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Class 35: Block 2
Terms in this set (71)
You are called to assess a pt who is taking a monoamine oxidase and earlier in the day he consumed some cheese and red wine. Which of the following would most likely expect to find during your pt assessment?
Which of the following sources was atropine originally obtained?
Two medications are found to be chemically equivalent for their relative therapeutic effects. This is called?
What is the principal neurotransmitter of the parasympathetic nervous system?
Pralidoxime is administered to a victim for what type of poisoning?
You have given a dose of methylprednisolone to your dyspneic asthma pt. Your partner correctly reminds you that the pt could exhibit which of the following serious adverse side effects?
A written or verbal prescription from a physician is required for a pharmacist to provide a medication. This mandate comes from which federal legislation?
DURHAM HUMPHERY AMENDMENTS OF 1951
Which choice is a correct dosage for levalbuterol when administered for an acute asthma attack?
0.63 MG VIA NEBULIZER.
When a new drug has some limited medical indications but very high potential for abuse, which schedule would this drug most likely fall under?
A pt has a blood sugar reading of 440 and you receive an order to give IV dose of insulin. Which of the following inulin preparations would you expect to give?
REGULAR INSULIN (HUMULIN R)
Phenobarbital sodium intravenous push (IVP) 200 mg/ml is most commonly used to treat which of the following disorders?
The special name given to metabolism of drugs is?
According to the controlled substance act of 1970, morphine belongs to which of the following schedules of drugs?
)Dissociative anesthetics such as ketamine create dissociation between which of the following systems?
CORTICAL AND LIMBIC SYSTEM
Which route is best suited for administration of a drug that will have effects lasting over an extended period of time?
When storing medications, which of the following is typically considered?
The force of attraction between a medication and a receptor is referred to as?
The response to a medication may be different for geriatric pt because of?
DECREASED LIVER FUNCTION
What is the name for the properties of a medication when it Raises the heart rate?
POSITIVE CHRONOTROPIC EFFECTS
A drugs absorption, distribution and elimination properties are identified in the drugs profile known as the?
In what condition should the administration of phenylephrine be avoided?
When considering a drug's properties, the larger a drugs therapeutic index is, the:?
SAFER IT IS
The use of norepinephrine would be contraindicated for which of the described clinical conditions?
Which of the following drugs would give you the greatest positive inotropic and chronotropic effects as well as vascular constriction?
Which antiarrhythmic must be given rapid iv push due to short half life?
Nalmefene is used primarily for which of the clinical conditions?
MANAGEMENT OF ALCOHOL DEPENDENCE.
Your adult male pt is presenting with respiratory depression and appears sedated; you suspect he has overdosed on his prescribed diazepam. Which medication would be most appropriate to administer?
FLUMAZENIL 0.2 MG
A particular medication alters the binding site to prevent other medications from having their desired effect. This is an example of?
A NONCOMPETITIVE ANTAGONIST
The mechanism of action for vecuronium differs from succinylcholine in which principle way?
VECURONIUM BINDS TO THE NICOTINIC RECEPTOR WITHOUT CAUSING DEPOLARIZATION.
Which of the following medications administered by EMS has the greatest potential to cause a positive outcome?
DEXTROSE IN CASE OF HYPOGLYCEMIA
The effects of the adrenergic system can be replicated by which drug category?
The effects of which drug can be reversed with naloxone?
If increasing the dopamine level in the brain of parkinson's disease patients is helpful, why is dopamine administered by the paramedic an ineffective therapy in this clinical situation?
DOPAMINE CANNOT CROSS THE BLOOD BRAIN BARRIER
Which phase of research involves testing of a medication on a limited population of patients who have the disease it is intended to treat in order to find therapeutic drug levels and watch for toxic side effects?
Metaproterenol is the generic name for which brand of drug?
Which one of the listed medications is a selective adrenergic antagonist, which targets beta1 receptor sites?
