14. Pharmacology Medication and Administration – Flashcards
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Although they do NOT occur often, what are the side effects of taking aspirin for cardiac chest pain? A. A severe headache B. Heartburn and nausea C. A drop in the systolic BP D. Tremors and tachycardia
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Heartburn and nausea
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You assist your patient, who is exhibiting signs and symptoms of a severe allergic reaction, with the use of his auto-injector. It would be helpful if you remember: A. that these patients will usually vomit. B. to bring along his second EpiPenSuperscript ®® for the ride to the hospital if he has one. C. that most patients will experience crushing substernal chest pain after the shot. D. that it is expected that the patient's pulse will slow considerably.
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To bring along his second EpiPenSuperscript for the ride to the hospital if he has one
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The name a manufacturer uses to market a drug or medication is called the: A. trade name. B. official name. C. generic name. D. chemical name.
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Trade Name
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Before an EMT may assist with the administration of a medication, from whom must he receive an order? A. Partner B. The national registry C. An EMT instructor D. Medical direction
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Medical Direction
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The study of drugs is called: A. pharmacology. B. medication administration. C. etymology. D. pharmacotherapy.
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Pharmacology
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After you administer a medication to a patient, the patient's condition suddenly worsens and he goes into cardiac arrest. What should you include in your documentation? A. Do not document you gave the drug so you are not found at fault. B. Document a different time for the drug administration so it doesn't coincide with the change in the patient's condition. C. Only that you gave the drug, but not how the patient responded D. The drug you gave, its dose and route, and how the patient responded
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The drug you gave, its dose and route and how the patient responded
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Your protocol allows you to take all steps necessary to give the patient oxygen via a face mask. The procedure for giving the medication the EMT is going to follow is known as medication: A. administration. B. provision. C. assist. D. facilitation.
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administration
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As an EMT who is responsible for giving medications, you should know that the term pharmacology is the study of: A. pharmacy operations. B. medications. C. all substances used as remedies for illnesses. D. drugs.
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drugs
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You have given a drug to the patient and now you are at the hospital completing your PCR. Which one of the following items should appear on your PCR (Patient Care Report)? A. The pharmacy that filled the prescription B. Expiration date of drug C. The type of packaging the drug came in D. The drug dose
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The drug dose
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One form of medication administered by the EMT is a suspension. A suspension is: A. a viscous substance that the patient swallows. B. drug particles mixed with a suitable liquid. C. a liquid substance with no particulate matter. D. sprayed droplets.
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drug particles mixed with a suitable liquid
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The most common uses for a drug are called its A. mechanism of action. B. indications. C. dose. D. route.
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Indications
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The MOST common use of a drug in treating a specific condition is called the: A. administration. B. dose. C. action. D. indication.
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Indications
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Key steps that must be followed when administering a prescription medication to a patient include: A. verifying the date the prescription was written. B. verifying the amount of the medication that has already been used. C. checking for discoloration or impurities if the medication is in a liquid form. D. confirming with the patient's physician on the phone that he or she issued the prescription.
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Checking for discoloration or impurities if the medication is in a liquid form
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You are treating a patient who just ate the "mystery dip" at a party and who is now sick. Apparently, he is highly allergic to shellfish and the dip had shrimp in it. If he has his medication with him, what is the medication packaging that your protocol MOST likely authorizes you to administer that medication? A. Auto-injector B. Sublingual tablet kept in a brown bottle C. Oral medication that he is to chew and swallow D. Metered-dose inhaler that requires an oxygen source
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Auto-injector
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Which medications, at a minimum, are to be carried on an EMS unit? A. Oxygen, dextrose, and activated charcoal B. Epinephrine, oxygen, and oral glucose C. Aspirin, activated charcoal, oral glucose, and oxygen D. Oxygen, oral glucose, activated charcoal, and nitroglycerin
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Aspirin, activated charcoal, oral glucose, and oxygen
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You are to administer baby aspirin to your patient but are unsure of the dosage. You should: A. not administer the medication, and wait until you reach the ED. B. ask your EMT partner. C. contact medical direction. D. look it up on-line if you have a smart phone.
