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Protocols Flashcards

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1
Q

Bronchoconstriction - What are the conditions for Salbutamol?

A

none

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2
Q

Bronchoconstriction - What are the conditions for Epi?

A
  • BVM ventilation required
  • Hx of Asthma
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3
Q

Bronchoconstriction - What are the conditions for Dexamethasone?

A

Hx of Asthma OR COPD OR 20 pack/yr history of smoking

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4
Q

What medications can be given for Bronchoconstriction?

A

Salbutamol
Epi
Dexamethasone

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5
Q

Bronchoconstriction - What are the contraindications for Salbutamol?

A

Allergy or sensitivity

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6
Q

Bronchoconstriction - What are the contraindications for Epi?

A

Allergy or Sensitivity

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7
Q

Bronchoconstriction - What are the contraindications for Dexamethasone?

A
  • Allergy or Sensitivity
  • Currently on PO parenteral steroids (steroids administered anywhere other than mouth - ie, IM or IV)
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8
Q

Bronchoconstriction - What is the dosage for Salbutamol?

A

<25 kg
MDI - up to 600mcg (6 puffs), max of 3 doses, 5-15 min interval

NEB - 2.5 mg (with 2.5mg saline), max of 3 doses, 5-15 min interval

> =25 kg
MDI - up to 800 mcg (8 puffs), max of 3 doses, 5-15 min interval

NEB - 5mg, max of 3 doses, 5-15 min interval

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9
Q

Bronchoconstriction - What is the dosage for Epi?

A

IM (1mg/ml - 1:1000)
0.01mg/kg, max of 0.5mg
Max of 1 dose

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10
Q

Bronchoconstriction - What is the dosage for Dexamethasone?

A

PO / IM / IV
0.5mg/kg, max of 8mg
Max of 1 dose

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11
Q

Moderate to severe allergic reaction - What are the conditions for Epinephrine?

A

For anaphylaxis only

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12
Q

Moderate to severe allergic reaction - What are the conditions for Diphenhydramine?

A

> = 25 kg

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13
Q

Moderate to severe allergic reaction - What are the contraindications for Epi?

A

Allergy or sensitivity

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14
Q

Moderate to severe allergic reaction - What are the contraindications for Diphenhydramine?

A

Allergy or sensitivity

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15
Q

What are the indications for Moderate to severe allergic reaction?

A

Exposure to a possible allergen
AND
Signs and symptoms of a moderate or severe allergic reaction

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16
Q

Moderate to severe allergic reaction - What is the dosage for Epi?

A

IM (1mg/ml - 1:1000)
0.01mg/kg, max of 0.5mg
Max of 2 dose, min 5 minute interval

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17
Q

Moderate to severe allergic reaction - What is the dosage for Diphenhydramine?

A

> = 25 kg - < 50 kg
IV / IM
25mg, max of 1 dose
= 50 kg
IV / IM
50 mg, max of 1 dose

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18
Q

Croup - what are the indications?

A

Current Hx or URTI
OR
current or recent Hx of barking cough

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19
Q

Croup - what are the conditions for Epi?

A

> = 6 months to < 8 years
HR < 200 bpm
Stridor at rest

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20
Q

Croup - what are the conditions for Dexamethasone?

A

> = 6 months to < 8 years
Form mild, moderate and severe croup

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21
Q

Croup - What are the contraindications for Epi?

A

Allergy or sensitivity

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22
Q

Croup - What are the contraindications for Dexamethasone?

A

Allergy or sensitivity
Steroid received within last 48 hours
Unable to tolerate oral medication

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23
Q

Croup - What is the dosage for Epi?

A

< 10kg (22 pounds)
NEB
2.5 mg, max of 1 dose

> = 10kg (22 Pounds)
NEB
5 mg, max of 1 dose

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24
Q

Croup - What is the dosage for Dexamethasone?

