Chapter 18 Quiz Flashcards
(49 cards)
Which of the following statements concerning oxygen is true?
Select one:
A.
Never withhold oxygen from any patient who needs it.
B.
Only withhold oxygen from anyone who is allergic to it.
C.
Never give oxygen to a patient with chronic obstructive pulmonary disease (COPD).
D.
Always document the need for oxygen by pulse oximetry before giving it to the patient.
A.
Never withhold oxygen from any patient who needs it.
Albuterol and epinephrine both have bronchodilation properties that improve the amount of oxygen that a person can inhale and absorb. However, albuterol is administered only for asthma, whereas epinephrine is administered for both asthma and anaphylaxis. Why is epinephrine, and not Albuterol, the first choice for anaphylaxis?
Albuterol is not a vasoconstrictor.
Which of the following is a desired action of epinephrine delivered by auto-injector?
Select one:
A.
Decreased perfusion of tissues
B.
Decrease in blood pressure
C.
Constriction of blood vessels
D.
Dilation of coronary arteries
C.
Constriction of blood vessels
You respond to a medical call for a 59-year-old female complaining of tightness in her chest. You place her on a high concentration of oxygen and prepare for a short 5-minute transport to the hospital. The patient tells you she is on nitroglycerin, which she has not taken. Your partner tells you that you can give aspirin per protocol. Should you delay the patient transport to give the medication, and why?
Yes, the nitroglycerin will cause the blood vessels to dilate and restore some blood flow, and the aspirin will slow the clotting process.
When is a heparin or saline lock used in IV administration?
When medication or IV access might be needed later on
Bronchodilator inhalers have several common side effects, which include:
jitteriness and increased heart rate.
The EMT, after administering any medication, must do which of the following?
Select one:
A.
Wait 5 minutes, repeat the medication if needed, and reassess the patient’s vitals.
B.
Reconsider the five rights, reassess the patient, and contact medical control.
C.
Reassess the patient, document the medication, and report to the receiving facility.
D.
Document the route, dose, and time; reassess the patient; and re-administer the medication.
Reassess the patient, document the medication, and report to the receiving facility.
A drug’s form refers to which of the following?
Its physical state, such as powder, liquid, or gas
What condition must be present before you give oral glucose?
The patient must be conscious and able to swallow with an altered mental status and history of diabetes.
Epinephrine delivered by auto-injector may be indicated for patients with which of the following conditions?
Severe allergies to peanut butter, shellfish, penicillin, or bee stings
What is the reason for giving an epinephrine auto-injector in a life-threatening allergic reaction?
It will help constrict the patient’s blood vessels and relax the airway passages.
Nitroglycerin is given via the ________ route.
sublingual
What medication is given when a patient suffers from a medical or traumatic condition called hypoxia?
Oxygen
Which of the following best describes a contraindication to a medication?
A reason why you should not give a medication to a patient
Choose the correct completion to this statement regarding intravenous (IV) administration: This route is used to administer medication into the body directly or through the bloodstream and is:
beyond the scope of the EMT level.
How is activated charcoal, which is carried by some EMS systems, supplied for use in emergency situations?
As a powder, which is mixed with water before administration
Which of the following is a potential side effect of nitroglycerin?
Decreased blood pressure
How does aspirin actually reduce the chances that a patient suffering a heart attack will die?
It reduces the ability of the blood to form clots.
An EMT is on the scene of a 48-year-old male patient complaining of chest pain. He has nitroglycerin prescribed and available. After performing the primary and secondary assessments, the EMT contacts medical control and is ordered to assist the patient in taking his nitroglycerin. Carefully, the EMT performs the “five rights” and checks the expiration before administering the medication. The patient states the medicine is not helping his pain. The patient also states he does not have a headache. Reassessment of the patient’s vital signs shows no change in blood pressure. The EMT suspects the nitro is not working because the:
medication was somehow rendered inert.
You are on the scene of a 44-year-old female patient who has attempted suicide by taking all 30 pills of her antidepressant medication at once. You are ordered by medical control to administer activated charcoal. How will activated charcoal reduce the effects of the medication?
Activated charcoal will bind to the medication, reducing absorption.
You are on the scene at a fancy hotel room for a 60-year-old male patient who calls 911 at 10 p.m. for chest pains. He states he was about to go to bed when he suddenly had chest pain that would not go away. He rates his pain as a 7 out of 10 and is diaphoretic. His vital signs are stable, and he takes medications for hypertension, high cholesterol, and erectile dysfunction. The patient is allergic to morphine. After placing the patient on oxygen, you contact medical control and request:
to administer aspirin to the patient.
You are on the scene of a 68-year-old patient with a history of COPD who is breathing 44 times per minute and has a diminished level of consciousness. His wife states he has an albuterol inhaler and nitroglycerin tablets for angina. What is the most important drug you can administer to the patient?
Oxygen by bag-valve mask
Which of the following best describes the five rights?
Right patient, right medication, right time, right dose, right route
What is the first medication that should be administered to a patient experiencing chest pain with difficulty breathing?
Oxygen
