Emergency Response Procedures Flashcards

A patient is experiencing anaphylaxis following vaccine administration. The FIRST-LINE treatment is:

Answer: Epinephrine 1:1000 IM injection

Epinephrine 1:1000 given intramuscularly into the anterolateral thigh is the first-line treatment for anaphylaxis.

A pharmacy employee is accidentally splashed in the eyes with a caustic chemical. The immediate action is to:

Answer: Flush the eye with water for at least 15 minutes

Immediate copious water irrigation for at least 15 minutes dilutes and removes caustic chemicals from the eye.

Which organization sets requirements for emergency medication kits in long-term care facilities?

Answer: CMS

CMS (Centers for Medicare & Medicaid Services) regulates emergency medication kit contents and access in long-term care facilities.

A patient on warfarin presents with INR of 9.8 and active bleeding. The MOST appropriate emergency reversal agent is:

Answer: 4-factor prothrombin complex concentrate (4F-PCC)

4F-PCC provides rapid reversal of warfarin anticoagulation in life-threatening bleeding situations with faster onset than FFP.

In the event of a medication error resulting in patient harm, the FIRST step under ISMP guidelines is:

Answer: Notify the prescriber and provide immediate patient care

Patient safety is paramount; immediate care must be provided while simultaneously notifying the prescriber.

Which reversal agent is used for direct thrombin inhibitor (dabigatran) overdose?

Answer: Idarucizumab

Idarucizumab (Praxbind) is a monoclonal antibody fragment specifically designed to reverse dabigatran anticoagulation.

A pharmacy employee sustains a needlestick injury. The FIRST immediate action should be:

Answer: Wash the wound with soap and water

Washing the wound thoroughly with soap and water is the first immediate action to reduce infection risk from needlestick injuries.