TEEX Paramedic Med Group 4 Questions with Detailed Verified Answers

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TEEX Paramedic Med Group 4 Questions
with Detailed Verified Answers

Sodium Bicarbonate Class

⼀Answer:- alkalinizing agent

Q: Sodium Bicarbonate Actions

⼀Answer:- neutralizes excess acids; increases pH

Q: Sodium Bicarbonate Indications

⼀Answer:- 1. metabolic acidosis (Ethylene glycol, ASA, TCA OD)

2. hyperkalemia

3. promote excretion of barbiturates

4. promote excretion of myoglobin after crush injury or electrocution

5. status asthmatics

6. prolonged CPR

Q: Sodium Bicarbonate Contraindications

⼀Answer:- hypokalemia; alkalotic states

Q: Sodium Bicarbonate Precautions

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⼀Answer:- 1. corrective dosage essential to avoid elevating pH too
high

2. deactivates catecholamines (don't mix w/ Epi in arrest)

3. precipitates with calcium (chalk)

4. delivers large sodium load

Q: Sodium Bicarbonate Side Effects

⼀Answer:- 1. alkalosis

2. increases vascular volume (hypertonic) resulting in pulmonary edema

3. hypokalemia and dysrhythmias

4. can transiently increase PaCO2

Q: Sodium Bicarbonate Dosage

⼀Answer:- 1 mEq/kg followed by 0.5mEq/kg every 10 minutes as
indicated by blood gases

Q: Sodium Bicarbonate Route

⼀Answer:- IV/IO

Q: Sodium Bicarbonate How Supplied

⼀Answer:- prefilled syringe; adult: 50mEq/50ml; pediatric:
10mEq/10ml

Q: Sodium Bicarbonate Pediatric Dosage

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⼀Answer:- 1mEq/kg followed by 0.5mEq/kg every 10 minutes as
indicated by blood gases

Q: Sodium Bicarbonate Onset/Duration

⼀Answer:- seconds, 10 mins

Q: Furosemide (Lasix) Class

⼀Answer:- loop diuretic

Q: Furosemide Actions

⼀Answer:- 1. inhibits reabsorption of Sodium and Chloride

2. increases osmolarity in the loop of Henle

3. promotes prompt diuresis

4. vasodilation

Q: Furosemide Indications

⼀Answer:- CHF, pulmonary edema

Q: Furosemide Contraindications