Exam (elaborations)
Critical care paramedic Exam Questions and Answers 2024
Critical care paramedic Exam Questions and Answers 2024
[Show more]
Content preview
Critical care paramedic ExamQuestions and Answers 2024
When should you perform the intubation during RSI? - -When the waveform
etco2 is flat- meaning the NMBA is working and the diaphragm has stopped.
-Nitrogen washout - -Apply high flow 02 to prepare for intubation and
washout the N2.
-Who gets atropine during RSI and why? - -Pediatric patients <2-3 y/o prior
to RSI. Pediatric patients cardiac output is rate dependent. Pediatric patients
are not able to raise inotropy. Atropine will help prevent with bradycardia.
-Atropine dose - -0.02 mg/kg. Max dose: 0.5 mg
-What can you do if pediatric patient has Low BP prior to RSI? - -administer
vasopresssors
-Lidocaine RSI dose - -1.0- 1.5 mg/kg IV
-What is lidocaine used for in RSI? - -For patients with suspected increased
ICP. Lidocaine will decrease vagal nerve stimulation. It will cause blunting of
the airway reflexes and prevent coughing, gagging, which will raise ICP.
-What are the drug options for sedation in RSI? - -Etomidate, Versed,
Ketamine, and propofol
-Etomidate dose - -0.2-0.3mg/kg
-What is the preferred drug for sedation in RSI? - -Etomidate. Has rapid
onset of 10-20 seconds, short duration of 4-10 mins, can be used in peds,
has no histamine release.
-What are the downsides to giving etomidate for RSI? - -Causes a mild
increase in airway resistance, Myoclonus may be seen, and you must avoid
in septic patients.
-Why can you not give etomidate for septic patients? - -Causes
Adrenocortical supression
-Dose for Versed in RSI? - -2.5-5.0 Mg Iv or .1-.3 mg/kg.
Has a rapid onset of .5- 2 mins, and a short duration of 20-30 mins.
Pediatric infusion dose: 0.05-0.4mg/kg per hour
, -Ketamine dose for RSI? - -1.5-4.0 mg/kg IV over 1 minute ( 5-10 mg/kg IM)
-When is ketamine preferred? - -In pediatrics due to halluciations
-What receptors does ketamine stimulate? - -Stimulates the opiod receptor
causing analgesia.
Will stimulate the catecholamine receptors and release cateccholamines
leading to increased HR, contractility, MAP, and BP.
-Does ketamine increase ICP? - -No evidence shows that ketamine increases
ICP in hypotensive or normotensive patients.
Best not to give ketamine in patients who have suspected IC with high blood
pressure.
-Propofol dose - -Continued sedation dose: 5-50 mcg/kg/min
-Propofol contraindications - -OB and < 8 year old peds
-What effects will propofol have on the body? - -Will lower the BP. Will
reduce airway resistance and can be useful inducting patients with
bronchospasm.
-Is propofol an analgesic? - -No it has sedation and amnesia properties
-Is propfol good for patients with intracranial pathology? - -Yes, if they are
stable.
-What side effects can all neuromuscular blocking agents cause? - -They all
can cause Low BP and Malignant hyperthermia.
-Succinylcholine dose - -1-1.5 mg/kg
Higher doses may reduce occurance of myalgia.
-Only FDA approved depolarizing NMBA? - -Succinylcholine
-Pediatric dose for succs? - -2.0mg/kg
-Contraindications for succs? - -Hyperkalemia, burns >72 hours, < 1 year
eye injuries, glaucoma, MH, paraplegia, MD
-Will succs cause an icrease in ICP? - -No it will not
-Onset and duration of succs? - -Rapid onset - 3-5 mins
Duration- 25-30 mins
-How much can succs raise your serum potassium levels? - -3.0-5 meq/L
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 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 Victorious23. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for £8.56. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77254 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy revision notes and other study material for 14 years now