D-ems Drugs Revision Quiz
Select the three best boxes associated with each drug; one per category of indicator, dosage, and contraindication. Each question thus has 3 correct answers for a total of 3 points per drug. You get a point for each correct answer. Every incorrect answer causes a loss of 1 point. Some "grey area" answers will be given 0 points if selected, but choose the best obvious answer. Scores will be noted. Since all answers can be found in the 2015 NH EMS Protocol, it may be wise to look it up and study the material again ;) Good luck!
- 1.Acetaminophen (Tylenol): not carried by D-EMS, but it's within our scope of practice. Assist patient with self-administration if they have it, or direct to Dick's House.
- A.
Indicator: Fever
- B.
Indicator: Poisoning/Overdose/OD
- C.
Indicator: Cardiac Chest Pain / Acute Coronary Syndrome
- D.
Dosage: 324mg (four 81mg tablets)
- E.
Dosage: 500mg (1 pill) up to 1000mg
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: Allergy, Renal Insufficiency
- H.
Contra: No direction from Med/Poison Control
- I.
Contra: Allergy, Active GI bleeding. Adult Only.
- 2.Aspirin
- A.
Indicator: Fever and Inflammation
- B.
Indicator: Cardiac Chest Pain / Acute Coronary Syndrome
- C.
Indicator: Poisoning/Overdose/OD
- D.
Dosage: 324mg (four 81mg tablets)
- E.
Dosage: 500mg (1 pill) up to 1000mg
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: Allergy, Renal Insufficiency
- H.
Contra: No direction from Med/Poison Control
- I.
Contra: Allergy, Active GI bleeding. Adult Only.
- 3.Activated Charcoal
- A.
Indicator: Fever and Inflammation
- B.
Indicator: Poisoning/Overdose/OD
- C.
Indicator: Cardiac Chest Pain / Acute Coronary Syndrome
- D.
Dosage: 324mg (four 81mg tablets)
- E.
Dosage: 500mg (1 pill) up to 1000mg
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: Allergy, Renal Insufficiency
- H.
Contra: No direction from Med/Poison Control
- I.
Contra: Allergy, Active GI bleeding. Adult Only.
- 4.Ipratropium Bromide/Albuterol/Levalbuterol
- A.
Indicator: Asthma/Allergic Reaction/Anaphylaxis
- B.
Indicator: Organophosphate Poisoning: Sludgem (Salivation, Lacrimation, Urination, Defecation, Gastric Upset, Emesis, Muscle Spasm)
- C.
Indicator: Poisoning/Overdose/OD
- D.
Dosage: MDI Assist only, 6 Puffs max
- E.
Dosage: 1 auto injector. If a second one is needed, contact Medical Control.
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: Not prescribed to patient
- H.
Contra: No direction from Med/Poison Control
- I.
Contra: Sulfa Drug allergy.
- 5.Epinephrine Autoinjector
- A.
Indicator: Organophosphate Poisoning: Sludgem (Salivation, Lacrimation, Urination, Defecation, Gastric Upset, Emesis, Muscle Spasm)
- B.
Indicator: Cardiac Chest Pain / Acute Coronary Syndrome
- C.
Indicator: Anaphylais
- D.
Dosage: MDI Assist only, 6 Puffs max
- E.
Dosage: 1 auto injector. If a second one is needed, contact Medical Control.
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: Not prescribed to patient
- H.
Contra: No direction from Med/Poison Control
- I.
Contra:
- 6.Diazepam (Rectal Gel)
- A.
Indicator: Seizure
- B.
Indicator: Hypoglycemia (< 70mg/dL)
- C.
Indicator: Infant in pain
- D.
Dosage: As prescribed to patient
- E.
Dosage: 25g max (around 1 tubule)
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: >60 days of age
- H.
Contra: Not prescribed to patient
- I.
Contra: Sulfa Drug allergy.
- 7.Dextrose (Oral Glucose)
- A.
Indicator: Seizure
- B.
Indicator: Hypoglycemia (< 70mg/dL)
- C.
Indicator: Infant in pain
- D.
Dosage: As prescribed to patient
- E.
Dosage: 25g max (around 2 of our 15g tubules)
- F.
Dosage: 25-50g, as directed by Med/Poison Control
- G.
Contra: Pt. has gout
- H.
Contra: Pt. cannot swallow, Airway not patent.
- I.
Contra: Sulfa Drug allergy.
- 8.Ibuprofen (not carried by D-EMS, but it's within our scope of practice. Assist patient with self-administration if they have it, or direct to Dick's House).
- A.
Indicator: Chest pain / Acute Coronary Syndrome
- B.
Indicator: Respiratory Depression, Track Marks, Pinpoint Pupils, Bradycardia, Cyanosis, AMS
- C.
Indicator: Fever
- D.
Dosage: 800mg max, every 8 hours
- E.
Dosage: 1mg (half a tube) in each nostril. If no response, another 1mg into each nostril, then contact medical control if more needed.
- F.
Dosage: As prescribed to patient
- G.
Contra: Not opiate overdose, Allergy
- H.
Contra: Use with cation for pregnant women, dehydration, cardiovascular disease, renal disease. Allergy.
- I.
Contra: Erectile dysfunction pills, hypotension (systolic
- 9.Naloxone (Narcan)
- A.
Indicator: Chest pain / Acute Coronary Syndrome
- B.
Indicator: Respiratory Depression, Track Marks, Pinpoint Pupils, Bradycardia, Cyanosis, AMS
- C.
Indicator: Fever and Inflammation
- D.
Dosage: 1mg (half a tube) in each nostril. If no response after 3-5 min, give another 1mg into each nostril, then contact medical control if more is needed.
- E.
Dosage: As prescribed to patient
- F.
Dosage: Assist in prescribed amount up to three times max. or sublingual 0.4mg nitro tab every 5 min.
- G.
Contra: Not opiate overdose
- H.
Contra: Pregnant women, dehydration, cardiovascular disease, renal disease.
- I.
Contra: Erectile dysfunction pills, hypotension (systolic
- 10.Nitroglycerin
- A.
Indicator: Chest pain / Acute Coronary Syndrome / CHF
- B.
Indicator: Respiratory Depression, Track Marks, Pinpoint Pupils, Bradycardia, Cyanosis, AMS
- C.
Indicator: Fever and Inflammation
- D.
Dosage: 1mg (half a tube) in each nostril. If no response, another 1mg into each nostril, then contact medical control if more needed.
- E.
Dosage: Four 81 mg tablets max
- F.
Dosage: Assist in prescribed amount up to three times max. or sublingual 0.4mg nitro tab every 5 min. (3 tabs max)
- G.
Contra: Erectile dysfunction pills, hypotension (systolic
- H.
Contra: Not opiate overdose, Allergy, hypotension (systolic
- I.
Contra: Pregnant women, dehydration, cardiovascular disease, renal disease.
Related Topics
Featured Quizzes
Back to top