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AEMCA Prep > ALS - PCP > Flashcards

ALS - PCP Flashcards

(109 cards)

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1
Q

Bronchoconstriction

Indications

A

Respiratory distress

Suspected bronchoconstriction

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2
Q

Bronchoconstriction

Salbutamol - Conditions

A
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3
Q

Bronchoconstriction

Epinephrine - Conditions

A
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4
Q

Bronchoconstriction

Contraindications - Salbutamol

A

Allergy or sensitivity to salbutamol

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5
Q

Bronchoconstriction

Epinephrine - Contraindications

A

Allergy or sensitivity to epinephrine

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6
Q

Bronchoconstriction

Salbutamol - Treatment

A
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7
Q

Bronchoconstriction

Epinephrine - Treatment

A

Route: IM
concentration: 1:1000
Dose: 0.05mg/kg
Max dose: 0.5mg
Max # doses: 1

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8
Q

Bronchoconstriction

Clinical considerations

A
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9
Q

Moderate to Severe Allergic Reaction

Indications

A

Exposure to a probable allergen

Signs or symptoms of a Moderate to Severe Allergic Reaction (including anaphylaxis)

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10
Q

Moderate to Severe Allergic Reaction

Epinephrine - Conditions

A
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11
Q

Moderate to Severe Allergic Reaction

Diphenhydramine - Conditions

A
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12
Q

Moderate to Severe Allergic Reaction

Epinephrine - contraindications

A

Allergy or sensitivity to epinephrine

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13
Q

Moderate to Severe Allergic Reaction

Diphenhydramine - Contraindications

A

Allergy or sensitivity to diphenhydramine

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14
Q

Moderate to Severe Allergic Reaction

Epinephrine - Treatment

A
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15
Q

Moderate to Severe Allergic Reaction

Diphenhydramine - Treatment

A
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16
Q

Moderate to Severe Allergic Reaction

Clinical considerations

A
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17
Q

Croup

Indications

A

Current HX of URTI

Barking cough or recent history of barking cough

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18
Q

Croup

Epinephrine - Conditions

A

> 6 months to <8 years

HR: <200 bpm

Stridor at rest

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19
Q

Croup

Epinephrine - Contraindications

A

Allergy or sensitivity to epinephrine

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20
Q

Croup

Epinephrine - Treatment

A

Weight: <10kg
Route : NEB
Concentration: 1:1000
Dose: 2.5mg
Max dose: 2.5mg
# of doses: 1

Weight: >10kg
Route: NEB
Concentration: 1:1000
Dose: 5mg
Max dose: 5mg
# of doses: 1

