Principles of Pharmacology - Administering part 1 Flashcards

(120 cards)

1
Q

As an EMT, you may only administer medications for which you have ___

A

An order from medical control

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2
Q

The general steps of administering any medication to a patient are called ___

A

The rights of medication administration

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3
Q

After medication has been administered, you will need to ___

A

Reassess the patient to see if it worked

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4
Q

If the order to administer medication is given via online medical control, it is important that you ___

A

Repeat the order back to the physician. The echo technique

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5
Q

The “rights” of medication administration

A
  1. Right patient
  2. Right medication & indication
  3. Right dose
  4. Right route
  5. Right time
  6. Right education
  7. Right to refuse
  8. Right response & evaluation
  9. Right documentation
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6
Q

Method used to prevent a medication error

A

Verbal cross-check procedure

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7
Q

Verbal cross-check procedure

A

A1. “Med Check”
B1. “Ready”
A2. “I am going to give (medication name, dose, and route) for (indication)”
B2. “Contraindications?”
A3. “None (if none)”
B3. “Volume?”
A4. Show the medication container and the syringe, tablets, or device that is used to measure the dose
B4. “Give it” (if agree it is correct)

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8
Q

How to do verbal cross-check by yourself

A

Pause and say both sides out loud

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9
Q

Circumstances for an EMT administering medication

A
  1. Peer-assisted medication
  2. Patient-assisted medication
  3. EMT-administered medication
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10
Q

You are assisting medication to yourself or your partner

A

Peer-assisted medication

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11
Q

Assisting the patient with the administration of their own medication

A

Patient-assisted medication

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12
Q

You directly administer a medication to a patient

A

EMT-administered medication

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13
Q

Medications for infants and children are typically ordered based on their weight in ___

A

Kilograms

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14
Q

How to convert pounds to kilograms

A

Divide the pounds by 2.2

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15
Q

Dosing for infants and children is expressed as ___

A

mg or mL per kg of body weight

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16
Q

What tool to use to estimate weight

A

Broselow tape

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17
Q

Steps for oral medication administration

A
  1. Rights of administration
  2. Take standard precautions
  3. Confirm the medication is not expired
  4. Obtain medical direction per local protocol
  5. Confirm that the patient has a patent airway and is able to swallow or follow instructions, then instruct the patient to swallow or chew the medication
  6. Monitor the patient’s condition and document
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18
Q

