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Emergency Medicine · Paramedic

Paramedic Pharmacology

Common prehospital medication classes, indications, and dosing concepts tested on paramedic certification exams.

40 cards · basic cards · AI-written, checked twice. Edit anything.

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What IM dose of epinephrine 1:1,000 is given for adult anaphylaxis?
0.3 to 0.5 mg IM
What IV/IO dose of epinephrine 1:10,000 is given during adult cardiac arrest?
1 mg IV/IO
How often is epinephrine 1 mg readministered during adult cardiac arrest?
Every 3 to 5 minutes
By what route is nitroglycerin typically given for cardiac chest pain in the field?
Sublingual
Why must a paramedic ask about erectile dysfunction medication before giving nitroglycerin?
PDE5 inhibitors (like sildenafil) combined with nitroglycerin can cause severe hypotension
Nitroglycerin's primary hemodynamic effect is caused by what action?
Vasodilation, which reduces cardiac preload
The typical chewed aspirin dose for suspected acute coronary syndrome is ____.
162 to 324 mg
Why is aspirin given chewed rather than swallowed whole in suspected ACS?
Chewing speeds absorption and the onset of its antiplatelet effect
What drug class does albuterol belong to?
Beta-2 agonist bronchodilator
What is albuterol used to treat in the field?
Bronchospasm from asthma or COPD
Naloxone
Opioid antagonist
What clinical problem is naloxone administered for?
Opioid overdose with respiratory depression
What routes can naloxone be given by in the field?
Intranasal, intramuscular, or intravenous
Giving naloxone to an opioid-dependent patient can cause what reaction?
Acute opioid withdrawal symptoms
Atropine is indicated for what cardiac condition?
Symptomatic bradycardia

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