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Flashcards in Meds/EMT Deck (50)
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1

Oxygen via NC

1-6 lpm
Route: gas/inhalation
Contraindications: COPD, open flames

2

Nitroglycerin

1 tab/spray 0.4mg Sub-lingual up to 3 doses or BP > 100 systolic
Route: spray
Contraindications: hypotension and sexual enhancement drugs

3

Aspirin

81-324mg PO
Route: oral
Contraindications: hypersensitivity recent bleeding stomach ulcers

4

Epinephrine Adult

0.3mg IM for anaphlaxis
Auto injector intramuscular
Contraindications: sexual enhancement and hypotension drug

5

Albuterol

2.5mg in 3ml NS nebulized solution up to ____mg
Contraindications : hypersensitivity hypothermia tachycardia, myocardial infarction
Route: oral

6

Oral Glucose

Tablets 4 grams each max 15 grams
15 grams (entire tube) PO up to 2 tubes
Route: oral
Contraindication: decreased LOC,nausea, vomiting

7

Epinephrine Pedi

0.15mg IM for anaphlaxis, 2 dose max q 5min
Auto injector intramuscular
Contraindications: sexual enhancement and hypotension drug

8

Activated Charcoal

1mg/kg or 2x amount of substance if known with water
Contradictors: poison overdose
Route: oral

9

Oxygen via NRB

15 lpm
Route: gas/inhalation
Contraindications: COPD, open flames

10

As you begin ventilating an unresponsive apneic man, you hear gurgling in his upper airway. Your MOST immediate action should be to:

A: quickly turn the patient onto his side so secretions can drain.
B: suction the patient’s airway for no longer than 15 seconds.
C: reposition the patient’s airway and continue ventilations.
D: squeeze the bag-mask device with less force and reassess.

A: quickly turn the patient onto his side so secretions can drain.

11

An elderly woman with COPD presents with a decreased level of consciousness, cyanosis to her face and neck, and labored respirations. Her pulse is rapid and weak and her oxygen saturation is 76%. You should:

A: insert a nasal airway and give her oxygen via a nonrebreathing mask.
B: avoid high-flow oxygen because this may cause her to stop breathing.
C: assist her ventilations with a bag-mask device and high-flow oxygen.
D: apply oxygen via nasal cannula and reassess her respiratory status.

C: assist her ventilations with a bag-mask device and high-flow oxygen.

12

A 56-year-old man has labored, shallow breathing at a rate of 28 breaths/min. He is responsive to pain only. You should:

A: ventilate him with a bag-mask device at a rate of 30 breaths/min.
B: suction his mouth for 15 seconds and insert an oropharyngeal airway.
C: insert a nasopharyngeal airway and begin assisting his ventilations.
D: place him on his side and administer oxygen via nonrebreathing mask.

C: insert a nasopharyngeal airway and begin assisting his ventilations.

13

How should you treat an unresponsive, uninjured patient with respirations of 16 breaths/min and good chest expansion?

A: Jaw-thrust maneuver and frequent suctioning
B: Oropharyngeal suctioning and assisted ventilations
C: Suctioning as needed and artificial ventilations
D: Airway adjunct and oxygen via nonrebreathing mask

D: Airway adjunct and oxygen via nonrebreathing mask

14

You are administering oxygen to a woman with asthma who took two puffs of her prescribed inhaler without relief prior to your arrival. Your next action should be to:

A: contact medical control for further advice.
B: provide immediate transport to the hospital.
C: confirm that her inhaler is prescribed to her.
D: administer one more puff from the inhaler.

A: contact medical control for further advice.

15

Agonal respirations are not adequate because they are:

A: the result of an increase in tidal volume.
B: infrequent, gasping respiratory efforts.
C: associated with a prolonged inhalation phase.
D: characterized by a rapid, irregular pattern.

B: infrequent, gasping respiratory efforts.

16

The active, muscular part of breathing is called:

A: inhalation.
B: expiration.
C: ventilation.
D: respiration.

A: inhalation

17

You are ventilating an apneic 50-year-old woman with a bag-mask device. After squeezing the bag and noting visible chest rise, you should:

A: suction the airway for up to 15 seconds.
B: allow the patient to completely exhale.
C: reopen the airway and ventilate again.
D: squeeze the bag again in 3 seconds.

