Question

1. a 61 - year - old male is seen with crushing chest pain, which he describes as being the same kind of pain that he had with a previous heart attack. he has prescribed nitroglycerin but contact medical control before administering any. after administering supplemental oxygen, if needed, and contacting medical control, you should: a) begin immediate transport and request a rendezvous with a paramedic unit. b) assist him with his nitroglycerin unless his systolic blood pressure is less than 100 mm hg. c) administer up to three doses of nitroglycerin before assessing his blood pressure. d) administer the nitroglycerin unless he has taken viagra within the past 72 hours. 82. a 74 - year - old woman complains of heaviness in her chest, nausea, and sweating that suddenly began about an hour ago. she is conscious and alert, but anxious. her blood pressure is 144/84 mm hg and her heart rate is 110 beats/min. she took two of her prescribed nitroglycerin (0.4 - mg tablets) before your arrival but still feels heaviness in her chest. you should: a) give her high - flow oxygen, avoid giving her any more nitroglycerin because it may cause a drop in her blood pressure, and transport. b) assist her in taking one more of her nitroglycerin tablets, reassess her blood pressure, and contact medical control for further instructions. c) transport her at once and wait at least 20 minutes before you consider assisting her with a third dose of her prescribed nitroglycerin. d) recall that geriatric patients often take multiple medications and that interactions can occur with potentially negative effects. 83. emts respond to a known heroin abuser who is unresponsive. if they give naloxone (narcan) to this patient, the emts should recall that: a) naloxone should be administered in increments of 2 mg. b) the effects of naloxone last longer than most opioid drugs. c) naloxone should not be given if the patient’s breathing is slow. d) can cause severe withdrawal symptoms, including seizures and cardiac arrest. 84. which of the following is an example of a rules - based medication error? a) the emt administers a drug that is contraindicated for the patient. b) the emt administers the correct drug but gives it by the wrong route. c) the emt administers a drug that is not approved by the medical director. d) the emt accidentally gives a higher drug dose than what is indicated. 85. you are dispatched to a movie theater for a 39 - year - old female with signs and symptoms of a severe allergic reaction. as you are assessing her, she pulls an epinephrine auto - injector out of her purse and hands it to you. after confirming right patient, right time, right dose, drug’s name and expiration date, you should: a) administer the drug. b) contact medical control. c) ask her if she takes other medications. d) request an als ambulance to administer the drug.

Explanation:

82: The patient has already taken two nitroglycerin tablets, and giving more may cause a significant drop in blood - pressure. Medical control should be contacted for further instructions.
83: Naloxone's effects generally do not last as long as most opioid drugs, which is an important consideration when administering it to opioid - abusing patients.
84: Administering a drug that is not approved by the medical director is a rules - based error as it violates the established medical protocol.
85: In such a situation, contacting medical control is the appropriate step as they can provide guidance based on the overall situation and medical protocols.

Answer:

1. B
2. C
3. C
4. B