Term
| When is resuscitation not indicated |
|
Definition
| Decapitation, Rigor mortis w/o hypothermia Profound dependent lividity Decomposition Mummification Incineration Frozen Torso or airway |
|
|
Term
| What does a plastic DNR bracelet contain |
|
Definition
must be at least 3/4 inch wide
On the left- patients name, orders, DOB and gender. On the right- physicians name, phone number and original signature Do not resuscitate in blue and the Wisconsin state seal |
|
|
Term
| What shall a written DNR order include |
|
Definition
Name,
Name and signature of attending PHY
Effective date
The words DNR
Evidence of consent of either patient or legal guardian or Durable power of attorney |
|
|
Term
| In a DNR order how is resuscitation defined |
|
Definition
| Any component of CPR, including compressions, intubation, advanced airway mgmt, artificial ventilation, defibrillation, ACLS use of medications, |
|
|
Term
| When can DNR orders be revoked |
|
Definition
| verbally by a competent patient, legal guardian or durable power of attorney defaced, burn, cut DNR bracelet or DNR order Someone removes the DNR bracelet If the patient is pregnant |
|
|
Term
| To prevent death, how many IV starts have to be attempted before starting an IO? |
|
Definition
|
|
Term
| When should an IO not be established? |
|
Definition
| The patient is awake, stable, life preserving medications are not going to be used |
|
|
Term
| What is the dose, route, onset for ondasnsetron (zofran) for adults and peds |
|
Definition
4mg IV/IM
Peds- 0.15mg/kg max 4mg
Action in 5-10 min
Route- IV admin over 1 min- no less than 30 seconds
Onset in 5-10 min |
|
|
Term
| What are high o2 levels considered bad |
|
Definition
| because it can lead to tissue damage |
|
|
Term
| When using oxygen, what should you tritrate the o2 level too? |
|
Definition
|
|
Term
| When should high flow o2 be used automatically on patients |
|
Definition
Ill pregnant women
Cardiac/ respiratory arrest
CO poisoning or smoke inhalation |
|
|
Term
| What is the recommended adult dose of fentanyl for most pt's, administration routes, push rate |
|
Definition
25-100 mcg/IV/IM/IN repeat every 2-5 min up to 200mcg
Should be admin over 2 min |
|
|
Term
| What is the Peds dose for fentanyl |
|
Definition
0.5-1mcg /kg/IM/IN
Max dose 100mcg
Admin over 2 min |
|
|
Term
| What are the pros and cons of fentanyl over morphine |
|
Definition
fentanyl acts quicker but has a shorter half life
fentanyl does not affect the BP as much and it does not cause as big as of a histamine release |
|
|
Term
| Starting at what age can the wong baker faces pain rating scale be used for |
|
Definition
|
|
Term
| How long should hospital reports take? |
|
Definition
|
|
Term
| how should you use physical restraints |
|
Definition
in a 2 point or 4 point- NEVER apply a single restraint or 2 foot restraints
for soft restraints use a quick release knot,
never restrain a pt in the prone position |
|
|
Term
| When using leather restraints, is it okay to use 2 of them? |
|
Definition
| no, when using leather, all four must be used |
|
|
Term
| what is the minimum number of people needed to physically restrain the patient |
|
Definition
|
|
Term
| How often do you check CMS with restrained patients |
|
Definition
|
|
Term
| What is the drug we use for chemical restraints and give the dose and route |
|
Definition
| Mixazolam (Versed) 1-2mg IV/IM/IN up to 10 mg. |
|
|
Term
| Is it okay to use handcuffs as a physical restraint? |
|
Definition
| No, unless police is present and must remain available |
|
|
Term
| What is the only paramedic procedure that requires two paramedics at the patient side |
|
Definition
|
|
Term
| What are drug treatment options for dialysis patients in asystole/PEA |
|
Definition
Admin Calcium Chloride 1 gm in 10 mL IV/IO
Sodium Bicarbonate 50mEq IV/IO
DuoNeb |
|
|
Term
| When is it okay to contact medical control to consider termination of CPR |
|
Definition
| 3 rounds of ACLS and 20 min of CPR |
|
|
Term
| What are common reasons for bradycardia |
|
Definition
| acute MI, overdose on beta-blockers, or calcium channel blockers, and Hyperkalemia |
|
|
Term
| When is it not okay to use atropine on a symptomatic bradycardic patient |
|
Definition
| if bradycardia results from an acute MI-must get online medical direction approval first |
