EMT Chapter 11

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:

44 G

A medication with antagonistic properties is one that:

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

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:

Confirm that the patient is not allergic to aspirin, give him the appropriate does of aspirin, and document the time and dose oxygen.

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

Contact medical control.

What medication form does oral glucose come in:

Gel

You are treating a 40-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 un-labored, 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.

A drug is contraindicated for a patient when it:

May cause harm or have no positive effect

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

Oral

generally, parental 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:

Parental routes tend to be absorbed more quickly than enteral.

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

Pediatric patients

Shortly after assisting a 65-year-old female with her prescribed nitroglycerin, she begins complaining of dizziness and experiences a drop of 30 mm HG in her systolic blood pressure. The patient remains conscious and her breathing is adequate. you should:

Place her supine and elevate her legs.

Aspirin is beneficial to patient suspected of having a heart attack because it:

Prevents the aggregation of platelets.

Which of the following is an example of a 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:

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

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

adsorption

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 (Vasorec). 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:

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

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 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:

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

Subcutaneous injections deliver the medication:

between the skin and the muscle.

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

capsules

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:

cardiovascular disease.

The ____ of a medication usually dictates the route by which it will be administrated.

form

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

ibuprofen

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:

overdosed on an opioid drug.

in_____administration, you are administering medication to yourself or your partner.

peer-assisted

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:

reassess the patient and document her response to the medication.

Activated charcoal is an example of a(n):

suspension