EMT Chapter 21
Before giving activated charcoal, you should:
obtain approval from medical control.
Atropine sulfate and pralidoxime chloride are antidotes for:
nerve gas agents.
A 7-year-old, 25-kg child ingested two bottles of Tylenol approximately 30 minutes ago and medical control orders you to administer activated charcoal. You should administer:
25 g
EMTs are dispatched for a teenage male who is "not acting right." When they arrive, they are informed that the patient was huffing. Several cans of Freon are found near the patient. Which of the following is unique consideration for this patient?
A sudden adrenaline release can cause a fatal dysrhythmia.
Your paramedic partner administers atropine to a 49-year-old male with bradycardia. Which of the following side effects would you expect the patient to experience?
Dry mucous membranes
During your assessment of a 50-year-old male who was found unresponsive in an alley, you note that he has slow, shallow respirations; bradycardia; facial cyanosis; and pinpoint pupils. As your partner begins assisting the patient's ventilations, he directs your attention to the patient's arms, which have multiple needle tracks on them. Which of the following would MOST likely explain the patient's presentation? Correct!
Heroin overdose
Activated charcoal administration is contraindicated in patients who have ingested:
acids or alkalis.
It is MOST important to determine a patient's weight when asking questions pertaining to a toxic ingestion because:
activated charcoal is given based on a patient's weight.
Delirium tremens (DTs) is a syndrome associated with withdrawal from:
alcohol.
A patient who presents with rapid breathing, nausea and vomiting, ringing in the ears, and hyperthermia should be suspected of ingesting a significant quantity of:
aspirin
You and your paramedic partner are caring for a patient who ingested codeine, acetaminophen (Tylenol), and hydrocodone (Vicodin). The patient is unresponsive, his breathing is slow and shallow, and his pulse is slow and weak. Treatment for this patient should include:
assisted ventilation and naloxone (Narcan).
After administering activated charcoal to a patient, it is MOST important to:
be alert for vomiting.
Activated charcoal is given to patients who have ingested certain substances because it:
binds to the substance and prevents absorption.
The major side effect associated with administration of activated charcoal is:
black stool
A 3-year-old female ingested several leaves from a plant in the living room. The child's mother is not sure what type of plant it is, stating that she bought it simply because it was pretty. After completing your primary assessment of the child, you should:
contact the regional poison control center.
Naloxone (Narcan) would reverse the effects of:
hydromorphone (Dilaudid).
When caring for a known alcoholic patient with severe trauma to the chest and abdomen, you should be concerned that:
internal bleeding may be profuse because prolonged alcohol use may impair the blood's ability to clot.
In an apparent suicide attempt, a 19-year-old female ingested a full bottle of amitriptyline (Elavil). At present, she is conscious and alert and states that she swallowed the pills approximately 30 minutes earlier. Her blood pressure is 90/50 mm Hg, her pulse is 140 beats/min and irregular, and her respirations are 22 breaths/min with adequate depth. When transporting this patient, you should be MOST alert for:
seizures and cardiac arrhythmias.
You are dispatched to a local nursery for a 39-year-old female who is sick. When you arrive, you find the patient lying on the floor. She is semiconscious, has copious amounts of saliva coming from her mouth, and is incontinent of urine. You quickly feel her pulse and note that it is very slow. Immediate management for this patient should include:
thoroughly suctioning her oropharynx.
A person who routinely misuses a substance and requires increasing amounts to achieve the same effect is experiencing:
tolerance.
