NEW
Font size
WorksheetsNaloxone Indications, Dosage, and Side Effects Quiz
Total questions: 67
Worksheet time: 34mins
Which of the following is an indication for the use of Naloxone?
Reverse acute opioid or opiate toxicity for respiratory arrest or respiratory depression
Treat bacterial infections
Manage chronic pain
Lower blood pressure
What is the initial IV/IO dose of Naloxone for an adult experiencing respiratory arrest?
400mcg
100mcg
800mcg
200mcg
Which of the following is a possible side effect of Naloxone administration?
Violent withdrawal symptoms
Increased appetite
Skin rash
Drowsiness
Why should emphasis be placed on BVM and oxygenation for neonates born to opioid-addicted mothers instead of administering Naloxone?
Naloxone can cause serious withdrawal effects in these neonates
Naloxone is ineffective in neonates
Neonates do not experience opioid toxicity
BVM and oxygenation are always preferred for all patients
If an adult patient is in cardiac arrest due to opioid toxicity, what is the recommended repeat dose interval for Naloxone?
1 minute
3 minutes
5 minutes
10 minutes
A patient presents with unconsciousness and respiratory depression of unknown cause. Opioid overdose is suspected. What is the most appropriate initial intervention?
Administer Naloxone
Give antibiotics
Start insulin therapy
Provide antihistamines
Which of the following arrhythmias is a possible side effect of Naloxone?
Cardiac arrhythmias
Atrial fibrillation only
Sinus bradycardia only
No arrhythmias
Strategically, why is it important to repeat Naloxone doses at specific intervals during resuscitation?
To maintain reversal of opioid toxicity and prevent recurrence of symptoms
To increase the risk of side effects
To reduce the need for oxygen
To treat non-opioid related conditions
Which of the following is an indication for administering glucagon?
Hyperglycaemia
Hypoglycaemia
Hypertension
Bradycardia
What is the maximum intramuscular (IM) dose of glucagon for an adult?
2mg
500mcg
1mg
5mg
Why should glucagon only be administered when oral glucose is not possible or ineffective?
Because glucagon is less effective than oral glucose
Because oral glucose is preferred for treating hypoglycaemia
Because glucagon causes hypertension
Because oral glucose is more expensive
Which condition is a contraindication for glucagon administration?
Diabetes mellitus
Pheochromocytoma
Asthma
Epilepsy
What is the preferred intervention for hypoglycaemic seizures?
Oral glucose
Glucagon IM
Glucose 10% IV
Insulin IV
Which of the following is a caution when administering glucagon?
High glycogen stores
Low glycogen stores
High blood pressure
Low blood pressure
Why should glucagon not be given by IV injection?
It increases the risk of hypertension
It increases the risk of vomiting
It decreases blood sugar too quickly
It causes allergic reactions
If an adult is having a hypoglycaemic seizure, what is the recommended IV dose of glucose?
5g in 100ml
10g in 100ml
10g in 500ml
50g in 500ml
A 3-month-old infant requires glucagon. What is the maximum dose that can be administered?
1mg
500mcg
2mg
0.5mg
What is the primary indication for administering Glucogel?
Known or suspected hypoglycaemia in a conscious patient where there is no risk of choking or aspiration
Unconscious patient with suspected hypoglycaemia
Any patient with high blood sugar
Patients with a history of allergies to glucose
Which of the following is a caution when administering Glucogel?
Altered consciousness – risk of choking or aspiration
History of diabetes
High blood pressure
Allergic reaction to gel
What is the contraindication for Glucogel?
None
Severe hypoglycaemia
Allergy to glucose
Unconsciousness
What is the recommended buccal dose interval for both adults and children aged 1 year to 2 years when administering Glucogel?
15 minutes
30 minutes
5 minutes
60 minutes
A 2-year-old child requires Glucogel. What is the correct dose and number of tubes to administer?
10g in 25g of gel, 1 tube
20g in 25g of gel, 2 tubes
5g in 25g of gel, 1 tube
10g in 25g of gel, 2 tubes
If an adult patient is conscious and has suspected hypoglycaemia, what is the recommended Glucogel dose range?
