PARAMEDIC DRUGS-NATIONAL REGISTRY
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!!
, Albuterol - ANSWER (Proventil, Ventolin) Sympathomimetic Bronchodilator
Des: Causes bronchodilation, less cardiac effects than epinephrine, reduces mucus
secretion, pulmonary capillary leaking, and edema in the lungs during allergic rxns
Ind: Brochospasm and asthma in COPD
CI: Hypersensitivity
Side Effects: Tachycardia, anxiety, nausea, cough, wheezing, or dizziness
Dose: 2.5mg in 2.5 to 3mL normal saline via nebulizer
1.25mg age < 2 years
Fentanyl - ANSWER (Sublimaze) Narcotic analgesic
Des: Narcotic analgesic with more rapid/ less prolonged action than morphine
Ind: Induce sedation for endotracheal intubation
CI: MAO inhibitors within 14 days, myasthenia gravis
PC: Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems,
hepatic and renal insufficiency
Dose: 25 to 100mcg slowly IV (2 to 3 min)
Ipratropium - ANSWER (Atrovent) Anticholinergic (Bronchodilator)
Des: causes bronchodilation, dries respiratory tract secretions by blocking acetylcholine
receptors
Ind: Bronchospasm associated with asthma, COPD, and inhaled irritants
CI: Hypersensitivity to atropine, use as a primary treatment for acute bronchospasm
PC: Elderly, cardiovascular disease, hypertension
Dose: 500mcg in 2.5 to 3mL normal saline via nebulizer or 2 sprays from metered dose
inhaler
Morphine - ANSWER Opiate analgesic
Des: Potent analgesic and sedative, causes some vasodilation, reducing venous return,
and reduced myocardial O2 demand
Ind: moderate to severe pain, pain in MI, and to reduce venous return in pulmonary
edema
CI: Undiagnosed head or abdominal injury, hypotension or volume depletion, acute
bronchial asthma, COPD, severe respiratory depression, or pulmonary edema due to
chemical inhalation
PC: elderly, children, debilitated; have naloxone available
Dose: 2.5 to 15mg IV or 5 to 20mg IM/SQ (pain), 1 to 2mg per 6 to 10 minute to
response (AMI or pulmonary edema)
EXAM QUESTIONS AND ANSWERS 100%
CORRECT!!!
, Albuterol - ANSWER (Proventil, Ventolin) Sympathomimetic Bronchodilator
Des: Causes bronchodilation, less cardiac effects than epinephrine, reduces mucus
secretion, pulmonary capillary leaking, and edema in the lungs during allergic rxns
Ind: Brochospasm and asthma in COPD
CI: Hypersensitivity
Side Effects: Tachycardia, anxiety, nausea, cough, wheezing, or dizziness
Dose: 2.5mg in 2.5 to 3mL normal saline via nebulizer
1.25mg age < 2 years
Fentanyl - ANSWER (Sublimaze) Narcotic analgesic
Des: Narcotic analgesic with more rapid/ less prolonged action than morphine
Ind: Induce sedation for endotracheal intubation
CI: MAO inhibitors within 14 days, myasthenia gravis
PC: Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems,
hepatic and renal insufficiency
Dose: 25 to 100mcg slowly IV (2 to 3 min)
Ipratropium - ANSWER (Atrovent) Anticholinergic (Bronchodilator)
Des: causes bronchodilation, dries respiratory tract secretions by blocking acetylcholine
receptors
Ind: Bronchospasm associated with asthma, COPD, and inhaled irritants
CI: Hypersensitivity to atropine, use as a primary treatment for acute bronchospasm
PC: Elderly, cardiovascular disease, hypertension
Dose: 500mcg in 2.5 to 3mL normal saline via nebulizer or 2 sprays from metered dose
inhaler
Morphine - ANSWER Opiate analgesic
Des: Potent analgesic and sedative, causes some vasodilation, reducing venous return,
and reduced myocardial O2 demand
Ind: moderate to severe pain, pain in MI, and to reduce venous return in pulmonary
edema
CI: Undiagnosed head or abdominal injury, hypotension or volume depletion, acute
bronchial asthma, COPD, severe respiratory depression, or pulmonary edema due to
chemical inhalation
PC: elderly, children, debilitated; have naloxone available
Dose: 2.5 to 15mg IV or 5 to 20mg IM/SQ (pain), 1 to 2mg per 6 to 10 minute to
response (AMI or pulmonary edema)
