PBCFR Protocols - ALS Medical Emergencies Exam Questions with 100% Correct Answers Graded A+
3 views 0 purchase
Course
Peregrine
Institution
Peregrine
PBCFR Protocols - ALS Medical Emergencies Exam Questions with 100% Correct Answers Graded A+
Allergic Reaction - What two vital signs do we need? __&__ ____, and _____&____.
15 & 12 (leave cables connected)
ETC02 & SP02
Allergic Reaction - Mild reaction is described as _________ ____?
Trea...
PBCFR Protocols - ALS Medical Emergencies
Exam Questions with 100% Correct Answers
Graded A+
Allergic Reaction - What two vital signs do we need? __&__ ____, and _____&____.
15 & 12 (leave cables connected)
ETC02 & SP02
Allergic Reaction - Mild reaction is described as _________ ____?
Treatment is ________?
Urticaria only.
Tx is Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1 MO)
Allergic Reaction - Moderate Reaction is described as ____________ + __________ ________?
Tx is ___, _______, _________, ____-______?
Normotensive + Additional Symptoms (Airway Swelling, Abd pain, Vomiting, Respiratory distress,
Bronchospasm, Tongue and/or facial swelling)
Tx - Epi (1:1,000 1mg/ml IM, may repeat 2x in 5 min intervals), Benadryl (50mg/1ml, dilute with 9ml of
NS, over 2 min IV/IO, >1 MO), Albuterol (2.5mg via nebulizer prn), Solu-medrol (125mg IV/IO/IM, over
2 min for IV/IO)
Allergic Reaction - Severe Reaction is described as ___________ + __________ ________?
Tx is ____ ____ ___, __, ________, ________, ____-______?
Hypotensive + Addition symptoms (loss of radial pulse or SBP <90 mmHg)
Tx - Push Dose Epi (1:100,000, Titrate to maintain SBP 100mmHg. Max total dose 300mcg (30mL)),
Normal Saline (1L IV/IO, assess lung sounds and BP frequently. May repeat 1x prn), Benadryl
(50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1 MO), Albuterol (2.5mg via nebulizer prn), Solu-
medrol (125mg IV/IO/IM, over 2 min for IV/IO)
Allergic Reaction - _________ source of ________ ________, if possible.
Eliminate source of allergic reaction, if possible
Diabetic Emergencies - Vitals to be obtained are ___, __, __ & __ ____?
BGL (Heel stick preferred for <1yo), Establish an IV, 12 & 15 Lead
Diabetic Emergencies - Hypoglycemia is defined as BGL < __?
Tx is ____ ______, and/or _-__?
BGL <60
Tx - Oral glucose (15g, may repeat 1x, must be conscious enough to swallow), D10 (100ml IV/IO,
retest glucose, may repeat 1x) IF pt is in cardiac arrest we give 250ml via 15 gtt set, run wide open, my
repeat 1x
Diabetic Emergencies - Hyperglycemia is defined as BGL> ___?
Tx is __?
BGL >300
Tx - Normal Saline (1L IV/IO, titrate to desired effect. Assess lung sounds and BP frequently. May
repeat 1x prn)
Diabetic Emergencies - Symptoms of hyperglycemia with DKA are N_____/V______, A________ P___,
G_____ W_______, A__, H_______, H_________?
N/V, Abdominal pain, General weakness, AMS, Hypotension, Tachycardia.
Dystonic Reaction - General requirements are ______ ____ _____, __&__ ____, __, _________?
Vital signs, 12 & 15 Lead, IV, Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1 MO)
Dystonic Reaction - are caused by Anti-_________, Anti-_______, and Anti-___________. (2 examples
for each)
Anti-psychotics (droperidol, haldol, risperdal)
Anti-emetics (compazine, reglan, phenergan)
Anti-depressants (prozac, paxil)
Dysonic Reaction - a dystonic reaction can occur ___________ or be delayed for _____ to ____?
Immediately
Hours to Days
Fluid Resuscitation/Dehydration - Symptoms (list 5, there are 8)
Hypotension
Fatigue
Dark color urine
Dry mouth
Headache
Prolonged vomiting and/or diarrhea Suspected rhabdomyolysis
Paramedic Discretion
Fluid Resuscitation/Dehydration - Tx?
NORMAL SALINE (1L IV/IO, titrate to desired effect. Assess lung sounds and BP frequently. May repeat
1x prn)
Hyperkalemia - what three vitals are we looking for initially? _____ & ____, __&__ ____, __.
ETC02 & SP02, 12&15 Lead, IV
Hyperkalemia - Consider hyperkalemia in patients with a history of _____-_______/_______ who are
pre-_______ AND present with any of the following: ______ _______ or ______ ___________ (Name
3 of the 5)
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks, RWCT, Sine
Wave, Widening or bizarre QRS complex)
Hyperkalemia - If pt presents with cardiac arrythmias or ECG abnormalities, what do we give?
CALCIUM CHLORIDE: 1g IV/IO, over 2 minutes (Diff. line than sodium bicarb)
ALBUTEROL: 2.5mg via nebulizer, Continuous treatments (if an advanced airway is utilized, administer
via in-line nebulization)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICAIDSTORE. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.39. You're not tied to anything after your purchase.