Critical Care Paramedic (with 100% accurate solutions)

Laryngoscopy correct answers Step1-Appropriate Sniffing Position: head back, neck flexed (ear hole/external auditory eatus is at same plane as sternal notch. Need to elevate head 5-7inches up (once elevated, tilt head all the way back). Step2-translate mandibular process by opening mouth, two finger technique Step3-Insert scope, inch down tongue until you see epiglottis Step4-Make Vallecula actual space with ELM, and with no force yet, put blade under vallecula Step5-Lift until see posterior notch, or until head moves up CVA HTN Tx if over Sys: 210 or Dia: 120 correct answers Start with Nicardipine, 5mg/hr and titrate up with adding 2.5mg/hr every 5 minsnprior to dropping back down, up to 15mg Bougie Cricothyrotomy correct answers Step1-Equipment (6cuffed, syringe,scalpel, bvm w/Etco2, dressing, bougie) Step2-Landmarks (between cricoid ring and thyroid cartilage)-can't find, then vertical incision Step3-1.5-2cm incision into cricothyroid membrane, immediately placing finger into incision to augment/keep location. Step4-insert bougie, feel for tracheal clicks Step5-insert 6 ETT, make have to put pressure/back&forth, and once balloon in, your good to blow up cuff hypotension with ACS correct answers Consider 1-2L NS, and then inotropes: dopamine/dobutamine For AMS and hx Alcoholism/Malnutrition correct answers Give Thiamine IV 100mg Options for Combative Patient correct answers 1)Versed 2-5mg IV 2)Ativan 1-2mg IV, q/3mins can repeat 3)Valium 5-10mg can repeat 15min 4)Haldol same as Valium but IM also 5)Ketamine .2mg/kg For adult anaphylaxis don't forget correct answers corticosteroid: Solumedrol, helps with late phase 200mg Anaphylaxis, 125mg Hace and Resp. Distress History of WPW, treat like correct answers V-Tach Protocol, not Afib-RVR so Ami 150mg in ten mins, may repeat Afib RVR Stable vs. Unstable correct answers Dilt IV 5-10 mins =Stable (can repeat in 5-10) .25mg/kg (repeat at .35) Cardiovert 100J=Unstable don't forget 12 leads