LA County EMS DRUGS EXAM QUESTIONS AND ANSWERS
AMIODARONE - Answer -CLASS 3 ANTIDYSRTHYMIC (V-FIB/PULSELESS V-TACH)
300 MG WITH 20 ML NS FLUSH
REPEAT X 1
150 MG WITH 20 MLNS FLUSH
PEDS DOSE
5MG/KG EVERY 3-5 MIN. MAX 15mg/kg NOT TO EXCEED SINGLE 300MG DOSE OR MAX DOSE OF 450MG
ADENOSINE - Answer -CLASS 5 ANTIDYSRTHYMIC
FOR NARROW COMPLEX TACHYCARDIA AND
PERFUSING WIDE COMPLEX TACHYCARDIA
DOSE 6MG RAPID WITH 10-20 ML FLUSH REPEAT X 1 WITH 12 MG RAPID WITH 10-20ML FLUSH
PEDS DOSE 0.1MG/KG RAPID WITH 10ML FLUSH
REPEAT X 1 0.2MG/KG RAPID WITH 10ML FLUSH
** REMEMBER VALSAVA 1ST. PRINT STRIP AND PREP PATIENT
Sympathomimetic - Answer -EPI is a potent vasoconstrictor and has beta 1 and beta 2 properties. Beta 1 stimulates increased inotropy(strength), chronotropy (heart rate), and AV conduction.
Epi Asthma 0.3mg IM 1:1000 repeat x 2 every 20 min. ** Not on 806*
Allergic reaction 0.5mg IM 1:1000 repeat x 2 every 20 min.
Anaphylaxis 0.5mg IM 1:1000 repeat x 2 every 20 min. ** IV Dose with 1:10,000 Cardiac Epi. 0.1mg SLOW IVP may repeat every 3-5 min
Peds For Brady,Arrest, (NO MAX) Asthma, Anaphylaxis (3 dose MAX) ALL 0.01mg/kg
Nebulized Epi <1 2.5ml (2.5mg) 1:1000 diluted with 5ml
Nebulized Epi > 1 5ml (5mg)1:1000 diluted with 5ml MAX DOSE 5ml Hold for 220 HR
Electrolyte
AMIODARONE - Answer -CLASS 3 ANTIDYSRTHYMIC (V-FIB/PULSELESS V-TACH)
300 MG WITH 20 ML NS FLUSH
REPEAT X 1
150 MG WITH 20 MLNS FLUSH
PEDS DOSE
5MG/KG EVERY 3-5 MIN. MAX 15mg/kg NOT TO EXCEED SINGLE 300MG DOSE OR MAX DOSE OF 450MG
ADENOSINE - Answer -CLASS 5 ANTIDYSRTHYMIC
FOR NARROW COMPLEX TACHYCARDIA AND
PERFUSING WIDE COMPLEX TACHYCARDIA
DOSE 6MG RAPID WITH 10-20 ML FLUSH REPEAT X 1 WITH 12 MG RAPID WITH 10-20ML FLUSH
PEDS DOSE 0.1MG/KG RAPID WITH 10ML FLUSH
REPEAT X 1 0.2MG/KG RAPID WITH 10ML FLUSH
** REMEMBER VALSAVA 1ST. PRINT STRIP AND PREP PATIENT
Sympathomimetic - Answer -EPI is a potent vasoconstrictor and has beta 1 and beta 2 properties. Beta 1 stimulates increased inotropy(strength), chronotropy (heart rate), and AV conduction.
Epi Asthma 0.3mg IM 1:1000 repeat x 2 every 20 min. ** Not on 806*
Allergic reaction 0.5mg IM 1:1000 repeat x 2 every 20 min.
Anaphylaxis 0.5mg IM 1:1000 repeat x 2 every 20 min. ** IV Dose with 1:10,000 Cardiac Epi. 0.1mg SLOW IVP may repeat every 3-5 min
Peds For Brady,Arrest, (NO MAX) Asthma, Anaphylaxis (3 dose MAX) ALL 0.01mg/kg
Nebulized Epi <1 2.5ml (2.5mg) 1:1000 diluted with 5ml
Nebulized Epi > 1 5ml (5mg)1:1000 diluted with 5ml MAX DOSE 5ml Hold for 220 HR
Electrolyte