CFRN Critical Care Medications and Pharmacology 3

Question 1

Which electrolyte imbalance is most commonly associated with torsades de pointes?

Accepted Answer

Hypomagnesemia

Answer

Hypernatremia

Answer

Hyperkalemia

Answer

Hypercalcemia

Question 2

A transport patient on a fentanyl infusion develops rigidity of the chest wall. What is the immediate treatment?

Accepted Answer

Administer naloxone and/or a neuromuscular blocking agent

Answer

Increase the fentanyl rate

Answer

Switch to morphine

Answer

Perform needle decompression

Question 3

Which drug class is used to treat alcohol withdrawal seizures and delirium tremens during transport?

Accepted Answer

Benzodiazepines

Answer

Opioids

Answer

Antipsychotics

Answer

Beta-blockers

Question 4

A patient with known anaphylaxis requires epinephrine. What is the correct IM dose and site for an adult?

Accepted Answer

0.3–0.5 mg in the anterolateral thigh

Answer

0.1 mg in the deltoid

Answer

1 mg in the deltoid

Answer

0.5 mg subcutaneously in the abdomen

Question 5

Which medication is used to rapidly reduce intracranial pressure during air transport of a TBI patient?

Accepted Answer

Hypertonic saline (3% NaCl) or mannitol

Answer

Furosemide IV

Answer

Dexamethasone

Answer

Nimodipine

Question 6

A patient is being transported with a suspected organophosphate poisoning. Which medication is the primary antidote?

Accepted Answer

Atropine (with pralidoxime as adjunct)

Answer

Pralidoxime alone

Answer

Physostigmine

Answer

Naloxone