Meds/EMT Flashcards
Oxygen via NC
1-6 lpm
Route: gas/inhalation
Contraindications: COPD, open flames
Nitroglycerin
1 tab/spray 0.4mg Sub-lingual up to 3 doses or BP > 100 systolic
Route: spray
Contraindications: hypotension and sexual enhancement drugs
Aspirin
81-324mg PO
Route: oral
Contraindications: hypersensitivity recent bleeding stomach ulcers
Epinephrine Adult
0.3mg IM for anaphlaxis
Auto injector intramuscular
Contraindications: sexual enhancement and hypotension drug
Albuterol
2.5mg in 3ml NS nebulized solution up to ____mg
Contraindications : hypersensitivity hypothermia tachycardia, myocardial infarction
Route: oral
Oral Glucose
Tablets 4 grams each max 15 grams
15 grams (entire tube) PO up to 2 tubes
Route: oral
Contraindication: decreased LOC,nausea, vomiting
Epinephrine Pedi
0.15mg IM for anaphlaxis, 2 dose max q 5min
Auto injector intramuscular
Contraindications: sexual enhancement and hypotension drug
Activated Charcoal
1mg/kg or 2x amount of substance if known with water
Contradictors: poison overdose
Route: oral
Oxygen via NRB
15 lpm
Route: gas/inhalation
Contraindications: COPD, open flames
As you begin ventilating an unresponsive apneic man, you hear gurgling in his upper airway. Your MOST immediate action should be to:
A: quickly turn the patient onto his side so secretions can drain.
B: suction the patient’s airway for no longer than 15 seconds.
C: reposition the patient’s airway and continue ventilations.
D: squeeze the bag-mask device with less force and reassess.
A: quickly turn the patient onto his side so secretions can drain.
An elderly woman with COPD presents with a decreased level of consciousness, cyanosis to her face and neck, and labored respirations. Her pulse is rapid and weak and her oxygen saturation is 76%. You should:
A: insert a nasal airway and give her oxygen via a nonrebreathing mask.
B: avoid high-flow oxygen because this may cause her to stop breathing.
C: assist her ventilations with a bag-mask device and high-flow oxygen.
D: apply oxygen via nasal cannula and reassess her respiratory status.
C: assist her ventilations with a bag-mask device and high-flow oxygen.
A 56-year-old man has labored, shallow breathing at a rate of 28 breaths/min. He is responsive to pain only. You should:
A: ventilate him with a bag-mask device at a rate of 30 breaths/min.
B: suction his mouth for 15 seconds and insert an oropharyngeal airway.
C: insert a nasopharyngeal airway and begin assisting his ventilations.
D: place him on his side and administer oxygen via nonrebreathing mask.
C: insert a nasopharyngeal airway and begin assisting his ventilations.
How should you treat an unresponsive, uninjured patient with respirations of 16 breaths/min and good chest expansion?
A: Jaw-thrust maneuver and frequent suctioning
B: Oropharyngeal suctioning and assisted ventilations
C: Suctioning as needed and artificial ventilations
D: Airway adjunct and oxygen via nonrebreathing mask
D: Airway adjunct and oxygen via nonrebreathing mask
You are administering oxygen to a woman with asthma who took two puffs of her prescribed inhaler without relief prior to your arrival. Your next action should be to:
A: contact medical control for further advice.
B: provide immediate transport to the hospital.
C: confirm that her inhaler is prescribed to her.
D: administer one more puff from the inhaler.
A: contact medical control for further advice.
Agonal respirations are not adequate because they are:
A: the result of an increase in tidal volume.
B: infrequent, gasping respiratory efforts.
C: associated with a prolonged inhalation phase.
D: characterized by a rapid, irregular pattern.
B: infrequent, gasping respiratory efforts.
The active, muscular part of breathing is called:
A: inhalation.
B: expiration.
C: ventilation.
D: respiration.
A: inhalation
You are ventilating an apneic 50-year-old woman with a bag-mask device. After squeezing the bag and noting visible chest rise, you should:
A: suction the airway for up to 15 seconds.
B: allow the patient to completely exhale.
C: reopen the airway and ventilate again.
D: squeeze the bag again in 3 seconds.
B: allow the patient to completely exhale.
A patient with a mild foreign body airway obstruction:
A: is typically not cyanotic.
B: has progressive difficulty breathing.
C: has a low oxygen saturation.
D: presents with a weak cough.
A: is typically not cyanotic.
Patients with a hypoxic drive:
A: are stimulated to breathe by low oxygen levels in the blood.
B: rarely become cyanotic because of high blood oxygen levels.
C: may hypoventilate if given low concentrations of oxygen.
D: are accustomed to low levels of carbon dioxide in the blood.
A: are stimulated to breathe by low oxygen levels in the blood.
Which of the following describes the correct method for inserting a nasopharyngeal airway?
A: Apply firm, gentle pressure if you meet resistance during insertion.
B: Rotate the device as you insert it into the right nostril.
C: Insert the device with the bevel facing the septum.
D: Insert the device with the bevel facing the lateral part of the nose.
C: Insert the device with the bevel facing the septum.