔Diazepam
Common Name - ✔✔Valium
✔✔Diphenhydramine
Class - ✔✔Antihistamine, anticholinergic
✔✔Diazepam
How Supplied - ✔✔10mg/2ml
✔✔Diphenhydramine
, Mechanism of Action - ✔✔Blocks cellular histamine receptors; mild sedative effect,
Reverses extrapyramidal reactions.
✔✔Diphenhydramine
Indications - ✔✔allergic reactions, and anaphylaxis, relief of acute dystonic reactions
✔✔Diphenhydramine
Contraindications - ✔✔Asthma, pregnancy,
✔✔Diphenhydramine
Adverse Reactions / Side Effects - ✔✔Drowsiness, sedation, seizures, dizziness,
headache, blurred vision, paradoxical CNS excitement in children
✔✔Diphenhydramine
Dose and Administration - ✔✔Adult: 25-50 mg IM, IV, PO.
Pediatric: 1-2 mg/kg IV, IO slowly, or IM. If PO: 5 mg/kg/24h
✔✔Diphenhydramine
Common name - ✔✔Benadryl
✔✔Dopamine Hydrochloride
Class - ✔✔Sympathomimetic, vasopressor
✔✔Dopamine Hydrochloride
Mechanism of Action - ✔✔Immediate metabolic precursor to norepinephrine. Stimulates
alpha, beta dominergic receptors according to DOSE. Dilates renal & mesenteric 1-2
mcg/min. Heart stimulating actions 2-10mcg/min, increasing blood pressure and
preload. Increases myocardial contractility and stroke volume. 10-20mcg/min increases
arterial/venous vasoconstriction
✔✔Dopamine Hydrochloride
Indications - ✔✔COPD w/ hypotension (Cardiogenic shock) and shock states w/
hypotension, except nuerogenic or septic, bradycardia after atropine & pacing
✔✔Dopamine Hydrochloride
Contraindications - ✔✔Hypovolemic shock,
✔✔Dopamine Hydrochloride
Adverse Reactions / Side Effects - ✔✔Extravasation may cause tissue necrosis.
hypertension, tachycardia, palpitations, chest pain,
✔✔Dopamine Hydrochloride
ANSWERS SET A+
✔✔Dextrose
Class - ✔✔carbohydrate
✔✔Dextrose
Mechanism of Action - ✔✔Rapidly increases glucose levels. Prevents brain injury from
prolonged hypoglycemis
✔✔Dextrose
Indications - ✔✔Hypoglycemia BS < 60, altered level of consciousness, coma of
unknown origin, seizure of unknown origin,
✔✔Dextrose
Contraindications - ✔✔CVA Intracranial hemorrhage.
✔✔Dextrose
Adverse Reactions / Side Effects - ✔✔Extravasation leads to tissue necrosis. Cerebral
hemorrhage , burning from IV infusion,
✔✔Dextrose
Dose and Administration - ✔✔Adult: 25 GRAMS of a 50% solution slow IV push.
Pediatric: 1 year and older; 0.5-1 g/kg of a 25 % solution slow IV/IO push. May be
repeated as necessary. Neonates and infants: 200-500 mg/kg of a 10%-25% solution
slow IV push (see below). May be repeated as necessary. maximum concentration of
12.5% (vasculature extremely sensitive to high concentrations).
✔✔Diazepam
,Class - ✔✔Benzodiazepine, long-acting; sedative-hypnotic; anticonvulsant; schedule IV
drug
✔✔Diazepam
Mechanism of Action - ✔✔Anticonculsant, sedation causes depression CNS, skeletal
muscle relaxant
✔✔Dextrose
Supplied - ✔✔25g/50ml
✔✔Diazepam
Indications - ✔✔Acute anxiety, acute alcohol withdrawal, muscle relaxant, seizure
activity, sedation for medical procedures (eg, intubation, ventilated patients,
cardioversion),
✔✔Diazepam
Supplied - ✔✔10mg/2ml
✔✔Diazepam
Contraindications - ✔✔Hypotension, acute ETOH
✔✔Diazepam
Adverse Reactions / Side Effects - ✔✔Dizziness, drowsiness, confusion, headache,
respiratory depression, hypotension,
✔✔Diazepam
Dose and Administration - ✔✔Adult: Seizure activity: 5-15 mg IV q 10-15 minutes PRN
(5 mg over 5 minutes) Premedication for cardioversion: 2-15 mg IV over 5-10 minutes
prior to cardioversion.
Pediatric: Seizure activity: 0.2 mg/kg to 0.5 mg/kg slow IV q 2-5 minutes up to 5 mg
(maximum dose 10 mg/kg). Rectal diazepam: 0.5 mg/kg via 2" rectal catheter and flush
with 2-3 mL air after administration.
✔✔Diazepam
Common Name - ✔✔Valium
✔✔Diphenhydramine
Class - ✔✔Antihistamine, anticholinergic
✔✔Diazepam
How Supplied - ✔✔10mg/2ml
✔✔Diphenhydramine
, Mechanism of Action - ✔✔Blocks cellular histamine receptors; mild sedative effect,
Reverses extrapyramidal reactions.
✔✔Diphenhydramine
Indications - ✔✔allergic reactions, and anaphylaxis, relief of acute dystonic reactions
✔✔Diphenhydramine
Contraindications - ✔✔Asthma, pregnancy,
✔✔Diphenhydramine
Adverse Reactions / Side Effects - ✔✔Drowsiness, sedation, seizures, dizziness,
headache, blurred vision, paradoxical CNS excitement in children
✔✔Diphenhydramine
Dose and Administration - ✔✔Adult: 25-50 mg IM, IV, PO.
Pediatric: 1-2 mg/kg IV, IO slowly, or IM. If PO: 5 mg/kg/24h
✔✔Diphenhydramine
Common name - ✔✔Benadryl
✔✔Dopamine Hydrochloride
Class - ✔✔Sympathomimetic, vasopressor
✔✔Dopamine Hydrochloride
Mechanism of Action - ✔✔Immediate metabolic precursor to norepinephrine. Stimulates
alpha, beta dominergic receptors according to DOSE. Dilates renal & mesenteric 1-2
mcg/min. Heart stimulating actions 2-10mcg/min, increasing blood pressure and
preload. Increases myocardial contractility and stroke volume. 10-20mcg/min increases
arterial/venous vasoconstriction
✔✔Dopamine Hydrochloride
Indications - ✔✔COPD w/ hypotension (Cardiogenic shock) and shock states w/
hypotension, except nuerogenic or septic, bradycardia after atropine & pacing
✔✔Dopamine Hydrochloride
Contraindications - ✔✔Hypovolemic shock,
✔✔Dopamine Hydrochloride
Adverse Reactions / Side Effects - ✔✔Extravasation may cause tissue necrosis.
hypertension, tachycardia, palpitations, chest pain,
✔✔Dopamine Hydrochloride
