SNHD Paramedic Protocol Exam Study
Guide Questions And Answers
/ Identify the Parkland Burn Formula for Fluid Replacement. - Answer-4ml x (body
weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours;
give remainder over next 16 hours
Pg. 28
/.For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma
center. - Answer-10 feet or two times the height of the child
Pg. 127
/.What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? -
Answer-2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
/.For a traumatic cardiac arrest, what interventions must be performed prior to
considering terminating resuscitation efforts? - Answer-Provide effective ventilation with
100% oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
/.For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood
pressure greater than 100 mmHg, what is the dose of Nitroglycerin? - Answer-1.6 mg
SL
Pg. 49
/.Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
Answer-A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
, /.A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2
trauma center only. - Answer-False (Level 1, 2 or 3)
Pg. 127
/.When should radio contact be established to a receiving facility? - Answer-All trauma
patients
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
/.How often can additional Diazepam (Valium) doses be administered to a pregnant
patient who is refractory to Magnesium Sulfate? - Answer-Every 5 minutes
Pg. 43
/.For non-trauma patients, telemetry reports should include at a minimum which of the
following? - Answer-Attendant/vehicle identification, Nature of call: INFORMATION
ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age,
sex), Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment,
Estimated time of arrival including any special circumstances that may cause a delay in
transport
Pg. 115
/.A patient is defined as any individual that meets which of the following? - Answer-All of
the above (A person who has obvious evidence of illness or injury, A person who has a
complaint or mechanism suggestive of potential illness or injury, A person identified by
an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury)
Pg. 6
/.Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - Answer-
True.
Pg. 47
/.What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? -
Answer-1.0 mg/kg
Pg. 96
Guide Questions And Answers
/ Identify the Parkland Burn Formula for Fluid Replacement. - Answer-4ml x (body
weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours;
give remainder over next 16 hours
Pg. 28
/.For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma
center. - Answer-10 feet or two times the height of the child
Pg. 127
/.What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? -
Answer-2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg
Pg. 45
/.For a traumatic cardiac arrest, what interventions must be performed prior to
considering terminating resuscitation efforts? - Answer-Provide effective ventilation with
100% oxygenation for two (2) minutes
Open airway with basic life support measures
Perform bilateral needle thoracentesis if tension pneumothorax suspected
Pg. 125
/.For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood
pressure greater than 100 mmHg, what is the dose of Nitroglycerin? - Answer-1.6 mg
SL
Pg. 49
/.Which patient(s) can be taken to a hospital that has been placed on internal disaster? -
Answer-A patient in which an airway cannot be established
A patient in cardiac arrest
Pg. 12
, /.A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2
trauma center only. - Answer-False (Level 1, 2 or 3)
Pg. 127
/.When should radio contact be established to a receiving facility? - Answer-All trauma
patients
Emergency (code 3) returns
Need for telemetry physician
Per protocol
Pg. 11
/.How often can additional Diazepam (Valium) doses be administered to a pregnant
patient who is refractory to Magnesium Sulfate? - Answer-Every 5 minutes
Pg. 43
/.For non-trauma patients, telemetry reports should include at a minimum which of the
following? - Answer-Attendant/vehicle identification, Nature of call: INFORMATION
ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age,
sex), Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment,
Estimated time of arrival including any special circumstances that may cause a delay in
transport
Pg. 115
/.A patient is defined as any individual that meets which of the following? - Answer-All of
the above (A person who has obvious evidence of illness or injury, A person who has a
complaint or mechanism suggestive of potential illness or injury, A person identified by
an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury)
Pg. 6
/.Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - Answer-
True.
Pg. 47
/.What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? -
Answer-1.0 mg/kg
Pg. 96
