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Exam (elaborations)

SNHD Protocol Test Review

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  • SNHD Protocol
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  • SNHD Protocol

SNHD Protocol Test Review Patient Transport and Emergencies 1. Ventilation Issues: If a patient cannot be adequately ventilated, they must be: ️ transported to the nearest emergency department. 2. Sexual Assault Victim Transport: - Under 13 years: ️ transport to Sunrise. - Age...

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  • August 15, 2024
  • 11
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • SNHD Protocol
  • SNHD Protocol
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SNHD Protocol Test Review
Patient Transport and Emergencies



1. Ventilation Issues:

If a patient cannot be adequately ventilated, they must be:

✔️ transported to the nearest emergency department.



2. Sexual Assault Victim Transport:

- Under 13 years:

✔️ transport to Sunrise.

- Ages 13 to 18:

✔️ transport to Sunrise or UMC.

- Over 18 years:

✔️ transport to UMC.



3. BVM Ventilation:

Bag-Valve-Mask (BVM) is an acceptable ventilation method if pulse oximetry is maintained at:

✔️ greater than or equal to 90%.



4. Signs Indicating Aneurysm:

Neuro disorders or signs of hypo perfusion/shock in patients with abdominal pain may indicate:

✔️ an aneurysm.



5. Post-Fluid Bolus Care:

After each fluid bolus, it's essential to:

✔️ repeat vital signs.

, 6. Abdominal/Flank Pain in Older Patients:

In patients over 35 presenting with abdominal or flank pain along with nausea and vomiting, consider:

✔️ a cardiac origin and perform a 12-lead ECG.



7. Nitroglycerin Contraindications:

Nitroglycerin is not advised in patients with:

✔️ hypotension, bradycardia, tachycardia in the absence of heart failure, or signs of right ventricular
infarction.



8. 12-Lead ECG Indications:

Always perform a 12-lead on patients aged 35 and older experiencing:

✔️ vague jaw, chest, or abdominal discomfort (suspected acute coronary syndrome).



9. Epinephrine Admin Monitoring:

Always conduct:

✔️ ECG monitoring when administering Epinephrine.



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Glucose and Neurological Assessments



10. Oral Glucose Administration:

For patients with altered mentation or syncope, provide oral glucose if blood sugar is:

✔️ less than 60 mg/dL.



11. Dystonic Reaction:

Defined as:

✔️ involuntary muscle movements or spasms, typically affecting the face, neck, and upper
extremities, often due to drugs like haloperidol.

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