EMS Pharmacology and EMT Treatment
Protocols ACTUAL QUESTIONS AND
CORRECT ANSWERS
The "Six Rights" of Medication Administration - CORRECT ANSWERS✅✅-Right Patient
-Right medication
-Right dose
-Right route
-Right time
-Right documentation
-You can remember Peter and Micheal Drove Right Through Denver or something like that.
Oral Glucose MEDICATION NAME - CORRECT ANSWERS✅✅-Generic: Glucose, oral
-Trade: Glutose, Insta-glucose
Oral Glucose (INDICATIONS) - CORRECT ANSWERS✅✅Patients with altered mental
status and a known history of diabetes mellitus
Oral Glucose (CONTRAINDICATIONS) - CORRECT ANSWERS✅✅-Unconsciousness
-Known diabetic who has not taken insulin for days
-Unable to swallow
Oral Glucose (MEDICATION FORM) - CORRECT ANSWERS✅✅Gel, in toothpaste-type
tubes
Oral Glucose (DOSAGE) - CORRECT ANSWERS✅✅one tube
Oral Glucose (ADMINISTRATION) - CORRECT ANSWERS✅✅1. Ensure signs and
symptoms of altered mental status with a known history of diabetes.
,2. Ensure patient is conscious.
3. Administer glucose.
a. Place on tongue depressor between cheek and gum, or
b. Have patient self-administer between cheek and gum.
4. Perform ongoing assessment.
Oral Glucose (ACTIONS) - CORRECT ANSWERS✅✅increases blood glucose (sugar)
levels
Oral Glucose (SIDE EFFECTS) - CORRECT ANSWERS✅✅None when given properly.
May be aspirated by the patient without a gag reflex.
Anaphylaxis (INITAL ACTIONS) - CORRECT ANSWERS✅✅-conduct scene size up,
primary assessment, and immediate life-saving interventions
-promptly administer oxygen by NRB at 10-15 L/m or by NC at 6 L/m if NRB is not
tolerated. Monitor SPO2
-Request Advanced Life Support (ALS) consider availability and hospital proximity.
Minimize on-scene time.
-obtain baseline vital signs, SAMPLE history, and conduct a secondary assessment attending
to cardiopulmonary deterioration
If available, consider epinephrine therapy for patients with... - CORRECT
ANSWERS✅✅Suspected life threatening anaphylaxis (allergic reaction with a
compromised airway, breathing, or circulatory performance)
***Prompt transport important-DO NOT delay transport to administer treatment
Epinephrine Therapy - CORRECT ANSWERS✅✅Epinephrine auto-injector
Epinephrine (FORM) - CORRECT ANSWERS✅✅Solution for intramuscular (IM) outdo
injector administration
, Epinephrine (SOURCE) - CORRECT ANSWERS✅✅-Prescribed for, and supplied by
patient
-Supplied by OEMS registered and approved EMT/agency under Medical Director
Epinephrine (AUTHORIZATION) - CORRECT ANSWERS✅✅-Patient supplied and
assisted -ALL EMTS
-EMTs operating for a registered agency who successfully completed ORMS approved
training while operating under the agency Medical Directors approved protocol
Epinephrine (AGE) - CORRECT ANSWERS✅✅No resurrection but doses vary
Epinephrine (INDICATIONS) - CORRECT ANSWERS✅✅Signs and Symptoms Of known
or suspected anaphylaxis (allergic exposure with itching, urticaria, agitation, abdominal pain
or distress etc.) with any of the following:
-airway swelling or compromise
-respiratory distress or arrest
-shock
Epinephrine (CONTRAINDICATIONS) - CORRECT ANSWERS✅✅-no absolute
contraindication when used in life threatening anaphylaxis
-medication is discolored,cloudy, precipitated, or expired
-use cautiously (relative contraindication) in setting of coronary disease or ischemia when
jeopardy to airway, breathing, or circulation is unclear.
Epinephrine (ADVERSE EFFECTS) - CORRECT ANSWERS✅✅Anxiety, headache,
cardiac arrhythmias, hypertension, nervousness, tremors, chest pain, nausea/vomiting.
