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CDH Paramedic pharmo

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Adenocard (adenosine) - Correct Answer Antiarrhythmic Peak Effect: seconds Initial dose of 6mg rapid IV (over 1 - 2 seconds) followed by a 10 mL rapid saline flush and extremity elevation. First dose does not eliminate rhythm in 1 - 2 minutes, give 12 mg rapid IV followed by 10 mL ra...

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  • September 13, 2024
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  • 2024/2025
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  • CDH Paramedic pharmo
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CDH Paramedic pharmo
Adenocard (adenosine) - Correct Answer Antiarrhythmic

Peak Effect: seconds

Initial dose of 6mg rapid IV (over 1 - 2 seconds) followed by a 10 mL rapid saline flush and extremity elevation.

First dose does not eliminate rhythm in 1 - 2 minutes, give 12 mg rapid IV followed by 10 mL rapid saline flush and
extremity elevation.

May repeat second dose(12 mg) once.

Adenocard (adenosine) peds - Correct Answer Antiarrhythmic

Peak Effect: Seconds

Initial dose of 0.1 mg/kilogram rapid IV/IO over 1 to 2 seconds followed immediately 5 mL rapid saline flush and
extremity elevation. max initial dose 6 mg

If first dose does not eliminate rhythm in 1 - 2 minutes, give 0.2 mg/kilogram rapid IV/IO followed immediately by 5 mL
rapid saline flush and extremity elevation. Max repeat dose 12 mg

May repeat second dose (0.2 mg/kilogram)

Albuterol (proventil, Ventolin) - Correct Answer Bronchodilator, beta agonist, sympathomimetic

Peak Effect: 30 minutes - 2 hours

2.5 mg of 0.083% (3 mL) via nebulizer (6 LPM oxygen) until missed stops, usually 5 to 15 minutes.

5 mg o.083% (6 mL) via nebulizer, up to 20mg total.

Amiodarone (Cordarone) - Correct Answer Antiarrhythmic (class III)

Peak Effect: 3-7 hours

Ventricular tachycardia with a pulse: 150 mg IV/IO over 10 minutes with D5W

Pulseless ventricular tachycardia/ventricular fibrillation: 300 mg IV/IO Bolus. Repeat dose of 150 milligram IV/IO
Bolus

pVT/pVF converts to a supraventricular rhythm and has not received > 300 mg / 100mL over 10 min

Aspirin - Correct Answer Antiplatelet agent

Peak Effect: 1-3 hours, 4 hour half-life

324 mg showed and swallowed within past eight hours

Atropine - Correct Answer Anticholinergic

Peak Effect: 2-4 minutes

Bradycardia: 0.5 mg rapid IV/IO every 3 minutes up to 3 mg.

Muscarinic poisonings: 2 mg rapid IV/IO every three minutes. No max dose.

, Nerve gas exposure antidote: 2-6 mg IV/IM repeated twice at hourly intervals.

Atropine peds - Correct Answer Anticholinergic (Parasympathetic blocker)

Peak Effect: 2-4 minutes

Bradycardia/Spinal/ neurogenic shock: 0.02 mg per kilogram rapid IV/IO. Minimum dose 0.1 mg. May repeat x1 in 3
to 5 minutes in bradycardia, repeat x2 in spinal/ neurogenic shock.

Max single dose 0.5 mg.
Max total dose 1 mg in bradycardia
1.5 mg in spinal/neurogenic shock.

Muscarinic poisoning: 0.02 mg rapid IV/IO q 3 minutes. Minimum dose 0.1 mg. No max.

Benadryl (diphenhydramine) - Correct Answer Antihistamine, H1 blocker

Peak effect: 1 hour

50 mg IM or slow IV (liquid PO if injectable unavailable)

Benadryl (diphenhydramine) peds - Correct Answer Antihistamine, H1 blocker

Peak effect: 1 hour

1 mg/kilogram IM or PO with lower acuity. Max dose 50 mg

1 mg/kilogram slow IV/IO when Emergent. Max dose 50 mg

Benzocaine (Hurricane) - Correct Answer Topical anesthetic (ester type)

Peak Effect: >5 minutes

0.5-1 second spray in posterior pharynx. May repeat x1 in 30 seconds

Dextrose - Correct Answer Carbohydrate, antihypoglycemic

Peak effect: variable

Dextrose 10% 10g / 100mL solution IV push

May repeat if partial or no improvement or blood glucose remains <60. First repeat will be 10 g (100 mL), second
repeat dose will be 5 g (50mL)

Dextrose peds - Correct Answer Carbohydrate, antihypoglycemic

Peak effect: variable

Dextrose 10% 5 mL/kg (0.5 g/kg, max 25 g) slow IV.

May repeat x 1 following reassessment if partial or no improvement or blood glucose remains <60

Diastat - Correct Answer Benzodiazepine, sedative-hypnotic, CNS depressant, anticonvulsant

Peak effect: 15-30 minutes

Dosing of the Accu dial dosing system is set according to the prescription. There are two delivery systems, capable of
delivering up to 10 (5, 7.5 or 10) or 20 (12.5, 15, 17.5 or 20) mg. Compare the labeled dose to the dose window on
the side of the device before administering

Dopamine Hydrochloride (intrepin) - Correct Answer Adrenergic, they suppressor, inotropic agent

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