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Medical Exam With Complete Solutions Latest Update
Medical Exam With Complete Solutions Latest Update
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Medical Exam With Complete Solutions LatestUpdate
Know action, indications, contraindications, dose, route, adverse effects, and
considerations
for all EMT meds: oxygen, oral glucose, glucagon, aspirin, nitroglycerin, albuterol
(SVN and
MDI), epinephrine, naloxone hydrochloride (Narcan). - correct answers
Pharmacology quiz
What are the general steps for administering a medication? - correct answers
Obtain an order from medical direction. Select proper medication. Ask for
allergies, recent use of the medication. Explain med and side effects. Verify the five
rights. monitor pt for changes, records med dose route time in PCR.
Can too much oxygen be harmful? How so? - correct answers Too much O2 can
cause reduced cardiac output, reduces coronary artery blood flow, and increases
free radical production.
In general what is your target SpO2 for medical patients? For trauma patients? -
correct answers Med: 94%
Trauma: 95%
What do the following receptors do: beta 1, beta 2, alpha 1, alpha 2? - correct
answers Alpha 1: vasoconstriction
,alpha 2: check on vasoconstriction
Beta 1: increased HR and Stroke volume
Beta 2: Bronchodilation
What medication stimulates all of the above receptors? - correct answers
Epinephrine
What is the mechanism of action of a beta 2 agonist? What is an example of a beta
2 agonist? - correct answers Agonist: Bronchodilation
Antagonist: Bronchoconstriction.
What is the liter flow for a SVN? - correct answers 6-10 lpm
What two EMT medications can be given IN? - correct answers Glucagon, Narcan
When giving a medication IN, what is the max volume (ml) that can be given at one
time in one nare? - correct answers 0.5mg
What EMT medication is given IM? - correct answers Epinephrine
What information must be obtained before giving NTG to a patient? - correct
answers -Use of ED medication least 48 hours
-SBP must be greater than 90
,-SBP can't drop 30 below the baseline.
How many times should you check your medication prior to administering it? -
correct answers 3 times
What are the "five rights" of medication administration? - correct answers Dose,
route, med, expiration date, pt
What is the sound and etiology of wheezing? Stridor? Rhonchi? Rales? - correct
answers -Wheezing: High pitched whistling musical sounds best heard initially on
exhalation
but also during inhalation in more severe cases. Indication of swelling and
constriction of the inner linings of the lower airways, primarily the bronchioles.
-Stridor: Harsh, high pitched sounds heard during inspiration. Caused by upper
airway obstruction from swelling in the larynx, or food obstruction.
-Ronchi: Coarse crackles, snoring, rattling noises. Caused by obstruction of the
larger
conducting airways of the respiratory tract by thick mucus secretions.
-Rales: Bubbly or crackling sounds heard during inhalation. Caused by fluid that
surrounded or filled the small bronchioles.
Why is it important to always auscultate BBS on bare skin? - correct answers To
get an accurate reading
, What is the tripod position? What does it indicate? - correct answers Leaning
forward with bracied arms and elbow locked and hands on a hard surface.
Indicates Respiratory distress
What are the s/s of respiratory distress vs. respiratory failure vs. respiratory
arrest? - correct answers -Distress: Adequate tidal vol and RR. But difficulty
breathing.
-Failure: Inadequate tidal volume/RR or both.
-Arrest: No tidal vol, RR. Pt may have agonal respirations and could quickly lead to
cardiac arrest.
What is the difference between ventilation vs. oxygenation vs. respiration? -
correct answers -Distress: Adequate tidal vol and RR. But difficulty breathing.
-Failure: Inadequate tidal volume/RR or both.
-Arrest: No tidal vol, RR. Pt may have agonal respirations and could quickly lead to
cardiac arrest.
How do you assess adequate vs. inadequate ventilation/oxygenation/respiration? -
correct answers Chest rise, SpO2, RR
What are the indicators that a respiratory condition is getting better/worse? -
correct answers -Getting worse if RR becomes too fast/slow/irregular, SpO2 drops,
and inadequate
tidal volume.
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