PARAMEDIC EXAM 1 2025/2026 QUESTIONS AND
ANSWERS GRADED A+
Dose, Indications, and Contraindications for Sodium Bicarbonate - Dose: 1 mEq/kg initially followed
by 0.5mg q 10 minutes
Indication: Tricyclic Antidepressant Overdose, Severe acidosis secondary to hyperventilation
Contraindication: Alkalotic States
Dose, Indications, and Contraindications for Lidocaine - Dose: 1.0 - 1.5 mg/kg initial, addition 0.5 -
0.75 mg/kg can be repeated q 5-10 minute intervals or until arrhythmia is suppressed. Max of 3.0
mg/kg. For pts older than 70 yoa, reduce dosage by 50%
Indications: VT/vF refractory to amiodarone
Contraindications: High degree heart blocks, PVC in conjunction with bradycardia
Dose, Indications, and Contraindications for Valium - Dose: 2-10mg IV
Indications: Major motor seizures, status epilepticus, pre-medication prior to cardioversion, and
acute anxiety states
Contraindications: Known Hypersensitivity
Dose, Indications, and Contraindications for Epinephrine 1:10,000 - Dose; 1mg q 3-5 minutes
Indications: Cardiac arrest, severe anaphylaxis, severe reactive airway disease
Contraindications: Pts that do not require extensive CPR
Dose, Indications, and Contraindications for Epinephrine 1:1,000 - Dose: 0.3mg IM adults, 0.15mg IM
pediatric
, Indication: Severe Allergic Reaction
Contraindication: Hypertension, pregnancy, Pts with tacharrythmias, underlying cardiovascular
disease
Dose, Indications, and Contraindications for Morphine - Dose; 2-5mg IV, 5-15mg based on weight; 0.1
- 0.2 mg/kg IV
Indications: Severe Pain
Contraindication: Head Injury, Hypotension, Undiagnosed Abdominal Pain
Dose, Indications, and Contraindications for Lasix - Dose: 40-80 mg IV/IM, Ped Dose 15-20mg/kg
IV/IM
Indications: CHF, Pulmonary Edema
Contraindications: Pregnancy, Dehydration
Dose, Indications, and Contraindications for Adenosine - Dose: 6mg Rapid IV push, 12 mg Rapid IV
push
Indications; Narrow or wide complex tachyarrythmias
Contraindications: Torsades de Points, A-Fib, 2nd and 3rd degree heart blocks, known
hypersensitivity
Dose, Indications, and Contraindications for Atropine - Dose: 0.5mg q 3-5 minutes, up to a maximum
of 3.0mg
Indications: Hemodynamically Stable Bradycardia, Organophosphate poisoning
ANSWERS GRADED A+
Dose, Indications, and Contraindications for Sodium Bicarbonate - Dose: 1 mEq/kg initially followed
by 0.5mg q 10 minutes
Indication: Tricyclic Antidepressant Overdose, Severe acidosis secondary to hyperventilation
Contraindication: Alkalotic States
Dose, Indications, and Contraindications for Lidocaine - Dose: 1.0 - 1.5 mg/kg initial, addition 0.5 -
0.75 mg/kg can be repeated q 5-10 minute intervals or until arrhythmia is suppressed. Max of 3.0
mg/kg. For pts older than 70 yoa, reduce dosage by 50%
Indications: VT/vF refractory to amiodarone
Contraindications: High degree heart blocks, PVC in conjunction with bradycardia
Dose, Indications, and Contraindications for Valium - Dose: 2-10mg IV
Indications: Major motor seizures, status epilepticus, pre-medication prior to cardioversion, and
acute anxiety states
Contraindications: Known Hypersensitivity
Dose, Indications, and Contraindications for Epinephrine 1:10,000 - Dose; 1mg q 3-5 minutes
Indications: Cardiac arrest, severe anaphylaxis, severe reactive airway disease
Contraindications: Pts that do not require extensive CPR
Dose, Indications, and Contraindications for Epinephrine 1:1,000 - Dose: 0.3mg IM adults, 0.15mg IM
pediatric
, Indication: Severe Allergic Reaction
Contraindication: Hypertension, pregnancy, Pts with tacharrythmias, underlying cardiovascular
disease
Dose, Indications, and Contraindications for Morphine - Dose; 2-5mg IV, 5-15mg based on weight; 0.1
- 0.2 mg/kg IV
Indications: Severe Pain
Contraindication: Head Injury, Hypotension, Undiagnosed Abdominal Pain
Dose, Indications, and Contraindications for Lasix - Dose: 40-80 mg IV/IM, Ped Dose 15-20mg/kg
IV/IM
Indications: CHF, Pulmonary Edema
Contraindications: Pregnancy, Dehydration
Dose, Indications, and Contraindications for Adenosine - Dose: 6mg Rapid IV push, 12 mg Rapid IV
push
Indications; Narrow or wide complex tachyarrythmias
Contraindications: Torsades de Points, A-Fib, 2nd and 3rd degree heart blocks, known
hypersensitivity
Dose, Indications, and Contraindications for Atropine - Dose: 0.5mg q 3-5 minutes, up to a maximum
of 3.0mg
Indications: Hemodynamically Stable Bradycardia, Organophosphate poisoning
