Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
ETOMIDATE
(AMIDATE) - correct answers✅--Induction agent--
Dissociative Anesthetic
RSI: 0.2-0.3 mg/kg
Onset: 30-60 seconds
Duration: 3-12 minutes
MOA: Depresses reticular activating system by
stimulating GABA receptors
+ Minimal hemodynamic effects, ↓ ICP/IOP, preferred for
awake sedation (fast onset, short half-life)
- Adrenal suppression (multiple doses), apnea, N/V, ↑↓
BP, ↑↓ HR, myoclonus (muscle jerks; pretreat with
Versed)
*May cause adrenal insufficiency*
KETAMINE
(KETALAR) - correct answers✅--Induction agent--
,Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
Dissociative Anesthetic
RSI: 1-2 mg/kg
Maintenance: 0.1-0.5 mg/min
Onset: 60 seconds
Duration: 10-15 minutes
MOA: Interrupts pathways in cortex and limbic system;
prompts release of endogenous catecholamines
+ Sedation, analgesia, amnesia, potent bronchodilator
(preferred RSI for asthmatics)
- HTN, emergence reactions (PCP like reaction)(pretreat
with benzo), ↑ ICP, hallucinations, tremors, ↑ HR/BP 2nd
catecholamine release, ↑ secretions (treat with 0.01
mg/kg Atropine)
PRECEDEX
(DEXMEDETOMIDINE) - correct answers✅--Sedative--
Dissociative Anesthetic
RSI: 1 mcg/kg over 10 minutes
,Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
Maintenance: 0.2-0.7 mcg/kg/hr
Onset: < 5 minutes
Reversal: Atipamezole
MOA: Alpha-2 agonist that provides sedation without any
blunting of the respiratory drive or airway reflexes
+ Respiratory stability, potent
sedative/anxiolytic/analgesic properties
- Bradycardia/sinus arrest, transient HTN
*Use with caution in pts with hepatic impairments*
PROPOFOL
(DIPROVAN) - correct
answers✅--Sedative-Hypnotic/Induction agent--
Dissociative Anesthetics
RSI: 1.5 mg/kg
Maintenance: 10-50 mcg/kg/min
Onset: 15-45 seconds
Duration: 5-10 minutes
, Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
MOA: Decreases GABA separation from receptors allowing
prolonged opening of the chloride channel which results
in hyperpolarization of cell membranes
+ Use in hemodynamically stable pts, reactive airways
disease (asthma, COPD, viral URI), status epilepticus
- Apnea, ↑↓ BP, ↑↓ HR, arrhythmias, propofol infusion
syndrome, ↓ CPP/MAP, pain on injection, egg/soybean
allergy
*Use lowest dose possible*
**Do not use in pts with head injury/hemodynamically
unstable**
ATRACURIUM
(TRACRIUM) - correct answers✅--Nondepolarizing
neuromuscular blocking agent--
Paralytic
RSI: 0.4-0.5 mg/kg
Exam Question And Answers 2024
ETOMIDATE
(AMIDATE) - correct answers✅--Induction agent--
Dissociative Anesthetic
RSI: 0.2-0.3 mg/kg
Onset: 30-60 seconds
Duration: 3-12 minutes
MOA: Depresses reticular activating system by
stimulating GABA receptors
+ Minimal hemodynamic effects, ↓ ICP/IOP, preferred for
awake sedation (fast onset, short half-life)
- Adrenal suppression (multiple doses), apnea, N/V, ↑↓
BP, ↑↓ HR, myoclonus (muscle jerks; pretreat with
Versed)
*May cause adrenal insufficiency*
KETAMINE
(KETALAR) - correct answers✅--Induction agent--
,Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
Dissociative Anesthetic
RSI: 1-2 mg/kg
Maintenance: 0.1-0.5 mg/min
Onset: 60 seconds
Duration: 10-15 minutes
MOA: Interrupts pathways in cortex and limbic system;
prompts release of endogenous catecholamines
+ Sedation, analgesia, amnesia, potent bronchodilator
(preferred RSI for asthmatics)
- HTN, emergence reactions (PCP like reaction)(pretreat
with benzo), ↑ ICP, hallucinations, tremors, ↑ HR/BP 2nd
catecholamine release, ↑ secretions (treat with 0.01
mg/kg Atropine)
PRECEDEX
(DEXMEDETOMIDINE) - correct answers✅--Sedative--
Dissociative Anesthetic
RSI: 1 mcg/kg over 10 minutes
,Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
Maintenance: 0.2-0.7 mcg/kg/hr
Onset: < 5 minutes
Reversal: Atipamezole
MOA: Alpha-2 agonist that provides sedation without any
blunting of the respiratory drive or airway reflexes
+ Respiratory stability, potent
sedative/anxiolytic/analgesic properties
- Bradycardia/sinus arrest, transient HTN
*Use with caution in pts with hepatic impairments*
PROPOFOL
(DIPROVAN) - correct
answers✅--Sedative-Hypnotic/Induction agent--
Dissociative Anesthetics
RSI: 1.5 mg/kg
Maintenance: 10-50 mcg/kg/min
Onset: 15-45 seconds
Duration: 5-10 minutes
, Critical Care Paramedic Drug Cards
Exam Question And Answers 2024
MOA: Decreases GABA separation from receptors allowing
prolonged opening of the chloride channel which results
in hyperpolarization of cell membranes
+ Use in hemodynamically stable pts, reactive airways
disease (asthma, COPD, viral URI), status epilepticus
- Apnea, ↑↓ BP, ↑↓ HR, arrhythmias, propofol infusion
syndrome, ↓ CPP/MAP, pain on injection, egg/soybean
allergy
*Use lowest dose possible*
**Do not use in pts with head injury/hemodynamically
unstable**
ATRACURIUM
(TRACRIUM) - correct answers✅--Nondepolarizing
neuromuscular blocking agent--
Paralytic
RSI: 0.4-0.5 mg/kg
