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Flashcards in Protocols and Procedures Deck (24):
1

What is the equation to calculate IV rate?

gtts per minute = (Volume to be infused X set rate) / time in minutes

2

What are the steps in IV maintenance?

1. Ensure the appropriate solution is running.
2. Calculate and maintain the appropriate flow rate.
3. Monitor flow rate and amount of solution.
4. Reassess patient condition and IV on a regular basis. (5-15min)

3

What should be inspected when reassessing IV`s?

1. Reassess ABC's and injury sites
2. Reassess vital signs
3. Inspect IV site, tubing and solution bag
4. Observe for complications, and take appropriate measures as necessary
5. Maintain appropriate flow rate
6. Change solution bag as required.

4

What 4 IV solutions are EMR's allowed to maintain?

1. Normal Saline
2. RIngers Lactate
3. 2/3-1/3
4. D5W

5

What are contradictions to performing CPR?

1. Verifiable DNR or No CPR orders

6

What would indicate signs of life?

1. Coughing
2. Breathing
3. Patient movement

7

How far away should the AED pad be placed from any implanted pacemaker or cardioverter/defribillator ?

2.5cm (1 inch)

8

How often should the Pt be analyzed with the AED during CPR?

Every 2 minutes

9

When should you cease providing CPR?

1. When the Pt is transferred over to more advanced care providers
2. When there are signs of life
3. When there are 3 consecutive No Shock Advised messages (when there are 3 NSA messages, contact a physician for further orders.)

10

In a situation of 3 consecutive No Shock Advised messages, and a physician is unavailable, what should be done?

Load and transport, continuing CPR, and stopping to analyze every 4-5 minutes.

11

What should be done if a shock is advised during transport?

Stay and continue CPR/AED until a No Shock is received, and then continue transport.

12

Should AED be performed on a patient under one year of age?

No, CPR only.

13

When would CPR be performed on a child/infant with a pulse?

If the pulse is below 60, with inadequate perfusion.

14

What signs would indicate inadequate perfusion?

May include any or all of the following:
1. Pale skin color or severe mottling
2. Cyanosis
3. Decreased or failing LOC
4. Extremely unwell or toxic appearance.
5. History suggestive of respiratory illness or sepsis.

15

What are the 1 and 2 rescuer ratios for CPR with an infant or child?

1 person: 30:2
2 person: 15:2

16

In the case of an un-witnessed cardiac arrest in a child, when should be AED be placed?

After 2 minutes of CPR.

17

When should pulse be checked while performing CPR?

Only if there is a sign of life.

18

With and infant/child, CPR/AED should be continued until:

1. When the Pt is transferred over to more advanced care providers
2. When there are signs of life
3. When there are 2 consecutive No Shock Advised messages (when there are 3 NSA messages, contact a physician for further orders.)
4. In infant only, the Pt has not responded to 2-4 minutes of effective CPR.

19

How often should partners change when performing 2 person CPR?

Every 2 minutes

20

What is the optimal CPR rate?

100 BPM

21

How deep should adult chest compressions be?

3.75-5CM (1.5-2IN)

22

What piece of equipment is necessary to maintain airway on an infant when performing CPR?

A pad under shoulders

23

What are causes of asphyxial arrest?

OD, Hanging, Airway obstruction, Smoke inhalation, Drowning

24

What are some reasons why early communication with a doctor could help someone in cardiac arrest?

-Hypothermia
-Cardiac Tamponade
-Pulmonary Embolism
-Tension Pneumothorax
-Severe blood loss
-OD
-Airway obstruction