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medication administration Flashcards

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1
Q

The unit of measure used for calculating mass in the metric system is:

Question 1 options:

A)

Liter.

B)

Gram.

C)

Ounce.

D)

Pound.

A

gram

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2
Q

Once an injection has been given to a patient, which of the following should NOT be done?

Question 2 options:

A)

Recap the needle to avoid accidentally being stuck.

B)

Treat all bodily fluids as potentially infection.

C)

Immediately dispose of used sharps in proper containers.

D)

Observe and document all findings on a patient.

A

recap the needle

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3
Q

When injecting a patient with a subcutaneous medication, the provider should NOT exceed ________ mL of volume.

Question 3 options:

A)

5

B)

2

C)

10

D)

1

A

1

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4
Q

Drug A requires the use of adenosine triphosphate (ATP) in order to move into the cellular membrane. This type of diffusion is known as:

Question 4 options:

A)

Active transport.

B)

Elimination.

C)

Osmosis.

D)

Facilitated.

A

active transport

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5
Q

An example of a drug that may receive expedited medical approval would be:

Question 5 options:

A)

A drug that may help prevent a public health threat such as HIV.

B)

A drug that is being evaluated in order to determine the therapeutic index.

C)

A placebo that is administered to provide psychological control of responses.

D)

A drug used to treat a rare disease that affects less than 200,000 people.

A

a drug that may help prevent a public health threat such as HIV

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6
Q

Which of the following statements regarding intraosseous medication administration is FALSE?

Question 6 options:

A)

The only medications that can be given by intraosseous route are epinephrine, lidocaine, naloxone, and atropine.

B)

Sites include the humeral head and the anterior proximal tibia.

C)

The onset of action of medications administered by intraosseous route is similar to that of intravenous injection.

D)

Entry into the bone marrow cavity is evident by a number of factors including the IO needle standing upright without support.

A

the only medications that can be given by IO rout are epinephrine, lidocaine, naloxone and atropine

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7
Q

A physician has prescribed a drug normally used for hypertension to treat recurrent episodes of angina based on recommendations of colleagues and the most recent medical journals. Which of the following describes his actions?

Question 7 options:

A)

The physician may do so legally based on the unlabeled use of medications.

B)

The physician may do so legally if the uses are posted in the PDR.

C)

It is illegal for the physician to prescribe a drug for anything other than the manufacturers intended, stated use as registered with the USP.

D)

The physician may do so legally if the uses are approved by the manufacturer of the drug.

A

the physician may do so legally based on the unlabeled use of medications

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8
Q

Which of the following is the MOST common way that medications exert their actions?

Question 8 options:

A)

Receptor site binding.

B)

Changing the physical properties of a cell.

C)

Chemically combining with another chemical.

D)

Altering the normal metabolic pathway.

A

receptor site binding

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9
Q

In order to obtain the MOST current information related to a medication, it is suggested that the prehospital provider:

Question 9 options:

A)

Use multiple sources and compare information in conjunction with medical direction.

B)

Rely on an EMS guide as the sole source of information.

C)

Utilize the internet as a resource because it is most correct.

D)

Use only local protocol as your source.

A

use multiple sources and compare information in conjunction with medical direction

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10
Q

When expressing metric dosages where the number is less than one (a decimal fraction), the health care provider should:

Question 10 options:

A)

Change the equation to a common fraction avoiding the use of a decimal.

B)

Ensure that the decimal point is at the start of the equation and no numbers precede it to avoid confusion.

C)

Convert the decimal to the next greater value to avoid having a number smaller than one.

D)

Ensure that a 0 precedes the decimal to draw attention to the decimal.

A

ensure that a 0 precedes the decimal to draw attention to the decimal

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11
Q

When calculating an infusion dose, it is necessary for the paramedic to determine the ________.

Question 11 options:

A)

Drops per minute

B)

Patient’s weight

C)

Total amount of medication that will be given

D)

Estimated size of the syringe

A

drops per min

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12
Q

You have just received a verbal order from medical direction to administer 2 mg of morphine sulfate to a patient. You should immediately:

Question 12 options:

A)

Confirm the narcotic log is correct.

B)

Repeat the medication order to base physician.

C)

Inquire about allergies.

D)

Gather the appropriate syringe and needle applicable to the situation.

A

repeat the medication order tot he base physician

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13
Q

You are preparing to administer a medication to a patient weighing approximately 220 pounds. Because the medication is dosed according to weight, you must convert the patient’s weight to kilograms which equals ________.

Question 13 options:

A)

1000 kilograms

B)

2200 kilograms

C)

100 kilograms

D)

220 kilograms

A

100 kilograms

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14
Q

________ medications are absorbed through the mucous membranes beneath the tongue.

Question 14 options:

A)

Buccal

B)

Sublingual

C)

Transdermal

D)

Oral

A

sublingual

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15
Q

The ________ function of blood includes the delivery of substances such as hormones and electrolytes.

