Easy Hitters
D50 is indicated for hypoglycemia. Your protocols may define a specific glucometer reading that must be present to administer the medication. This is the BEST example of:
A) The contradictions for the medication
B) The pharmacokinetics of the medications
C)The indications for the medication
D) The special considerations of the medication
C)The indications for the medication
What condition results in the inability to effectively eliminate medications, thus placing the patient at risk for toxic accumulation?
Inadequate renal function
Which of the following statements regarding receptor sites of medications is TRUE?
A) An agonist is a drug that binds to receptor sites and prevents a normal response by the cell.
B) An antagonist is a drug that binds to a receptor and causes a response.
C) A protagonist is a drug that binds to a receptor and causes a response.
D) The stronger the attraction of a drug to a receptor site, the greater the affinity.
C) A protagonist is a drug that binds to a receptor and causes a response.
After assisting a patient with her EpiPen, she states that it is much easier for her to breathe. However, her heart rate has increased from 92 to 118 beats per minute. In relation to the epinephrine, the EMT recognizes the increased heart rate as a _________
Side effect
A patient is to be given 600 ml Normal Saline over 6 hours. The set has a drop factor of 15 drops/ml. What is the drip rate?
25 gtts/min
The four basic sources of medications are:
plant, animal, mineral, and synthetic
Which of the following is usually the FIRST sign of extravasation at an IV site?
edema at the IV location
bleeding at the IV site
warmth at the IV location
redness at the IV site
edema at the IV location
Orally administered drugs are largely absorbed through the:
A) Stomach
B) Colon
C) Duodenum
D) Spleen
C) Duodenum
An analgesic is a pain reliever. Which of the following is NOT an analgesic potentially administered by the AEMT?
Aspirin
Nitrous Oxide
Acetaminophen
Morphine
Morphine
A patient is to given 50mg of promethazine. The box has 2ml ampules, each contain 25 mg per ml of benydrl. How many ml will be given?
2 mL
The patient is 165 pounds, how many kilograms would this patient be?
75
In patients with blood loss, only about ________ of the fluid is still in the vascular space________ after it is administered.
1/3; 1 hour
Adenosine is used primarily for ____due to its _____ effects. Adenocard is typically dosed at _____(please list both first and second doses). Adenosine has the following contraindications _____(please list one). Adenosine is typically administered via ____ (please list how many CC's are in flush).
SVT
decrease in electrical impulses
6mg IVP, 12mg IVP
heart block; hypersensitivity, bradycardia
IVP followed by rapid 20cc flush
You are treating a patient with a history of asthma. You have administered two albuterol breathing treatments and the patient had used their own inhaler three times before calling you. Which of the following describes an expected side effect of the medication administration?
Decreased RR from 30 to 24
Relaxation of bronchial smooth muscles
Tachycardia
Bronchospasm
Tachycardia
You are ordered to administer 0.5 mg of atropine sulfate to a patient. The atropine comes 2mg in 1 ml. How many milliters will you give?
0.25mL
Which of the following size of needle gauge is used to draw up medications but NOT to administer them subcutaneously or intravenously?
25
18
21
23
18
Acetaminophen is generally well tolerated and there are no significant side effects in therapeutic doses, however in large doses, the medication can be _____toxic
hepatotoxic
What is the mechanism of action (MOA) of adenosine?
A) increases conduction of the electrical impulse through the AV node
B) decreases conduction of the electrical impulse through the AV node
C) increases conduction of the electrical impulse through the SA node
D) decreases conduction of electrical impulse through the SA node
B) decreases conduction of the electrical impulse through the AV node
A 78 y.o male calls 911 for SOB. You arrive to find him in obvious distress with pink frothy sputum. He is in an overarched fowlers position and states "I'm going to die". Your cardiac assessment reveals excessive tachycardia and hypertension. Your lung assessment reveals crackles in all fields. You quickly administer NTG SL and apply CPAP. He has not taken any prescribed medications. What is the appropriate dose of furosemide to administer?
40 mg
A milliliter equals ______ of a liter
1/1000
The preferred location for IO placement is:
humeral head
Adenosine is used primarily for ____due to its _____ effects. Adenocard is typically dosed at _____(please list both first and second doses). Adenosine has the following contraindications _____(please list one). Adenosine is typically administered via ____ (please list how many CC's are in flush).
SVT
decrease in electrical impulses
6mg IVP, 12mg IVP
heart block; hypersensitivity, bradycardia
IVP followed by rapid 20cc flush
Atropine is a potent _____ that increases cardiac output and heart rate
sympatholytic
sympathomimetic
parasympathomimetic
parasympatholytic
parasympatholytic
a 21 y.o male overdosed on his percocet rx at a local motel. He receives BVM ventilations and IV narcan prior to waking. His vitals okay unremarkable and has rapid improvement in your care on scene. Upon waking he is alert and oriented. He states that he rapidly ingested all 30 tablets to relieve his back pain and withdrawal symptoms. He is not suicidal. The patient should be advised of your concerns regarding the limited effects of the narcan and the high likelihood of organ damage from __(mortrin or tylenol)____. if the pt still wishes to refuse you should____.
tylenol; consult MCP
If you Administer 15g Dextrose 10% (concentration of 50g/500mL), what is your bolus mL?
150mL
What is the initial adult dose of amiodarone in refractory VF or pulseless VT (cardiac arrest)?
300 mg
A 67 y.o male with a hx of serve cirrhosis calls 911 for a fever. You arrive to find the male seated on his couch, obtunded with an AMS. He has a fever of 102.1. Should you administer Tylenol?
Interstitial fluid is ____.
A) fluid that is contained inside the cell
B) the water within the cell
C) the water that bathes the cells
D) all the water in the body
C) the water that bathes the cells
A 57 y.o farm worker is picked up from an apple orchard where he is unresponsive with gurgling respirations. The FD has decontaminated the male as best possible, but you have concerns of organophosphate poisoning. He exhibits all SLUDGE s/s of cholinergic toxicity. What is your initial dose of atropine?
2mg
Administer 4g of Magnesium Sulfate over 5 minutes (concentration of 400mg/mL) using a 60-drop/mL drip set.
What are the gtt/min?
120 gtt/min