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Paramedic > Paramedic State Test 2023 Pt 1 > Flashcards

Paramedic State Test 2023 Pt 1 Flashcards

1
Q

What is lidocaine’s class

A

antiarrhythmic and local anesthetic

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2
Q

What is lidocaine’s dosage

A

1-1.5 mg/kg slow IV push

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3
Q

What are lidocaine’s contraindications

A

Severe HB, bradycardia, WPW

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4
Q

What does a shark fin mean in capnography?

A

Asthma/wheezing/bronchoconstriction

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5
Q

What does a top hat mean in capnography?

A

Normal or an obstruction

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6
Q

What is valium’s adult dose

A

5-10 mg
MAX 30 mg

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7
Q

What is valium’s peds dose

A

0.1-0.3 mg/kg
MAX 4 mg

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8
Q

What is valium’s class?

A

Benzodiazepine

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9
Q

What is valium’s MOA?

A

Depresses limbic system, thalamus, and hypothalamus resulting in calming effects

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10
Q

What are valium’s contraindications?

A

Acute alcohol toxicity, pregnancy (except in eclampsia), and neonates

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11
Q

What adverse effects are possible with valium?

A

Respiratory depression, respiratory arrest, bradycardia, and hypotension

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12
Q

What is another name for valium

A

Diazepam

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13
Q

What is another name for versed

A

midazolam

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14
Q

What is the adult dose for versed (IV)

A

2-2.5 mg IV/IO
every 3-5 minutes as needed
MAX 10 mg

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15
Q

What is the peds dose for versed (IV)

A

0.2 mg/kg IV/IO
MAX single dose 2.5 mg
May repeat every 3-5 minutes as needed
MAX 10 mg

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16
Q

How much versed would you give to a patient equal or greater than 49 kg IM?

A

10 mg IM
Repeat in 5 minutes if needed
MAX 20 mg

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17
Q

How much versed would you give a patient under 49 kg IM?

A

0.2 mg/kg IM
MAX single dose 5 mg
May repeat in 5 minutes if needed
MAX 10 mg

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18
Q

What is versed used in?

A

Seizures

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19
Q

What is haldol used in?

A

Psychotic episodes

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20
Q

What is the dose of haldol for someone over 12 years old?

A

2-5 mg IM

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21
Q

What is the dose of haldol for a patient over 65 years old?

A

2.5 mg IM

22
Q

What is an extrapyramidal reaction?

A

muscle spasms caused by an antipsychotic drug reaction

23
Q

How do you treat an extrapyramidal reaction?

A

Benadryl 50 mg IV/IO

24
Q

what is stroke volume?

A

Volume pumped out of left ventricle during each cardiac cycle

25
Q

what is asystole and diastole?

A

the heart at rest

26
Q

How much atropine do you give in organophosphate poisoning?

A

2 mg
Repeated every 2 minutes IV until symptoms resolve

27
Q

How much 2PAM do you give an adult in organophosphate poisoning?

A

600 mg IV plus 2 mg atropine

28
Q

How much 2PAM would you give a peds patient in organophosphate poisoning?

A

15-25 mg/kg over 30 minutes

29
Q

What is the dose for atropine in peds?

A

0.02 mg/kg IV/IO
May repeat X1
Minimum single dose 0.1 mg
MAX single dose 0.5 mg

30
Q

How do you treat a tricyclic antidepressant OD?

A

Sodium bicarbonate

31
Q

What do you never give a patient after administering activated charcoal?

A

Water

32
Q

What do you do for a household cleaner ingestion?

A

Call poison control

33
Q

What class is atropine?

A

Anticholinergic (parasympathetic blocker)

34
Q

What is atropine’s MOA?

A

Decreases legal tone, therefore increasing SA automaticity and AV conduction

35
Q

What is atropine used in?

A

Symptomatic bradycardia

36
Q

What are the contraindications for atropine?

A

Obstructive GI disease, liver disease, asthma, 2nd degree type 2 HB, 3rd degree HB

37
Q

What are the possible adverse side effects that atropine could cause?

A

v-fib, v-tach, and worsen areas of infarction

38
Q

What is a caution you should have when administering atropine?

A

Small doses or slow push may initially decrease HR

39
Q

what is the initial dose of synchronized cardioversion for v-tach with a pulse?

A

200 J

40
Q

what is the amount of Jules you would use for v-fib/v-tach?

A

120 or 200 biphasic and 360 monophasic

41
Q

what is the amount of jules you would use for a-fib?

A

120-200 biphasic or 200 monophasic

42
Q

what is the amount of jules you would use for a-flutter and SVT?

A

50-100 biphasic or monophasic

43
Q

what is the amount of jules for v-tach with pulse?

A

100 biphasic or monophasic

44
Q

What should you do for symptomatic bradycardia?

A

Pace first, then atropine

45
Q

What should you do for asymptomatic bradycardia?

A

Atropine, then pace if no response

46
Q

What is dopamine’s MOA?

A

Stimulates dopaminergic beta-adrenergic and alpha-adrenergic receptors of the sympathetic nervous system.
Exerts an inotropic effect on the myocardium, resulting in an increased cardiac output

47
Q

what is the peds dose for dopamine?

A

5-15 mcg/kg/min

48
Q

what is the adult dose for dopamine?

A

2-20 mcg/kg/min
Titrate to SBP greater or equal to 90 mmHg

49
Q

What is dopamine used for?

A

To correct hemodynamic imbalances/shock and bradycardia

50
Q

What should you not use dopamine in?

A

Hypovolemic shock

51
Q

What are the adverse side effects possible with dopamine?

A

May cause tachycardia, angina, hypotension, palpitations

Paramedic (7 decks)

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