emt chap 11

ibuprofen.

Advil, Nuprin, and Motrin are trade names for the generic medication:

side effect.

After taking diphenhydramine (Benadryl) for an allergic reaction, a person begins experiencing drowsiness and a dry mouth. These findings are an example of a(n):

reassess the patient and document her response to the medication.

A 31-year-old female is experiencing an acute asthma attack. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should:

ask him if he took his Viagra within the past 24 hours.

A 49-year-old male with an extensive cardiac history presents with 2 hours of crushing chest pain and shortness of breath. He is pale and diaphoretic and tells you that he feels like he is going to die. His medications include nitroglycerin, sildenafil (Viagra), and enalapril (Vasotec). His blood pressure is 140/90 mm Hg and his heart rate is 110 beats/min. In addition to administering supplemental oxygen if needed, you should:

assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm Hg.

A 62-year-old male is seen with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken any. After administering supplemental oxygen if needed and contacting medical control, you should:

may cause harm or has no positive effect.

A drug is contraindicated for a patient when it:

blocks receptor sites and prevents other chemicals from attaching to them.

A medication with antagonistic properties is one that:

suspension.

Activated charcoal is an example of a(n):

facilitates movement through the digestive system.

Activated charcoal is frequently suspended in sorbitol, a complex sugar that:

overdosed on an opioid drug.

EMTs arrive at the scene of a patient who was "found down." A family member states that she gave naloxone (Narcan) to the patient before the ambulance arrived. The EMTs should suspect that the patient:

parenteral routes tend to be absorbed more quickly than enteral.

Generally, parenteral medications are more commonly used in the emergency setting as opposed to enteral medications. The characteristic that separates the two routes with respect to administration in the emergency setting is:

peer-assisted

In ___________ administration, you are administering medication to yourself or your partner.

capsules.

Medications encased in a gelatin shell that are taken by mouth are called:

between the skin and the muscle.

Subcutaneous injections deliver the medication:

form

The __________ of a medication usually dictates the route by which it will be administered.

dose

The amount of medication that is given is known as the _________.

adsorption.

The process of binding or sticking to a surface is called:

the study of drugs and their actions on the body.

The term "pharmacology" is MOST accurately defined as:

Intramuscular

What is the route of administration for the EpiPen auto-injector?

a half dose into each nostril.

When administering naloxone (Narcan) via the intranasal route, the EMT should administer:

cardiovascular disease.

When assessing an elderly male who complains of nausea and generalized weakness, you find that he takes atorvastatin (Lipitor) and amlodipine (Norvasc). These medications suggest a history of:

Slow respirations

Which of the following clinical signs would necessitate the administration of naloxone (Narcan)?

The EMT administers a drug that is not approved by the medical director.

Which of the following is an example of a rules-based medication error?

Tylenol

Which of the following is an example of a trade name of a drug?

Medical direction approval

Which of the following is required for an EMT to administer a drug to a patient?

Intravenous (IV)

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

Pediatric patients

Which of the following patient populations typically require a modified drug dose?

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

Which of the following statements regarding glucose is correct?

Parenteral medications are absorbed more quickly than enteral medications.

Which of the following statements regarding parenteral medications is correct?

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

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

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

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

44%

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

performing patient-assisted medication administration.

You are attending to a 24-year-old male asthmatic complaining of shortness of breath and wheezing. There are several bystanders in a crowded room. The patient tells you that he would have taken his own albuterol but he was so embarrassed and upset that he could not hold his MDI steady. In helping the patient to self administer his medication in accordance with local protocols, you are:

continue to provide care for the patient and address any issues that the naloxone administration may have caused.

You are attending to a 26-year-old suspected overdose patient who is unresponsive. As part of your care, you administer naloxone to reverse the effects of the suspected opioid overdose. Immediately after administering the drug you realize that while the dose and the route were correct, the patient condition did not warrant Naloxone as per your local protocols. Your most appropriate next step should be to:

search for and document all medications (prescription and nonprescription) that the patient may be taking.

You are attending to a 52-year-old female patient who appears to have suffered a stroke. The patient is alone in her apartment and is unable to speak or communicate with you. In determining her medical history, it is most appropriate to:

standing orders.

You are attending to a 54-year-old male patient complaining of chest pain that appears to be cardiac in origin. As part of your management of the patient, you administer nitroglycerin as long as the patient meets defined conditions. This is an example of:

contact medical control.

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 confirming the drug's name and expiration date, you should:

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

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 supplemental oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should:

44 g.

You arrive at a residence approximately 20 minutes after a 7-year-old boy, who weighs 22 kg, ingested a bottle of Advil. He is conscious and alert and has stable vital signs. Medical control orders you to administer activated charcoal and then transport the child at once. The appropriate maximum dose of activated charcoal for this child is:

aspirin

Your patient is complaining of chest pain. He states it feels just like his last heart attack. You have applied oxygen with no relief. He does not take any medications. His BP is 88/64, pulse is 100, and respirations are 20. Your treatment should include ___________.