💉 PHARMACOLOGY BASICS
🚑 ROUTES & FORMS
✅ MEDICATION SAFETY
🚨 EMERGENCY MEDICATIONS
⚠️ CLINICAL CHALLENGE
100

The science that studies drugs and their effects on the body.

What is pharmacology?

100

The fastest route of medication administration.

What is intravenous (IV)?

100

Patients with decision-making capacity always retain this right.

What is the right to refuse?

100

This medication inhibits platelet aggregation.

What is aspirin?

100

A diabetic patient is unconscious with a BGL of 38 mg/dL.

Can you administer oral glucose?

What is No—because the patient cannot protect their airway.

200

This type of medication stimulates receptors.

What is an agonist?

200

This route places medication beneath the tongue.

What is sublingual (SL)?

200

How many Rights of Medication Administration are taught in this chapter?

What are nine rights?

200

This medication is used to reverse opioid overdose.

What is naloxone?

200

Your patient with chest pain took sildenafil 3 hours ago.

Can nitroglycerin be administered?

What is No 

300

This type of medication binds to receptors but prevents stimulation.

What is an antagonist?

300

Arrange these routes from fastest to slowest absorption:

  • IM
  • PO
  • IV
  • Transdermal

What is: IV → IM → PO → Transdermal

300

Name all nine Rights of Medication Administration.

What is: 

  • Right patient
  • Right medication
  • Right dose
  • Right route
  • Right time
  • Right education
  • Right to refuse
  • Right response/evaluation
  • Right documentation 
300

This medication is the first-line treatment for life-threatening anaphylaxis.

What is epinephrine?

300

Your patient suddenly wakes up combative after naloxone.

Why?

What is Rapid opioid withdrawal.

400

Name the four pharmacokinetic properties.

What is: 

  • Onset
  • Peak
  • Duration
  • Elimination
400

This medication form must be shaken before administration because particles separate over time.

What is a suspension?

400

After a medication error occurs, what are the FIRST two actions?

What is: 

  1. Provide appropriate patient care
  2. Notify medical control 
400

This medication increases coronary blood flow while reducing cardiac workload.

What is nitroglycerin?

400

A patient has wheezing after eating shellfish.

BP 72/40

Difficulty speaking.

Medication of choice?

What is Intramuscular epinephrine.

500

A medication should never be given if this type of contraindication exists.

What is an absolute contraindication?

500

Identify FOUR medications that can be delivered by inhalation.

What is: 

  • Oxygen
  • Albuterol
  • Other nebulized bronchodilators
  • Metered-dose inhalers 
500

A paramedic asks you to hand them epinephrine. Before doing so, you notice the vial expired last month.

What should you do?

What is Do not administer the medication until the expiration is addressed and notify the provider/medical control according to protocol.

500

Match the medication with its primary indication.

Aspirin

Oral Glucose

Nitroglycerin

Naloxone

Epinephrine

What is 

  • Aspirin → Suspected ACS (acute coronary syndrome)
  • Oral glucose → Hypoglycemia
  • Nitroglycerin → Angina/Chest pain
  • Naloxone → Opioid overdose
  • Epinephrine → Anaphylaxis
500

A 68-year-old patient complains of crushing substernal chest pain.

  • BP 88/56
  • HR 104
  • Skin cool and diaphoretic
  • Took Cialis yesterday
  • Has prescribed nitroglycerin

Would you assist with nitroglycerin? Explain why or why not.

What is No. Nitroglycerin is contraindicated because:

  • Systolic BP is below 100 mm Hg.
  • Recent use of an erectile dysfunction medication significantly increases the risk of profound hypotension. 
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