Question 15 options:

A)

Respiratory

B)

Protective

C)

Excretory

D)

Regulatory

A

Regulatory

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16
Q

Which of the following catheters should be used when initiating an intravenous line on an adult patient who may need large amounts of fluid?

Question 16 options:

A)

A butterfly-type catheter

B)

22-gauge

C)

16-gauge

D)

24-gauge

A

16 gauge

17
Q

You are at the scene of a six-month-old who is having seizures. They have been repetitive and because of the duration, the child is exhibiting cyanosis and decreased oxygen saturation. Which of the following actions should you consider?

Question 17 options:

A)

Administering diazepam via the rectal route

B)

Administering diazepam deeply into the deltoid utilizing a two-inch needle for injection

C)

Placing ice packs under the axilla and groin in case the seizure is febrile in nature

D)

Waiting for the seizures to stop and attempting IV access

A

administering diazepam via the rectal route

18
Q

Some chemicals that when placed in water take on an electrical charge are known as ________.

Question 18 options:

A)

Emulsions

B)

Minerals

C)

Electrolytes

D)

Solutes

A

electrolytes

19
Q

________ BEST describes the process in which a medication is transported from the site of absorption to the site of action.

Question 19 options:

A)

Elimination

B)

Active transport

C)

Diffusion

D)

Distribution

A

distribution

20
Q

Fluids that are contained in our system are separated into various compartments. Which of the following accounts for the majority of our total body weight?

Question 20 options:

A)

Intravascular fluid

B)

Interstitial fluid

C)

Intracellular fluid

D)

Extracellular fluid

A

intracellular fluid

21
Q

________ is primarily responsible for maintaining the balance of water in the body. and is regulated by the kidney.

Question 21 options:

A)

Phosphorus

B)

Sodium

C)

Potassium

D)

Calcium

A

sodium

22
Q

You have selected a bag of 0.9% saline solution containing 1 liter of the solution. In order to utilize the solution more effectively, you are going to need to convert the solution to milliliters. You know that 1 liter = ________ milliliters.

Question 22 options:

A)

1000

B)

100

C)

1

D)

10,000

A

1000

23
Q

Following the designation of a new drug as an “investigational new drug,” there are ________ phases of testing on humans.

Question 23 options:

A)

one

B)

two

C)

three

D)

four

A

four

24
Q

Correct cleansing of the patient’s skin prior to injection of a medication includes:

Question 24 options:

A)

Debridement of any open wound sites.

B)

Ensuring only one quick wipe with an alcohol prep.

C)

Utilizing a disinfectant, wipe in a spiral form from the center of the site outward.

D)

Only using soap sponges.

A

utilizing a disinfectant wipe a spiral form from the center of the sire outward

25
Q

Which of the following statements is TRUE regarding medication administration to the children and elderly?

Question 25 options:

A)

Both populations should be treated the same as all patients as the therapeutic index does not change.

B)

Doses need to be significantly higher in both populations to produce the desired effect due to decreased liver functions.

C)

Liver and kidney functions in both populations are altered leaving both susceptible to altered medication responses.

D)

Pediatric patients have well developed livers, while elderly patients suffer from decreased liver function.

A

liver and kidney functions in both populations are altered leaving both susceptible to altered medication responses

26
Q

Managing multiple patients, such as at a mass-casualty situation places the paramedic at risk when considering medication administration because of potential communication issues with medical direction. Which of the following will help ensure patient status?

Question 26 options:

A)

Avoid the use of medications in the field during operations deferring emergency care to the hospital staff.

B)

Only one paramedic should administer medication during a multi-patient incident.

C)

Use only the patient’s last name when communicating.

D)

Use of an incident command system to ensure proper identification of patients.

A

use of an incident command system to ensure proper identification of patients

27
Q

A drug in which potential tax credits or grants may provide incentives to assist in the research and development for a condition that affects a very small portion of the general population is known as a/an ________.

Question 27 options:

A)

Phase 1 drug

B)

Expedited drug

C)

Investigational new drug

D)

Orphan drug

A

orphan drug

28
Q

Which of the following factors is NOT a component of pharmacokinetics?

Question 28 options:

A)

Distribution

B)

Binding

C)

Biotransformation

D)

Absorption

A

Binding

29
Q

The phase of drug testing that determines the pharmacokinetics, toxicity, and safe dose in humans is:

Question 29 options:

A)

Phase one.

B)

Phase two.

C)

Phase three.

D)

Phase four.

A

phase one

paramedic Pharmacology (10 decks)

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