10–20g
5–10g
20–30g
2–5g
Why should Glucogel not be administered to a patient with altered consciousness?
There is a risk of choking or aspiration
It will not be effective
It causes allergic reactions
It increases blood pressure
Which of the following is an indication for the use of Benzylpenicillin?
Suspected meningitis
Severe penicillin allergy
Hypertension
Diabetes
What is a contraindication for administering Benzylpenicillin?
Non blanching rash
Severe penicillin allergy
Signs of meningitis
Fever
For a child aged 9 months to birth, what is the maximum dose of Benzylpenicillin that can be administered intramuscularly (IM)?
1.2G
600mg
300mg
20ml
If a patient presents with a non blanching rash and signs suggestive of meningitis, what is the most appropriate initial action regarding Benzylpenicillin?
Administer Benzylpenicillin unless there is a severe penicillin allergy
Avoid Benzylpenicillin in all cases
Only administer Benzylpenicillin for adults
Wait for laboratory confirmation before administering Benzylpenicillin
A 5-year-old child requires Benzylpenicillin via IV. What is the correct dose and volume to administer?
1.2G in 19ml water, volume 20ml
600mg in 9.6ml water, volume 10ml
300mg in 9.6ml water, volume 6ml
1.2G in 3.2ml water, volume 4ml
Which of the following is an indication for the use of Ondansetron in adults?
Prevention and treatment of opiate induced nausea or vomiting
Treatment of bacterial infections
Management of hypertension
Prevention of allergic reactions
What is a contraindication for the use of Ondansetron?
Known sensitivity
Mild headache
Seasonal allergies
Diabetes mellitus
Which age group should receive a maximum dose of 1.5mg of Ondansetron via slow IV?
4 - 3 years
11 - 9 years
Adults
5 - 6 years
Why should Ondansetron be used with caution in patients with hepatic impairment?
Because hepatic impairment may affect drug metabolism and increase risk of adverse effects
Because it causes immediate liver failure
Because it is not absorbed in the liver
Because it is only excreted by the kidneys
A child is experiencing travel-associated nausea. Which medication could be indicated for this condition?
Ondansetron
Paracetamol
Amoxicillin
Ibuprofen
A 5-year-old child requires Ondansetron via slow IV. What is the correct maximum dose?
2mg
3mg
4mg
1.5mg
Which of the following is a caution for Ondansetron administration?
QT prolonged
Asthma
Iron deficiency
Renal stones
What is the dose interval for adult Ondansetron IV administration?
30 minutes
1 hour
15 minutes
2 hours
Which condition is a contraindication for Ondansetron due to cardiac risk?
Congenital long QT syndrome
Hypertension
Asthma
Diabetes
Which of the following is a contraindication for the use of Diazepam?
Known hypersensitivity
Bilateral tonic clonic seizures
Alcohol use
Seizure lasting 5 minutes or more
What is the recommended adult dose of Diazepam for seizures?
10mg, repeat 10mg, max 20mg
5mg, repeat 5mg, max 10mg
20mg, repeat 20mg, max 40mg
2mg, repeat 2mg, max 4mg
Which of the following is an indication for Diazepam administration?
Adults and children who have bilateral tonic clonic seizures
Known hypersensitivity
Alcohol intoxication
Mild headache
Why should Diazepam be used with caution in patients taking antidepressants or CNA depressants?
Because it may increase the risk of CNS depression
Because it causes hypersensitivity
Because it is ineffective in seizures
Because it increases seizure frequency
A child presents with focal seizures with an element of convulsion. According to the guidelines, is Diazepam indicated?
Yes
No
Only if hypersensitivity is present
Only if alcohol is involved
If a patient has had 2 or more seizures without recovery in between, what is the recommended action regarding Diazepam?
Diazepam is indicated
Diazepam is contraindicated
Diazepam should be avoided
Diazepam should only be used for headaches
Which of the following is an indication for the use of rectal diazepam?
Adults and children who have bilateral tonic clonic seizures
Adults with mild headaches
Children with fever
Adults with muscle cramps
What is the maximum recommended dose of rectal diazepam for an adult under 10 years old?
