The paramedic should be MOST suspicious that a controlled substance has been tampered with if:
A) repeated doses of the same drug are administered and the patient experiences an adverse reaction.
B) an appropriate dose of the drug seems ineffective, especially when patient tolerance is unlikely.
C) the box that the drug is stored in is torn, even if the drug cartridge itself is structurally intact.
D) there are any stray markings on the drug cartridge or vial, even if the contents are not discolored.
Ans: B) an appropriate dose of the drug seems ineffective, especially when patient tolerance is unlikely.
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