1.
WHEN ADMIN OF Amiodarone FOR A WIDE COMPLEX RHYTHM. WHAT IS THE PROPER AZ DOSAGE?
Correct Answer
B. 150 MG IN 50ML BAG D5W OVER 10 MINUTES
2.
MEDS CONTROL GIVES YOU ORDERS FOR VERAPMIL FOR A PT'S IN ACUTE AFIB THAT IS HEMODYNAMICALLY UNSTABLE. WHAT IS THE INTIAL DOSE?
Correct Answer
C. 2.5-5.0MG NIVP
3.
AFTER 20 MINUTES YOU SEE NO CHANGE IN THE PT'S EKG AND YOU DECIDE TO GIVE A SECOND DOSE. WHAT IS THE PROPER DOSAGE? WHAT IS THE MAX DOSAGE ALLOWED FOR THIS DRUG?
Correct Answer
5.0-10.MG MAX OF 20MG
4.
YOU ARE O/S WITH A 4 YOM PT THAT HAS A FSBS OF 32 WITH ACUTE ONSET OF AMS PER THE PARENTS, YOU DECIDE TO GIVE THE PT GLUCAGON DUE TO THE FACT THAT YOU HAVE NO IO IN YOUR JUMP BAG. WHAT IS THE CORRECT DOSE FOR PEDS?
Correct Answer
B. 0.5MG IM
5.
4 MONTH FEMALE IN FULL CARDIAC ARREST, YOUR INTIAL DOSE OF EPINEPHRINE 1:10000 IS?
Correct Answer
D. .01MG/KG
6.
IN A CODE ARREST WHAT IS THE MAXIUM SINGLE DOSE OF EPINEPHRINE THAT MAY BE ADMIN TO A PEDS PT
Correct Answer
1MG
7.
YOU RESPOND TO A 69 YOM PT IN ANAPHYLAXIS S/P A PCN ALLERGY. YOU HAVE ADMIN EPI 1:1000 AND ARE ON YOUR SECOND BREATHING TREATMENT WITH MINIMAL RESULTS. YOU DECIDE TO ADMIN 1:10000 EPI, WHAT IS YOUR DOSAGE?
Correct Answer
C. .1MG Q MIN
8.
PRIOR TO ADMIN OF VERAPMIL WHAT DRUG AND DOSAGE DO YOU GIVE FOR PRE TREATMENT.
Correct Answer
CALCIUM CHLORIDE 3CC
9.
YOU RESPOND ON EN1 TO A HOMELESS MAN DOWN IN FRONT OF THE FAMILY DOLLAR. AFTER YOUR ASSESSMENT YOU ASSUME HE IS IN STATUS SZ ACTIVITY. YOU DECIDE TO GIVE LORAZEPAM. WHAT IS YOUR DOSAGE FOR A 10KG CHILD?
Correct Answer
A. 1.0MG OR .5MG
10.
YOU HAVE A 2 YOF IN FULL CODE ARREST WITH NO IV ACCESS. YOU DECIDE TO GIVE THE PT EPI 1:1000 VIA ET TUBE. PLEASE EXPLAIN THE DOSAGE AND PROPER PREPERATION?
Correct Answer
0.1MG/KG DILUTED IN 3-5ML N/S FOLLOWED BY NORMAL SALINE FLUSH
11.
SODIUM BICARB PEDS DOSE
Correct Answer
A. 1 MEQ/KG
12.
WHEN GIVING FUROSEMIDE TO A PT THAT DOES NOT NORMALLY TAKE LASIXS WHAT IS THE CORRECT DOSE? MAX DOSE?
Correct Answer
.5MG-1MG/KG MAX DOSE 2MG/KG
13.
PLEASE EXPLAIN HOW TO SET UP INFUSION OF D50 TO PEDS PT WITH A HYPOGLYCEMIC EMERGENCY?
Correct Answer
TAKE 250ML BAG N/S WASTE 50ML AND ADD 50ML D50. .5-1GM/KG
14.
