LA County EMS DRUGS UPDATED
ACTUAL Questions and CORRECT
Answers
AMIODARONE - CORRECT 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 - CORRECT 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 - CORRECT 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
For Hyperkalemia Arrest
Calcium channel blocker OD
Symptomatic bradycardia due to hyperkalemia
Crush syndrome with suspected hyperkalemia
Calcium Dose
Arrest 1 gram. May repeat every 10 min
Crush 1 gram Slow
Arrest Peds 20mg/kg MAX single dose 1 gram. Repeat x 1 in 10 min.
Crush 20mg/kg Max dose 1 gram. NO REPEAT - CORRECT ANSWER - Calcium
Carbohydrate
250ml of D10 reassess after 125ml
ACTUAL Questions and CORRECT
Answers
AMIODARONE - CORRECT 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 - CORRECT 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 - CORRECT 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
For Hyperkalemia Arrest
Calcium channel blocker OD
Symptomatic bradycardia due to hyperkalemia
Crush syndrome with suspected hyperkalemia
Calcium Dose
Arrest 1 gram. May repeat every 10 min
Crush 1 gram Slow
Arrest Peds 20mg/kg MAX single dose 1 gram. Repeat x 1 in 10 min.
Crush 20mg/kg Max dose 1 gram. NO REPEAT - CORRECT ANSWER - Calcium
Carbohydrate
250ml of D10 reassess after 125ml
