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Summary of Quizzes 4-7

paramedic studies

123 cards·by nasonrumfield
2017
Study this deck
At what age is losing teeth completely normal?
Six
What is the Moro reflex?
Throwing the arms wide and spreading fingers when startled
At what age does the classification of middle adulthood begin?
41
During what age interval does peak physical condition occur?
19 to 26 years
During which age range does menopause typically occur?
Late 40s to early 50s
Your patient is an infant with hypoxia, it appears blue and is getting sleepy. What would be normal for this patient's pulse?
To be slower than normal
What stage of reasoning would a child be concerned with seeking the approval of others in?
Stage 3
What reflex occurs when an infant grips your fingers when you place them into their hands?
Palmar reflex
In what age group are eating disorders the most common?
Adolescence
During which age classification does peer pressure begin to shape a child's belief structure?
Preschool
What age group does an adolescent fall into?
13-18 years old
If your patient was 17, what age classification would they be in?
Adolescent
If your patient was a toddler or preschooler with a temperature of 99.2, what would your impression of them be?
That this is within normal range for their age
What term defines an infant building on what they already know?
Scaffolding
What stage of grief would someone be going through if they promised to be quiet if you'll just resuscitate their child?
Bargaining
What age is currently accepted as the max life span for a human being?
120 years
The pt is 3, is on hands and knees, coughing and w/ stridor. He's drooling, and has cyanosis around the mouth? What should you do?
Prepare the patient for transport and give oxygen
The heart would respond to which adrenergic stimuli?
Beta 1
What drug route is best suite for administration of a drug that will have effects lasting over an extended period of time?
Subcutaneous
What is the name for the properties of a med when it raises the heart rate?
Positive chronotropic effects
Lidocaine is an example of what type of antidysrhythmic?
Sodium channel blocker
What drug mechanism of action would you be attempting to acheive by administering sodium bicarbonate IV to a patient?
Chemically combining with other chemicals
Your patient has nausea and vomiting as you prepare to transport to a tertiary med facility. What medication is indicated?
Prochlorperazine
What phase of research involves testing a med on a limited population of patients who have the disease it is intended to treat?
Phase 2
For any med's mechanism of action, what is the most common action that takes place?
Binding to a receptor site
When an expected response occurs from a drug binding to a receptor site, what kind of drug is it?
Agonist
Why is nitroglycerin given sublingually instead of orally?
It would be deactivated by first-pass metabolism (passage through the liver)
What will parasympathetic stimulation result in?
Secretions by the digestive glands
What is the Durham-Humphrey Amendments of 1951?
The federal mandated legislation that requires that a physician must give you a prescription for a med before a pharmacist can provide it
A drug response that is unique to an individual and is different than seen or expected in the general population?
Idiosyncrasy
Your patient is coughing and turning red in the face, he says he's not choking but has asthma. What would this patient benefit from?
A bronchodilator
What does the letter classification represent when the FDA releases a newly approved drug?
"Treatment Potential"
From what source was Atropine originally obtained?
Plant
Labetalol lowers blood pressure by what mechanisms?
Non-selective blockade of beta-receptors and limited blockade of alpha1 receptors
When a drug has limited med indications, but a very high abuse potential, what "Schedule" would it fall under?
Schedule 2
What is the special name given to the metabolism of drugs?
Biotransformation
What drug would give you the greatest positive inotropic and chronotropic effects as well as vascular constriction?
Atropine
Name a Tocolytic drug besides Ritodrine (Yutopar)...
Terbutaline
How many times more than an adult's is a the metabolic rate of a two-year-old?
Triple that of an adult
Which drug would be most accurately classified as a synthetic sympathetic agonist?
Dobutamine
Your patient has a blood sugar reading of 440 and you receive an order to give an IV dose of Insulin? Which kind would you expect to give?
Regular Insulin (Humulin R)
What is a common consideration when storing medications?
Temperature
What drug is considered a Class 1A antiarrhythmic drug?
