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Exam (elaborations)

ParamedicEMT-Drugs #1 Quiz

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Master the essentials of pharmacology for nursing practice with this comprehensive guide. Learn about the mechanisms of action, indications, contraindications, and side effects of commonly used drugs, with a focus on epinephrine, propranolol, and dopamine. Perfect for nursing students and professionals seeking to enhance their pharmacological knowledge.

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ParamedicEMT
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Uploaded on
October 17, 2024
Number of pages
15
Written in
2024/2025
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, II of XVI pages
Highlight the letter of the Answer that corresponds to the displayed Question.

1. What are the MAO for epinephrine (1:10,000)
A: distress, dyspnea, apnea
B: administered IV infusion (piggyback)
C: 4.) Inhibits histamine release (stops degranulation) during anaphylactic reactions
D: Anxiety, dizziness, headache, restlessness, SUBARACHNOID HEMORRHAGE, tremors, weakness


2. What are the precautions for epinephrine (1:10,000)
A: 8.) Beta blockers may blunt the inotropic effects
B: 3.) Use cautiously in patients with: -heart disease -diabetes -hypertension -given along with other
C: oliguria, renal failure, organ ischemia
D: Stable MAT - HR 150 and above to prevent angina to treat hypertension


3. What are the precautions for epinephrine (1:10,000)
A: gangrene (high doses for a long time), necrosis, tissue sloughing with extravasation
B: Levophed (leave em dead)
C: 2.) Hypersensitivity (may have increased airway resistance due to sulfites in the preparation)
D: 4.) High doses may cause pradoxical hypotension because the increased SVR = decrease in stroke volume


4. What are the GU side effects for norepinephrine
A: Low doses (dopaminergic stimulation) leads to : (0.5 to 2mcg/kg/min) - NOT used in the field -Renal,
B: reflex bradycardia, DYSRHYTHMIAS, CHEST PAIN, hypertension, palpitations, tachycardia, decreased
C: oliguria, renal failure, organ ischemia
D: Initial dose: 1-3mg SIVP (1mg/min) - May dilute in 10-30mL Subsequent dose: May repeat dose in 2


5. What are the eye side effects for epinephrine (1:10,000)
A: pupil dilation
B: Administered: titrate intravenous infusion (IV infusion, piggyback)
C: reflex bradycardia, DYSRHYTHMIAS, CHEST PAIN, hypertension, palpitations, tachycardia, decreased
D: 1mg (1:10,000) IVP or IO Followed by a 20mL flush Raise the patients arm for 10-20 seconds Repeat


6. What are the indications of propranolol
A: Intermediate doses (beta 1 stimulation) leads to: (2 to 10mcg/kg/min) -positive inotropic, chronotropic,
B: Alpha 1 stimulation leads to peripheral vasoconstriction: -arterial/venous vasoconstriction -increased SVR
afterload could result in increased back pressure on the heat leading to increased workload and O2
C: distress, dyspnea, apnea
D: To prevent recurrent Vtach - HR 150 and above


7. What are the precautions for epinephrine (1:10,000)
A: dyspnea (c)


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