ECC ECC Pharmacology & Medication Management 2

Question 1

Which antiarrhythmic drug is an acceptable alternative to amiodarone for shock-refractory VF/pulseless VT?

Accepted Answer

Lidocaine

Answer

Lidocaine (1–1.5 mg/kg IV/IO) is an acceptable alternative to amiodarone for shock-refractory VF or pulseless VT.

Question 2

During ACLS, magnesium sulfate is specifically indicated for which rhythm?

Accepted Answer

Torsades de pointes

Answer

Magnesium sulfate (1–2 g IV/IO) is the treatment of choice for torsades de pointes (polymorphic VT with prolonged QT interval).

Question 3

A patient with stable wide-complex tachycardia of uncertain origin should receive which drug with caution?

Accepted Answer

Verapamil

Answer

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.

Question 4

What is the recommended IV/IO dose of epinephrine for anaphylaxis?

Accepted Answer

0.3 mg of 1:1,000 IM (or 0.1 mg IV slowly)

Answer

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.

Question 5

Which drug is given to reverse opioid-induced respiratory arrest in the ECC setting?

Accepted Answer

Naloxone

Answer

Naloxone (0.4–2 mg IV/IM/IN) is the opioid antagonist used to reverse respiratory depression caused by opioid overdose.

(ECC) Emergency Cardiovascular Care Certification Practice Test

(ECC) Emergency Cardiovascular Care Certification Practice Test

ECC ECC Pharmacology & Medication Management 2