ECC Pharmacology & Medication Management Flashcards
6 cards from real ECC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ECC Pharmacology & Medication Management flashcards as text
Which antiarrhythmic drug is an acceptable alternative to amiodarone for shock-refractory VF/pulseless VT?
Answer: Lidocaine
Lidocaine (1–1.5 mg/kg IV/IO) is an acceptable alternative to amiodarone for shock-refractory VF or pulseless VT.
During ACLS, magnesium sulfate is specifically indicated for which rhythm?
Answer: Torsades de pointes
Magnesium sulfate (1–2 g IV/IO) is the treatment of choice for torsades de pointes (polymorphic VT with prolonged QT interval).
A patient with stable wide-complex tachycardia of uncertain origin should receive which drug with caution?
Answer: Verapamil
Verapamil (a calcium channel blocker) should be avoided or used with caution in wide-complex tachycardia because it can cause hemodynamic collapse if the rhythm is ventricular tachycardia.
What is the recommended IV/IO dose of epinephrine for anaphylaxis?
Answer: 0.3 mg of 1:1,000 IM (or 0.1 mg IV slowly)
For anaphylaxis, epinephrine 0.3–0.5 mg IM (1:1,000) in the thigh is standard; if IV access is used, 0.1 mg of 1:10,000 is given slowly.
Which drug is given to reverse opioid-induced respiratory arrest in the ECC setting?
Answer: Naloxone
Naloxone (0.4–2 mg IV/IM/IN) is the opioid antagonist used to reverse respiratory depression caused by opioid overdose.
When administering medications via endotracheal tube (ETT) during cardiac arrest, how should the dose be adjusted?
Answer: Use 2–2.5 times the IV dose
Endotracheal drug doses should be 2–2.5 times the IV dose, diluted in 5–10 mL of sterile water or normal saline, due to unreliable absorption.