EMT Chapter 11: Principles of Pharmacology
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Questions and Answers

Which of the following is an example of a generic drug?

  • Aspirin (correct)
  • Excedrin
  • Bayer
  • Advil
  • Which of the following medication routes would be the MOST appropriate to use in an unresponsive patient when intravenous access cannot be obtained?

  • Transcutaneous
  • Intramuscular
  • Subcutaneous
  • Intraosseous (correct)
  • How is nitroglycerin usually given by the EMT?

  • Inhaled
  • Sublingually (correct)
  • Orally
  • Injected
  • Which of the following medication routes delivers a drug through the skin over an extended period of time, such as a nitroglycerin or nicotine patch?

    <p>Transcutaneous</p> Signup and view all the answers

    A mucosal atomizer device (MAD) is used to deliver certain medications via the:

    <p>Intranasal route</p> Signup and view all the answers

    What medication form does oral glucose come in?

    <p>Gel</p> Signup and view all the answers

    An EMT may administer aspirin to a patient if:

    <p>Authorization from medical control has been obtained</p> Signup and view all the answers

    You should do what if a 74-year-old woman with chest heaviness has already taken two nitroglycerin tablets?

    <p>Recall that geriatric patients often have slower absorption rates, which may necessitate a dose adjustment</p> Signup and view all the answers

    The medical term for an extremely low blood glucose level is:

    <p>Hypoglycemia</p> Signup and view all the answers

    Aspirin is beneficial to patients suspected of having a heart attack because it:

    <p>Prevents the aggregation of platelets</p> Signup and view all the answers

    Nitroglycerin, when given to patients with cardiac-related chest pain:

    <p>Relaxes the walls of the coronary arteries</p> Signup and view all the answers

    What should you do if a 65-year-old female complains of dizziness and experiences a drop of 30 mm Hg in her systolic blood pressure after taking nitroglycerin?

    <p>Place her in a supine position</p> Signup and view all the answers

    What should you do for a patient who is allergic to hornets and has her own epinephrine auto-injector but could not contact medical control?

    <p>Begin transport to the hospital and closely monitor her condition</p> Signup and view all the answers

    Which of the following is NOT a characteristic of epinephrine?

    <p>Decreases heart rate and blood pressure</p> Signup and view all the answers

    Study Notes

    Pharmacology Basics

    • Generic Drug Example: Aspirin is a well-known generic drug used for pain relief and antiplatelet effects.
    • Medication Routes for Unresponsive Patients: Intraosseous access is preferred when intravenous access is not feasible.

    Nitroglycerin Administration

    • Common Administration Method: Nitroglycerin is usually given sublingually for rapid absorption in acute situations.
    • Long-Lasting Administration: Transcutaneous delivery (e.g., patches) allows for extended medication release.

    Mucosal Atomizer Device (MAD)

    • Delivery Method: MAD is designed for administering medications via the intranasal route.

    Oral Glucose Formulation

    • Available Form: Oral glucose is typically provided as a gel for easy administration.

    Aspirin Use Protocol

    • Authorization Required: EMTs can administer aspirin to patients only with prior medical control approval.

    Chest Pain Assessment

    • Geriatric Patients: Adjustment in nitroglycerin dosing may be necessary for older adults due to altered drug metabolism.
    • Signs of Low Blood Glucose: The medical term for extremely low blood glucose is hypoglycemia.

    Aspirin Benefits in Cardiac Events

    • Mechanism of Action: Aspirin helps prevent the aggregation of platelets, reducing the risk of clot formation during a heart attack.

    Nitroglycerin Effects

    • Cardiac Response: Nitroglycerin causes relaxation of coronary artery walls, improving blood flow to the heart.

    Management of Dizziness Post-Nitroglycerin

    • Patient Positioning: If a patient experiences significant hypotension after nitroglycerin administration, positioning them supine is crucial for stabilization.

    Allergy and Epinephrine Use

    • Treatment for Allergic Reaction: If unable to contact medical control, closely monitor the patient and transport promptly following the use of the epinephrine auto-injector.

    Characteristics of Epinephrine

    • Physiological Effects: Epinephrine dilates lung passages, constricts blood vessels, and increases heart rate and blood pressure, contrary to the incorrect statement about decreasing heart rate.

    Epinephrine Auto-Injector

    • Reference Information: The specific details about the adult auto-injector dosage and use are critical for effective treatment during severe allergic reactions.

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    Description

    Test your knowledge on the principles of pharmacology relevant to EMT practices with this quiz. Covering essential topics such as generic drugs and medication routes, it challenges your understanding of critical concepts. Perfect for EMT students preparing for exams.

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