Medication Test for the Emergency Department

Name_____________________Date-__________________

1. Janie, 3 y.o. girl with c/o fever, vomiting and diarrhea for >24 hours. Dr.
Sherlock orders Tylenol, age and wt. appropriate. Janie weighs 26
pounds. How much Tylenol, and by what route will you give it.
Weight: 26 # = _________KG. Tylenol_________mg. How much by
the route that you choose. ________________ (i.e.: ½ supp, # of chews)

2. Tom Brady comes in with fever, chills and cough. He is

immunocompromised and has a PICC line with clamps. You draw blood
and need to flush the line. How much blood do you draw as a discard?
With what and how much, do you flush the line?
___________________________________________________________
__________________________________________________________

3. Arnold Schwarzenegger comes to the ED with crushing substernal chest

pain. He is having an acute inferior MI. Dr. Park is unavailable so he will
receive TNkase. He weighs 203 #s. His wt. in KGs is _______________.
He will receive what dose of TNkase? ____________mg.
=_______________ml bolus.

4. Arnold also will receive Lovenox. How much is his bolus dose________?
What route is the bolus dose? ______________. How will this
maintenance medication be given, and how much?
______________route __________________mg.

5. Julianne Hough, 100 #s, comes to the ED with a dislocated left hip. She
will receive moderate sedation. How much propofol will she receive?
____________mg. _____________ml. What other staff must be in the
room when the medication is given? ______________________________
__________________________________________________________.
Which ED MDs can give Propofol? _______________________________
___________________________________________________________
.How long must she remain in the department after the dose of Propofol?
_________________________________________________minutes.

6. Andy Rooney is in the ED with a kidney stone. He needs pain medication.

Dr. Solik orders 1mg. of Dilaudid and 4mg. of Zofran. How will you obtain
the medication, and what safety procedure must you follow. Dilaudid is
only available in a 2mg. carpoject. ______________________________
___________________________________________________________
___________________________________________________________
7. Sweet Summer, 18 y.o., is in the ED with blood glucose of 630mg/dl. She
needs 14 units of Regular insulin SQ. What are you responsibilities in
giving this medication? ________________________________________
___________________________________________________________
___________________________________________________________

8. Summer now needs her maintenance Insulin gtt. What are your
responsibilities to get this initiated? _________________________________
_____________________________________________________________.

9. Mary Martin comes to the ED with severe respiratory distress. Dr.

Chadwick is going to intubate. He wants to use Etomidate and
Succinylcholine. How is this medication packaged?
______________mg. / _____________ml. Etomidate
______________mg/ _____________ ml Succinylcholine
Medication onset ___________________ Duration ____________Etomidate
Medication onset____________________ Duration____________Succs
Etomidate is what drug class? _________________________________
Succinylcholine is what drug class? _____________________________
Which medication do you give first, and why? ______________________
___________________________________________________________
Where is it located? ___________________________________________
How is it charged? ____________________________________________
What safety precautions must you follow? __________________________
___________________________________________________________
What electrolyte would need to be checked before giving Succs and why?
___________________________________________________________

10. Owen Wilson is leaving the ED. Before he goes Dr. Roeder ordered
Lortab 7.5mg PO. What safety precaution must you follow before giving him
this medication?
___________________________________________________
_____________________________________________________________

11. Tommy Toons, 18 month old, 19# toddler has nausea and vomiting. Dr.
Weesner orders Zofran 1mg PO. How do you give this medication?
________

12. Phyllis Diller arrives in the ED with severe chest pain. During med
reconciliation, you discover that she routinely takes REVATIO for pulmonary
artery hypertension (PAH). What medication that we would normally give to
Ms. Diller is contraindicated, and why? ______________________________
______________________________________________________________
______________________________________________________________
Thank you!