Paramedic Prep ACLS Drugs (OCEMT) questions with correct answers
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Course
Ocemt
Institution
Ocemt
Adenosine mechanism of action Correct Answer-1. Slows conduction of the SA and AV nodes
2. Can interrupt reentry pathways through the AV and SA nodes
3. Can restore Normal Sinus Rhythm in PSVT
Adenosine Indications Correct Answer-Narrow Complex Tachycardias, SVT (>150 BPM)
Conscious ...
Paramedic Prep ACLS Drugs (OCEMT) questions
with correct answers
Adenosine mechanism of action Correct Answer-1. Slows conduction of
the SA and AV nodes
2. Can interrupt reentry pathways through the AV and SA nodes
Conscious pt. with signs and symptoms:
- Chest pain with
- Poor perfusion
- SOB
- CHF
- Hypotension/shock
adenosine Dosage Form Correct Answer-12mg/4ml vial or 6mg/2ml vial
Adenosine Routes Correct Answer-Rapid IV Push (RIVP), IO
, Adenosine administration Correct Answer--Valsalva/Vegal Maneuver
first
-12 mg RIVP, followed with 10cc/20cc NS flush, May Repeat x 1 after 3
minutes
-1/2 life of 10 seconds
-preferentially high up on the right side - closest to heart as possible
Adenosine side effects Correct Answer-Chest Pressure and Facial
Flushing
Adenosine Precautions Correct Answer-Persantine (Dipyridamole) and
Tegretol (Carbamazepine) potentiate Adenosine
Theophylline may render Adenosine ineffective
Extreme caution in cardiac transplant recipients may have persistent
asystole
Reactive airway disease (Asthma, COPD) may develop bronchospasm
Adenosine should not be given to patients with severe asthma
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