AFTER BRINGING A HERION OD BACK. YOU HAND A NALOXONE INFUSION, YOUR INTIAL BOLUS TO GET THE PT OUT OF AN UNC STATE WAS 6MG. PLEASE DESCRIBE THE STEPS.
Correct Answer
4MG ADDED INTO 250ML N/S HUNG AT INFUSION RATE OF 250ML/HR
15.
NALOXONE DOSE FOR PT LESS THAN 5 YEARS OLD
Correct Answer
C. 0.1MG/KG
16.
SOLU-MEDROL PEDS DOSE
Correct Answer
A. 2-4MG/KG
17.
YOU ARE GIVING A 12KG PT RECTAL VALIUM. WHAT IS THE CORRECT DOSE AND WHAT IS THE STATES STANDARS?
Correct Answer
0.3-0.5MG/KG 3MG TOTAL RECTAL VALIUM
18.
ADULT SZ DOSE FOR DIAZEPAM
Correct Answer
B. 2MG TITRATE TO EFFECT
19.
YOU ARE WORKING IN CLARK COUNTY, THEY CARRY VASOPRESSION. YOU FIRST CALL OF THE DAY IS A 32 YOF IN CARDIAC ARREST SHOWING VFIB ON THE MONITOR. WHAT IS THE DOSE FOR THIS DRUG? WHEN IS IT ADMIN DURING A CODE?
Correct Answer
40 UNITS X1 TIME PRIOR TO ADMIN OF EPINEPHRINE
20.
YOU ARE GIVING MIDAZOLAM TO A 12YOF FOR CHEMICAL SEDATION S/P A PHYSC EVENT. MEDS CONTROL ORDERS YOU TO FOLLOW STATE ORDERS, WHAT IS YOUR DOSAGE?
Correct Answer
A. 0.05MG-0.1MG/KG
21.
RACEMIC EPI DOSE AND PREPERATION, PLEASE EXPLAIN.
Correct Answer
.5ML OF 2.25% SOLUTION IN 2.5 ML N/S GIVEN VIA SVN
22.
WITH A PEDS D10 SOLUTION HOW MAN GM PER ML ARE PRESENT?
Correct Answer
D. 10GM PER 100ML
23.
PEDS SZ ACTIVITY, DOSAGE FOR MIDAZOLAM ADMIN? YOU HAVE IV ACCESS
Correct Answer
C. 0.2MG/KG
24.
PLEASE EXPLAIN HOW DOPAMINE IS PREPARED IN A PREMIXED FORMULA?
Correct Answer
400MG INTO 250ML N/S = 1600MCG
25.
80% OF ACCIDENTAL INGESTION OCCURS IN AGES?
Correct Answer
D. 1-3 YEARS
26.
STRONG ACID AND ALKALOID INGESTION WILL PRODUCE IMMEDIATE TISSUE DAMAGE. S/S OF THIS TYPE OF INGESTION ARE
Correct Answer
BURNS TO THE LIPS,TONGUE, THROAT AND UPPER GI TRACT
27.
THE MOST COMMON CARDIOVASCULAR DISTURBANCE WITH A POISONING BY INGESTION IS?
Correct Answer
A. DYSRTHYTHMIAS
28.
5 QUESTIONS THAT MUST BE ASKED ON ANY POISONING?
Correct Answer
WHAT WAS INGESTED, WHAT SUBSTANCE, HOW MUCH, VOMITING PRESENT, ANTIDOTE, PHYSC HX.
29.
THE GOAL OF GASTROINTESTINAL DECONTAMINATION IS TOO PREVENT THE TOXIC SUBSTANCE FROM BEING ABSORBED INTO THE?
Correct Answer
B. SMALL INTESTINE
30.
ACTIVATED CHARCOAL REDUCES ABSORPTION RATE BY WHAT PERCENT?
Correct Answer
D. 50%
31.
ACTIVATED CHARCOAL IS CONTRAINDICATED IN PATIENTS THAT HAVE INGESTED THE FOLLOWING CLASSES?
Correct Answer
STRONG ACIDS, STRONG ALKALI, OR AN ETHANOL BASED PRDUCT
32.
