Skills Review Collabs

Question 1

The five R’s of fluid administration

Answer 1

• Resuscitation
• Routine maintenance
• Replacement
• Redistribution
• Reassessment

Question 2

At what respiration rates should you attempt to bag a patient?

Answer 2

Less than 10 or ever 30

**Obviously there other times you would use a BVM as well, these are just the simple respiratory rate indicators.

Question 3

What are the contraindications for transvenous pacing?

Answer 3

• Digitalis toxicity
• Tricuspid valve prosthesis
• Rt ventricular infarct

Question 4

Your patient presents with gradual increases and decreases in respirations with periods of apnea.

Answer 4

Cheyne stokes respirations

Question 5

Your patient has a long inspiratory phase and a shorter expiratory phase. What type of breathing is this?

Answer 5

Apneustic respirations

Question 6

Your patient is breathing in a pattern of rapid, deep respirations, with pauses. What type of breathing is this?

Answer 6

Biots respirations

Question 7

Your patient has tachypnea and hyperpnea. What type of breathing is this?

Answer 7

Kussmaul’s respirations

Question 8

Which neuromuscular blocking agent is reversed with neostigmine?

Answer 8

Non-depolarizing agents like Rocuronium.

Question 9

What is one of the most common predisposing medical condition for heat stroke?

Answer 9

Diabetes.

It impairs the body’s compacity to dissipate heat.

Question 10

What is the maximum amount of time a transfusion set can hang for?

Answer 10

The maximum time the infusion set can hang is 8 hours. However, a unit of blood must be administered in less than 4 hours. Depending on local policy, this means that more than one unit of blood could be run with the same set.

Question 11

What is used to run blood?

Answer 11

Blood must be run using an appropriate blood administration set with a 170-260 micron filter.

Question 12

You have flushed the blood administration set with normal saline. What is important to remember with the saline prior to running blood?

Answer 12

Turn off the saline roller clamp to prevent blood backflowing into the bag of normal saline.

Question 13

The blood bank can not accept blood back into their inventory if it’s been out greater than?

Answer 13

60 minutes

Remember that if you break the seal on the blood cooler they give you, they will not take the blood back and it will be wasted.

Question 14

Can you ever mix mediation with or administer with blood products? (IE in same port as blood as being infused)

Answer 14

NO

Question 15

At what rate are blood products usually started at?

Answer 15

5mL/min for the first 15min.

2-4mL/kg/hr afterwards

Question 16

You (paramedic) are helping out in the hospital. A blood product was just started. Can the patient be left alone?

Answer 16

You must monitor the patient a minimum of 5 minutes after the blood product has been started to ensure there isn’t a reaction. Further monitoring as required based on patient condition and hospital policy.

*15min for Pediatrics

Question 17

What are NG/OG tubes measured in?

Answer 17

French - The smaller the gauge the smaller the diameter.