Question

you are treating a 45 - year - old woman who was stung by a hornet and has a rash. she tells you that she is allergic to hornets and has her own epinephrine auto - injector. she also tells you that she takes medication for hypertension. her breath sounds do not reveal any wheezing, her breathing is unlabored, and her blood pressure is 154/94 mm hg. what should you do if you are not able to make contact with medical control?

administer her epinephrine, reassess her condition, and transport her promptly.
begin immediate transport and request an intercept with a paramedic ambulance.
give her oxygen, transport her to the hospital, and monitor her condition en route.
give her half the dose of her epinephrine in case her allergic reaction is delayed.

question 8
1 pts
subcutaneous injections deliver the medication:
directly into the muscle tissue.
between the skin and the muscle.
below the first layer of muscle.

Explanation:

1. For the first question, since the patient has a rash but no wheezing or labored breathing, giving oxygen, transporting to the hospital and monitoring en - route is a reasonable approach as there is no immediate need for epinephrine. Administering epinephrine without clear signs of severe allergic reaction (like wheezing) can have risks, especially with her hypertension. Requesting an intercept may not be the most straightforward option if immediate transport is feasible. Giving half - dose of epinephrine is not a standard practice without clear indication of an impending severe reaction.
2. For the second question, subcutaneous injections deliver medication between the skin and the muscle. Intramuscular injections go directly into the muscle tissue.

Answer:

1. Give her oxygen, transport her to the hospital, and monitor her condition en route.
2. between the skin and the muscle.