30mg
20mg
10mg
5mg
Which of the following is a contraindication for rectal diazepam?
Known hypersensitivity
History of hypertension
Diabetes mellitus
Asthma
Rectal diazepam should be used with caution in patients who are taking which of the following?
Antidepressants or CNA depressants
Antibiotics
Antihistamines
Antacids
A child aged 4 months is prescribed rectal diazepam for seizures. What is the recommended dose?
5mg
10mg
20mg
2.5mg
If a patient has 2 or more seizures without recovery in between, which medication may be indicated?
Rectal diazepam
Paracetamol
Ibuprofen
Amoxicillin
Why should alcohol be used with caution when administering rectal diazepam?
It may increase CNS depression
It may cause dehydration
It may reduce the effectiveness of diazepam
It may cause allergic reactions
Which of the following is an indication for administering TXA?
Acute or suspected haemorrhage
Known previous anaphylactic reaction to TXA
Severe renal impairment
Bleeding started more than 3 hours ago
Which of the following is a contraindication for TXA administration?
Head injury with GCS of 12 or less
Known previous anaphylactic reaction to TXA
Confirmed miscarriage with excessive bleeding
Injured patients triggering local major trauma criteria
What is the recommended method for administering TXA intravenously?
Administer rapidly as a bolus
Administer slowly over 10 minutes
Mix with penicillin in the same line
Administer intramuscularly only
A patient with a known history of acute venous arterial thrombosis requires TXA. What should you consider before administration?
It is safe to administer without precautions
This is a contraindication and TXA must not be given
Caution is required due to the patient's history
Increase the dose to compensate for the condition
A trauma patient presents with significant haemorrhage, but the bleeding started more than 3 hours ago. According to the guidelines, should TXA be administered?
Yes, as long as there is haemorrhage
No, because bleeding started more than 3 hours ago
Yes, but only if the patient has no renal impairment
Yes, but only if the patient has a GCS of 12 or less
Why should TXA not be administered through the same line as blood products or penicillin?
It may cause an allergic reaction
It may cause rapid injection and hypotension
It may interact with blood products or penicillin
It is less effective when mixed with other drugs
Which of the following is an indication for the use of activated charcoal?
Acute oral poisoning and oral drug overdose
Children under 1 year
Patients who are vomiting
Poisoning with cyanide
What is the maximum oral dose of activated charcoal for adults and children aged 12 years and above?
50g
25g
100g
10g
Which of the following is a caution to consider when administering activated charcoal?
Shake the bottle vigorously before administration
Administer to children under 1 year
Use for poisoning with petroleum
Give to patients who are vomiting
Which patient should NOT receive activated charcoal?
A patient who has ingested toxins less than 1 hour before attending
A patient who has overdosed on paracetamol
A patient who is vomiting
An adult who has ingested 4g of paracetamol in 24 hours
If a large amount of poison has been ingested and there is a risk to life, what should be encouraged for a child?
Encourage the child to drink the full dose
Give half the recommended dose
Wait for symptoms to appear before administering
Do not administer activated charcoal
Why should precautions be taken to prevent aspiration in small children when administering activated charcoal?
To avoid the risk of charcoal entering the lungs
To increase the effectiveness of other antidotes
To reduce the risk of overdose
To ensure the child receives the correct dose
A patient presents to the ambulance more than 1 hour after ingesting a toxin. What is the recommended action regarding activated charcoal?
Do not administer activated charcoal
Administer the maximum dose
Administer half the recommended dose
Wait for further symptoms before deciding
How does the consumption of recreational alcohol affect the administration of activated charcoal?
It requires caution as it may reduce effectiveness
It increases the effectiveness of activated charcoal
It is a contraindication for use
It has no effect on administration
Which of the following substances is a contraindication for the use of activated charcoal?
Cyanide
Paracetamol
Oral drug overdose
Toxins ingested less than 1 hour before attending
What is the recommended volume for administering 50g of activated charcoal orally to an adult?
250ml
125ml
500ml
50ml