|
|
Term
| What is the max dose for atropine |
|
Definition
|
|
Term
| What is the most important thing that a cardiac arrest needs |
|
Definition
| quality chest compressions, pushing hard and fast |
|
|
Term
| When do you apply the AED and analyze for a shockable rhythm |
|
Definition
| after 2 min of cpr unless arrest occurs in front of the EMT |
|
|
Term
| When should intubation be done a cardiac arrest patient |
|
Definition
| after initiation of CPR, rhythm analysis, and IV/IO placement and pharmacologic therapy initiation |
|
|
Term
| what is the medication used to ease discomfort and agitation for patients being paced |
|
Definition
|
|
Term
| What are the two possible antidotes used to cure beta-blocker and calcium channel blocker overdose |
|
Definition
Glucagon 1-2 mg IV
Calcium Chloride 1 gm/10 mL over 5-10 min |
|
|
Term
| What are two contraindication for Nitroglycerin |
|
Definition
Pt took viagara or Viagara like medications within the last 48 hours
SPB is less that 100 mmHg
Inferior wall MI |
|
|
Term
| Can you still give asprin if the patient already took a dose of asprin for chest pn |
|
Definition
| a one time dose of 324mg is okay |
|
|
Term
| Should a 12 lead be obtained before treatment with NTG? |
|
Definition
|
|
Term
| After admin of NTG, your patients blood pressure drops below 90mmHg. What should you do? |
|
Definition
| Admin 500mL up to 2L if no evidence of CHF or pulmonary edema |
|
|
Term
| What rx do you give if the patient is experiencing runs of V-tach and cardiac ischemia |
|
Definition
| Amiodarone 150 mg IV in 100 ml D5W over ten min |
|
|
Term
| What must obtained from every patient with a C/O of chest pn |
|
Definition
| 12 EKG and continuous 3 lead monitoring |
|
|
Term
| Where are pediatric pads stored on the ambulance? |
|
Definition
| KFD does not used pediatric pads. Adult pads are used on all patients regardless of age |
|
|
Term
| Does implanted defibrillators, when shocking, pose a risk to EMS providers. |
|
Definition
|
|
Term
| Is it okay to place defib pads over an implanted pacemaker? |
|
Definition
|
|
Term
|
Definition
| Any narrow complex QRS with a rate greater than 150 hr. |
|
|
Term
| What are common causes of SVT |
|
Definition
| Heart failure, hypovolemia, shock, drug effects, fever, and pain |
|
|
Term
| What are signs of an unstable pt with SVT |
|
Definition
| altered mental status, hypotensive, signs of hypoperfusion |
|
|
Term
| When is it okay to preform a right-sided carotid sinus massage |
|
Definition
If the valsalva maneuver does not work,
The patient is younger than 50, no history of stroke or TIA, carotid bruit |
|
|
Term
| What side do you preform a carotid sinus massage and for how long |
|
Definition
|
|
Term
| You have a patient who is in SVT. You administer 12mg of adenosine and find out that rhythm is a-fib. What next |
|
Definition
| Confirm that the QRS is narrow and administer Cardizem 20mg IV over 2 min |
|
|
Term
| You have a patient who is in SVT and is starting to go unresponsive. What next? |
|
Definition
| Synchronized cardioversion starting at 100 joules, if no response proceed to 150 then 200 joules |
|
|
Term
| Who direct medical attention of a patient with a Ventricular assist device |
|
Definition
| clinical engineer that is assigned to the ventricular assist device. |
|
|
Term
| What should you do if a VAD is malfunctioning and the clinical engineer is not responding to your page |
|
Definition
|
|
Term
| What is the only hospital that we are allowed to transport to if the patient has a VAD |
|
Definition
|
|
Term
| Patients presenting in this rhythm will have the best chance of survival after cardiac death |
|
Definition
|
|
Term
| What is the only defiberlation dose for patients in V-fib and pulseless V-Tach |
|
Definition
|
|
Term
| Patient is in V-fib/V-Tach and does not convert after the second shock, whats next |
|
Definition
| amiodarone 300mg IV/IO push |
|
|
Term
| What is optional drug therapy for pulseless renal failure patients? |
|
Definition
Calcium Chloride 1gm IV/IO
Sodium Bicarbonate 50 mEq IV/IO
Duoneb |
|
|
Term
| What should you do with a patient that has a C/O of airway obstruction and is conscious and able to speak |
|
Definition
| nothing. Let the patient attempt to clear the airway. |
|
|
Term