Extremely low blood glucose level

A

Hypoglycemia

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19
Q

Hypoglycemia can be caused by an excess of ___

A

Insulin

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20
Q

A simple sugar that is readily absorbed by the bloodstream

A

Oral glucose

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21
Q

As an EMT you can give glucose only by ___

A

Mouth

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22
Q

The reason that oral glucose acts faster than fruit or a soda

A

Its a simple sugar

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23
Q

Never give anything by mouth to a patient with ___

A

A decreased LOC

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24
Q

Aspirin is also called ___

A

Acetylsalicylic acid or ASA

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25
Aspirin is an ___
Antipyretic, analgesic, and anti-inflammatory medication that inhibits platelet aggregation
26
Antipyretic
Reduces fever
27
Analgesic
Reduces pain
28
Trade name of aspirin
Bayer
29
Indications for aspirin
Relief of mild pain, headache, muscle aches, fever, chest pain of cardiac origin
30
Contraindications for aspirin
Hypersensitivity, recent bleeding
31
Routes for aspirin
PO
32
Adverse effects of aspirin
Nausea, vomiting, stomach pain, bleeding, allergic reactions
33
Interactions of aspirin
Caution should be used in patients who are taking anticoagulants
34
Adult dose of aspirin
160 to 325 mg, 160 to 325 mg chewable tablets for chest pain
35
Administration concerns for aspirin
Do not administer for pain caused by trauma or for fevers in children; patients with chest pain must be able to chew tablets
36
Action of aspirin
Anti-inflammatory agent and anti-fever agent; prevents platelets from clumping, thereby decreasing formation of new clots
37
Generic name of ipratropium
Atrovent
38
Action of ipratropium
Common fast-acting MDI medications (albuterol, Proventil, Ventolin)
39
Indications for ipratropium
Stimulates nervous system, causing bronchodilation
40
Contraindications for ipratropium
Asthma/difficulty breathing with wheezing
41
Routes for ipratropium
Inhalation
42
Adverse effects of ipratropium
Hypersensitivity; tachycardia; chest pain of cardiac origin
43
Interactions for ipratropium
Hypertension, tachycardia, anxiety, restlessness
44
Adult does of ipratropium
1 to 2 inhalations; wait 5 minutes before repeating dose
45
Administration concerns for ipratropium
Increases effect of other nervous system stimulants
46
Generic name of epinephrine
EpiPen
47
Action of epinephrine
Stimulates nervous system causing bronchodilation
48
Indications for epinephrine
Anaphylactic reaction
49
Contraindications for epinephrine
Chest pain of cardiac origin; hypothermia; hypertension
50
Routes for epinephrine
IM
51
Adverse effects of epinephrine
Hypertension, tachycardia, anxiety, restlessness
52
Interactions of ephinephrine
Increases effects of other nervous system stimulants
53
Adult dose of ephinephrine
0.3 mg for adult; 0.15 mg for children
54
Administration concerns for epinephrine
Medication will last approximately for 5 minutes; do not repeat dose; ensure ALS is enroute for continuing treatment
55
Generic name of naloxone
Narcan, EVZIO auto-injector
56
Action of naloxone
Reverses respiratory depression secondary to opioid overdose
57
Indications of naloxone
Opioid poisoning
58
Contraindications of naloxone
Hypersensitivity
59
Routes for naloxone
IM, IN
60
Adverse effects of naloxone
Nausea, vomiting
61
Interactions of naloxone
Additional doses may be required for severe opioid overdoses
62
Adult dose of naloxone
2 mg IN or IM auto-injector
63
Administration concerns for naloxone
Patients may wake up combative
64
Generic name of nitroglycerin
Nitrostat, Nitromist
65
Action of nitroglycerin
Dilates blood vessels
66
Indications of nitroglycerin
Chest pain of cardiac origin
67
Contraindications of nitroglycerin
Hypotension; use of sildenafil (Viagra) or another treatment for ED within the previous 24 hours; head injury
68
Routes for nitroglycerin
SL tablet or spray
69
Adverse effects of nitroglycerin
Headache, burning under tongue, hypotension, nausea
70
Interactions of nitroglycerin
Increases dilating effect of other blood vessel-dilating medications
71
Adult dose of nitroglycerin
0.3 to 0.4 mg SL; 0.4 mg spray
72
Administration concerns of nitroglycerin
Ensure ALS is en route
73
Generic name of oral glucose
Glutose
74
Action of oral glucose
When absorbed, provides glucose for cell use
75
Indications for oral glucose
Low blood glucose (hypoglycemia)
76
Contraindications for oral glucose
Decreased LOC; nausea; vomiting
77
Routes for oral glucose
PO
78
Adverse effects for oral glucose
Nausea, vomiting
79
Interactions for oral glucose
None
80
Adult dose of oral glucose
1/2 to 1 tube
81
Administration concerns for oral glucose
Patient must be awake, have control of airway, and be able to follow commands
82
Action of oxygen
Reverses hypoxia; provides oxygen to be absorbed by the lungs
83
Indications for oxygen
Hypoxia or suspected hypoxia
84
Contraindications for oxygen
Very rarely used in patients with COPD; no not use near open flames
85
Routes for oxygen
Inhalation
86
Adverse effects for oxygen
Decreased respiratory effort in rare cases in patients with COPD
87
Interactions of oxygen
Can support combustion
88
Adult dose of oxygen
Use oxygen delivery devices to administer 28% to 100% oxygen
89
Administration concerns for oxygen
No open flames nearby; do not withhold oxygen from patients in respiratory distress
90
Generic name of acetaminophen
Tylenol
91
Action of acetaminophen
Analgesic and fever reducer
92
Indications for acetaminophen
Relief of mild pain or fever, headache, muscle aches
93
Contraindications for acetaminophen
Hypersensitivity
94
Routes of acetaminophen
PO
95
Adverse effects of acetaminophen
Allergic reaction
96
Interactions of acetaminophen
Take caution to avoid potential overdosing
97
Adult dose of acetaminophen
500 to 1000 mg every 4 hours as needed; dose is weight based for children
98
Administration concerns for acetaminophen
Weight of child is more important than age
99
Generic name of diphenhydramine
Benadryl
100
Action of diphenhydramine
Antihistamine
101
Indications for diphenhydramine
Mild allergic reactions
102
Contraindications for diphenhydramine
Asthma; glaucoma; pregnancy; hypertension; infants
103
Routes for diphenhydramine
PO
104
Adverse effects of diphenhydramine
Sleepiness (although can stimulate children), dry mouth and throat
105
Interactions for diphenhydramine
Do not take with alcohol or MAO inhibitors (a type of psychiatric medication)
106
Adult dose of diphenhydramine
25 to 50 mg
107
Administration concerns for diphenhydramine
Can use in severe allergic reaction; however, epinephrine is administered first
108
Generic name of ibuprofen
Advil, Motrin, Nuprin
109
Action of ibuprofen
NSAID that reduces inflammation and fever; analgesic
110
Indications for ibuprofen
Mild pain or fever, headache, muscle aches
111
Contraindications for ibuprofen
Hypersensitivity
112
Routes for ibuprofen
PO
113
Adverse effects of ibuprofen
Nausea, vomiting, stomach pain, bleeding, allergic reactions
114
Interactions of ibuprofen
Do not take with aspirin
115
Adult dose for ibuprofen
200 to 400 mg every 4 to 6 hours; dose is weight based in children
116
Administration concerns
Do not take for pain caused by trauma; weight of child is more important than age
117
NSAID
Nonsteroidal anti-inflammatory drug
118
Absolute contraindications for Aspirin
1. Documented hypersensitivity to aspirin 2. Pre-existing liver damage
119
Relative contraindications for Aspirin
1. Bleeding disorders 2. Asthma
120
Because of the association of aspirin with ___, it should not be given to children
Reye syndrome