BLS PCS Flashcards
(27 cards)
what are the baseline vital signs according to the BLSPSC
- HR
- RR
- BP
- SPO2
- GCS
- Pupils
- skin colour and condition
when should you auscultate the patients lungs and initiate cardiac monitoring?
if the patient is exhibiting S/S of cardiac, respiratory, or Neurological compromise
paramedics should attempt to maintain a pations SPO2 between…
92-96%
paramedics should continuously administer high concentration oxygen for patient who have…
- CO or cyanide toxicity or noxious gas exposure
- upper airway burns
- scuba diving related disorders
- cardiac arrest
- complete airway obstructions
- sickle cell anemia with vaso occlusive crisis
which pts require high flow oxygen if the SPO2 is not working?
- age specific hypotension
- respiratory distress
- cyanosis, ashen, or pale skin
- altered LOC
- abnormal pregnancy or labour
what oxygen saturation should a paramedic try to maintain a COPD patient at
88-92%
how should the paramedic administer oxygen to a COPD patient
- administer O2 by nasal cannula 2L above the pts home O2
- increase the O2 by 2L every 2 - 3 mins if no improvement or pt worsens
how often should you reasses the COPD pts vitals?
every 10 mins
what should you do if the sending facility requests restraints
advise that all restraints must be provided and applied by hospital staff or police prior to transport
when should a paramedic consider leaving a tazer probe in the patient?
if its embedded above the clavicle, in the nipple, in the genital area, or other unusual circumstances
if the pt is violent and uncooperative. what should you attempt to determine from the bystanders on scene?
- if illness, injury, alcohold, or drugs triggered the present behaviour
- if there is a past hx of violence
what is the condition for an IV line for fluid replacement of potassium chloride.
pt is >=18 yoa to a maximum of 10mEq in a 250ml bag
when should the IV bag be changed?
when there is approximately 150mls of solution remaining
what are signs of cerebral herniation?
- Gcs less than 9
- dialated or unreactive pupils
- asymmetric pupils
- unilateral or bilateral posturing
for cerebral herniation how should you ventilate an adult, child, and infant less than 1yo?
20, 25, 30 breaths per minute. respectivly
a pt meets the STEMI bypass indications if their chest pain is less than ___ hours of onset of the current episode of chest pain
12
what is considered sepsis according to the BLSPCS
- > 38.5
- possible infection suspected
- SBP <90
- RR >=22 BPM
- altered LOC
overdose of what medications can lead to heat stroke?
anti-depressants, antihistamines, Beta blockers, and cocaine, ecstasy, amphetamines
what ETCO2 should an asthmatic/ COPD patient be maintained at?
50-60mmhg
what is normal blood loss during menstruation?
10 - 35ml
how long should you irrigate a bite injury?
for up to 5 minutes
when should you discontinue cooling efforts in a burn pt.
if shivingering or hypotension develops
if shivering is minimal or absent and level of consciousness is decreased or mental status is markedly altered assume core temperature is below _____ degrees Celsius
32 degrees
if an alkali burn is suspected, irrigate for a minimum of __ minutes
20 minutes
