Medication Chart

Question 1

Oxygen:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 1

1. Trade name: None
2. Mechanism: Increases oxygen concentration
3. Indication: Dyspnea, Shock, SpO2 <94%
4. Contraindication: None if used responsibly

Question 2

Oxygen:

1. Route
2. Dose
3. Side effect
4. Call in?

Answer 2

1. Route: Inhalation
2. Dose: 0 to 15 lts
3. Side effect: Vaso-constriction
4. Call in? Standing

Question 3

Oral Glucose:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 3

1. Trade name: Glutose, Insta-glucose
2. Mechanism: Increases circulating glucose levels
3. Indication: Known and/or suspected hypoglycemia.
   BGL <70 md/dl
4. Contraindication: Inability to swallow and/or follow directions

Question 4

Oral Glucose:

1. Route
2. Dose
3. Side effect
4. Call-in?

Answer 4

1. Route: Buccal
2. Dose: 15 to 25 gms
3. Side effect: None
4. Call-in? Yes

Question 5

Activated Charcoal:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 5

1. Trade name: Super-Char, InstaChar, Actidose, LiquiChar
2. Mechanism: Binds to ingested toxin
3. Indication: Ingestion of poison/toxins
4. Contraindication: Inability to follow directions and/or swallow. Acids/ Alkaline

Question 6

Activated Charcoal:

1. Route
2. Dose
3. Side effect
4. Call in?

Answer 6

1. Route: Ingestion
2. Dose: 1 gm/kg
3. Side effect: Tarry bowel movements
4. Call in? Yes

⚠️ Caution!! Be careful about aspiration.

Question 7

Aspirin (ASA):

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 7

1. Trade name: Bayer, Bufferin
2. Mechanism: Decreases platelet aggregation
3. Indication: Chest discomfort
4. Contraindication: Allergic to ASA. Previously taken daily dose.

Question 8

Aspirin (ASA):

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 8

1. Route: Ingestion
2. Dose: 325 mgs or 4 X 81 mg baby ASA to 324 mg
3. Side effect: Upper GI & ulcer irritation
4. Call-in: Yes

Question 9

Metered Dose Inhaler (MDI), Small-Volume Nebulizer:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 9

1. Trade name: Proventil, Ventolin, Alupent, Metaprel, Serevent
2. Mechanism: Relaxes bronchiole, dilates lower airways
3. Indication: Dyspnea, Prescribed MDI
4. Contraindication: Max dose has been taken

Question 10

Metered Dose Inhaler (MDI), Small-Volume Nebulizer (SVN)

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 10

1. Route: Inhalation
2. Dose: 2 – 3 puffs depending on Medical Direction
3. Side effect: Tachycardia, tremors, dry mouth, N/V
4. Call-in: Yes

Question 11

Nitroglycerin:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 11

1. Trade name: Nitrostat
2. Mechanism: Dilates blood vessels decreasing cardiac workload
3. Indication: Chest discomfort, Pt. is prescribed
4. Contraindication: ED Medication within 24 hrs, B/P less than 90 mmHg systolic

Question 12

Nitroglycerin:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 12

1. Route: Sub-lingual
2. Dose: Max 3 doses of 0.4 mg, 3 – 5 mins apart
3. Side effect: Headache, drop in B/P, bitter or burning taste
4. Call-in: Yes

Question 13

Epinephrine:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 13

1. Trade name: Adrenalin, Epi-pen, Epi-pen Jr.
2. Mechanism: Sympathetic nervous response mimic
3. Indication: Anaphylaxis, Pt. is prescribed
4. Contraindication: None if true life threat (anaphylaxis)

Question 14

Epinephrine:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 14

1. Route: Intra-muscular (IM)
2. Dose: 0.3 mg adult, 0.15 mg pedi
3. Side effect: Tachycardia, Dizziness, N/V, HA, CP, Pale
4. Call-in: Administer in life threat, call-in post

Question 15

Albuterol:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 15

1. Trade name: Proventil, Ventolin
2. Mechanism: Relaxes bronchiole, dilates lower airways
3. Indication: Dyspnea
4. Contraindication: Underlying cardiac conditions
   (relative)

Question 16

Albuterol:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 16

1. Route: Nebulized inhalation
2. Dose: 2.5 mg Albuterol in 3.0 ml saline
3. Side effect: Tachycardia, tremors, dry mouth, N/V
4. Call-in: Yes

Question 17

Ondansetron:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 17

1. Trade name: Zofran
2. Mechanism: Decreases nausea
3. Indication: Nausea
4. Contraindication: None if used correctly

Question 18

Ondansetron:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 18

1. Route: Orally dissolving tablet (ODT)
2. Dose: 4.0 mg tablet
3. Side effect: Fatigue, dizziness, HA, flushing, hiccups
4. Call-in: Yes

Question 19

Naloxone:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 19

1. Trade name: Narcan
2. Mechanism: Competitive opioid site receptive antagonist
3. Indication: Respiratory depression in suspected opioid user
4. Contraindication: Underlying cardiac conditions (relative), Known hypersensitivity to medication

Question 20

Naloxone:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 20

1. Route: Intra-nasal (IN)
2. Dose: 0.5 mg titrate up to 2.0 mg total
3. Side effect: None if no opioids on board/tachycardia, N/V, Pulmonary Edema
4. Call-in: Yes

Question 21

Dextrose 50:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 21

1. Trade name: D50
2. Mechanism: Increase circulation glucose
3. Indication: Hypoglycemia
4. Contraindication: None listed

Question 22

Dextrose 50:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 22

1. Route: IV
2. Dose: Not listed
3. Side effect: Not listed
4. Call-in: No

Question 23

Phenylephrine:

1. Trade name:
2. Mechanism:
3. Indication:
4. Contraindication:

Answer 23

1. Trade name: Deconex
2. Mechanism: Vasoconstriction of nasal mucosa
3. Indication: Epistaxis
4. Contraindication: Avoid droplets into eyes, pupil will dilate

Question 24

Phenylephrine:

1. Route:
2. Dose:
3. Side effect:
4. Call-in?

Answer 24

1. Route: Intra-nasal (IN)
2. Dose: 2 sprays into affected naris(es)
3. Side effect: None
4. Call-in: Yes

Question 25

What medications do you need to **call-in**?

Answer 25

* Metered Dose Inhaler * Epinephrine (administer if life-threatening, call post) * Aspirin * Albuterol * Nitroglycerin * Small volume nebulizer * Phenylephrine * Ondansetron * Oral glucose * Naloxone MEAAN SPOON