CDH Paramedic Pharmo Test Questions and Complete Solutions

Epinephrine 1:1000 peds Sympathomimetic, adrenergic agonist, inotrope Peak effect: minutes Allergic reaction/bronchospasm: 1:1000 less than or = to 30 kg ( 66 lbs): 0.15 mg IM 30kg ( 66 lbs): 0.3 mg IM Anaphylaxis: 0.1 mL (0.01 mg/kg) 1:10,000 IV/IO OR 0.01 mL/kg (0.01mg/kg) 1:1000 IM q 3 min May repeat every 3 minutes Croup/epiglottitis: 3 mg (3mL) of 1:1,000 solution via neutralizer Cardiac arrest without vascular access: may consider 0.1 mL/kg (0.1 mg/kg) ET. Max dose of 2.5 mg ET. Flush 5 mL of normal saline and follow with 5 ventilation Epinephrine 1:1000 Adult Sympathomimetic, adrenergic agonist, inotrope Peak effect: minutes Allergic reaction/bronchospasm: 0.3 mg (0.3 mL) of 1: 1,000 solution IM Anaphylaxis: If no IV give 0.3 mg (0.3 mL) 1 :1,000 IM. May repeat every 3 minutes Croup/epiglottitis: 3 mg (3mL) of 1:1,000 solution via nebulizer Adenocard (adenosine) Antiarrhythmic Peak Effect: seconds Initial dose of 6mg rapid IV (over 1 - 2 seconds) followed by a 10 mL rapid saline flush and extremity elevation. First dose does not eliminate rhythm in 1 - 2 minutes, give 12 mg rapid IV followed by 10 mL rapid saline flush and extremity elevation. May repeat second dose(12 mg) once.