EMR - AHASTI FINAL EXAM RECENTLY UPDATED
ASA (Aspirin) - Medication Resolution Result Verified Answers Dose: 1 x
325 mg OR 2 x 81 mg
Indication: Ischemic chest pain (Angina or MI)
Contraindications: Allergy, Bleeding disorder, unconscious, asthma with
past history of sensitivity
Side Effects: GI Upset, Heartburn, N/V
How to administer: Chewed and swallowed
MAX 1 DOSE
Salbutamol (Ventolin) - Medication Resolution Result Verified Answers
Dose: 100 msg/ spray (puff)
Indications: severe bronchospasm due to chronic bronchitis or
shortness of breath due to asthma
Contraindications: Allergic to salbutamol
Side Effects: Muscle tremors, Transient muscle cramps, Tachycardia,
Nervousness, N/V, Headache, Heart palpitations
How to administer: Assist pt. Shake canister, inhale and hold for 5-10
sec. Repeat PRN every 30-60 sec as needed
Ipratropium Bromide (Atrovent) - Medication Resolution Result
Verified Answers Dose: 20 msg/ spray (puff)
,Indications: Severe bronchospasm due to chronic bronchitis or
shortness of breath due to asthma
Contraindications: Allergy to Ipratropium Bromide or atropine. Allergy
to soy lethicin or related food products (soybean/ peanuts)
Side Effects: Muscle tremors, Transient muscle cramps, Tachycardia,
Nervousness, N/V, Heart palpitations, Headache
How to Administer: Pt. assist. Shake container. Inhale, hold for 5-10 sec.
Repeat every 30-60 sec as needed.
Epinephrine (Adrenalin) - Medication Resolution Result Verified
Answers Dose: 0.3 mg IM (later aspect of thigh)
Indications: Anaphylaxis
Contraindications: None in emergent setting
Side Effects: Headache, Anxiety, Heart Palpitations, Angina, N/V,
Cardiac Arrhythmias, Acute hypertension, Pallor, Shortness of breath
How to administer: Pt. Assist, Should be administered in lateral aspect
of thigh @ 90 degree angle. Hold for 10 sec and rub.
Oral Glucose - Medication Resolution Result Verified Answers Dose: 25
g
Indications: S/S of hypoglycemia w/ BGL less than 3.8 mmol/L
Contraindications: Unconscious, Patient unable to follow commands,
Hyperglycemia
,Side Effects: N/V
How to administer: Must be swallowed. Tongue depressor can be used.
Repeat once every 5 min if needed. MAX DOSE 50 g
Naloxone (Narcan) - Medication Resolution Result Verified Answers
Dose: 0.8 mg IM OR 2 mg IN (1 mg each nare)
Indication: Suspected opiate overdose
Contraindications: Hypersensitivity
Side Effects: Anger/ Agitation, Sweating, N/V, Anxiety, Confusion
How to administer: IM every 5 min in lateral aspect of thigh to MAX of
3.2 mg;
IN every 3-5 min to MAX of 4 mg
Nitrous Oxide (Entonox) - NOT IN SCOPE - Medication Resolution Result
Verified Answers Dose: self administer
Indications: Pain due to burns, musculoskeletal injuries, fractures, child
birth
Contraindications: Unable to follow directions, intoxication, her and/or
altered LOC, thoracic injury, bowel injury/ abdominal pain
Side Effects: Dizziness, N/V, tingling in fingers, dry mouth
How to administer: pt. assist. Invert tank 3x prior to admin.
, Nitroglycerin (Nitrostat) - NOT IN SCOPE - Medication Resolution Result
Verified Answers Dose: 0.4 mg SL spray
Indications: suspected MI OR Angina
Contraindications: Systolic BP under 100
Viagra w/in last 24 hrs
Cialis w/in last 36 hrs
Levitra w/in last 48 hrs
Side Effects: Lightheadedness, headache, dizziness, N/V, syncope
How to Administer: One prime spray away from pt. Spray one spray
under tongue of pt. Repeat every 5 min until pain level 0.