| This patient has an airway obstruction- he is conscious and unable to speak. What should you do? |
|
Definition
| perform the heimlich maneuver with 5 abd thrusts. |
|
|
Term
| How do you preform the heimlich maneuver on a patient who is in the second or third trimester or is morbidly obese |
|
Definition
|
|
Term
| If an unconscious patients airway obstruction remains in place after one round of heimlich maneuver, what is next |
|
Definition
try to remove obstruction with forcepts and or suction
reposition head
preform 5 more abd thrusts
intubate and try to push the obstruction into the right bronchus
if still obstructed, perform chricothyrotomy |
|
|
Term
| How does albuterol sulfate act on the body |
|
Definition
| it is a adrenergic broncholdilator |
|
|
Term
| How does ipratropium act on the body |
|
Definition
| it is anti-cholinergic broncholdilator |
|
|
Term
| What is the dose of the medications in duoneb |
|
Definition
albuterol -3 mg
Ipratropium - 0.5 |
|
|
Term
| What is the med we use for patients in severe respiratory distress? |
|
Definition
EPI 0.3mg IM and Initiate IV and monitor
Consider solumedrol 125mg IV |
|
|
Term
| What is the O2 flow rate for a nebulizer |
|
Definition
|
|
Term
| What is the first line of treatment for CHF and the dose |
|
Definition
NTG 0.4-0.8mg SL
Don't let CPAP interfere with NTG treatment |
|
|
Term
| What are common S/S associated with TB |
|
Definition
| Fever, night sweats, weight loss |
|
|
Term
| What details do you document following the application of restraints |
|
Definition
the rational for use of restraints
type of restraints used
time of application
neurvascular status after application
any change in restraint application |
|
|
Term
| What should you do for unstable wide complex tachycardia |
|
Definition
apply 3 lead
synchronized cardioversion at 100j, 150,200
after cardioversion, amiodarone 150mg IV over 10 min |
|
|
Term
| What is the minimum hr for VT or SVT |
|
Definition
|
|
Term
| How should occasional runs of VT be treated? |
|
Definition
| In conjunction with on-line medical control |
|
|
Term
| What is the dose of DuoNeb that the patient receives directly related to? |
|
Definition
| patients respiratory rate, tidal volume, and compliance with medication administration |
|
|
Term
| If a patient presents with abdominal pain, what should be obtained? |
|
Definition
|
|
Term
| What should be done for stable abdominal patients |
|
Definition
Consider establishing IV
Consider pain mgmt |
|
|
Term
| What should be done for unstable ABD pain patients |
|
Definition
Establish Large bore IV, and 2nd IV in route
Admin saline to maintain SBP between 90-110 mmHg |
|
|
Term
| What are classic S/S for AAA |
|
Definition
Sudden onset of low back pn
Sudden onset of abd pn
Pulsatile abd mass
Expanding abd girth |
|
|
Term
| What should be done for patients with a mild allergic reaction |
|
Definition
Benadryl 50 mg IM/IV
SoluMedrol 125mg IV/IM |
|
|
Term
| What should be done for patients with a Moderate reaction |
|
Definition
Benadryl 50 mg IM/IV
SoluMedrol 125mg IV/IM
Monitor
EPI 1:1000 0.3mg IM if worsening
DuoNeb if wheezing |
|
|
Term
| What are the two different doses of EPI for patients having a severe allergic reaction |
|
Definition
| EPI 0.3mg 1-1000 IM or 0.1mg of 1-10,000 IV pushing slowly |
|
|
Term
| What are S/S of a mild allergic reaction |
|
Definition
| A&O with localized signs, normal BP, normal skin, and clear lungs |
|
|
Term
| What are S/S of a moderate allergic reaction |
|
Definition
| A&O, systemic signs and symptoms but normotensive, skin warm and mild wheezing |
|
|
Term
| What are S/S of a severe allergic reaction |
|
Definition
| multi-system reaction with signs of hypoperfusion, hypotension or altered mental status; nausea/vomiting or signs of airway consitrction including stridor, air hunger, wheezing, and or rales |
|
|
Term
| When is it considered that a patient is having an altered mental status |
|
Definition
| when the patient is acting differently or is agitated |
|
|
Term
| What is the only reason for Naloxone to be used |
|
Definition
| It should only be used to avoid placing an advanced airway using it only to maintain respiratory drive |
|
|
Term
| What is the dose of Naloxone |
|
Definition
|
|
Term
| When should you cool the burn with water or saline |
|
Definition
