Deck 26: Principles of Medication Administration
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Deck 26: Principles of Medication Administration
1
Generally, the DG injection site is reserved for toddlers.
False
2
It is preferable to inject medications below the level of injury of a paraplegia patient, eliminating the pain which can accompany an injection.
False
3
While intramuscular injection of insulin is uncommon, its rate of absorption is quicker via intramuscular injection than subcutaneous injection.
True
4
In some instances, it is not so much the medicine administered that is crucial but rather the way in which it is given.
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5
For an SVN to function properly, the gas pressure must be adequate, but not excessive.
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6
Up to 4 mL of medication can be injected in the vastus lateralis without causing the patient significant discomfort.
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7
Advances in science demanded a more accurate system of measurement, and so the apothecary system was born out of necessity.
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8
Vials are intended for multiple use and therefore are more likely to become contaminated.
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9
Because of the barrel's diameter, a 2 mL syringe is generally used for intramuscular injections as it provides better control.
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10
Medications are packaged in either vials or ampoules.
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11
Medications meant for the skin (i.e., topical medicine) placed in water are called ointments, whereas those placed in either lanolin, an oil from sheep's wool, or petroleum jelly are called lotions.
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12
Paramedics generally prefer to use the deltoid muscle for injections because it requires less patient exposure and is easier to access.
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13
The intramuscular needle range is between 18 to 24 gauge and the selection of the length of the needle is more important than the gauge.
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14
The combination of age and poor nutrition in elderly patients reduces muscle mass, limiting available injection sites.
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15
The dry power inhaler remains the gold standard for respiratory therapy.
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16
The use of intranasal naxolone is considered an on-label use.
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17
Alcohol has long been used in pharmacy, in part because of its excellent solvent properties and, in part, because of its ready availability.
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18
An easy-to-swallow pill is the best carrier for a medication, especially for the older patient.
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19
A nasogastric (NG) tube is measured from the bridge of the nose to an earlobe, then from the earlobe to the xiphoid process.
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20
Paramedics usually use less than an 18 gauge needle when drawing blood, either through an intravenous catheter or via direct needle insertion.
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21
Powdered drugs with particles so large that they are visible when they are mixed, or suspended, in water are called ____.
A) solutions
B) magmas
C) suspensions
D) emulsions
A) solutions
B) magmas
C) suspensions
D) emulsions
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22
____ injection is frequently used for the uncooperative patient who is in need of sedation/chemical restraint to prevent harm to himself or others.
A) Intravenous
B) Subcutaneous
C) Intraosseus
D) Intramuscular
A) Intravenous
B) Subcutaneous
C) Intraosseus
D) Intramuscular
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23
A(n) ____ mixture of local anesthetics is a cream of lidocaine 2.5% and prilocaine 2.5% that helps to reduce the pain of needle insertion.
A) eutectic
B) colloidal
C) balanced
D) reactive
A) eutectic
B) colloidal
C) balanced
D) reactive
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24
____, brewed from various materials, are liquids which have a volatile oil that evaporates at room temperature and leaves a distinctive odor in the air.
A) Syrups
B) Tinctures
C) Gels
D) Spirits
A) Syrups
B) Tinctures
C) Gels
D) Spirits
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25
Medicines mixed with sugar and water are called ____.
A) syrups
B) gels
C) tinctures
D) sprits
A) syrups
B) gels
C) tinctures
D) sprits
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26
Medications topically applied to the eyes are called ____ medications.
A) corneal
B) optic
C) lingual
D) otic
A) corneal
B) optic
C) lingual
D) otic
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27
The most common intramuscular injection site is the ____.
A) gluteal
B) dorsogluteal
C) bicep
D) tricep
A) gluteal
B) dorsogluteal
C) bicep
D) tricep
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28
The ____ route bypasses the gastrointestinal system and is preferred during an emergency because of the rapidity of onset of the medication's action as well as predictability of the drug levels.