B: allow the patient to completely exhale.

18

A patient with a mild foreign body airway obstruction:

A: is typically not cyanotic.
B: has progressive difficulty breathing.
C: has a low oxygen saturation.
D: presents with a weak cough.

A: is typically not cyanotic.

19

Patients with a hypoxic drive:

A: are stimulated to breathe by low oxygen levels in the blood.
B: rarely become cyanotic because of high blood oxygen levels.
C: may hypoventilate if given low concentrations of oxygen.
D: are accustomed to low levels of carbon dioxide in the blood.

A: are stimulated to breathe by low oxygen levels in the blood.

20

Which of the following describes the correct method for inserting a nasopharyngeal airway?

A: Apply firm, gentle pressure if you meet resistance during insertion.
B: Rotate the device as you insert it into the right nostril.
C: Insert the device with the bevel facing the septum.
D: Insert the device with the bevel facing the lateral part of the nose.

C: Insert the device with the bevel facing the septum.

21

When ventilating an apneic patient, you note decreased ventilatory compliance. This means that:

A: fluid is occupying the alveoli.
B: the upper airway is blocked.
C: you meet no resistance when ventilating.
D: the lungs are difficult to ventilate.

D: the lungs are difficult to ventilate.

22

Which of the following patients has signs of inadequate breathing?

A: A 50-year-old woman with respirations of 12 breaths/min and pink, dry skin
B: A 41-year-old woman with shallow respirations of 14 breaths/min
C: A 30-year-old man with respirations of 12 breaths/min with adequate depth
D: A 60-year-old man with clear and equal breath sounds bilaterally

B: A 41-year-old woman with shallow respirations of 14 breaths/min

23

Snoring respirations in an unresponsive patient are usually the result of:

A: swelling of the upper airway structures.
B: collapse of the trachea during breathing.
C: foreign body airway obstruction.
D: upper airway obstruction by the tongue.

D: upper airway obstruction by the tongue.

24

In which of the following situations should the jaw-thrust maneuver be used?

A: In a patient with apnea with no signs of trauma
B: In a patient who is in need of frequent suctioning
C: When the mechanism of injury is unclear
D: In any patient who is in cardiac arrest

C: When the mechanism of injury is unclear

25

Which of the following devices should NOT be used in an unresponsive apneic patient with blunt chest trauma?

A: Oral airway
B: Oxygen-powered ventilator
C: Bag-mask device
D: Nasal airway

B: Oxygen-powered ventilator

26

Which of the following is the preferred initial method for providing artificial ventilations to an apneic adult?

A: Flow-restricted, oxygen-powered ventilation device
B: Two-person bag-valve-mask technique with 100% oxygen
C: One-person bag-valve-mask technique with 100% oxygen
D: Mouth-to-mask technique with supplemental oxygen

D: Mouth-to-mask technique with supplemental oxygen

27

During your assessment of an unresponsive adult female, you determine that she is apneic. You should:

A: deliver two rescue breaths.
B: place an oropharyngeal airway.
C: assess for a carotid pulse.
D: begin chest compressions.

C: assess for a carotid pulse.

28

An elderly man is found lying unresponsive next to his bed. The patient's wife did not witness the events that led to his unresponsiveness. You should:

A: grasp the angles of the lower jaw and lift.
B: tilt the head back and lift up the chin.
C: assess the patient’s respirations.
D: apply 100% supplemental oxygen.

A: grasp the angles of the lower jaw and lift.

29

Signs of inadequate breathing in an unresponsive patient include:

A: an irregular pulse.
B: cyanotic oral mucosa.
C: symmetrical chest rise.
D: warm, moist skin.

B: cyanotic oral mucosa.

30

A 50-year-old man, who fell approximately 20 feet and landed on a hard surface, is semiconscious. You should:

A: gently tilt the patient’s head back to assess for breathing.
B: check for a carotid pulse if the patient is breathing rapidly.
C: begin positive-pressure ventilations with a bag-mask device.
D: stabilize his head while performing the jaw-thrust maneuver.

D: stabilize his head while performing the jaw-thrust maneuver.