| if it occurred within the last 15 min |
|
|
Term
| When should you use a sterile dressing soaked in saline to cover a burn? |
|
Definition
| if the burn is less than 20% BSA |
|
|
Term
| When should you use dry sterile dressing to cover a burn |
|
Definition
| if the burn is greater than 20% BSA |
|
|
Term
| What types of chemical burns can you not use water to irrigate with? |
|
Definition
| sulfuric acid, sodium metals, or dry chemicals |
|
|
Term
| What is the core body temperature of a patient with mild/moderate hypothermia |
|
Definition
|
|
Term
| What are S/S of sever hypothermia |
|
Definition
uncoordinated with poor musce control or even muscle rigidity
usually no shivering
confusion, stupor, or coma,
profound bradycardia, heartblcok or even asystole
core body temp below 86F |
|
|
Term
| What are S/S of heat exhaustion |
|
Definition
| profuse sweating, paleness, dizziness, nausea, vomiting and syncope |
|
|
Term
| What are S/S of heat stroke |
|
Definition
| hot, flushed skin (often dry) and altered mental status |
|
|
Term
| Where do we place ice packs for heat exhaustion/stroke |
|
Definition
| chest wall, carotied arteries, temples behind knees, groin, axillae |
|
|
Term
| What are the 3 categories that heat emergencies fit into |
|
Definition
| Heat cramps, heat exhaustion, heat stroke |
|
|
Term
| What is the goal for the treatment of hypertension |
|
Definition
|
|
Term
| Is it acceptable to admin Labetalol for a pt with a hight BP and headache? |
|
Definition
|
|
Term
| When is it okay to treat HTN with Labetalol |
|
Definition
| SBP must be greater than 220mmHg and have evidence of acute end organ damage i.e altered mental status, presumed cardiac chest pain ect |
|
|
Term
| What is the dose for labetalol? |
|
Definition
20mg IV and recheck BP after 5 min
If BP remains above 220 after 15 min, you may repeat one dose |
|
|
Term
| Is it okay to help patients admin their own insulin |
|
Definition
| It is never okay to assist a pt admin their own insulin |
|
|
Term
| When should the paramedic administer normal saline for hyperglycemia |
|
Definition
| if the BS is over 180- 500ml bolus |
|
|
Term
| When does the paramedic treat hypoglycemia |
|
Definition
| if the BS is lower than 60mg/dl |
|
|
Term
| What is the dose for sodium bicarbonate for tricyclic anti-depressant OD |
|
Definition
|
|
Term
| What is the protocol for a cocaine OD |
|
Definition
12 Lead EKG
Versed 1-2mg IV/IM/IN up to 10mg |
|
|
Term
| What drugs are the antidote for calcium channel blockers and beta blockers |
|
Definition
Atropine 1mg IV Peds 0.02mg/kg
Glucagon 1-2mg IV PEDS 0.5mg
If the patient is in shock, give Calcium Chloride 1gm slow IV/IO |
|
|
Term
| How long are drowning victims need to be submerged before they have a poor prognosis |
|
Definition
|
|
Term
| How does cyanide work once it enters the body |
|
Definition
| it causes asphyxiation at the cellular level |
|
|
Term
| Where are two common exposures for cyanide |
|
Definition
| at any closed space structure fire and industry related exposure |
|
|
Term
| What is the antiodote for cyanide poisoning |
|
Definition
| Cyanokit 5g IV over 15 min |
|
|
Term
| What are two sources for organophophate poisoning |
|
Definition
| nerve agents from terriorism and pesticides |
|
|
Term
| What is the acryonym to remember s/s of organophosphate poisoning |
|
Definition
SLUDGEM
Salivation, lacrimation, urination, diarrhea/defecation,generalized twitching/seizures, emesis, miosis(pinpoint pupils) |
|
|
Term
| What is the antiodote for organophosphate poisoning |
|
Definition
| Atropine 1mg IV/IM Q 3min until atropinization occurs. Usual atropine dosage limits do not apply. |
|
|
Term
| What are common causes for first time seizures |
|
Definition
| hypoglycemia, hypoxia, head injury, poisoning/overdose |
|
|
Term
| When can you admin versed to a seizure patient |
|
Definition
| if the seizure lasted longer than 2 min or if seizures beome recurrent |
|
|
Term
| Where do we transport sexual assult victims |
|
Definition
|
|
Term
| When is police reporting mandatory for sexual assault victims |
|
Definition
| If the patient is under 18. If the patient is older than 18, we are not allowed to call the police without victims consent. |
|
|
Term
| For patients with advanced airway, where should you try to maintain end-tidal CO2? |