ACTIVATED CHARCOAL MUST BE USED HOW LONG AFTER INGESTION?
Correct Answer
A. 1HR
33.
A CATHARTIC "SORBITOL" DECREASES THE TRANSIT TIME AND EXPELS CHARCOAL IN A SHORT PERIOD. WHAT DOES A CATHARTIC DO TO BOWELS?
Correct Answer
CAUSES BOWEL EVACUATION
34.
DOSAGE FOR ACTIVATED CHARCOAL
Correct Answer
B. 1-2GM/KG
35.
SIZE OF FRENCH CATHETER USED IN ADULT GASTRIC LAVAGE? SIZE USED FOR PEDS GASTRIC LAVAGE?
Correct Answer
A. 36-40,24-28
36.
TWO CONTRAINDICATIONS OF GASTRIC LAVAGE?
Correct Answer
D. AMS, INGESTION OF LOW-VISCOSITY HYDROCARBONS
37.
YOU MAY GASTRIC LAVAGE A PT WITH AN ALTERED MENTAL STATUS BUT WHAT MUST BE DONE FIRST?
Correct Answer
THE AIRWAY SHOULD BE PROTECTED WITH AN ET TUBE.
38.
PLACEMENT OF AN ET TUBE PRIOR TO GASTRIC LAVAGE PREVENTS THIS MEDICAL CONDITION
Correct Answer
ASPIRATION PNEUMONIA
39.
PLEASE LIST 4 EXAMPLES OF A STRONG ACID OR ALKALIS
Correct Answer
RUST REMOVER, AMMONIA, DRAIN CLEANER, TOLIET BOWEL CLEANER
40.
MOST INDICATIVE SIGN OF INGESTION OF A STRONG ACID IS?
Correct Answer
B. BURNS
41.
ALKALI SUBSTANCES TAKE MINUTES TO HOURS TO LIQUEFY TISSUE. HOW LONG DOES IT TAKE ACID SUBSTANCES TO COMPLETE THERE DAMAGE?
Correct Answer
C. 1-2MINUTES
42.
WITH MEDICAL CONTROL PERMISSION WHAT ARE TWO POSSIBLE DILUTING AGENTS THAT MAY BE USED FOR ACID OR ALKALI INGESTION
Correct Answer
MILK OR WATER
43.
WHAT TWO FACTORS DETERMINE THE TOXIC EFFECT OF A HYDROCARBON?
Correct Answer
VISCOSITY, VOLATILITY
44.
AN EXAMPLE OF A HYDROCARBON WOULD BE ?
Correct Answer
B. MINERAL SEAL OIL
45.
YOU RESPOND TO A MALE PT THAT HAS INGESTED GASOLINE S/P SYPHING THROUGH A GARDEN HOSE. GASOLINE IS LOW IN VISCOSITY SO IT WILL SPREAD OVER THE MOUTH AND THROAT. IT IS A VOLATILE COMPOUND AND WHEN IT COMES IN CONTACT WITH WARM MUCOUS MEMBRANES IT CAUSES IRRITATION, COUGHING AND POSSIBLE ASPIRATION. IF ASPIRATION OCCURS WHAT IS THE COMPLICATION?
Correct Answer
TOXIC AMOUNTS OF HYDROCARBONS MAY ENTER INTO THE LUNGS
46.
EXAMPLE OF METHANOL
Correct Answer
B. PAINT REMOVER
47.
THREE WAYS METHANOL ENTERS THE BODY
Correct Answer
INGESTION, ABSORPTION, INHALATION
48.
WHAT IS THE MOST TOXIC COMPONENT OF METHANOL
Correct Answer
A. METABOLITES
49.
WITH METHANOL WHEN THE ALCOHOL IS ABSORBED INTO THE LIVER IT IS RAPIDLY CONVERTED INTO?
Correct Answer
FORMALDEHYDE
50.
ONCE FORMALDEHYDE IN MINUTES THE BODY CONVERTS THIS CHEMICAL INTO? CAUSING THIS DISORDER
Correct Answer
FORMIC ACID, CREATING METABOLIC ACIDOSIS