Medication Basics
Indications & Contraindications
Dosages & Routes
Side Effects & Precautions
Real-Life Scenarios
100

This is the oxygen delivery devise that uses the lowest flow rate.

What is a nasal cannula?

100

Oral glucose is indicated when the patient meets these two key criteria.

What are known or suspected hypoglycemia + intact gag reflex/airway?

100

The standard adult dose of chewable aspirin used by EMTs in PA.

What is 324 mg (four 81 mg tablets)?

100

A common cardiovascular side effect of epinephrine.

What is tachycardia?

100

A 40-year-old with known diabetes is alert but confused, clammy, and shaky. What is the most likely treatment?

What is oral glucose?

200

This medication is used to reverse opioid overdoses.

What is naloxone (Narcan)?

200

Naloxone administration should be followed by what type of secondary assessment(s)?

What are reassessments of mental status and respiratory effort?
200

The route of administration for naloxone at the BLS level.

What is intranasal (IN)?

200

This gastrointestinal side effect is associated with aspirin.

What is gastric irritation or bleeding?

200

You arrive to find a patient unresponsive with slow, shallow breathing and pinpoint pupils. What should you do?

What is, support respirations and administer naloxone intranasally?

300

This medication is not carried by EMTs but can be assisted with if prescribed and approved by protocols.

What is a metered-dose inhaler OR what is nitroglycerin?

300

A known hypersensitivity or known true allergy is a contraindication for this BLS-administered medication used in MI?

What is Aspirin?
300

The pediatric dose of epinephrine auto-injector and the weight cutoff for using it.

What is 0.15 mg for patients under 66 lbs?

300

One common and one dangerous side effect of naloxone administration.

What is agitation OR what is pulmonary edema?

300

A 22-year-old ate shrimp and now has an itchy rash on their arms, with no swelling present. They request their epinephrine auto-injector “just in case.” Based on PA BLS protocol, what should you do?

What is withhold epinephrine, continue to monitor for progression? Epinephrine is not indicated without airway or respiratory involvement

400

According to PA protocols, this is the only form of aspirin that can be administered by BLS

What is chewable, low-dose Aspirin (81 mg)?

400

You cannot administer epinephrine without what kind of patient presentation?

What are two affected body systems with ONE involving respiratory compromise?

400

Oral glucose is most effective when applied to this location.

What is the buccal mucosa (between cheek and gum)?

400

Giving oral glucose to an unresponsive patient may result in this life-threatening complication.

What is aspiration?

400

A patient refuses aspirin because they “took ibuprofen already.” Should you give aspirin?

What is yes, unless otherwise contraindicated in that patient, because ibuprofen is not a substitute in acute coronary syndrome?

500

Name two medications that BLS EMTs in PA may administer (not assist) that are not prescription-only?

What are Aspirin and oral glucose?

500

This condition may warrant withholding oxygen unless the patient is hypoxic, due to the risk of exacerbating injury.

What is suspected stroke or acute ischemic stroke?

500

Name both acceptable routes for naloxone administration under PA BLS protocols (we only use one at DUEMS).

What are intranasal and auto-injector intramuscular (IM)?

500

Reversal of opioids with naloxone can cause these two serious patient reactions.

What are acute withdrawal (vomiting, aggression) and recurrent respiratory depression?

500

You give naloxone to a patient with respiratory depression, and they wake up combative. What are your next steps?

What are ensure scene safety, protect airway, and monitor for recurrence of symptoms?