|
Definition
|
|
Term
|
Definition
| Pain, Paralysis, Paresthesias, Pulselessness, Pallor |
|
|
Term
| How many times can you attempt to reduce an extremity if found pulseless |
|
Definition
|
|
Term
| If you apply a traction splint and found that you lost a pulse after application, do you try to gain the pulse back |
|
Definition
| no, once you apply a traction splint, you leave it. |
|
|
Term
| What are signs of neurogenic shock? |
|
Definition
| hypotension, braycardia, decreased respiratory rate |
|
|
Term
| What should you do for a patient who is in profound shock and is not responsive to fluids and atropine? |
|
Definition
| Admin EPI 1:10,000- 0.5mg IV |
|
|
Term
| When is CPR not indicated for a traumatic arrest |
|
Definition
| When the monitor shows asystole or wide complex PEA with a rate less than 30 |
|
|
Term
| What is the most common cause of fetal mortality? |
|
Definition
|
|
Term
|
Definition
Gravida- number of pregnancies
Para- number of live births |
|
|
Term
| What is considered preterm labor |
|
Definition
|
|
Term
| What questions should you ask to obtain a through pregnancy history |
|
Definition
Gravida, Para
Due date
Onset, duration, and frequency of contractions
Length of previous labors
Statsu of membranes- note time of rupture |
|
|
Term
| How long is it acceptable to stay on scene for a breech delivery |
|
Definition
|
|
Term
| What is one of the first things you shold check for if the patient says that her water broke |
|
Definition
| check for prolapsed umbilical cord |
|
|
Term
| At what time intervals do you measure APGAR scores on a newborn |
|
Definition
|
|
Term
| How do you ventilate a newborn- %of o2 and rate |
|
Definition
| on room air at 40-60 a min |
|
|
Term
| What is the rate of compressions for a neonate |
|
Definition
|
|
Term
| Spontaneous ventilations should begin how soon after delivery? |
|
Definition
|
|
Term
| How far away from the newborns body do you clap the chord |
|
Definition
|
|
Term
| An APGAR score less than this requires neonatal resucitation |
|
Definition
|
|
Term
| What are two ways to control blood loss during post-partum care |
|
Definition
massage top of uterus unitl firm
Breast feeding |
|
|
Term
| Up to what age do you preform back slaps and chest thrusts for FBAO? |
|
Definition
|
|
Term
| What is the PEDS dose for benadryl |
|
Definition
|
|
Term
| What is the PEDS dose for soluMedrol? |
|
Definition
|
|
Term
| What is the PEDS dose for EPI |
|
Definition
|
|
Term
| How many BPM do you start transthoracic pacing at for PEDS |
|
Definition
|
|
Term
| What is the difference between adult and PEDS pain managment protocols for transthoracic pacing? |
|
Definition
| Adult pain managment uses Versed and fentanyl at Paramedic discretion vs PEDs uses Fentany only |
|
|
Term
| How should KFD members report child abuse |
|
Definition
| To the Department of CHildren and Family services through the KYDS crisis center |
|
|
Term
| What are PEDS with epiglottitis at risk for |
|
Definition
| sudden airwya obstruction from swelling |
|
|
Term
| What is the treatment for unstable croup/epiglottitis patients |
|
Definition
| EPI 3mg of 1:1000 via nebulizer |
|
|
Term
| What is the dose of dextrose for an infant less than one month old |
|
Definition
| D-12.5 4ml/KG Dilute D-25 1:1 ratio with nromal saline |
|
|
Term
| What is the dose of dextrose for an infant that is one month to two years old? |
|
Definition
|
|
Term
| What is the dose of dextrose for a child that is older than two years old |
|
Definition
|
|
Term
| What is the initial shocking dose for unstable SVT |
|
Definition
|
|
Term
| What is the preferred method of restraint |
|
Definition
|
|
Term
| What is an optional starting fentanyl dose for small adults and the elderly who may be sensitive to narcotic pain medicine |
|
Definition
|
|
Term
| What information should you include in the PCR after use of restraints |
|
Definition
| rational for restraint, type, time of application, neuro status, and any change |
|
|
Term
| What are the different sections in the ped's assessment triangle |
|
Definition
| Appearance, general impression, work of breathing |
|
|
Term
| If a patient is taken to the hospital to meet the trauma helicopter- do they need to be taken into the ER? |
|
Definition
|
|
Term