A) parenteral
B) suppository
C) intrathecal
D) topical
A) parenteral
B) suppository
C) intrathecal
D) topical
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29
____ blood tests enhance the Paramedic's ability to provide immediate emergency services while still in the field and to transmit critical information to the emergency department.
A) Point of contact
B) Point of care
C) Point of use
D) Point of concern
A) Point of contact
B) Point of care
C) Point of use
D) Point of concern
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30
To standardize these bioassay measurements, scientists have created the ____.
A) standard unit
B) common unit
C) reference unit
D) international unit
A) standard unit
B) common unit
C) reference unit
D) international unit
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31
Some needle adaptors attach to the syringe hub by use of a twist connection, called a ____, where the adaptor on the syringe is grooved and will mate with a flange on the needle hub.
A) link lock
B) standard lock
C) luer lock
D) luer link
A) link lock
B) standard lock
C) luer lock
D) luer link
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32
Medicinal powder placed within a gelatin casing is called a ____.
A) capsule
B) tablet
C) caplet
D) lozenge
A) capsule
B) tablet
C) caplet
D) lozenge
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33
The ____ technique creates an offset injection pathway, using subcutaneous tissue to block leakage.
A) Y-track
B) N-track
C) Z-track
D) M-track
A) Y-track
B) N-track
C) Z-track
D) M-track
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34
A(n) ____ is made from some medications that will not dissolve in a solvent and thus remain as finely pulverized particles floating in the liquid.
A) solution
B) magma
C) suspension
D) emulsion
A) solution
B) magma
C) suspension
D) emulsion
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35
A fever greater than ____°F might indicate the presence of an infectious process inside a patient's body or that the patient's body has undergone a significant heat stress.
A) 100.4
B) 101
C) 101.4
D) 103
A) 100.4
B) 101
C) 101.4
D) 103
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36
A dry medicinal powder that is compressed into a pill shape is called a ____.
A) capsule
B) caplet
C) tablet
D) lozenge
A) capsule
B) caplet
C) tablet
D) lozenge
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37
If a volume is intravenously infused rapidly over several seconds or minutes, then the infusion is called a(n) ____.
A) drip
B) injection
C) bolus
D) dialysis
A) drip
B) injection
C) bolus
D) dialysis
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38
The initials ____, a simple mnemonic, can help Paramedics remember the elements of documentation for every medication administration.
A) RACE
B) ABC
C) DOC
D) DARE
A) RACE
B) ABC
C) DOC
D) DARE
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39
____ are medicinal substances that are dissolved in alcohol.
A) Syrups
B) Tinctures
C) Gels
D) Spirits
A) Syrups
B) Tinctures
C) Gels
D) Spirits
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40
Finely pulverized particles placed into oils, such as cod liver oil, are called ____.
A) solutions
B) magmas
C) suspensions
D) emulsions
A) solutions
B) magmas
C) suspensions
D) emulsions
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41
By observing a few fundamental conditions, the ____________________ method of drug infusion permits the Paramedic to mentally visualize a clock with a sweep hand pointing out the drug infusion rate.
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42
The shaft of the syringe is called the ____________________.
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43
____________________ injection of medication is the slowest and least dependable means of obtaining therapeutic drug levels in the bloodstream.
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44
____________________, a topical refrigerant, numbs the skin at the injection site in as little as 15 seconds.
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45
The earliest liquid medications were called ____________________.
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46
If the term "____________________" is included in the order, then the drug must be a solution that is to be infused intravenously and the drip factor of the intravenous administration set must be included in the calculation.
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47
Sweetening any tincture makes it into a(n) ____________________.
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48
____________________ injection is used when preparing an intravenous site with a local anesthetic.
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49
____________________, a simple tincture of opium, is highly effective in relieving a number of maladies including pain and constipation.
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50
A(n) ____________________ bevel is intended to pierce a stopper without coring it, preventing leakage of the contents within the catheter from leaking out of the stopper when the needle is withdrawn.
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