Which drug is considered a class 1A antiarrhythmic drug?
How a medication may affect a pregnant pt would be described in what part of the drug profile?
Which choice represents the class of the drugs that reduces the blood pressure by reducing circulation blood volume via the kidney?
Which of the following BEST describes the benefit of learning about medications by drug classification?
WHEN A NEW DRUG BECOMES AVAILABLE, IT IS EASIER TO INCORPORATE INTO PRACTICE.
Which choice reflects the general cardiac action of dilantin?
SODIUM CHANNEL BLOCKER
Which one of the listed adverse effects of meperidine is most likely to be encountered by the paramedic after proper administration?
When it is determined that a medication is capable of deforming or killing a fetus it is termed?
Your post arrest patient is now receiving a procainamide loading infusion. Which of the following is an indication to stop the infusion?
YOU HAVE REACHED THE MAXIMUM LOADING DOSE OF 17 MG/KG
Nalbuphine belongs to which classification of drug?
Parasympathetic stimulation will result in?
SECRETIONS BY DIGESTIVE GLANDS.
The heart would respond to which of the following adrenergic stimuli?
Which of the following antipsychotics should be expected to have the lowest chance of side effects at the therapeutic dose?
Dark brown glass containers are used to package some medications.
TO PROTECT THE MEDICATION FROM LIGHT.
What is the correct therapeutic dosage range for ibuprofen?
Which choice properly identifies how racemic epinephrine is prepared?
A MIXTURE OF 50% EACH OF DEXTRO-ROTARY AND LEVO-ROTARY EPINEPHRINE.
Your patient has nausea and vomiting as you are preparing to transport to a tertiary medical facility. Which of the medications is indicated?
Acute extrapyramidal symptoms from cholinergic blockade in the basal ganglia of the cerebral hemispheres, is a common side effect of haloperidol. This is typically treated with which one of the following drugs?
You respond to a structure fire at a residence and begin to care for a 32yr old victim of severe smoke inhalation. Which medication would be most appropriate to reduce the effect of cyanide on the victim?
Epi 1:1,000 has which of the following concentrations?
You have opted to administer albuterol to your pt suffering from active exacerbation of COPD. Which one of the following parameters should be monitored during administration?
Ipratropium is effective for the treatment of asthma because of which of the following actions?
IT RELAXES THE BRONCHIAL SMOOTH MUSCLE
In addition to ritodrine (yutpor) what drug is also commonly used as a tocolytic?
Why would the history be important of a pt that takes a beta-blocker, a calcium channel blocker, and an ACE inhibitor?
IT INDICATES THE PT HAS A HISTORY OF HYPERTENSION
Two medications are found to be chemically equivalent for their relative therapeutic effectiveness. This is called:
Labetalol lowers blood pressure by what mechanism?
Non-selective blockade of beta-receptors and limited blockade of alpha 1 receptors
Which one of these drugs inhibit the productions of prostaglandins in order to reduce fever?
Which drug may be administered by a paramedic to a victim of a known tricyclic antidepressant overdose?
What causes the sedation side effect often seen with antihistamine like diphenhydramine?
THE MEDICATION CROSSES THE BLOOD BRAIN BARRIER AND DEPRESSES THE CNS.
Amyl nitrate or sodium nitrate can be utilized as an antidote for what type of poisoning?
Administration of which of the following drugs can be expected to elicit the same side effects as haloperidol?
When an expected response occurs from a drug binding to a receptor site, the drug is an?
Vasopressin would likely be administered to a patient suffering from which disorder?
Morphine has what type of psychological effect when it binds to an opiate receptor?
The official standard for info about pharmaceuticals in the US is the:
UNITED STATES PHARMACOPEIA
Which of these meets the EMS providers responsibility with regard to med admin?
KNOWING CHARACTERISTIC OF A BROAD RANGE OF DRUGS OUTSIDE OF THOSE THAT YOU PROVIDE.
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