| Why are pregnant patients prone to aspiration? |
|
Definition
| Because pregnancy slows gastric motility and are more likely to have a full stomach |
|
|
Term
| How can pregnancy alter signs and symptoms of shock |
|
Definition
| it my blunt the typical tachycardic to shock |
|
|
Term
| When s expeditious transport indicated on a pregnant pt |
|
Definition
| Uterine contractions, Vaginal bleeding or leaking fluid, or presence/absence of fetal movements |
|
|
Term
| What is the McRoberts Maneuver and when is it used? |
|
Definition
| It is used when the baby's shoulder is impacted beneath the mothers pubic bone- hyperflexing the mothers legs tightly toward her abd and apply superpubic pressure |
|
|
Term
| When is it considered pre-term labor |
|
Definition
|
|
Term
| What are the two most common types of breech deliveries |
|
Definition
Frank breach- buttocks comes out first
Footling breach- feet come first |
|
|
Term
| Should we attempt to deliver breech deliveries |
|
Definition
|
|
Term
| In respect to hypoxia, when are the most dangerous times during the uncontrolled delivery of a infant |
|
Definition
| Delivery of the legs and delivery of the abd |
|
|
Term
| How common is frank breech |
|
Definition
| 65-70% of breech deliveries |
|
|
Term
| What should be done for prolapsed cord presentation? |
|
Definition
Insert two fingers into the vagina placing the cord between the fingers.
Cover the exposed cord with moist dressing and keep warm
Palpate the cord for a pulse- if lost try to regain it by re-positiong your hand
Admin high flow O2
Establish IV enroute |
|
|
Term
| How do we provide tactile stimulation to a neonate |
|
Definition
| by flicking the soles of the feet and or rubbing the back |
|
|
Term
| What size catheter should be used to suction a neonates airway |
|
Definition
|
|
Term
| How long can you suction an infant |
|
Definition
|
|
Term
| What is the size of ET tube and straight laryngoscope blade used to intubate a neonate |
|
Definition
3.0 ET tube and size 0 straight blade
Remember 3 ET and O blade = 3.0 |
|
|
Term
| What should you do if a newly delivered neonate is apneic, bradypneic, bradycardic or central cyanosis is present |
|
Definition
| continue to ventilate at 40-60/min using 21% oxygen for up to 90 sec. After 90 seconds use 100% o2 |
|
|
Term
| What should you do for a neonate whos pulse is less than 100 but more than 60? |
|
Definition
| Provide positive pressure vent |
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Term
| What is the size of a saline bolus for a neonate |
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Definition
|
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Term
| When should spontaneous ventilations occur for a newborn |
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Definition
|
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Term
| What should you do if there is no sterile scalpel available in the OB kit |
|
Definition
| leave cord clamped, uncut. Place infant on mother abd for transport |
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Term
| You measure the APGAr scale on a newborn and it is 6, what should you do |
|
Definition
| refer to neonate resuscitation |
|
|
Term
| What does APGAR stand for |
|
Definition
| Appearance, Pulse, Grimace- reflex/irritability, Activity, Respiration |
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Term
| What are S&S of pre-eclampsia or hypertension |
|
Definition
| Elivated bp, moderate to sever fluid retention/edema, headache, double vision, and or altered mental status |
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Term
| Pt is pre-eclamsia pt- what should you prepare for? |
|
Definition
Possible seizures and hypoglycemia resulting from the seizures
DONT TREAT THE BP |
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Term
| How much blood can a child lose before the SBP is affected therefor crashing rapidly |
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Definition
|
|
Term
| How does crying affect peds |
|
Definition
| it causes gastric dilation leading to ventilatory impairment |
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|
Term
| What is the ventilation rate for children and infants without compressions |
|
Definition
|
|
Term
| What is the ventilation rate for children and infants with compressions |
