I put what where?
Drugs not hugs
What's going on?
What do you do?
What's going on?
100

A medication placed beneath the tongue is administered by this route.

What is sublingual?

100

A patient develops hives, facial swelling, wheezing, and hypotension after eating. They are still awake and breathing spontaneously. This medication should not be delayed while waiting to see whether oxygen and albuterol improve the patient.

What is epinephrine? 

Adult: 0.3mg

Pedi: 0.15mg

100

A child with respiratory difficulty develops a slow heart rate. This is a late and dangerous sign of this problem.

What is severe hypoxia/respiratory failure or impending respiratory arrest?

100

A patient with asthma has audible wheezing, speaks in full sentences, and has adequate chest rise. They have already used their prescribed inhaler several times without improvement. This should be your next treatment decision.


What is provide a Nebulizer treatment on oxygen at 6-10 LPM.  Albuterol 2.5mg & Ipratropium 0.5mg q3-5 min 

100

Shortly after eating, the patient develops hives, facial swelling, wheezing, stridor, vomiting, and hypotension.


What is anaphylaxis?

200

A medication delivered as a fine mist that is breathed into the lungs uses this route.

What is inhalation?

200

Before assisting with a prescribed inhaler, the EMT should verify this: 

What is that it's the patients prescription?

200

A respiratory rate that decreases while mental status, skin condition, and chest rise worsen should be interpreted this way.
 

What is fatigue and deterioration rather than improvement?

200

A patient with suspected pulmonary edema is alert, hypertensive, and breathing 32 times per minute with adequate tidal volume. Crackles are heard bilaterally, and the patient can follow commands. This intervention may improve both ventilation and oxygenation.


What is CPAP?

200

The patient has a barking cough, hoarseness, fever, and inspiratory stridor that worsens when the child becomes upset.


What is croup?

300

An epinephrine auto-injector delivers medication by this route AND in this location?
 

What is intramuscular and anterior lateral thigh?

300

what are your "Rights" of medication administration?

What is medication name, patient, dose, route, time, and indication ? 

300

A patient has an SpO₂ of 98% but breathes four times per minute with minimal chest rise. Identify the immediate problem and treatment.

What are inadequate ventilation and assisted ventilations with a BVM and oxygen?

300

A patient with suspected pulmonary edema initially tolerates CPAP but becomes drowsy, vomits into the mask, and develops shallow respirations. These immediate treatment changes are required.


What are discontinue CPAP, clear and suction the airway, and provide BVM ventilation with oxygen as needed?

Bonus points: what position should our pt be in?

300

A child has a high fever, drooling, difficulty swallowing, inspiratory stridor, and is sitting forward while refusing to lie down.


What is epiglottitis?

400

Your patient is having chest pain.  You choose to administer what medication at what dose?
 

What is 324mg of Aspirin?

400

After administering any medication, the EMT must repeat the assessment to determine this.

 What is the patient’s response and the presence of side effects?

400

A patient’s respiratory rate decreases from 30 to 18 after albuterol. However, the patient is now drowsy, has minimal chest rise, and can no longer hold the nebulizer. This indicates this change.


What is respiratory failure/ decompensation?

400

A patient with COPD is alert but exhausted, with a respiratory rate of 10, shallow chest rise, cyanosis, and an SpO₂ of 82%. 


What is assisted ventilation with a BVM and oxygen?


400

The patient develops sudden unilateral chest pain and shortness of breath. Breath sounds are diminished on one side, but blood pressure and neck veins remain normal.


 What is a spontaneous pneumothorax?

500

A medication label that cannot be read or a medication with visible contamination should be treated this way.

What is do not administer it/ throw it away?

500

What are the contraindications for Nitroglycern?

What is the patient took  PDE-5 inhibitors (like sildenafil or vardenafil within 24 hours, or tadalafil within 48 hours), SBP <100 and head injury 

500

A patient has a respiratory rate of 20, an SpO₂ of 95%, clear speech, and symmetrical chest rise. However, the patient has soot around the mouth, singed nasal hair, and a progressively hoarse voice. This threat should guide treatment and transport.

What is impending upper-airway obstruction needing high-concentration oxygen, rapid transport, and  ALS yesterday?

500

A patient with respiratory distress has an SpO₂ of 84%, but their hands are cold, shaking, and covered in dark nail polish. Before basing treatment solely on the number, the EMT should do this.

What is assess the entire patient, verify the pulse-oximeter waveform or pulse correlation, reposition the probe, and obtain a more reliable reading without delaying necessary treatment?

500

The patient has sudden shortness of breath, sharp chest pain that worsens with inhalation, tachycardia, hypoxia, and relatively clear lung sounds following a long period of immobility.


What is a pulmonary embolism?

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