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21
Q

Croup

Clinical considerations

A

none

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22
Q

CPAP

Indications

A

Severe respiratory distress

And

SS of Acute Pulmonary Edema or COPD

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23
Q

CPAP

Conditions

A
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24
Q

CPAP

Contraindications

A
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25
CPAP
Treatment
26
ROSC Indications
Patient with ROSC after resuscitation was initiated
27
ROSC Fluid bolus - conditions
28
ROSC Fluid Bolus - contraindications
Fluid overload
29
ROSC Fluid bolus - treatment
30
ROSC Clinical considerations
Consider initiating transport during above treatment For PCP IV
31
Cardiac ischemia Indications
Suspected cardiac ischemia
32
Cardiacs inschemia ASA - conditions
33
Cardiac ischemia ASA - contraindications
34
Cardiac ischemia ASA - Treatment
35
Cardiac ischemia Nitro - conditions
36
Cardiac Ischemia Nitro - Contraindications
37
Cardiac ischemia Nitro - Treatment
38
Cardiac ischemia Clinical considerations
39
ACPE Indications
Moderate to severe respiratory distress AND Suspected ACPE
40
ACPE Nitro - conditions
41
ACPE Nitro - contraindications
42
ACPE Nitro - Treatment
43
IV and Fluid therapy Indications
Actual or potential need for IV medication OR fluid therapy
44
IV or fluid therapy IV cannulation - conditions
Equal to or older than 2 years old
45
IV and fluid therapy IV cannulation - contraindications
Suspected fracture proximal to access site
46
IV and fluid therapy Fluid bolus - conditions
Equal to or older than 2 years old Hypotension
47
IV and fluid therapy Fluid bolus - contraindications
Fluid overload
48
IV and fluid therapy Fluid bolus - treatment
49
IV and fluid therapy Maintenance infusion - treatment
50
IV and fluid therapy Provincial patch point
Patch to base hospital to administer fluid bolus if: - patient is =< 2 - 12 years old - with suspected DKA
51
Hypoglycaemia Indications
Suspected hypoglycaemia
52
Hypoglycaemia Dextrose - conditions
53
Hypoglycaemia Dextrose - contraindications
Allergy or sensitivity to dextrose
54
Hypoglycaemia Dextrose - treatment
55
Hypoglycaemia Glucagon - conditions
56
Hypoglycaemia Glucagon - contraindications
Allergy or sensitivity to glucagon Pheochromocytoma
57
Hypoglycaemia Glucagon - treatment
58
Hypoglycaemia Clinical considerations
59
Nausea and Vomiting Dimenhydrinate - conditions
60
Nausea and vomiting Dimenhydrinate - contraindications
61
Nausea and vomiting Dimenhydrinate - Treatment
62
Nausea and vomiting Clinical considerations
63
Opiod toxicity Indications
Altered LOC Respiratory distress Inability to adequately ventilate OR persistent need to assist ventilations Suspected Opiod overdose
64
Opiod toxicity Nalaxone - conditions
65
Opioid toxicity Nalaxone - contraindications
Allergy or sensitivity to Nalaxone
66
Opioid toxicity Nalaxone - Treatment (What is the preferred order of drug routes)
67
Opioid toxicity Clinical considerations
68
Suspected adrenal crisis Indications
A patient with primary adrenal failure who is experiencing clinical signs of adrenal failure
69
Suspected adrenal crisis Hydrocortisone - conditions
70
Suspected adrenal crisis Hydrocortisone contraindications
Allergy or sensitivity to hydrocortisone
71
Suspected adrenal crisis Hydrocortisone - treatment
72
Suspected adrenal crisis Clinical considerations
IV us if hydrocortisone only applies to IV certified paramedics
73
Analgesia Indications
PAIN
74
Analgesia Acetaminophen - conditions
75
Analgesia Acetaminophen - Contraindications
76
Analgesia Acetaminophen - Treatment
77
Analgesia Ibuprofen - conditions
78
Analgesia Ibuprofen - Contraindications
79
Analgesia Ibuprofen - treatment
80
Analgesia Ketorolac - conditions
81
Analgesia Ketorolac - Contraindications
82
Analgesia Ketorolac - Treatment
83
Analgesia Clinical considerations
84
Bronchoconstriction Dexamethasone - Conditions
HX of asthma OR COPD OR 20 pack a year smoking hx
85
Bronchoconstriction Dexamethasone - Contraindications
Allergy / Sensitivity Currently on PO or parenteral steroids
86
Bronchoconstriction Dexamethasone - Treatment
Route : PO / IM / IV Dose : 0.5mg/kg Max dose : 8mg # of doses : 1
87
Croup Dexamethasone - Conditions
>6 months - <8 years Unaltered For mild, moderate and severe croup
88
Croup Dexamethasone - Contraindications
Allergy / Sensitivity Steroids received in the last 48 hours Unable to tolerate oral medications
89
Croup Dexamethasone - Treatment
Age: >6M - <8Y Route: PO Dose: 0.5mg/kg Max dose: 8mg # of doses: 1
90
Supraglottic Airway Indications
Need for ventilatory assistance or airway control Other airway management ineffective
91
Supraglottic Airway Conditions
Absent gag reflex
92
Supraglottic Airway Contraindications
Airway obstructed by foreign object Known esophageal diseases oropharynx trauma Caustic ingestion
93
Supraglottic Airway Confirming airway placement
Primary: ETCO2 Waveform Secondary: ETCO2 (non waveform) Auscultation Chest rise
94
Nausea / Vomiting Ondansetron - Conditions
Weight: >25kg LOA: Unaltered
95
Nausea / Vomiting Ondansetron - Contraindications
Allergy / Sensitivity Prolonged QT syndrome (Known to patient) Apomorphine use
96
Nausea / Vomiting Ondansetron - Treatment
Weight: >25kg Route: PO Dose: 4mg Max dose: 4mg # of doses: 1
97
Emergency Childbirth Indications
Pregnant patient experiencing labor OR Post partum patient immediately following delivery and/or placenta
98
Emergency Childbirth Delivery - Conditions
Age: Childbearing years Other: Second stage labor, Imminent birth, Shoulder dystocia, Breech , Prolapsed cord
99
Emergency Childbirth Delivery - Treatment
Position patient and deliver neonate
100
Emergency Childbirth Umbilical Cord Management - Conditions
Age: Childbearing years Other: Cord complications Neonatal or maternal resuscitation is required Due to transport considerations
101
Emergency Childbirth Umbilical Cord Management
Elevate fetal part in presence of prolapsed cord Assist patient into knee-chest position or exagerated sims Insert gloved finger/hand into vagina and apply manual digital pressure to presenting partsu until TOC
102
Emergency Childbirth External Uterine Massage - Condtions
Age: Childbearing years Other: Post Placental delivery
103
Emergency Childbirth External Uterine Massage - Contraindications
Placenta not delivered
104
Emergency Childbirth External Uterine Massage - treatment
To be done post placenta delivery
105
Emergency Childbirth Oxytocin - Conditions
Age: Childbearing years SBP: <160 mmHg Other: Post partum delivery AND/OR placental delivery
106
Emergency Childbirth Oxytocin - Contraindications
Allergy / Sensitivity Undelivered fetus Suspected or known pre-eclampsia with current pregnancy Eclampsia with current pregnancy >= 4 hours post placenta delivery
107
Emergency Childbirth Oxytocin - Treatment
Route: IM Dose: 10 units # Doses: 1
108
Emergency Childbirth Shoulder dystocia - Treatment
Perform ALARM twice on scene Successful: Deliver fetus Unsuccessful: Transport to closest ED
109
Emergency Childbirth Breach Delivery - Treatment
Hands off approach Allow fetus to deliver to umbilicus Carefully release arms and legs as they are delivered Once hairline visible, or 3 minutes passed since umbilucus --> smeilie veits

AEMCA Prep (14 decks)

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