Medication Quiz

Discussion in 'Education and Training' started by stephenrb81, Oct 29, 2008.

  1. stephenrb81

    stephenrb81 New Member

    Location:
    Missouri
    Pulled the idea from the "Cardiac Quiz" in the BLS forum and decided to start one here in Education & Training. Anyone can answer but try to give those in lower scopes and students a moment to come up with the answer first

    Feel free to post a Medication/pharmacology question. I'll start:

    Name the two conditions associated with giving D50 to a known, malnourished, alcoholic. And what Medication, Route, Dose is to be given as a precaution to the above conditions.
    Last edited by a moderator: Oct 29, 2008
  2. sdadam

    sdadam New Member

    Location:
    San Diego, CA
    EMS Training:
    EMT-Paramedic
    It can cause Wernicke’s encephalopathy or Korsakoff’s psychosis.

    To avoid this administer thiamine, 10 to 100mg, acceptable administration routes of thiamine are IV and IM.

    Administer the thiamine prior to administering the D50.

    -Adam
  3. FLAEMT22

    FLAEMT22 New Member

    Location:
    South Florida
    EMS Training:
    EMT-Paramedic
    Agree with Adam.
  4. mycrofft

    mycrofft Still crazy but elsewhere

    Location:
    Central California
    I see, it matches other resources, but what's the mechanism?

    Wikipedia was funny. "Thiamine deficiency must be addressed before correction of hypoglycemia is attempted". Hmmmmmm fingerstick of 20 obtunded and potentially seizing from hypoglyc as well as impending ETOh detox, versus precipitating Wernicke's...moderation I assume should be the keyword here.
  5. FLAEMT22

    FLAEMT22 New Member

    Location:
    South Florida
    EMS Training:
    EMT-Paramedic
    I don't like how they worded addressed before, but in all reality it's only a 30-45 time gap between getting Thiamine and then getting D50 on board.
  6. mycrofft

    mycrofft Still crazy but elsewhere

    Location:
    Central California
    Minutes or seconds?

    How about one in each arm and have a race?;)
    Yeah, in real life when you have a good line in the issue may be slowing down a little and not dumping stuff in too fast, not taking too long. I was just tickled at the possible concept that impending death was preferable to Korsakov's Syndrome.
    Thanks for the good question!
  7. JPINFV

    JPINFV Gadfly

    Location:
    404: No Meme Found
    Well, if they do develop Korsakov's, it's not like they're going to remember it.

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