Procainamide
What best describes the benefit of learning about meds by drug classification?
When a new drug becomes available, it is easier to incorporate it into practice
What is the official standard for information about pharmaceuticals in the United States?
United States Pharmacopeia
What is the name of the process when a solute moves from an area of high concentration to an area of lower concentration?
Diffusion
A higher concentration of a medication in a patient's body would be caused by what?
Faster absorption rate
When it's determined that a med is capable of deforming or killing a fetus, what term is it given?
Teratogenic
According to the Controlled Substance Act of 1970, what Schedule of drugs does Morphine belong to?
Schedule 2
Your pt isn't breathing well, has a history of asthma and says his inhaler isn't working and shows you how he uses it wrong. What do you do?
Show him the proper way to use his inhaler
Activated Charcoal is typically prepared and used in what form?
Suspension
What is a particular type of med that alters the binding site to prevent other meds from having their desired effect?
An antagonist
What is the study of how a drug is absorbed, distributed metabolized, and excreted is called...?
Pharmacokinetics
Metaproterenol is the generic name for which brand of drug?
Alupent
Which nervous system is referred to as "fight or flight?"
Sympathetic
Which nervous system is referred to as "feed and breed?"
Parasympathetic
What is the correct dose when giving meds through an endotracheal tube?
2.0 to 2.5 times the IV dose
What's the most common reason an EMS provider obtains intravenous access?
To replace fluids
Where is intraosseous needle placement preferred on a pediatric patient?
Medical aspect of the proximal tibia, 1-3 cm below the tuberosity
What is the most effective route for giving atropine when treating symptomatic bradycardia?
Intravenous
What route of med administration has the fastest action?
Intravenous
When a pediatric patient is suffering from dehydration, what would be the standard fluid bolus to give?
20 mL/kilogram
What is the correct volume of 10% Dextrose to administer at 1 gram/kg for a two week old infant weighing 4 kg?
40 cc
What would be an appropriate gauge and length for a subcutaneous administration needle?
24-26 gauge and 3/8"-1" long
What is an EMS provider's responsibility to know regarding med administration?
Knowing characteristics of a broad range of drugs outside of those that you provide
A measuring teaspoon would hold how many milliliters?
5 mL
What is a known contraindication for rectal med administration?
A patient with hemorrhoids
Where is intramuscular medication often given?
Dorsal gulteal
When administering a med through a gastric tube, what must you do if the med is in tablet or pill form?
Crush them before administering
Which vessel would you have accessed if you obtained venous access in the medial aspect of the antecubital fossa?
Ulnar vein
What is the correct formula to use when calculating a "drip rate?"
Volume (multiplied by) Drip Factor (divided by) Time in Minutes
What would the correct drip rate be for administering 500 mL over 60 mins with a 15gtt admin set?
125 gtts/min
What is the best description of a pyrogenic reaction?
A sudden onset of fever and chills as a result of being exposed to a protein
In the apothecary system, what is the basic unit of fluid volume?
Minim
When administering meds, what is 0.01mg equal to?
10 micrograms
In the pre-hospital setting, which of the "rights of drug administration" is least likely to cause an error?
Right patient
What anticoagulant is contained in a blood tube with a light blue top?
Citrate
One grain in the apothecary system would equal how much in the metric system?
60mg
What would most likely cause hemolysis when obtaining a blood sample?
Forcefully aspirating the blood into the syringe
What type of route of administration is "buccal?"
An "Enteral" route
What is the most commonly used dose of drug?
Milligram
What would be a proper drip rate of a 10 cc/kg infusion for a 4 kg neonate using a 15 gtt set over a 15-minute time frame?
40 gtts/min
What medication route would be subjected to first-pass metabolism?
Oral
If you have a solution that is 4 mg in 12 mL, how many milliliters will contain 3mg?
9 mL
In what way does the mechanism of action for Vecuronium differ from Succinylcholine?
