Select the appropriate medication from the cart for each of the following scenarios.
Scenario 1) A 6-year-old girl presents to the emergency department with wheezing and hives following a bee sting.
Medication: Pediatric epinephrine auto injector (EpiPenJr) 0.15 mg
Scenario 2) In the cardiac care unit, a 67-year-old male’s heart monitor displays a rhythm that looks like torsades de pointes.
Medication: Magnesium sulfate, 50% 2 mL vials (1 g/mL)
Scenario 3) A 31-year-old female is involved in a motor vehicle crash and has multiple broken bones and internal organ damage. During surgery she becomes hypotensive and goes into full arrest. She is successfully resuscitated but remains hypotensive 80 despite being given a bolus of IV fluids.
Medication: Norepinephrine 1 mg/mL in 4 mL vials OR Dopamine (1.6 mg/mL in 250 mL or 500 mL bag)
Scenario 4) A 77-year-old female in the emergency department is somnolent with a heart rate of 37 beats per minute and blood pressure of 110/60 mmHg.
Medication: Atropine sulfate 1 mg Abboject™
Scenario 5) A 44-year-old male arrives at the emergency department complaining of his heart racing at rest. He is diagnosed with supraventricular tachycardia and does not respond to vagal maneuvers.
Medication: Adenosine 6 mg vial
Scenario 6) A 12-year-old boy develops a dystonic reaction (eye deviation, trismus, and hypertonia of the limb) after being sedated with haloperidol prior to endoscopy.
Medication: Diphenhydramine (Benadryl) 50 mg vial
Scenario 7) A 5-year-old female presents to the emergency department complaining of a severe headache and feeling anxious. Her blood pressure is 190/130 on arrival.
Medication: Metoprolol 10 mg vial OR Diltiazem 20 mg vial
Scenario 8) A 17-year-old male diabetic presents with altered mental status. A finger-stick glucometer reveals a blood glucose of 37 mg/dL.
Medication: Dextrose 50% (dextrose 25% if treating pediatrics)
Scenario 9) A 60-year-old man presents with symptomatic hyperkalemia. Cardiac monitoring reveals peaked T waves.
Medication: Calcium chloride 10% 100 mg/mL in a 10 mL prefilled syringe
Scenario 10) An 80-year-old man with a history of cardiac disease and COPD is hospitalized for a COPD exacerbation. He is found unresponsive with evidence of ventricular tachycardia on a cardiac monitor. He receives defibrillation, CPR, and epinephrine but remains in ventricular tachycardia.
Medication: Amiodarone (Cordarone) 150 mg vial