Impaled Object - CRITICAL INTERVENTION Resolution Result Verified
Answers 1) Delegate
immobilization of object using log cabin dressing (If obstructing airway
OR
CPR object may be removed - MUST contact online medical control), 2)
Consider transport position that makes sense
Deadly Bleed - CRITICAL INTERVENTION Resolution Result Verified
Answers 1) Expose and examine, 2) Delegate direct pressure w/ gloved
hand (If C-Spine necessary should be manually controlled first THEN
bleeding), 3) Pressure dressing w/ bandage 4) If bleeding not controlled
use tourniquet, 5) Change gloves and continue
ASA (Aspirin) - Medication Resolution Result Verified Answers Dose: 1 x
325 mg OR 2 x 81 mg
Indication: Ischemic chest pain (Angina or MI)
Contraindications: Allergy, Bleeding disorder, unconscious, asthma with
past history of sensitivity
Side Effects: GI Upset, Heartburn, N/V
How to administer: Chewed and swallowed
MAX 1 DOSE
Salbutamol (Ventolin) - Medication Resolution Result Verified Answers
Dose: 100 msg/ spray (puff)
Indications: severe bronchospasm due to chronic bronchitis or
shortness of breath due to asthma
Contraindications: Allergic to salbutamol
Side Effects: Muscle tremors, Transient muscle cramps, Tachycardia,
Nervousness, N/V, Headache, Heart palpitations
How to administer: Assist pt. Shake canister, inhale and hold for 5-10
sec. Repeat PRN every 30-60 sec as needed
Ipratropium Bromide (Atrovent) - Medication Resolution Result
Verified Answers Dose: 20 msg/ spray (puff)
,Indications: Severe bronchospasm due to chronic bronchitis or
shortness of breath due to asthma
Contraindications: Allergy to Ipratropium Bromide or atropine. Allergy
to soy lethicin or related food products (soybean/ peanuts)
Side Effects: Muscle tremors, Transient muscle cramps, Tachycardia,
Nervousness, N/V, Heart palpitations, Headache
How to Administer: Pt. assist. Shake container. Inhale, hold for 5-10 sec.
Repeat every 30-60 sec as needed.
Epinephrine (Adrenalin) - Medication Resolution Result Verified
Answers Dose: 0.3 mg IM (later aspect of thigh)
Indications: Anaphylaxis
Contraindications: None in emergent setting
Side Effects: Headache, Anxiety, Heart Palpitations, Angina, N/V,
Cardiac Arrhythmias, Acute hypertension, Pallor, Shortness of breath
How to administer: Pt. Assist, Should be administered in lateral aspect
of thigh @ 90 degree angle. Hold for 10 sec and rub.
Oral Glucose - Medication Resolution Result Verified Answers Dose: 25
g
Indications: S/S of hypoglycemia w/ BGL less than 3.8 mmol/L
Contraindications: Unconscious, Patient unable to follow commands,
Hyperglycemia
,Side Effects: N/V
How to administer: Must be swallowed. Tongue depressor can be used.
Repeat once every 5 min if needed. MAX DOSE 50 g
Naloxone (Narcan) - Medication Resolution Result Verified Answers
Dose: 0.8 mg IM OR 2 mg IN (1 mg each nare)
Indication: Suspected opiate overdose
Contraindications: Hypersensitivity
Side Effects: Anger/ Agitation, Sweating, N/V, Anxiety, Confusion
How to administer: IM every 5 min in lateral aspect of thigh to MAX of
3.2 mg;
IN every 3-5 min to MAX of 4 mg
Nitrous Oxide (Entonox) - NOT IN SCOPE - Medication Resolution Result
Verified Answers Dose: self administer
Indications: Pain due to burns, musculoskeletal injuries, fractures, child
birth
Contraindications: Unable to follow directions, intoxication, her and/or
altered LOC, thoracic injury, bowel injury/ abdominal pain
Side Effects: Dizziness, N/V, tingling in fingers, dry mouth
How to administer: pt. assist. Invert tank 3x prior to admin.
, Nitroglycerin (Nitrostat) - NOT IN SCOPE - Medication Resolution Result
Verified Answers Dose: 0.4 mg SL spray
Indications: suspected MI OR Angina
Contraindications: Systolic BP under 100
Viagra w/in last 24 hrs
Cialis w/in last 36 hrs
Levitra w/in last 48 hrs
Side Effects: Lightheadedness, headache, dizziness, N/V, syncope
How to Administer: One prime spray away from pt. Spray one spray
under tongue of pt. Repeat every 5 min until pain level 0.
Impaled Object - CRITICAL INTERVENTION Resolution Result Verified
Answers 1) Delegate
immobilization of object using log cabin dressing (If obstructing airway
OR
CPR object may be removed - MUST contact online medical control), 2)
Consider transport position that makes sense
Deadly Bleed - CRITICAL INTERVENTION Resolution Result Verified
Answers 1) Expose and examine, 2) Delegate direct pressure w/ gloved
hand (If C-Spine necessary should be manually controlled first THEN
bleeding), 3) Pressure dressing w/ bandage 4) If bleeding not controlled
use tourniquet, 5) Change gloves and continue