Vecuronium binds to the nicotinic receptor without causing depolarization
What is a common "keep-open" (KO) rate for a crystalloid IV?
30 mL/hour
What type of poisoning are Amyl Nitrate and Sodium Nitrite an antidote for?
Cyanide
An acetaminophen overdose can result in what kind of condition?
Respiratory depression
What is the primary reason for giving Nitro to a patient that you think is having a heart attack?
For its potent vasodilator properties
Your pt presents with respiratory depression and appears sedated, you suspect he has overdosed on Diazepam. What med do you give him?
Flumazenil 0.2 mg IV
What best reflects what a solution of D50 represents?
50g of Dextrose in 100 mL of water
What is an appropriate initial dose of Succinylcholine for a 168 pound patient undergoing a drug facilitated intubation procedure?
115 mg
What is used to treat common side effects of Haloperidol?
Diphenhydramine
What is a common side effect of Haloperidol?
Acute extrapyramidal symptoms from cholinergic blockade in the basal ganglia of the cerebral hemispheres
Why is Ipratropium effective for the treatment of asthma?
It relaxes the bronchial smooth muscle
What is the correct dosage for Levalbuterol when administered for an acute asthma attack?
0.63 mg via nebulizer
What is the mechanism of action for Narcan?
Blocks the opioids from occupying the receptor sites
After you've given Methylprednisolone to a dyspneic asthma patient, what could be the serious adverse/side effects the patient exhibits?
Seizure
What's the correct therapeutic dosage range for Ibuprofen?
200-800 mg
How is racemic epinephrine prepared?
Through a mixture of 50% dextro-rotary epi and levo-rotary epi
What antiarrhythmic must be given through a rapid IV push due to its short half-life?
Adenosine
When is a normal saline fluid bolus indicated?
With diabetic ketoacidosis
You think the pt's having an AMI. The pt says he's healthy and has no past medical history. His spO2 is at 93% How do you give him O2?
2-4 liters via nasal cannula
Albuterol sulfate affects what receptors?
Beta 2
Your pt is experiencing an anaphylactic reaction to a bee sting. You're about to give 1:1000 epi as treatment. What route should you use?
Intramuscular
Out of Rocuronium and Vecuronium, which has a more rapid onset?
Rocuronium
What drug inhibits the production of prostaglandins in order to reduce fever?
Ketorolac
What drug can reverse the effects of Fentanyl?
Naloxone (Narcan)
What reflects the general cardiac action of Dilantin?
Sodium channel blocker
What drug is used to treat severe chest pain associated with a heart attack?
Nitrous oxide
Vasopressin would likely be administered to a patient suffering from which disorder?
Nocturnal Enuresis
What drug is known as a depolarizing neuromuscular blocking agent used during intubations?
Succinylcholine
What causes the sedation effect often seen with antihistamines, such as diphenhydramine?
The medication crosses the blood brain barrier and depresses the CNS
Which drug should be given only when resuscitative equipment such as airway control and vasoactive meds are immediately available?
Propofol
Administration of which drug has the lowest potential for negatively affecting blood pressure?
Etomidate
What represents an appropriate reason for hanging a 100 mL bag of D5W for an adult patient?
To use as a maintenance IV
What best represents the reason why we give aspirin to patients we suspect are having a heart attack?
Aspirin is a platelet aggregation inhibitor
Pralidoxime is given to a victim of what type of poisoning?
Sarin
Which med is supplied as a kit that must be combined before administration?
Glucagon
Which drug may be given by a paramedic to a victim of a known tricyclic antidepressant overdose?
Sodium Bicarbonate
Amiodarone prolongs repolarization and the effective refractory period of cardiac muscle by what mechanism?
Blocking the efflux of potassium
Which dosage range is inappropriate for the initial administration of Lorazepam in an adult patient when using the IV push route?
1-4 mg
Which antipsychotic could be expected to have the lowest chance of side effects at the therapeutic dose?
Ziprasidone