Trinity SMO Flashcards
(54 cards)
What is acceptable ways to confirm placement of airway device?
EtCO2 of 35-45
Pulse oximetry of >90%
What is the BVM ventilatory rate for an adult?
6-8 per minute
What medications and dose do you consider for post-intubation?
Ativan 1-2 mg IV/IO. Or
Versed 2-5 mg IV/IO. Or
Valium 5-10 mg Iv/IO
What are the 3 criteria for a failed airway prior to surgical cricothyrotomy?
1) . Two failed intubation attempts
2) . Spo2 <90%
3) . Facial trauma or swelling
Name size and color of the adult king airways.
Yellow #3. (4-5foot)
Red #4. (5-6 foot)
Purple #5. (6 ft and up)
What is the age limit for intubation pediatrics?
Pediatric age =>9
Name the medications and dose for pediatric post intubation
Ativan 0.05-0.1 mg IV/IO. Or
Versed. 0.1- 0.2 mg IV/IO. Or
Valium 0.1-0.3 mg IV/IO.
Name vent rates (BVM) for neonates, toddlers, school age, and adolescents.
Neonates. 30
Toddlers. 25
School age. 20
Adolescents. 12
What are color and side of pediatric king LD?
Green #2. (35-45 inches)
Orange. #2.5. (41-51 inches)
What is the pco2 you should maintain in a pediatric intubated patient?
PCO2 of 30-35
SPO2 of >90
At what reported level of pain do you consider medications for back pain?
Pain of >6-10 scale
Who should not get acetaminophen for a fever
Pt with hx of liver failure
What is the medication and dose for adult pain control?
Morphine. 2-10mg. Iv/io/im
Fentanyl. 25-100 mcg. Iv/io/im
Fentanyl. 50-100mcg IN
If need is immediate or no iv/io
How often do you reassess a patient you gave pain meds
Every 15 minutes
What are the Contraindications for narcotic pain meds?
Hypotension, head injury,respiratory distress, severe COPD
What med and dose do you give for pediatric pain control?
Trauma pain
Morphine 0.1-0.2 mg/kg. iv/io/im
Fentanyl 1-2 mcg/kg. iv/io/im
Fentanyl 2mcg/ kg IN. Max dose 100 mcg for immediate need
Spinal immobilization clearance steps 1-6o
1) neuro exam- any focal deficits?
2) age >65/<5 or SIGNIFICANT trauma mechanism?
3) alertness- any alteration
4) intoxication or language barrier
5) distracting injury elsewhere
6) spinal exam- point tenderness or pain with rom
Any yes and you need to immobilize.
What is the medication and dose for adult nausea and vomiting
Zofra 4mg iv
List treatment for mild allergic reaction ( adult). Rash only
Cardiac monitor, iv access, diphenhydramine 50 mg. IM
Or
Diphenhydramine 25-50mg IV
List treatment for allergic reaction with impending resp distress pr shock ( adult)
Epinephrine 1:1000 0.3-0.5mg IM
Cardiac monitor, IV, diphenhydramine 50mg Iv/IO, methylprednisolone 125 mg Iv/io
If condition worsens repeat epinephrine x1
When should you contact med control prior to giving epinephrine for allergic reaction?
When the patient is over 50 yrs and have a cardiac hx or heart rate over 150
What is the treatment for decreased mental status with blood sugar <60
Spinal immobilization if needed
Iv access, blood glucose… <60
Give oral glucose if awake
Glucagon 1mg IM if no iv
D50 iv/io for adults
D25 iv/io for peds
What is the treatment for altered mental status with blood sugar >60
Spinal immobilization if needed
Iv access, blood glucose >60
Narcan 0.4-2mg IM/IN if resp depression and no IV
Narcan 0.4-2mg. Iv/IO if resp depressed
12 lead ekg… Cardiac monitor
NSaline bolus x1 if BS >250 or signs of dehydration
When can a diabetic refuse transport after treatment?
If a adult is present with patient and BS >100 patient must eat and be complaint free.
