14. Pharmacology Medication and Administration – Flashcards

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question
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
answer
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.
answer
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
answer
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
answer
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.
answer
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.
answer
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
answer
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.
answer
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.
answer
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
answer
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.
answer
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.
answer
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.
answer
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.
answer
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
answer
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."
answer
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
answer
Activated charcoal
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