Ch11 & 12 (Principles of Pharmacology and Shock)

Question 1

Which of the following patient populations typically require a modified drug dose?
A. Middle Adults
B. Patients with asthma
C. Pediatric patients
D. Females

Answer 1

Pediatric patients

Question 2

In_____ administration, you are administering medication to yourself or your partner

Answer 2

Peer-assisted

Question 3

A 31 year old female is expressing an acute asthma attack. She is conscious and alert, but in obvious respiratory distress. After assisting her with her prescribed MDI, you should:
A. reassess the patient and document her response to the medication
B. administer another treatment in 30 seconds if she is still in distress
C. Check the drug’s expiration date to ensure that it is still current
D. contact medical control and apprise him or her of what you did

Answer 3

Reassess the patient and document her response to the medication

Question 4

A 62-year old male is seen with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. He has prescribed nitroglycerin but states that he has not taken any. After administering supplemental oxygen if needed and contacting medical control, you should:
A. assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mmHg.
B. begin immediate transport and request a rendezvous with a paramedic unit
C. administer the nitroglycerin unless he has taken Viagra within the past 72 hours
D. administer up to 3 doses of nitroglycerin before assessing his blood pressure

Answer 4

A. assist him with his nitroglycerin unless his systolic blood pressure is less than 100mmHg

Question 5

The process of binding and sticking to a surface is called

Answer 5

Adsorption

Question 6

Which of the following clinical signs would necessitate the administration of naloxone (Narcan)?
A. Slow respirations
B. Tachycardia
C. Extreme agitation
D. Hypertension

Answer 6

Slow respirations

Question 7

While assisting a paramedic in the attempted resuscitation of a 55 year old male in cardiac arrest, you should expect the paramedic to:
A. give the patient activated charcoal to rule out a drug overdose
B. give the patient nitroglycerin to increase his blood pressure
C. administer drugs via the IV route to achieve the fastest effect
D. withhold drug therapy until an intraosseous catheter is in place.

Answer 7

C. administer drugs via the IV route to achieve the fastest effect

Question 8

You are dispatched to a state park for a young female experiencing an allergic reaction. Your assessment reveals that her breathing is severely labored, and her blood pressure is very low. You carry epinephrine auto-injectors on your ambulance and have been trained and approved by your medical director to administer them. As your partner gives the patient supplemental oxygen, you attempt to contact medical control but do not have a signal from your cell phone. You should:
A. immediately load the patient into the ambulance, begin transport, and reattempt to contact medical control when you receive a cell signal.
B. notify dispatch and request that a paramedic unit respond to the scene so they can administer epinephrine to the patient
C. place her in a supine position, keep her warm, begin transport to the hospital, and request a paramedic intercept en route.
D. Administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital

Answer 8

D. administer epinephrine to the patient, begin immediate transport, and attempt to contact medical control en route to the hospital.

Question 9

Crackles (rales) are caused by

Answer 9

Air passing through fluid