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contact medical direction
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Medications come in many forms. Oral glucose is an example of a: A. liquid. B. gel. C. tablet. D. suspension.
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gel
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You are treating a patient who has nitroglycerin in his pocket. He says he takes it when he has chest pain. In order for an EMT to assist the patient, the patient must meet all of the following criteria, EXCEPT: A. the medicine is the patient's and has not expired. B. currently have cardiac-like chest pain. C. have a BP that is at least 100 mmHg systolic. D. have taken at least three doses prior to your arrival.
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have taken at least three doses prior to your arrival
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Taking careful drug histories, understanding how drugs work, and observing and documenting drug effects are all part of the: A. EMT's care of the overdose victim. B. "right time" of medication administration. C. considerations when deciding to withhold a drug. D. EMT's standard of care for drug administration.
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EMT's standard of care for drug administration
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Which medication is acceptable for the EMT to administer or assist in administering? A. Percodan B. Any medication authorized by medical control C. Tylenol D. Epinephrine
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Epinephrine
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If you are going to help a patient take his own nitro pill, this is known as what type of drug administration? A. Assisted B. Administered C. Provided D. Facilitated
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Assisted
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Drugs and medications have generic and trade names. Which name is the generic form? A. Atrovent B. Albuterol C. Bronkosol D. Glutose
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Albuterol
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What type of drug is usually prescribed to a patient who has some type of respiratory disease? A. vasodilator B. beta 2 antagonist C. analgesic D. metered-dose inhaler
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Metered-dose inhaler
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The beta2-agonist is administered to the patient, following your local protocol, to dilate the lower airways and: A. slow down the heart rate. B. dilate the coronary arteries. C. relax the bronchioles. D. dilate the peripheral vessels.
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relax the bronchioles
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An EMT may assist in or administer all of the following medications EXCEPT: A. oral glucose. B. insulin. C. activated charcoal. D. nitroglycerin.
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Insulin
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As an EMT, you are allowed to administer or assist with the administration of some prescribed medications. These medications include: A. metaproterenol via inhaler. B. prozac. C. any medications authorized by medical control. D. insulin.
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Metaproterenol via inhaler
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The term "(RS)-(8-methyl-8-azabicyclo[3.2.1]oct-3-yl) 3-hydroxy-2-phenylpropanoate" is an example of a drug's: A. brand name. B. generic name. C. official name. D. chemical name.
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Chemical name
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When assisting a patient in self-administration of his medication for a severe allergic reaction, the EMT should be careful to: A. make sure the patient chews the medicine. B. have the patient swallow after the dose. C. administer the medication through a straw. D. check the expiration date.
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check the expiration date
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What phase of assessment must the EMT perform after administering a medication? A. Secondary assessment B. Primary assessment C. Focused assessment D. Reassessment
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Reassessment
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When helping a patient self-administer his medicine during an asthma attack, it is important for the EMT to: A. advise the patient to chew the medicine. B. insert the needle directly into the thigh muscle. C. make sure the patient drinks the entire dose all at once. D. properly time the puff so it is inhaled rather than sprayed on the inside of the mouth.
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Properly time the puff so it is inhaled rather than sprayed on the inside of the mouth
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You are going to help a patient self-administer a small-volume nebulizer to help relieve respiratory distress. Your role in this is to take the medication, remove the protective caps, place it in the nebulizer, and hand the nebulizer to the patient so she can start inhaling it on her own. This is known as what type of drug administration? A. Assisted B. Provided C. Facilitated D. Administered
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Assisted
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Who is responsible for establishing the doses for medications you administer based upon your standing orders? A. The paramedic B. The EMS system C. The medical director D. The receiving emergency department
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The medical director
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You have helped with the administration of nitro for chest pain. Upon your reassessment, you find the vitals to be stable, the pulse ox adequate while on low-flow oxygen, and the patient resting comfortably and without pain. What does this reassessment information tell you about your ongoing management? A. You should increase the oxygen dose. B. You should administer only half a dose of nitro. C. You should administer another nitro. D. You will probably not need to administer more nitro.
