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Flashcards in Quick Call notes Deck (24):
0

Allergic reaction

Remove Sting/injection site
Benadryl

1

Anaphylaxis

O2 / Remove Stinger
EPI IM - 0.3mg
Benadryl - 50mg IV/IM
ECG SPO2
Albuterol - 2.5mg
CPAP
EPI - IV - 0.1mg IV slow slow push

2

Abdominal Pain

Determine if hemodynamic stability / respiratory / Mentation/ AAA.
or pulse greater then 120 with hypo-perfusion.
-IV
Severe pain morphine
ECG for upper abd pain

3

Dystonic

IV
Benadryl - 50mg IV preferred or IM

4

General OD

IV
ECG / SPO2
Gag or unable to protect airway - decreased sensorium

5

Beta Blocker OD

IV
Fluid Challenge - 500 ml
Atropine - 1mg
Glucagon - 2u
Epi IV - 0.1 mg iv

*key- SBP <70

6

Calcium Channel Blocker OD

IV
Fluid - 500ml
Atropine - 1mg IV
Epi IV - 0.1mg IVP - slow

7

TCA

IV
Fluid - 500ml
Sodium Bicarb - 1mlEq/kg

**key to running protocol**
-HR >120
-QRS>.12
-PVC >6/min
-SBP <90
-seizure

8

Shock

Large Bore IV
ECG

9

Stroke

Advanced airway as needed
BGL
ECG
Cincinnatti
IV TKO
Determine Onset < 4 hrs Go to stroke center.

10

Discomfort/pain of suspected cardiac origin -
1st rule out other causes

Pulse OX
ECG
Nitro 0.4mg SL (SBP >90) R-5min...titrate to pain relief. (make sure no use of PDE-5 inhibitors)....if so use morphine first 2mg

ASA 324mg (4 chewable)

IV/12 lead

Cath Lab

....if after 3rd nitro no relief of pain...paramedic may admin Morphine.

11

SVT - Narrow Stable

12 lead
Valsalva
Adenosine 6mg
Adenosine 12mg
Transport

12

SVT Wide - Stable

12 lead
Transport

13

SVT - Stable - Irregular

12 lead
transport

14

SVT Unstable Narrow

Versed - 2mg IM/IN or 1-6mg iv
Cardiovert- 100-200-360

If stable tx-

if unstable...Cardiovert max dose- then tx

15

SVT unstable Wide complex

Versed - IV 1-6, or 2mg IM/IN r-5 x 2
Cardiovert -100/200/360

Stable - Amiodarone 150mg/10min

Unstable -
150mg IVP
Cardiovert max dose

16

Adult Bradycardia
-3 criteria
-algorithm

-SBP<50, S/S Hypoperfusion
-IV / 12 lead

If type 2 2degree or 3rd straight to cardioversion
-if not atropine 0.5mg

TCP - Medicate with Versed ( 2mg IM/IN, 1-6 IV)
- start @ 80bpm and up milliamps until capture.

No TCP - Atropine 0.5 mg - 1mg IV/IO every 3-5min until 3mg given

If neither are helping move to Dopamine ( must still meet brady criteria)
-Get base hospital orders
-10mcg/kg/min

**Avoid Atropine in acute mI**

17

Asthma/ COPD
-mild wheezing
-sob
-cough

ECG/O2/Pulse ox

Albuterol 2.5-5mg prn

18

Asthma/COPD
-Cyanosis
-Accessory muscle use
-Inability to speak more then 3 words
-Severe wheezing or SOB

ECG/ O2/ SPO2

Albuterol 5mg
CPAP
IV
EPI - 0.3mg IM
***must get base order if older than 40 or SBP <180

19

CHF vs COPD

-Med List
-JVD
-Peripheral Edema
-Frothy pink sputum
-BP
-Smoker

20

CHF/Pulmonary Edema
-mild wheezing
-SOB
-cough

*wheezing*
-Albuterol 2.5-5mg

-Nitro 0.4mg if SBP>90, q5 *NO PED5**

IV

21

CHF/Pulmonary Edema
-Cyanosis
-Accessory muscle use
-Inability to speak >3words/min
-Rales Ronchi JVD
-Diaphoresis pedal edema

Albuterol 2.5-5mg if wheezing

Nitro BP - *No PED 5 * - q5
90-150 - 0.4mg
150-200 - 0.8mg
200+ = 1.2mg

CPAP
-1" Nitro Paste
-Remove paste if SBP 90

**If SBP continuously below 90 consider Dopamine with base contact** - 10mcg/kg/min

22

ALOC
-3 Protocols
-Other Factors

Hypoglycemia
Narcotic Overdose
Seizure

23

ALOC - Suspected Diabetic
-Reasons to suspect
-protocol

GCS<60

PO- Oral glucose - Juice - must first test gag with water
IV Access - 25gm of 50% dextrose
Glucagon- 1U Im

Consider IO access if no response to Glucagon after 5min

ECG

Tx