Drug profile, Glasgow coma Scale, Burn Ratio Flashcards

Question

What is the mechanism of actions of epinephrine ?

Answer 1

1) dilates bronchioles 2) constrict blood vessels 3) makes capillaries less permeable (leaky)

Answer 2

increased heart rate, pallor, dizziness, chest pain, headache, nausea, vomiting, excitability and anxiety

Answer 3

none when life-threatening

Answer 4

online if not prescribed off-line if do not have prescription if have prescription and want to get second must call

Answer 5

must be prescribed and then is for offline adults 0.4mg can take 1 tab every 5 minutes medical direction if no prescription online or for hardly ever give to children parents will have medications if so

Answer 6

Generic: nitroglycerin trade: nitrostat, nitrolingual

Answer 7

1) patient complains of chest pain 2) patient has history of cardiac problems 3) patient's physical has prescribed nitroglycerin (NTG) 4) systolic blood pressure is greater than 90 systolic

Answer 8

1) perform focused assessment for cardiac patient 2) take patient's blood pressure systole must be above 120 3) contact medical direction if no standing orders 4) ensure right patient, time medication, dose and rout check expiration 5) make sure alert 6) ask about last dose taken and effects 7) ask to lift tongue place table or spray dose under tongue (while wearing gloves) or have patient place tablet or spray under tongue 8) have patients keep mouth closed with tablet under tongue without swallowing until dissolved and absorbed 9) recheck patients blood pressure within 2 minutes record administration route and time

Answer 9

relaxes blood vessels and decrease workload of heart

Answer 10

hypotension (lowers blood pressure), headache, pulse rate changes

Answer 11

1) patient has hypotension or systolic blood pressure below 90 2) patient has a head injury 3) patient is an infant or child 4) already taken prescribed dose 5) recently taken viagra, challis, levity, or another drug for erectile dysfunction

Answer 12

if prescribed: standing order | if not prescribed online

Answer 13

164-324 mg or 2-4 81 mg tablets of chewable baby aspirin

Answer 14

generic: aspirin trade: many available

Answer 15

patient complains of chest pain, not allergic to aspirin, no asthma, not taking medications to prevent clotting, no other contraindications to aspirin, able to swallow without endangering airway, medical direction authorizes administration of medication

Answer 16

gather history and perform physical exam appropriate for cardiac patient, ensure right med, patient, time, dose, and route check expiration. ensure alert. ask if they can chew.

Answer 17

presents blood from clotting as quickly leading to increased survival after myocardial infarction. aspirin not being used to relieve pain.

Answer 18

nausea, vomiting, heartburn, patient allergic bronchospasm and wheezing with bleeding

Answer 19

patient is unable to swallow without endangering airway, allergic or sensitive to aspirin, has history of asthma, has gastrointestinal ulcer or recent bleeding, has known bleeding disorder, medical direction may decide if benefit of giving outweighs risk

Answer 20

standing order

Answer 21

number of inhalations based on prescription

Answer 22

generic: albuterol, metaproterenol trade: proventil, ventolin, alupent, and metaprel

Answer 23

patient exhibits signs and symptoms of respiratory emergency. patient has physical-prescribed handheld inhaler, medical direction gives specific authorization to use

Answer 24

1) ensure right patient, time, medication, dose, route, and patient alert enough to use inhaler 2) check expiration date of inhaler 3) check patient already taken doses 4) ensure inhaler is at room temperature or warmer 5) ensure inhaler room temperature or warmer 6) shake inhaler vigorously 7) have patient exhale deeply 8) have patient put lips around opening 9) have patient depress handheld inhaler begins to inhale deeply 10) instruct patient hold breath for as long as feels comfortable to be absorbed 11) put oxygen back on 12) allow patient to breath few times before repeating dose use spacer design

Answer 25

beta-agonist bronchodilator dilates bronchioles, reducing airway resistance

Answer 26

increased else rate, tumors and nervousness

Answer 27

patient is unable to use device (not alert), inhaler is not prescribed for patient, no permission given by medical direction, patient has already taken maximum prescribed dose prior to EMT's arrival

Answer 28

if prescribed from doctor can assist if not medical control

Answer 29

nonrebreather: 12-15 L/minute | nasal cannula: 1-6 L/min

Answer 30

spO2 less than 94%

Answer 31

via different masks

Answer 32

supplies patients respiratory system with higher concentration

Answer 33

emphysema patients in late stages

Answer 34

standing order

Answer 35

generic: glucose, oral | Trade; gluotose, insta-glutose

Answer 36

patients with altered mental status and known history of diabetes mellitus

Answer 37

ensure signs and symptoms of altered mental status with known history of diabetes, ensure patient conscious, administer glucose, place on tongue depressor between cheek and gum or have patient self-administer between cheek and gum

Answer 38

increases blood pressure

Answer 39

none when given priorly may be aspirated

Answer 40

unconsciousness, known diabetic who has not taken insulin for days, unable to swallow

Answer 41

standing order