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you will probably not need to administer more nitro
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If you will be administering a beta2-agonist to your patient, follow the local treatment protocol and be sure to: A. wear gloves so none of the medicine powder gets absorbed into your skin. B. make sure the patient chews the medicine and does not just swallow it. C. not cover the end of the auto-injector with your finger. D. shake the MDI vigorously first.
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Shake the MDI vigorously first
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Which of the following is the definition of contraindications? A. Circumstances under which it is not appropriate to administer a medication to a patient, even though it is warranted B. Therapeutic effects of a medication C. Circumstances under which it is appropriate to administer a medication to a patient D. Any actions of a medication other than those desired
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Circumstances under which it is not appropriate to administer a medication to a patient, even though it is warranted
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Which of the following is TRUE regarding medication routes used by the EMT? A. Most medications administered by the EMT are administered by injection. B. The route that is chosen influences how fast the medication is absorbed by the body. C. All tablets are administered by the oral route. D. Drugs administered by the sublingual route have a slow absorption rate.
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The route that is chosen influences how fast the medication is absorbed by the body
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You have administered oral glucose to your hypoglycemic diabetic patient. During your reassessment, what should specifically be included? A. Reassess the pupils. B. Reassess the cardiac monitor. C. Reassess the breath sounds. D. Reassess the BGL.
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Reassess the BGL
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EMTs may assist in administration of medication to patients who are suffering from severe allergic reactions. This medication is: A. Alupent. B. Glucose. C. LiquChar. D. Adrenalin.
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Adrenalin
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Your protocol allows you to take all steps necessary to give your patient baby aspirin for his cardiac-related chest pain. In doing so, you prepare the medication and dose and instruct the patient on how you are going to give it. The procedure that you are going to follow for giving this medication is known as medication: A. assist. B. administration. C. facilitation. D. provision.
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administration
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If medical direction issues an order for a medication which you feel may be inappropriate, your FIRST step to confirm this order would be to: A. ask for the clinical reasoning. B. echo the order back. C. not question the medical director, and simply administer the medication. D. confirm the dose on-line with your smart phone.
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echo the order back
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Which of the following refers to a drug's nonproprietary name? A. Trade name B. Official name C. Generic name D. Chemical name
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Generic name
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A drug, which is used for a wide range of medical and traumatic emergencies, administered by EMTs is: A. Tylenol. B. glucose. C. nitroglycerin. D. oxygen.
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oxygen
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The term "atropine sulfate injection, USP" is an example of what type of drug name? A. Official name B. Brand name C. Chemical name D. Generic name
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official name
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Which of the following drugs comes in two different medication forms that the EMT can utilize? A. Nitroglycerin B. Oral glucose C. Oxygen D. Epi auto-inject
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Nitroglycerin
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What is the appropriate route for nitroglycerin administration by the EMT? A. Injected B. Ingested C. Sublingual D. Inhaled
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Sublingual
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Which of the choices is NOT necessary to document on your PCR as it relates to medication administration? A. What the patient's response was to the drug. B. What protocol was followed. C. What drug was administered. D. What dose was administered.
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What protocol was followed
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The administration of nitroglycerin causes the relaxation of blood vessels and decreased workload for the heart. These effects are called the drug's: A. contraindications. B. side effects. C. actions. D. indications.
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actions
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The term "Xylocaine®" is an example of what type of drug name? A. Chemical name B. Generic name C. Brand name D. Official name
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Brand name
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Which of the following drug routes describes a medication that is absorbed in the mouth, under the tongue? A. Intramucosal B. Intramuscular C. Oral D. Sublingual
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Sublingual
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Which of the following shows good documentation about a dose of nitroglycerin that was given to the patient? A. "Nitro was given in a one tablet dose at 1730 hrs." B. "One spray of nitro was administered with improvement noted in the patient." C. "Nitro 0.4mg spray was administered sublingual at 1730 hrs." D. "We gave nitro x1 with (+) relief of chest pain at 7:45pm."
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Nitro 0.4mg spray was administered sublingual at 1730 hrs
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An example of a suspension administered by EMTs is: A. aspirin. B. nitroglycerin. C. oral glucose. D. activated charcoal
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Activated charcoal
