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33) Which of the following is NOT a side effect of epinephrine?
A) Pallor
B) Vomiting
C) Bradycardia
D) Chest pain
Objective: 20.8
34) You respond to a local swim park for a 29-year-old male who was stung by a bee and "passed
out." Upon arrival, you find the patient unresponsive to all stimuli with agonal respirations at 6
per minute. You insert an oral airway and administer oxygen at 15 liters per minute by bag-valve
mask. You notice that it is difficult to bag the patient. Your partner listens to lung sounds and
states they are very diminished in the upper fields and absent in the lower fields. What is the best
action?
A) Request an ALS unit.
B) Hyperventilate the patient.
C) Request orders from medical control for an emergency cricothyroidotomy.
D) Request orders from medical control to administer epinephrine.
Objective: 20.8
17
35) Which of the following is an action caused by epinephrine in anaphylaxis?
A) Decreased heart rate
B) Vasoconstriction
C) Bronchoconstriction
D) All of the above
Objective: 20.8
36) Which of the following is a trade name for an epinephrine auto-injector?
A) Autodrenalin®
B) AllerPen®
C) Anajector®
D) Epi-Pen®
Objective: 20.9
37) Most epinephrine auto-injectors, except the Twinject, contain how many doses of
epinephrine?
A) Two
B) Three
C) One
D) None of the above
Objective: 20.9
18
38) At which of the following sites should the EMT administer an epinephrine auto-injector?
A) Abdomen
B) Upper arm
C) Thigh
D) Buttocks
Objective: 20.9
39) Which of the following is the proper method of disposing of a used epinephrine auto-
injector?
A) Bend the needle at an angle to prevent accidental punctures and place it in the trash.
B) Place the device in a rigid biohazardous sharps disposal container.
C) Leave it at the scene for the patient or his family to dispose of.
D) Take it to the hospital for disposal in the emergency department.
Objective: 20.9
19
40) After activating the auto-injector, how long should it be held in place before removing it
from the patient's thigh?
A) 30 seconds
B) 10 seconds
C) 1 minute
D) It should be removed from the injection site immediately.
Objective: 20.9
41) When documenting the administration of an epinephrine auto-injector, which of the
following should be included?
A) Patient's response to the medication
B) Site of medication administration
C) Time the medication was administered
D) All of the above
Objective: 20.9
20
42) Your patient has a history of severe anaphylaxis and carries several auto-injectors. You have
administered one of the auto-injectors, but the patient's condition continues to worsen. Which of
the following is the next best course of action?
A) Divert transport to a hospital with critical care capabilities.
B) Continue supportive care en route to the hospital.
C) Contact medical control.
D) Immediately administer a second auto-injector.
Objective: 20.10
43) After administering epinephrine per medical control via an auto-injector to an unresponsive
anaphylactic adult patient, your partner reassesses the lung sounds. He tells you that the patient is
now wheezing loudly in all fields whereas before the injection they were diminished in the upper
fields and absent in the lower. What is your suspicion regarding the patient's condition?
A) The patient's condition is worsening.
B) The patient's condition is improving.
C) There is no change in the patient's condition.
D) The patient is about to go into cardiac arrest.
Objective: 20.10
21
44) You are on the scene of a 40-year-old male patient who is anaphylactic and still unresponsive
following a single epinephrine injection. You had inserted an oral airway and administered
oxygen at 15 liters per minute by bag-valve mask and your partner found diminished lung
sounds. After the epinephrine administration your partner reassesses lung sounds and tells you
that the patient is now wheezing loudly in all fields. What is the next action you should perform?
A) Discontinue bagging the patient.
B) Place the patient on a nonrebreather mask.
C) Hyperventilate the patient.
D) Contact medical control and request to administer another dose of epinephrine.
Objective: 20.10
22
