SNHD PARAMEDIC PROTOCOLS TEST QUESTIONS AND ANSWERS 100% GUARANTEED A+
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Course
SNHD
Institution
SNHD
SNHD PARAMEDIC PROTOCOLS TEST
QUESTIONS AND ANSWERS 100%
GUARANTEED A+
Meds for NO evidence of airway involvement? - ANSWER Diphenhydramine 50mg
IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - ANSWER Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
A...
SNHD PARAMEDIC PROTOCOLS TEST
QUESTIONS AND ANSWERS 100%
GUARANTEED A+
Meds for NO evidence of airway involvement? - ANSWER Diphenhydramine 50mg
IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - ANSWER Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction
Meds if no signs of shock? - ANSWER Albuterol 2.5mg SVN, repeat as needed
IV access- 500 ml NS or LR bolus; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds if patient in Shock? - ANSWER Albuterol 2.5mg in 3ml SVN, repeat as needed
Cardiac monitor
IV access- 500ml NS or LR bolus IV/IO; repeat up to 2000ml
Diphenhydramine 50mg IM/IV/IO/PO
Push Dose Epi 1:100,000 10mcg IV/IO, may repeat q 2-5min to maintain SBP>90
Allergic Reaction
What is the first-line drug in acute anaphylaxis ? - ANSWER Epinephrine.
IM Epi (1:1000) should be administered in priority before or during attempts at IV or IO
Allergic Reaction
What is the next step if there is refractory anaphylaxis? - ANSWER Contact medical control
Allergic Reaction
There are no absolute contraindications to episodes, but when should it be used in caution? -
ANSWER In elderly patients, patients with known cardiovascular disease, or significant
tachycardia or hypertension, and only should be administered when the patients signs and
symptoms are severe
Mild allergic reaction - ANSWER Skin rashes
itchy sensation
hives with NO respiratory involvement
Moderate allergic reaction - ANSWER skin disorders
May include some respiratory involvement like wheezing - still maintains good tidal volume
, Severe allergic reaction - ANSWER skin disorders
respiratory difficulty
MAY include hypotension
Allergic reaction special considerations - ANSWER Always perform ECG monitoring when
administering EPI
Provide oxygen and airway support as needed
Altered Mental Status
BG <60mg/dl - ANSWER Glucagon 1.0 mg IM for no IV access
Altered Mental Status
BG >60mg/dl - ANSWER Cardiac Monitoring
Consider NS or LR 500ml IV/IO; may repeat up to 2000ml
Behavioral Emergency
Meds for patient severely agitated - ANSWER Ketamine 2mg/kg IV/IO OR
2-4 mg/kg IM
Behavioral Emergency
Meds for patient threatening to harm others - ANSWER Midazolam 0.1mg/kg IN/IM/IV/IO, max
5mg; may repeat x1 after 5 min at 0.05 mg/kg max 2.5mg. Further doses with physician order
OR
Diazepam 5mg IV/IO may repeat q5 min
OR
Droperidol 1.25mg IM/IV/IO followed by a saline flush or bolus; may repeat dose q5 min
Bradycardia
HR <50 bpm & any of the following:
1. hypoperfusion
2. AMS
3. Signs of shock - ANSWER Atropine 1mg IV/IO; may repeat q 3-5min; max dose 3mg
Refractory bradycardia - Transcutaneous Pacing
Failure to capture - Push dose EPI 10mcg IV/IO may repeat q 2-5 min to maintain SBP >90
Consider Glucagon 1mg IV/IO for patients on beta blockers
Consider Calcium Chloride 1 g IV/IO for patients on calcium channel blockers
Bradycardia
Acute coronary syndrome suspected - ANSWER Signs of hypotension, AMS, Shock - consider
Transcutaneous pacing
Consider - Atropine 1 mg IV/IO may repeat q3-5 min; max dose 3mg
Bradycardia
, What to not delay waiting for IV access? - ANSWER Pacing
Braydycardia
What is a common cause of bradycardia? - ANSWER hypoxemia. Be sure to oxygenate the
patient and provide ventilator support as needed
Burns
Thermal Exposure - ANSWER -Stop burning process with water or saline
-Remove smoldering clothing and jewelry
-Do not remove STUCK clothing
Vascular Access
-NS or LR 500 ml fluid bolus IV/IO if signs of hypo perfusion OR >20% BSA burn present
-contact medical direction at burn center for further drip rates/additional boluses
Burns
Chemical/Electrical Exposure - ANSWER Eye involvement? continuous saline flush with water
or NS for 10-15 min
Remove jewelry, constricting items and exposure burned area
identify entry and exit sites, apply sterile dressing
Vascular Access
-NS or LR 500 ml fluid bolus IV/IO if signs of hypo perfusion OR >20% BSA burn present
-contact medical direction at burn center for further drip rates/additional boluses
Burns
Criteria for transport to closest appropriate burn care center - ANSWER - Second degree burns
>10% BSA
- Any third degree burns
- Burns that involve face, hands, feet, genetilia, perineum or major joints
- Electrical burns including lightning injury
- chemical burns
- circumferential burns
- inhalation burns
- Burn injury with concomitant trauma
Burns
Fluid Resuscitation - ANSWER -Adults 13 years and older 500ml NS or LR bolus
-Contact Burn center medical direction for additional boluses or drip rates or if it is a prolonged
transport
Cardiac Arrest
- what do you do if witnessed by EMS or CPR in progress and patient is unresponsive with no
pulse - ANSWER begin chest compressions at rate of 30:2 until advanced airway is successfully
placed
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