Ch. 8 - Vascular Access AEMT

A 7-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 weight of 45 pounds, how much charcoal will you administer? A. 15 g B. 5 g C. 20 g D. 10 g

10 g

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 supplied in a concentration of 100 mg/10mL. How many milliliters should your partner administer to this patient? A. 11.5 mL B. 12.6 mL C. 10.4 mL D. 12.2 mL

12.6 mL

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: A. vein on the hand. B. medial forearm vein. C. antecubital vein. D. lateral forearm vein.

A. vein on the hand.

A 42-year-old man was splashed in the eye by a corrosive substance. Medical control orders you to irrigate the patient's eye with 2 liters of sterile saline. How many milliliters is this? A. 200,000 B. 2,000 C. 200 D. 20,000

B. 2,000

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? A. Hypercalcemia B. Hypocalcemia C. Hypernatremia D. Hyperkalemia

B. Hypocalcemia

A 66-year-old male with congestive heart failure presents with pulmonary edema and difficulty breathing. His blood pressure is 180/90 mm Hg and his pulse rate is 110 beats/min and irregular. When starting an IV, which of the following, if available, would be MOST appropriate for this patient? A. Butterfly catheter B. Saline lock C. Intracath D. 14-gauge angiocath

B. Saline lock

A 60-year-old man is in cardiac arrest. As emergency medical responders are performing CPR, your partner is managing the patient's airway. After preparing your IV set, you should FIRST attempt to cannulate the: A. medial forearm vein. B. antecubital vein. C. dorsal hand vein. D. lateral forearm vein.

B. antecubital vein.

A 40-year-old female requires a medication to decrease her heart rate. The medication to be administered is supplied in a prefilled syringe in a concentration of 6 mg/2 mL. How many milliliters are required to achieve a dose of 12 mg? A. 2 mL B. 8 mL C. 4 mL D. 6 mL

C. 4 mL

A 70-year-old man presents with generalized weakness and dizziness. His blood pressure is 110/70 mm Hg when he is sitting, 96/56 mm Hg when he is standing. His heart rate is 120 beats/min and his skin is flushed and dry. What is the MOST likely cause of this patient's signs and symptoms? A. Overhydration B. Liver failure C. Dehydration D. Kidney failure

C. Dehydration

A 29-year-old female experiences shortness of breath, urticaria, and bilateral wheezing shortly after you started an IV of normal saline. How should you manage this situation? A. Place her on her left side with her head down. B. Change the IV tubing and continue the IV. C. Leave the catheter in place and remove the solution. D. Discontinue the IV and remove the catheter.

C. Leave the catheter in place and remove the solution.

A 52-year-old man complains of chest pressure. He is diaphoretic and has a blood pressure of 110/90 mm Hg. He has a prescription for nitroglycerin (NTG), but has not taken any. After administering oxygen to the patient you should: A. administer up to 3 NTG doses and reassess his BP. B. give 1 NTG dose and contact medical control. C. contact medical control for permission to administer the NTG. D. continue oxygen and transport the patient to the hospital.

C. contact medical control for permission to administer the NTG.

A solution that has a greater concentration of sodium than does the cell is referred to as being: A. hypotonic. B. hyperosmolar. C. hypertonic. D. isotonic.

C. hypertonic

A 30-year-old construction worker lacerated his brachial artery and has lost a significant amount of blood. His blood pressure is 70/40 mm Hg and his pulse rate is 130 beats/min. Which of the following IV catheters would be MOST appropriate for this patient? A. 16 gauge B. 20 gauge C. 18 gauge D. 14 gauge

D. 14 gauge

A 68-year-old female with unstable bradycardia requires 0.5 mg of atropine. Your paramedic partner opens a prefilled syringe of atropine containing 1 mg/10mL. How many milliliters should be administered to the patient? A. 0.5 mL B. 1 mL C. 0.1 mL D. 5 mL

D. 5 mL

After removing the stylet from the IV catheter, you should next: A. occlude the proximal end of the catheter to prevent blood leaking. B. remove the constricting band from the patient's arm. C. attach the prepared IV line to the catheter. D. dispose of the needle in the appropriate container.

D. dispose of the needle in the appropriate container.