Chapter 11 - Pharma

You are treating a middle-aged man with chest discomfort. He has a history of three previous heart attacks and takes nitroglycerin as needed for chest pain. You have standing orders to administer aspirin to patients with suspected cardiac-related chest pain or discomfort. While your partner is preparing to give oxygen to the patient, you should: Select one: A. assist the patient in taking one of his prescribed nitroglycerin, assess his vital signs, and give him aspirin if he is still experiencing chest discomfort. B. ensure that the patient's systolic blood pressure is at least 100 mm Hg since aspirin dilates the blood vessels and can cause a drop in blood pressure. C. confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given. D. contact medical control, apprise him or her of the patient's chief complaint and vital signs, and request permission to give him aspirin

C. confirm that the patient is not allergic to aspirin, give him the appropriate dose of aspirin, and document the time and dose given.

You are treating a 45-year-old woman who was stung by a hornet and has a rash. She tells you that she is allergic to hornets and has her own epinephrine auto-injector. She also tells you that she takes medication for hypertension. Her breath sounds do not reveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94 mm Hg. What should you do if you are not able to make contact with medical control

Give her oxygen, transport her to the hospital, and monitor her condition en route.

Which of the following statements regarding glucose is correct

Glucose is a simple sugar that is readily absorbed by the bloodstream.

When gathering a patient's medications, you find the following: Isordil, Lasix, Motrin, and Digoxin. Which of these medications can be obtained over-the-counter (OTC)?

Motrin

Which of the following medication routes has the slowest rate of absorption

Oral

Which of the following statements regarding parenteral medications is correct

Parenteral medications are absorbed more quickly than enteral medications.

Which of the following statements regarding the epinephrine auto-injector is correct

The epinephrine auto-injector delivers a preset amount of the drug.

Which of the following is an example of a brand (trade) name of a drug

Tylenol

While assisting a paramedic in the attempted resuscitation of a 55-year-old male in cardiac arrest, you should expect the paramedic to

administer drugs via the IV route to achieve the fastest effect.

You are dispatched to a state park for a young female experiencing an allergic reaction. Your assessment reveals that her breathing is severely labored and her blood pressure is very low. You carry epinephrine auto-injectors on your ambulance and have been trained and approved by your medical director to administer them. As your partner gives the patient high-flow oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should: A. elevate the patient's legs 6″ to 12″, keep her warm, begin transport to the hospital, and request a paramedic intercept en route. B. notify dispatch and request that a paramedic unit respond to the scene so they can administer epinephrine to the patient. C. immediately load the patient into the ambulance, begin transport, and reattempt to contact medical control when you receive a cell signal. D. administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital

administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital.

Which of the following is an example of a drug's generic name

asprin

You are dispatched to a movie theater for a 39-year-old female with signs and symptoms of an allergic reaction. As you are assessing her, she pulls an epinephrine auto-injector out of her purse and hands it to you. After administering 100% oxygen, you should

contact medical control.

Which of the following is NOT a characteristic of epinephrine? Select one: A. dilates passages in the lungs B. secreted naturally by the adrenal glands C. constricts blood vessels D. decreases heart rate and blood pressure

decreases heart rate and blood pressure

Which of the following medication routes would be the MOST appropriate to use in an unconscious patient when intravenous access cannot be obtained?

intraosseous (IO)

Which of the following is the MOST rapidly acting medication administration route

is: intravenous (IV)

With the flowmeter set at 6 L/min, the nasal cannula will deliver up to _______ oxygen

44%

Which of the following statements regarding the metered-dose inhaler (MDI) is correct?

An MDI delivers the same amount of medication every time it is used

When given to patients with cardiac-related chest pain, nitroglycerin:

relaxes the walls of the coronary arteries.

Which of the following medication routes delivers a drug through the skin over an extended period of time, such as a nitroglycerin or nicotine patch?

transcutaneous