Fundamentals Flashcards
What are the Breaths per min of an Asthma Pt while bagging?
6-8
What are the breaths per min for bagging a normal adult?
1 breath every 6 seconds (10 breaths per min)
Target Spo2 for COPD
92%
Lidocaine dose for IO
1 MG/KG
Max Lidocaine dose
50 MG
Ondasetron (Zofran) Dose
4MG slow IVP May repeat once in 10 min
Fentanyl Dose and MAX Dose
1 MCG/KG Max of 100 MCG May repeat in 5 min .
Fentanyl Max dose w/ OLMC
300 MCG
Elderly Fentanyl dose
0.5 MCG/KG
Max elderly single dose of Fentanyl
50 MCG
How Many Vital Signs should each transport have?
2
Ketamine PAIN Dose IN/IVP/IN
0.5 MG/KG slow IVP or 1 MG/KG IN/IM may rpt 1/2 after 10 min
A valid DNR must contain how many signatures
- Patient or guardian, Witness, And authorized practitioner
Log roll elderly pts?
no
Obese Pt’s
consider risk of apnea. elevate head of stretcher Higher risk of ET tube dislodgement
Listen over back for breath sounds
Humerous IO 15G needle
OBESE PT’s
request bariatric ambulance use right sized BP cuff
Airway obstruction
5 abd thrusts
chest thrusts if pregnant
DAI Drugs
Etomidate 0.5 MG/KG max of 40mg
or
ketamine 2 mg/kg slow ivp or 4mg/kg IM keep sedated with midazolam 2mg slow ivp up to 20 mg
benzocaine
1-2 second spray 30 seconds apart x2
DAI preoxygenate
for 3 min breathing at a RR of 8 or greater
AFTER intubating
confirm with etco2, ascultate over epigastrum, bi-lateral midaxillary lines, and anterior chest
IF etco2 not detected, confirm with direct laryngoscopy
Sedatives in pregnancies
caution…could be harmful to fetus
Diphenhydramine
1mg/kg (max of 50)
EPI 1:1000
0.3mg IM
to not delay transport while waiting for response
