An on-scene physician from another agency requests you to administer 0.3 mg of Epinephrine IM for a patient with severe chest pain. What should you do?

Get ready for the Paramedic Readiness Exam 5. Study with multiple-choice questions, detailed explanations, and effective strategies. Enhance your exam preparedness today!

Multiple Choice

An on-scene physician from another agency requests you to administer 0.3 mg of Epinephrine IM for a patient with severe chest pain. What should you do?

Medication administration is guided by your agency’s standing orders and medical control. Even if another on-scene physician requests a drug, you should not deviate from those protocols unless you have explicit direction from medical control. Epinephrine IM is indicated for anaphylaxis, not for isolated chest pain; giving it in this context could cause tachycardia, hypertension, and increased myocardial oxygen demand, potentially worsening the patient’s condition. The safest, most appropriate action is to continue following your protocol. If the situation clearly met an approved indication, you would treat per protocol or obtain medical control direction before proceeding.

Medication administration is guided by your agency’s standing orders and medical control. Even if another on-scene physician requests a drug, you should not deviate from those protocols unless you have explicit direction from medical control. Epinephrine IM is indicated for anaphylaxis, not for isolated chest pain; giving it in this context could cause tachycardia, hypertension, and increased myocardial oxygen demand, potentially worsening the patient’s condition. The safest, most appropriate action is to continue following your protocol. If the situation clearly met an approved indication, you would treat per protocol or obtain medical control direction before proceeding.

More practice questions