MABEES Assessment
MFR And Basic EMT Epinephrine Study (MABEES)
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First Name *
Last Name *
Medical Control Authority *
Agency Name *
License Level *
1. You are treating a 2 y/o male patient experiencing an anaphylactic reaction to peanuts. The Browselow tape reveals the patient weighs 6-7 kgs. If possible, what should be done prior to epinephrine administration? *
4 points
2. You are caring for an 8 y/o male patient that weighs 24 kg. The patient is experiencing an anaphylactic reaction to a banana. What is the correct dosage of epinephrine to administer? *
4 points
3. You are caring for a 32 kg pediatric patient experiencing an anaphylactic reaction to latex. What is the correct dosage of epinephrine to administer? *
4 points
4. You are treating a 6 y/o male patient that is experiencing an anaphylactic reaction to shellfish. The patient weighs 25 kg and was given epinephrine 1 mg/mL, 0.15 mg (0.15 mL) IM 5 minutes ago. There has been no improvement in the patient’s condition and online medical control has ordered a second dosage of epinephrine. What is the correct dosage? *
4 points
5. You are treating an 8 y/o male patient that is experiencing an anaphylactic reaction to a scorpion sting. The patient weighs 31 kg and was given epinephrine 1 mg/mL, 0.3 mg (0.3 mL) IM 5 minutes ago. There has been no improvement in patient condition and online medical control has ordered a second dosage of epinephrine 1 mg/mL be administered. What is the correct dosage? *
4 points
6. You are treating a 5 y/o male patient experiencing an asthma attack. The patient is experiencing severe respiratory distress and is continuing to deteriorate despite nebulizer therapy. If the patient weighs 15 kg what is the correct dosage of epinephrine? *
4 points
7. You are treating a 7 y/o female patient experiencing respiratory failure resulting from an asthma attack. The patient weighs 35 kg. What is the correct medication and dosage to administer? *
4 points
8. You are caring for a 10 month old female patient experiencing respiratory failure from an asthma attack. The child weighs 16 pounds. If possible, what is the best option? *
4 points
9. You are caring for a 5 y/o male patient experiencing an asthma attack. The patient weighs 15 kg. and has been given 1 dosage of epinephrine 1 mg/mL, 0.15 mg (0.15 mL) IM 5 minutes prior without relief. Online medical control has ordered a second dosage of epinephrine. What is the correct dosage? *
4 points
10. What should be done if the substance or source of exposure is apparent when caring for a patient experiencing an allergic or anaphylactic reaction? *
4 points
11. You are treating a 48 y/o male experiencing an allergic reaction after being swarmed by Africanized bees. The patient presents with wheezing and hypotension. What is the correct treatment? *
4 points
12.  You are treating a 39 y/o female patient experiencing anaphylaxis after exposure to latex. The patient shows no improvement 5 minutes after receiving epinephrine 1 mg/mL 0.3 mg (0.3 mL) IM. What should be done next? *
4 points
13. Where can a life support agency obtain Epi-Kits? *
4 points
14. What must be provided to the MCA within  24 hours after an Epi-Kit is used in the field *
4 points
15. A 22 y/o male patient with a known allergy to bees was stung several times while dining at a local cider mill. The patient presents with audible wheezes, hives, and vomiting. The patient’s vital signs are as follows: alert and oriented times 4, pulse 124, respirations 30 per minute and labored, and a blood pressure of 96/64. After following the General Pre-Hospital Care Protocol and removing the patient from the source of the exposure, what is the next treatment? *
4 points
16. What should be done to prevent accidental needle sticks? *
4 points
17. Indications for administration of IM epinephrine in a patient suffering from asthma include which of the following: *
4 points
18. You are on scene with a 66 y/o female patient experiencing an anaphylactic reaction to shellfish. You administered epinephrine 1 mg/mL 0.3 mg (0.3 mL) IM in the vastus lateralis 3 minutes prior. The patient has continued to deteriorate following administration of epinephrine and exhibits a high level of distress. Vital signs are as follows: alert and oriented times 4, pulse 112, respirations 32 per minute and labored, and a blood pressure of 86/64. Which of the following is the best action? *
4 points
19. You have decided to administer epinephrine 1 mg/mL 0.15 mg (0.15 mL) IM to a 24 kg. pediatric patient with impending respiratory failure due to bronchospasm. Prior to drawing up epinephrine from the vial, how much air should be injected into the vial? *
4 points
20. You are treating a 32 kg. pediatric patient experiencing anaphylaxis resulting from an exposure to latex. After following the General Pre-Hospital Care Protocol and removing the latex from patient contact the next appropriate treatment is the administration of epinephrine 1 mg/mL IM. What is the correct dosage? *
4 points
21. IM administration of epinephrine has an onset time of how many minutes? *
4 points
22.  What is defined as: “a sudden-onset, systemic allergic reaction that can cause rapid death if not immediately identified and appropriately treated”? *
4 points
23. What is the preferred site for IM administration of epinephrine? *
4 points
24. When epinephrine is administered it is crucial to document indications, dosage, time, and route of administration. What other information should be included in documentation of epinephrine administration? *
4 points
25. When documenting epinephrine administration it is crucial to document the correct dosage, correct route, and correct time of administration. What else must be documented? *
4 points
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