CFRN Critical Care Medications and Pharmacology

Question 1

Which vasopressor is considered first-line for septic shock in the flight transport environment?

Accepted Answer

Norepinephrine

Answer

Epinephrine

Answer

Dopamine

Answer

Vasopressin

Question 2

A flight nurse administers adenosine 6 mg IV push for SVT. The patient does not convert. What is the correct next dose?

Accepted Answer

12 mg

Answer

6 mg

Answer

18 mg

Answer

24 mg

Question 3

Which medication is used to treat hyperkalemia-induced cardiac arrhythmias as the immediate first step?

Accepted Answer

Calcium gluconate or calcium chloride

Answer

Sodium bicarbonate

Answer

Insulin and dextrose

Answer

Sodium polystyrene sulfonate

Question 4

A patient in the aircraft requires RSI. The flight nurse selects succinylcholine. Which contraindication should be assessed first?

Accepted Answer

Recent crush injury or burns

Answer

History of hypertension

Answer

Mild renal insufficiency

Answer

History of asthma

Question 5

What is the primary mechanism of action of ketamine when used for induction in the flight setting?

Accepted Answer

NMDA receptor antagonism

Answer

GABA-A receptor agonism

Answer

Mu-opioid receptor agonism

Answer

Alpha-2 adrenergic agonism

Question 6

Which antidysrhythmic drug is preferred for stable wide-complex tachycardia of uncertain origin during air transport?

Accepted Answer

Procainamide

Answer

Lidocaine

Answer

Verapamil

Answer

Digoxin