|
Definition
| 8-10 a min = 6 to 7 seconds |
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Term
| How many peds IO attempts can be made in the field? |
|
Definition
|
|
Term
| What is the formula for calc ET tubes |
|
Definition
|
|
Term
| How do you prepare ET tube drug admin |
|
Definition
| Double the IVP dose and add 2cc of NS |
|
|
Term
| What is the PEDS dose for amiodarone |
|
Definition
|
|
Term
| What is the peds dose for EPI 1:10,00 |
|
Definition
|
|
Term
| What is the peds dose for Atropine |
|
Definition
|
|
Term
| What are s&S of a moderate allergic reaction |
|
Definition
| alert and oriented, systemic signs and symptoms, but nomotensive, sking warm and mild wheezing |
|
|
Term
| What are S&S of severe allergic/anaphylaxis |
|
Definition
| hypoperfusion, hypotension, altered mental status, nausea/vomiting, signs of airway constriction including stridor, air hunger, wheezing, and or rales |
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Term
| What should you do for the PEDS asthma pt who is not responding to a DuoNeb? |
|
Definition
| Epi 0.01mg/kg, consider solumedrol 2mg/kg max 125 mg |
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Term
| What are common reasons for PEDS to be bradycardic |
|
Definition
| respiratory distress, bypoxia, acidosis, or hypothermia |
|
|
Term
| What type of respiratory conditions will a DuoNeb not work for? |
|
Definition
| Stridor- inspiratory upper airway noise |
|
|
Term
| What should you do for an unstable PED who has croup |
|
Definition
| consider EPI 1:1000 3mg via nebulizer |
|
|
Term
| When should you assist ventilation's on a new born |
|
Definition
| if respirations are below 40 |
|
|
Term
| What part of the physical exam should you not preform on a pre-eclamptic pt |
|
Definition
| pupillary light reflex because it causes CNS stimulation and possibly a seizure |
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|
Term
| During cardiac arrest of a pregnant patient, when should you displace the uterus |
|
Definition
| If patient is 20 weeks pregnant or the uterus/fundus is clearly visible |
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|
Term
| What are contraindications to nitro |
|
Definition
Pt took viagra or viagra like meds in the last 48 hours ,
SBP is less than 100
Inferior wall infarction or ischemia |
|
|
Term
| What is the goal of nitroglycerine or fentanyl for chest pn |
|
Definition
|
|
Term
| What is the most important treatment for cardiac chest pn |
|
Definition
|
|
Term
| After administration of adenosine for SVT, you realize the rhythm is A-fib, whats next? |
|
Definition
Confirm that the QRS is less than .12
If symptomatic Admin Cardizem (Diltiazem) 20mg IV |
|
|
Term
| What law governs what a single paramedic can do |
|
Definition
| Wisconsin administrative code 110.50 |
|
|
Term
| When is it okay to admin dextrose in an IO |
|
Definition
|
|
Term
| Dose of atropine for organophosphate poisoning |
|
Definition
atropine 1 mg IV/IM until atropinization
atropine dose limits do not apply |
|
|
Term
| When do you have to ask the patient to do before applying an occlusive dressing |
|
Definition
| maximally exhale or cough |
|
|
Term
| In a tension pneumo, which direction does the trachea deviate to? |
|
Definition
|
|
Term
| When is resuscitation not indicated on a traumatic arrest |
|
Definition
| if the patient presents in asystole or wide complex PEA with a rate of less than 30 |
|
|
Term
| What are S&S of imminent delivery |
|
Definition
| involuntarily pushing or feels like she has to move her bowels with contractions |
|
|
Term
| If another paramedic is not enroute, at what level does the practicing paramedic work at? |
|
Definition
|
|
Term
| What is the first line of treatment for stable and unstable bradycardia |
|
Definition
|
|
Term
| When is transthoracic pacing used for first line treatment in brady pts |
|
Definition
|
|
Term
| How is CPR preformed on a visibly pregnant pt |
|
Definition
| by displacing the uterus to the patients left side |
|
|
Term
| What is the goal of nitro with chest pain |
|
Definition
|
|
Term
| What is one of the most important treatments for cardiac chest pain |
|
Definition
|
|
Term
| Where are most implanted defibrillators found |
|
Definition
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