A

> = 6 months - < 8 years
PO
0.5 mg/kg, max of 8 mg
Max of 1 dose

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25
CPAP - What are the indications?
Severe respiratory distress AND Acute signs/symptoms of ACPE or COPD
26
CPAP - What are the conditions?
>= 18 years old Tachypnea Normotension SpO2 < 90% or accessory muscle use
27
CPAP - What are the contraindications?
- Asthma exacerbation - Suspected pneumothorax - unprotected or unstable airway - Major trauma or burns to the head or torso - Tracheostomy - Inability to sit upright - Unable to cooperate
28
CPAP - What are the settings?
Initial setting - 5cm H2O Titrate - 2.5cm H2O increments Interval - 5 minutes Max setting - 15 cm H2O
29
CPAP - When should you increase FiO2?
If pt sats still <92% despite treatment, and/or 10cm H2O has been set, increase to 100%
30
Medical cardiac arrest - What are the indications?
Non-traumatic cardiac arrest
31
Medical cardiac arrest - What are the considerations?
Consider very early transport if: 1. pt is >= 20 weeks pregnant (funds above umbilicus 2. Hypothermia 3. airway obstruction 4. non-opioid drug overdose / toxicology 5. Any other known reversible cause of the arrest **For pt's in VT or VF, begin transport after 3rd shock
32
Medical cardiac arrest - What are the conditions for CPR?
Altered LOA Performed in 2-minute intervals
33
Medical cardiac arrest -what are the conditions for manual defibrillator?
>= 24 hours old Altered VF or pulseless VT
34
Medical cardiac arrest - What are the conditions for Epi?
>= 24 hours old Altered If anaphylaxis is the causative event
35
Medical cardiac arrest - What are the conditions for Medical TOR?
>= 16 years old Altered Arrest not witnessed by EMS AND No ROSC 20 min of resuscitation AND No defibrillation delivered
36
Medical cardiac arrest - What are the contraindications for CPR?
Obviously dead as per BLS PCS DNR
37
Medical cardiac arrest - What are the contraindications of manual defibrillation?
Rhythms other than VF or pulseless VT
38
Medical cardiac arrest - What are the contraindications of Epi?
Allergy or sensitivity
39
Medical cardiac arrest - What are the contraindications of Medical TOR?
Known reversible cause of the arrest unable to be addressed Pregnancy presumed to be >= 20 weeks Suspected hypothermia Airway obstruction Non-opioid drug overdose/toxicology
40
Medical cardiac arrest -What is the manual defib treatment?
>= 24 hours to <8 years old - 2 j/kg - 4 j/kg (subsequent doses) - 2 minute dosing interval - NO max # of doses >= 8 years old - 120j, 150 j, 200 j, 200 j - 2 minute dosing interval
41
Medical cardiac arrest - What is the dose of epi if allergic reaction is causative event?
1mg/ml = 1:1,000 0.01mg/kg Max of 0.5 mg Max of 1 dose
42
Medical cardiac arrest - How many minutes of resuscitation do you complete before you transport to closest hospital if no ROSC achieved?
20 minutes
43
Medical cardiac arrest - How many analyzes do you complete before patching for a medical TOR if eligible?
4
44
Medical cardiac arrest - if pt is in VF or pulseless VT, after how many shocks to you begin transport?
3
45
What are the indications of a traumatic cardiac arrest?
Cardiac arrest secondary to severe blunt or penetrating trauma
46
Traumatic Cardiac Arrest - What are the conditions for CPR?
- Altered LOA - Performed in 2 minute intervals
47
Traumatic Cardiac Arrest - What are the conditions for Manual defibrillation?
>= 24 hours old Altered LOA VF or Pulseless VT
48
Traumatic Cardiac Arrest - what is the criteria for a Trauma TOR?
>= 16 years old Altered LOA No palpable pulse AND no defib delivered AND asystole AND no signs of life fully since extricated OR signs of life when extricated and the closest hospital >= 30 min transport time OR rhythm PEA with closest ED >= 30 min transport time away
49
Traumatic Cardiac Arrest - what are the contraindications for CPR?
- Obviously dead - DNR
50
Traumatic Cardiac Arrest - what are the contraindications for manual defibrillation?
Rhythms other than VF or pulseless VT
51
Traumatic Cardiac Arrest - What are the contraindications for Trauma TOR?
< 16 years old Defib delivered Signs of life at any time since full extricated medical contact Patients with penetrating trauma to the torso, head, neck and lead trauma hospital < 30 min transport time
52
When performing CPR, how many seconds of CPR do you do before analyzing?
30 Seconds
53
Traumatic Cardiac Arrest - what is the dosing for manual defib?
>= 24 hours - <8 years old - max of 1 dose - 2 j/kg >= 8 years old - max of 1 dose - 120 j
54
Traumatic Cardiac Arrest - is no TOR is obtained, when do you transport the pt?
After 1 analyze or defib
55
What age is considered a neonate?
<24 hours
56
Newborn resuscitation - What are the conditions for Positive pressure ventilation (PPV)?
<24 hours old HR < 100 bpm
57
Newborn resuscitation - What are thew conditions for CPR?
< 24 hours old HR < 60 bpm After 30 seconds of PPV using room air
58
Newborn resuscitation - What are the contraindications for PPV?
Obviously dead Presumed gestational age < 20 weeks
59
Newborn resuscitation - What are the contraindications for CPR?
Obviously dead Presumed gestational age < 20 weeks
60

Primary Care Paramedic (1 decks)

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