PARAMEDIC PHARMACOLOGY EXAM
QUESTIONS AND ANSWERS 100% CORRECT!!
, Activated Charcoal - ANSWER CLASS: adsorbent
ACTIONS: adsorbs toxins by chemical binding and prevents GI absorption
INDICATIONS: poisoning following emesis or when emesis is contraindicated
CONTRAINDICATIONS: none in severe poisoning
PRECAUTIONS: should only be administered following emesis in which it is so
indicated, use with caution in patients with altered mental status, may absorb ipecac; if
ipecac is administered, wait at least 10 mins to administer activated charcoal
SIDE EFFECTS: nausea/vomiting
ROUTE: PO
ADULT DOSAGE: 1 g/kg (typically 50-75 g)mixed with a glass of water to form a slurry
PEDIATRIC DOSAGE: 1 g/kg mixed with a glass of water to form a slurry
Adenosine (Adenocard) - ANSWER CLASS: antidysrhythmic
ACTIONS: slows atrioventricular conduction
INDICATIONS: symptomatic PSVT
CONTRAINDICATIONS: second or third degree heart block, sick sinus syndrome,
known hypersensitivity to drug, Wolf Parkinson White syndrome
PRECAUTIONS: dysrhythmias, including blocks, are common at the time of
cardioversion, use with caution in patients with asthma
SIDE EFFECTS: facial flushing, headache, SOB, dizziness, nausea
ROUTE: IV/IO; should be administered directly into a vein or into the medication
administration port closest to the patient and followed by flushing of the line with IV fluid
ADULT DOSAGE: 6 mg rapid IV bolus over 1-2 seconds, if after 1-2 minutes,
cardioversion doesn't occur, administer a 12 mg dose over 1-2 seconds
PEDIATRIC DOSAGE: safety in children has not been established
Albuterol (Proventil) - ANSWER CLASS: sympathomimetic (Beta 2 selective)
ACTIONS: bronchodilation
INDICATIONS: asthma, reversible bronchospasm associated with COPD
CONTRAINDICATIONS: symptomatic tachycardia, known hypersensitivity to drug
PRECAUTIONS: BP, HR, and ECG results should be monitored, use caution in patients
with known heart disease
SIDE EFFECTS: palpitations, anxiety, headache, dizziness, sweating
ROUTE: inhalation (via NEB)
ADULT DOSAGE: 0.5 mL (2.5 mg) in 2.5 mL of NaCl over 5-15 mins via NEB
PEDIATRIC DOSAGE: 0.15 mg/kg (0.03 mL/kg) in 2.5 mL normal saline via NEB
Amiodarone (Cordarone) - ANSWER CLASS: antidysrhythmic
QUESTIONS AND ANSWERS 100% CORRECT!!
, Activated Charcoal - ANSWER CLASS: adsorbent
ACTIONS: adsorbs toxins by chemical binding and prevents GI absorption
INDICATIONS: poisoning following emesis or when emesis is contraindicated
CONTRAINDICATIONS: none in severe poisoning
PRECAUTIONS: should only be administered following emesis in which it is so
indicated, use with caution in patients with altered mental status, may absorb ipecac; if
ipecac is administered, wait at least 10 mins to administer activated charcoal
SIDE EFFECTS: nausea/vomiting
ROUTE: PO
ADULT DOSAGE: 1 g/kg (typically 50-75 g)mixed with a glass of water to form a slurry
PEDIATRIC DOSAGE: 1 g/kg mixed with a glass of water to form a slurry
Adenosine (Adenocard) - ANSWER CLASS: antidysrhythmic
ACTIONS: slows atrioventricular conduction
INDICATIONS: symptomatic PSVT
CONTRAINDICATIONS: second or third degree heart block, sick sinus syndrome,
known hypersensitivity to drug, Wolf Parkinson White syndrome
PRECAUTIONS: dysrhythmias, including blocks, are common at the time of
cardioversion, use with caution in patients with asthma
SIDE EFFECTS: facial flushing, headache, SOB, dizziness, nausea
ROUTE: IV/IO; should be administered directly into a vein or into the medication
administration port closest to the patient and followed by flushing of the line with IV fluid
ADULT DOSAGE: 6 mg rapid IV bolus over 1-2 seconds, if after 1-2 minutes,
cardioversion doesn't occur, administer a 12 mg dose over 1-2 seconds
PEDIATRIC DOSAGE: safety in children has not been established
Albuterol (Proventil) - ANSWER CLASS: sympathomimetic (Beta 2 selective)
ACTIONS: bronchodilation
INDICATIONS: asthma, reversible bronchospasm associated with COPD
CONTRAINDICATIONS: symptomatic tachycardia, known hypersensitivity to drug
PRECAUTIONS: BP, HR, and ECG results should be monitored, use caution in patients
with known heart disease
SIDE EFFECTS: palpitations, anxiety, headache, dizziness, sweating
ROUTE: inhalation (via NEB)
ADULT DOSAGE: 0.5 mL (2.5 mg) in 2.5 mL of NaCl over 5-15 mins via NEB
PEDIATRIC DOSAGE: 0.15 mg/kg (0.03 mL/kg) in 2.5 mL normal saline via NEB
Amiodarone (Cordarone) - ANSWER CLASS: antidysrhythmic