Epinephrine (ADMINISTRATION) - CORRECT ANSWERS✅✅-Administer the auto
injector to the lateral thigh according to manufacture's recommendations
-assure receiving hospital is notified
-property dispose of auto-injector in a sharps container
Protocols ACTUAL QUESTIONS AND
CORRECT ANSWERS
The "Six Rights" of Medication Administration - CORRECT ANSWERS✅✅-Right Patient
-Right medication
-Right dose
-Right route
-Right time
-Right documentation
-You can remember Peter and Micheal Drove Right Through Denver or something like that.
Oral Glucose MEDICATION NAME - CORRECT ANSWERS✅✅-Generic: Glucose, oral
-Trade: Glutose, Insta-glucose
Oral Glucose (INDICATIONS) - CORRECT ANSWERS✅✅Patients with altered mental
status and a known history of diabetes mellitus
Oral Glucose (CONTRAINDICATIONS) - CORRECT ANSWERS✅✅-Unconsciousness
-Known diabetic who has not taken insulin for days
-Unable to swallow
Oral Glucose (MEDICATION FORM) - CORRECT ANSWERS✅✅Gel, in toothpaste-type
tubes
Oral Glucose (DOSAGE) - CORRECT ANSWERS✅✅one tube
Oral Glucose (ADMINISTRATION) - CORRECT ANSWERS✅✅1. Ensure signs and
symptoms of altered mental status with a known history of diabetes.
,2. Ensure patient is conscious.
3. Administer glucose.
a. Place on tongue depressor between cheek and gum, or
b. Have patient self-administer between cheek and gum.
4. Perform ongoing assessment.
Oral Glucose (ACTIONS) - CORRECT ANSWERS✅✅increases blood glucose (sugar)
levels
Oral Glucose (SIDE EFFECTS) - CORRECT ANSWERS✅✅None when given properly.
May be aspirated by the patient without a gag reflex.
Anaphylaxis (INITAL ACTIONS) - CORRECT ANSWERS✅✅-conduct scene size up,
primary assessment, and immediate life-saving interventions
-promptly administer oxygen by NRB at 10-15 L/m or by NC at 6 L/m if NRB is not
tolerated. Monitor SPO2
-Request Advanced Life Support (ALS) consider availability and hospital proximity.
Minimize on-scene time.
-obtain baseline vital signs, SAMPLE history, and conduct a secondary assessment attending
to cardiopulmonary deterioration
If available, consider epinephrine therapy for patients with... - CORRECT
ANSWERS✅✅Suspected life threatening anaphylaxis (allergic reaction with a
compromised airway, breathing, or circulatory performance)
***Prompt transport important-DO NOT delay transport to administer treatment
Epinephrine Therapy - CORRECT ANSWERS✅✅Epinephrine auto-injector
Epinephrine (FORM) - CORRECT ANSWERS✅✅Solution for intramuscular (IM) outdo
injector administration
, Epinephrine (SOURCE) - CORRECT ANSWERS✅✅-Prescribed for, and supplied by
patient
-Supplied by OEMS registered and approved EMT/agency under Medical Director
Epinephrine (AUTHORIZATION) - CORRECT ANSWERS✅✅-Patient supplied and
assisted -ALL EMTS
-EMTs operating for a registered agency who successfully completed ORMS approved
training while operating under the agency Medical Directors approved protocol
Epinephrine (AGE) - CORRECT ANSWERS✅✅No resurrection but doses vary
Epinephrine (INDICATIONS) - CORRECT ANSWERS✅✅Signs and Symptoms Of known
or suspected anaphylaxis (allergic exposure with itching, urticaria, agitation, abdominal pain
or distress etc.) with any of the following:
-airway swelling or compromise
-respiratory distress or arrest
-shock
Epinephrine (CONTRAINDICATIONS) - CORRECT ANSWERS✅✅-no absolute
contraindication when used in life threatening anaphylaxis
-medication is discolored,cloudy, precipitated, or expired
-use cautiously (relative contraindication) in setting of coronary disease or ischemia when
jeopardy to airway, breathing, or circulation is unclear.
Epinephrine (ADVERSE EFFECTS) - CORRECT ANSWERS✅✅Anxiety, headache,
cardiac arrhythmias, hypertension, nervousness, tremors, chest pain, nausea/vomiting.
Epinephrine (ADMINISTRATION) - CORRECT ANSWERS✅✅-Administer the auto
injector to the lateral thigh according to manufacture's recommendations
-assure receiving hospital is notified
-property dispose of auto-injector in a sharps container
