ECC Pharmacology & Medication Management Flashcards
6 cards from real ECC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 ECC Pharmacology & Medication Management flashcards as text
Which is the first-line vasopressor recommended during cardiac arrest in the AHA ECC guidelines?
Answer: Epinephrine
Epinephrine 1 mg IV/IO every 3–5 minutes is the first-line vasopressor for cardiac arrest per AHA ECC guidelines.
What is the recommended dose of amiodarone for the first shock-refractory ventricular fibrillation (VF) in adults?
Answer: 300 mg IV
The first dose of amiodarone for shock-refractory VF or pulseless VT is 300 mg IV/IO bolus.
Adenosine is the drug of choice for terminating which arrhythmia?
Answer: Stable narrow-complex supraventricular tachycardia
Adenosine is first-line treatment for stable, narrow-complex supraventricular tachycardia (SVT) due to its ability to transiently block AV node conduction.
A patient in symptomatic bradycardia does not respond to atropine. Which drug should be considered next?
Answer: Dopamine infusion
Dopamine infusion (2–20 mcg/kg/min) or epinephrine infusion is recommended for symptomatic bradycardia unresponsive to atropine while preparing for transcutaneous pacing.
What is the maximum single dose of atropine recommended for symptomatic bradycardia?
Answer: 2.0 mg
The total maximum dose of atropine for bradycardia is 3 mg, given as 0.5–1 mg boluses; doses below 0.5 mg may paradoxically worsen bradycardia.
Sodium bicarbonate administration during cardiac arrest is most appropriate in which scenario?
Answer: Hyperkalemia-induced cardiac arrest
Sodium bicarbonate is specifically indicated in cardiac arrest associated with hyperkalemia or tricyclic antidepressant overdose to correct metabolic acidosis.