Which of the following is a contra-indication of nitroglycerin?

• Heart rate over 100 bpm

• Systolic blood pressure lower than 90

• Respiratory rate of less than 10

• Systolic blood pressure greater than 160

Answer explanation

Nitroglycerin is a cronary artery dilated meaning it will make the arteries of the heart bigger. A side efect of this is low blood pressure. If the systolic bood pressure is already 90 or less, we do not want to drop it any more.

Aspirin eases the workload of the heart by which of the following?

• Thins the blood

• Relieves the pain

• Relaxes the heart muscle

• Makes the heart beat slower

Answer explanation

Aspirin helps thin the blood which makes it easier for the heart to pump. This means that the heart doesn’t need to work as hard and doesn’t need as much oxygen.

Choose the correct adult dose for epinephrine for a patient experiencing and anaphylactic reaction.

• 3 mcg

• 0.03 mg

• 3 g

• 0.3 mg

Which of the following is the correct dose for nebulized Albuterol?

• 2.5 mg

• 3 mcg

• 25 mcg

• 2 ml

Choose the correct dose for nitroglycerin. (Select 2 of the 5)

• 0.4 mg

• 1 spray

• 0.3 mg

• 400 mcg

• 4.0 mg

Choose the correct dose for aspirin. (Select 2 of the 5)

• 1 tablet

• 324mg

• 2 x 81 mg tablets

• 325 mg

• 81 mg

Answer explanation

Aspirin can be given as either a single 325mg tablet or as 4x 81 mg tablets (commonly called baby aspirin). Both doses are correct, simply depends on which tablet you have available.

Why do we administer nitroglycerin to a chest pain patient?

• Lowers the blood pressure

• It relieves the pain

• It calms the patient

• Dilates the coronary arteries.

Narcan (nalaxone) is given to suspected opiate over dose patients because?

• To help the patient wake up

• To raise their blood sugar

• It blocks the opiate receptors in the body

• It is an opiate reversal agent

Answer explanation

Narcan (nalaxone) works by blocking the opiate receptors in the body and does not allow the cells to metabolize the opiate. It does not “reverse” the effects of an opiate. Narcan is used in the emergency setting to relieve respiratory depression, meaning to keep people breathing. It is not given to wake people up.

A contra-indication is:

• One of the 2 rights of medications

• A reason not to give a medication

• A route of medication administration

• A reason to give a medication

Which of the following is one of the five rights of medication administration?

• Temperature

• Route

• Color

• Place