JB Leanring ch.8
there is a 0.5 mg / 10 mL of epinephrine auto-injector. How many milligrams mg would you deliver if you administered 5 milliliters ml
0.25
before you can calculate an IV drip rate, you must know all the following information, except
the gauge of the IV catheter you will use
in anion is an
Ion with an overall negative charge
the concentration of sodium in the cells of the body is approximately
0.9%
which of the following represents a standard drug dose
1 mg / kg
the most appropriate Administration set to use for a patient who requires rapid fluid replacement is one that delivers 1 ml of IV fluid per
10 drops
a seven-year-old child has swallowed a bottle of aspirin. Medical control orders you to give the child 0.5 G / kg of activated charcoal. Based on the child's weigh 45 pounds, how much charcoal will you administer
10 grams
a 44 year old man is experiencing a ventricular dysrhythmia. Medical control orders your paramedic partner to administer 1.5 mg / kg of Lidocaine to the patient, who weighs 185 pounds. Lidocaine is applied in a concentration of 100 mg / 10 mL. How many milliliters should your partner administer to this patient
12.6 ml
prior to administering oral glucose to your diabetic patient you look at the dosage, which reads 15 G. How many milligrams is this equivalent to
15000
which of the following IV catheters would deliver the largest volume of fluid
1and 1/4 inch 14 gauge catheter
severely injured patient has lost approximately 750 mL of blood. What is the appropriate volume of crystalloid solution to a minister to the patient?
2250 ml
during an attempted resuscitation of a nine year old boy and cardiac arrest, your paramedic partner asks you to prepare epinephrine and a dose of 0.01 mg /kg. the child's mother tells you that he weighs approximately 65 pounds. You have pre-filled syringe of epinephrine containing 1 mg into ml l. How many milliliters should be administered to this child?
3 ml
you receive an order for medical control to start an IV of lactated ringers and administer a hundred and 50 ml / HR. Using macrodrip(15gtts/mL) tubing, how many drops per minute will you set the flow rate at?
38
a 68 year old female is unstable bradycardia requires 0.5 mg of atropine. your paramedic partner opens a pre-filled syringe of atropine containing 1 mg / 10 mL. How many milliliters should be administered to the patient
5 ml
a patient with congestive heart failure requires medication administration. Which of the following IV solutions would be most appropriate to use
5% dextrose in water
during a long-distance transport, you and the she ate and IV of normal saline and Infuse 125 mL over 2 hours period using micro drip tubing, how many drops per minute (gtts/min) is your IV flow rate set at?
63 gtts / min
what is the approximate weight in kilograms of 155 pound patient
70 kg
the term applied to the practice of preventing contamination of the patient when performing an invasive procedure is called
Medical asepsis
when administering medication via the intramuscular route, you should
Pence the skin over the area and insert the needle at a 90 degree angle
a stable patient requires an IV line in the event that medication therapy is needed. When selecting the appropriate vein you should first attempt to cannulate the
Vein on the hand
the term bolus is defined as
administering a drug in one mass of volume
factors that can cause an insufficient or absent flow of fluid through an IV line include
an IV bag that is placed too low
third spacing is defined as
an abnormal fluid shift into the serous lining of the body
an over the needle catheter is commonly referred to as a /an
angiocath
which of the following medications or Solutions can be administered through an intraosseous line
anything that you can administer via an IV
which of the following techniques is appropriate when cannulating a vein
apply traction to the vein and insert the needle with the bevel side up at 45 degree angle
you respond to a residence where a five year old male has ingested an unknown substance. Upon arrival at the scene, the child's mother tells you that her son swallowed approximately 20 Tylenol capsules. What is the most logical way of determining how much this child weighs?
as the mother she knows the way weight her son
after removing the stylet from the IV catheter, you should next
dispose of the needle and the appropriate container
which of the following would be the least likely to result in over-hydration
excessive GI draining
signs and symptoms of an air embolus include all of the following, except
facial Flushing
which of the following is most significant complication associated with IV Therapy in geriatric patients
fluid overloading
a 70 year old female presents with generalized muscle weakness. lethargy, and hot flushed skin. Which of the following electrolyte disturbances should you suspect
hypercalcemia
severe hyperkalemia can result in
hyperstimulation of neural transmission
a solution that has a greater concentration of sodium then the cell does is referred to as being
hypertonic
a 50 year old patient complains of abdominal muscle cramps and spasms of his hands. Which of the following electrolyte disturbances does this patient most likely have?
hypocalcemia
a solution that results in water flowing into a cell, causing it to burst, is referred to as
hypotonic
reconstituting a drug, such as glucagon, involves
injecting the liquid from one file into another file that contains liquid medication
when inserting an IV into the external jugular vein, you should
insert the catheter with the tip pointing toward the shoulder
5% dextrose in water (DsW) is an isotonic solution until it
is administered to a patient
compared to a 16 gauge catheter, a 22 gauge catheter would be more appropriate for an elderly patient because
it reduces the risk of fluid extravasation
filtration, a type of diffusion, is commonly used to clean the blood via the
kidneys
a 29 year old female experiencing shortness of breath, urticartia, and bilateral wheezing shortly after you start an IV of normal saline. How should you manage the situation
leave the catheter in place and remove the solution
you have attempted to cannulate a vein in a patient's hand, however shortly after inserting the IV catheter, the vein infiltrates. You should
look for vein that is proximal to the infiltrated vein
following in ministration of an amiodarone Bowlus, your paramedic partner begins a continuous infusion. This is necessary in order to
maintain a therapeutic blood level of the drug
to calculate a drug dosage, you must know the weight of the drug present in each
milliliter ml
in order to prevent catheter Shear when starting an IV you should
never rethread the needle into the catheter
an isotonic solution is one that causes
no change in the shape of the cell
surely after starting an IV on a patient with a possible femur fracture, the patient experiences a sudden onset of shortness of breath and develop cyanosis. After assessing Airway patency and breathing adequacy, you should position the patient
on the left side with the head down
one milliliter ml is equivalent of
one cubic centimeter
as an AEMT, the most commonly inhaled medication you will administer
oxygen
the cell membrane is a ___________ bilayer, which is an important barrier to fluid movement in the Acid base balance
phospholipid
the most common site for intraosseous cannulation is
proximal tibia
you respond to a call for an unresponsive diabetic. Upon arrival, you find a 23 year old female unresponsive on her couch. during your assessment, you determine that her blood glucose level is 38 mg / DL. You attempt to start an IV, but are unsuccessful after several attempts. Which of the following routes could be used as a last resort to administer 50% dextrose
rectal
medical control as ordered your paramedic partner, via two-way radio, to administer 40 mg of Lasix to a patient with congestive heart failure. You should anticipate that your partner will first
repeat the drug order to The Physician as she heard it
which of the following electrolytes is essential for the distribution of water throughout the body?
sodium
when administered to a normally hydrated patient, normal saline well
stay in the intravascular space
unlike IM or SC injections comma intravenously administered drugs rapidly affect the body because
they bypass most barriers to drug absorption
what physiological response causes of vasovagal reaction
vasodilation and decrease in blood pressure
after inserting the needle into the injection Port of an IV line, but before administering the medication, you should
withdrawal on the plunger of the syringe to detect blood
when administering a medication via the intranasal route with a mucosal atomizer device, it is important to remember that
you must spray half of the medication dose into each nostril