EMR Guide: Benefits, Challenges, and Implementation

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EMR - AHASTI FINAL EXAM QUESTIONS AND
ANSWERS 2025




ASA (Aspirin) - Medication - .....ANSWER ...✔✔ Dose:
1 x 325 mg OR 2 x 81 mg
Indication: Ischemic chest pain (Angina or MI)
Contraindications: Allergy, Bleeding disorder,
unconscious, asthma with past history of sensitivity
Side Effects: GI Upset, Heartburn, N/V
How to administer: Chewed and swallowed
MAX 1 DOSE


Salbutamol (Ventolin) - Medication - .....ANSWER
...✔✔ Dose: 100 msg/ spray (puff)
Indications: severe bronchospasm due to chronic
bronchitis or shortness of breath due to asthma
Contraindications: Allergic to salbutamol
Side Effects: Muscle tremors, Transient muscle cramps,
Tachycardia, Nervousness, N/V, Headache, Heart
palpitations

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How to administer: Assist pt. Shake canister, inhale and
hold for 5-10 sec. Repeat PRN every 30-60 sec as
needed


Ipratropium Bromide (Atrovent) - Medication -
.....ANSWER ...✔✔ Dose: 20 msg/ spray (puff)
Indications: Severe bronchospasm due to chronic
bronchitis or shortness of breath due to asthma
Contraindications: Allergy to Ipratropium Bromide or
atropine. Allergy to soy lethicin or related food products
(soybean/ peanuts)
Side Effects: Muscle tremors, Transient muscle cramps,
Tachycardia, Nervousness, N/V, Heart palpitations,
Headache
How to Administer: Pt. assist. Shake container. Inhale,
hold for 5-10 sec. Repeat every 30-60 sec as needed.


Epinephrine (Adrenalin) - Medication - .....ANSWER
...✔✔ Dose: 0.3 mg IM (later aspect of thigh)
Indications: Anaphylaxis
Contraindications: None in emergent setting
Side Effects: Headache, Anxiety, Heart Palpitations,
Angina, N/V, Cardiac Arrhythmias, Acute hypertension,
Pallor, Shortness of breath

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How to administer: Pt. Assist, Should be administered in
lateral aspect of thigh @ 90 degree angle. Hold for 10
sec and rub.


Oral Glucose - Medication - .....ANSWER ...✔✔ Dose:
25 g
Indications: S/S of hypoglycemia w/ BGL less than 3.8
mmol/L
Contraindications: Unconscious, Patient unable to follow
commands, Hyperglycemia
Side Effects: N/V
How to administer: Must be swallowed. Tongue
depressor can be used. Repeat once every 5 min if
needed. MAX DOSE 50 g


Naloxone (Narcan) - Medication - .....ANSWER ...✔✔
Dose: 0.8 mg IM OR 2 mg IN (1 mg each nare)
Indication: Suspected opiate overdose
Contraindications: Hypersensitivity
Side Effects: Anger/ Agitation, Sweating, N/V, Anxiety,
Confusion
How to administer: IM every 5 min in lateral aspect of
thigh to MAX of 3.2 mg;
IN every 3-5 min to MAX of 4 mg

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Nitrous Oxide (Entonox) - NOT IN SCOPE - Medication -
.....ANSWER ...✔✔ Dose: self administer
Indications: Pain due to burns, musculoskeletal injuries,
fractures, child birth
Contraindications: Unable to follow directions,
intoxication, her and/or altered LOC, thoracic injury,
bowel injury/ abdominal pain
Side Effects: Dizziness, N/V, tingling in fingers, dry
mouth
How to administer: pt. assist. Invert tank 3x prior to
admin.


Nitroglycerin (Nitrostat) - NOT IN SCOPE - Medication -
.....ANSWER ...✔✔ Dose: 0.4 mg SL spray
Indications: suspected MI OR Angina
Contraindications: Systolic BP under 100
Viagra w/in last 24 hrs
Cialis w/in last 36 hrs
Levitra w/in last 48 hrs
Side Effects: Lightheadedness, headache, dizziness, N/V,
syncope