CFRN Critical Care Medications and Pharmacology 2

Question 1

A patient receiving a heparin infusion develops acute HIT (Heparin-Induced Thrombocytopenia). Which action is the priority?

Accepted Answer

Discontinue all heparin and switch to argatroban or bivalirudin

Answer

Reduce the heparin dose by 50%

Answer

Add aspirin to the current regimen

Answer

Administer platelets immediately

Question 2

Which reversal agent is used for suspected opioid overdose during air medical transport?

Accepted Answer

Naloxone

Answer

Flumazenil

Answer

Physostigmine

Answer

Protamine sulfate

Question 3

What is the correct IV loading dose of amiodarone for a hemodynamically stable patient with ventricular tachycardia?

Accepted Answer

150 mg over 10 minutes

Answer

75 mg over 10 minutes

Answer

300 mg IV push

Answer

600 mg over 30 minutes

Question 4

A diabetic patient transported by air has a blood glucose of 38 mg/dL and is unconscious. There is no IV access. What is the best immediate treatment?

Accepted Answer

Glucagon 1 mg IM

Answer

Oral glucose gel

Answer

D50W via IO access

Answer

Insulin drip

Question 5

Which medication is the antidote for acetaminophen overdose and should be initiated during long-distance transport?

Accepted Answer

N-acetylcysteine (NAC)

Answer

Fomepizole

Answer

Deferoxamine

Answer

Pyridoxine

Question 6

Rocuronium is selected instead of succinylcholine for RSI. What reversal agent is available for rocuronium?

Accepted Answer

Sugammadex

Answer

Neostigmine

Answer

Flumazenil

Answer

Physostigmine