Platinum Final Review – Paramedic 142
correctly answered Questions.
Platinum Final Review – Paramedic 142
correctly answered Questions.
Best airway adjunct to use for smoke inhalation? - ANSWER- ET Tube
Most important info to evaluate ventilatory status - ANSWER- - Respiratory rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
Most important info for oxygenation status - ANSWER- - Mental status
- Skin signs
- Pulse ox
Most important assessment when evaluating pt O2 to the brain - ANSWER- - Airway
patency
- RR
- SpO2
- Lung sounds
Next step if NRB don't work - ANSWER- BVM
Next step for opening unresponsive pt with slow and shallow respirations - ANSWER- -
Check mouth for secretions
- Foreign body
When to use ET tube - ANSWER- • Cardiac arrest X 2
• Go to supraglottic
When to use supraglottic - ANSWER- When ET tube is unsuccessful
,Platinum Final Review – Paramedic 142
correctly answered Questions.
When to use LMA / IGEL - ANSWER- Secured to the throat via inflation cuff (LMA) or
non inflatable cuff (IGEL)
When to use CPAP - ANSWER- CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
When to use NRB - ANSWER- Used for pt who need more than 6LpM
Can have neb inlined
When to use BVM - ANSWER- Used for unconscious or conscious patients •
BLS before ALS
Anaphylaxis TX - ANSWER- Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
Advantages and disadvantages of surgical and needle crico - ANSWER- Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding,
subcutaneous emphysema • Most frequent type of crico
Findings in a spontaneous pneumothorax - ANSWER- SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
Best method to use for vomiting pt and need to tube - ANSWER- Reduce gastric
volume Supraglottic airway
Cricoid pressure
RSI
Advantages and disadvantages of ET vs supraglottic - ANSWER- - Supraglottic is
simpler and faster than ET tube•
- ET is more complex and requires two practitioners, more equipment - - Supraglottic
achieves initial ventilation more often
- Aspiration occurs more frequently in supraglottic
Causes of pt resps being shallow after striking head while driving - ANSWER- C 3,4,5
innervate the diaphram and spine can be compressed
First step for slow pulse, resps and low BP - ANSWER- ABC
BVM
, Platinum Final Review – Paramedic 142
correctly answered Questions.
Primary assessment - ANSWER- General impression
• AVPU
• CC
ABC
• Treatment / transport
If pt cannot tolerate NRB - ANSWER- NC at 6LpM
Treatment for diabetic pt who OD with slow shallow resps - ANSWER- ABC
Begin mouth to mask breathing
Why would capno decrease in an artificially vented pt - ANSWER- - RR greater than 20,
pt eliminates more CO2 than average
- Causes an excess decreasing of CO2
Lung sounds with allergic reaction - ANSWER- Absense of lung sounds
S/S of pneumonia - ANSWER- - Hx of fever and chills (bed shaking)•
- Gen weak and malaise•
- Deep and productive cough with yellow to brown sputum with possible blood •
- Pleurtic chest pain
S/S of emphysema - ANSWER- SOB
Barrel chest
Long lasting coughing either dry or wet
Wheezing
Fatigue
Respiratory infection
Cynosis at nails or lips
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