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24 Cards in this Set
- Front
- Back
- 3rd side (hint)
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In the Smoke Inhalation Protocol, what are signs should you be aware of, if a patient is exposed to smoke in an enclosed space?
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Coma
Cardiac Arrest Respiratory Arrest Altered Mental Status Seizures Hypotension not attributable to other obvious causes |
C-crash
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In the Smoke Inhalation Protocol, what should you do prior to administration of Hydroxocobalamin?
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Obtain three blood samples using the tubes provided in the cyanide toxicity kit.
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In the Smoke Inhalation Protocol, what should you do if a patient has a blood pressure below 90 mm hg ?
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SO;
Administer Dopamine 5 ug/kg/min, IV/Saline Lock Drip. If there is insufficient improvement in the hemodynamic status, the infusion rate may be increased until the desired therapeutic effects are achieved or adverse effects appear. |
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What is the maximum dose for Dopamine?
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Maximum dosage is 20 ug/kg/min, IV/Saline Lock drip.
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What should you do If the patient is alert prior to performing Advanced Airway Management?
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Contact Medical Control for prehospital Sedation.
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What is Prehospital Sedation for a Conscious patient requiring Endotracheal Intubation?
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Diazepam 5-10 mg, with a repeat, max is 20 mg.
Midazolam 1-2 mg, with a repeat of 1mg, max is 5 mg. Etomidate 0.3mg/kg, given over 30-60 seconds max is 40 mg. after successful intubation, administer Diazepam 5 mg. |
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What should you be doing while your intubating?
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Administer Oxygen by nasal cannula at maximum flow rate during laryngoscopy and intubation.
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In the Smoke Inhalation Protocol, how many IV's should the patient get?
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Step 5. Begin two IV infusions of Normal Saline.
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How much Sodium Thiosulfate do you give to children from ages 0-13 ?
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250 mg/kg (3cc/kg prepared solution) administered over 10 minutes, IV.
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How much Sodium Thiosulfate do you give to adult, or anyone over 14 years old?
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12.5g (150mL of a prepared solution) administered over 10 minutes IV.
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In a one bottle kit, what are the age groups and dosage of Hydroxocobalamin ?
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Infant/Toddler. 0-2 years. 1/4 bottle
Preschool. 3-5 years. 1/4 bottle Grade school. 6-13 years. 1/2 bottle Adult. Over 14 years 1 bottle |
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In a 2 bottle kit, what are the age groups and dosage of Hydroxocobalamin ?
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Infant/Toddler. 0-2 years. 1/4 bottle
Preschool. 3-5 years. 1/2 bottle Grade school. 6-13 years. 1 bottle Adult. Over 14 years. 2 bottles |
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In the Seizure Protocol, name, in order, the 7 steps in standing order.
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1. BLS
2. Cardiac Monitoring 3. IV access 4. Dextrose IV/Saline Lock 5. Glucagon 1mg, IM 6. Know your benzo's 7. Contact MC |
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In the Seizure Protocol, What drug and dose can you give IM/IN?
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Glucagon 1mg,
Lorazepam 2mg, IN or IM ( with a single repeat) Midazolam 10mg, IN or IM (No repeat) All this, is in case IV access is unavailable. |
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In the Seizure Protocol, What drug and dose can you give IV/Saline Lock?
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Dextrose 25 gm
(50 ml of a 50% solution ) Lorazepam 2 mg, (with a single repeat) Diazepam 5 mg, (with a single repeat , not to exceed 5mg/min.) |
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In the Seizure Protocol, in SO, what does the note say?
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A glucometer should be used to document blood glucose level prior to administration of dextrose or Glucagon.
If the glucometer reading is above 120 mg/dl, Dextrose and Glucagon should be withheld. |
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In the Seizure Protocol, in SO, what does the note say?
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A glucometer should be used to document blood glucose level prior to administration of dextrose or Glucagon.
If the glucometer reading is above 120 mg/dl, Dextrose and Glucagon should be withheld. |
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In the Seizure Protocol, what are the medical control options?
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A. Repeat Lorazepam 2mg, IV/Saline Lock bolus, or, if IV access is unavailable, IN or IM.
Or Repeat Diazepam 5 mg, IV/Saline Lock bolus. (Rate of administration may not exceed 5 mg/min.) Or Repeat Midazolam 10 mg, IN or IM, if IV access is unavailable. B: Transportation Decision |
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What should you do when the Hydroxocobalamin is finished?
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NOTE: WHENEVER HYDROXOCOBALAMIN IS ADMINISTERED, FOLLOW WITH A 20ML FLUSH OF NORMAL SALINE (0.9% NS) PRIOR TO ADMINISTRATION OF ANY OTHER MEDICATION.
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In the seizure protocol, why should you do an EKG?
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Because the seizure could be caused by a lethal dis-rhythm.
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In Non-Cardiogenic Shock, what is the maximum amount of fluids?
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Up to 3 liters.
Begin rapid IV/Saline Lock infusion of Normal Saline (0.9% NS) or Ringer's Lactate(RL) viaone to two large bore (14 - 16) gauge catheters, up to 3 liters, via a macro-drip. |
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In Severe Sepsis/Septic Shock, what is the total amount of fluids, SO & MC?
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3 liters. 2 in SO and 1 more in MC. Via two large bore (14-18) gauge catheters.
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In Traumatic Cardiac Arrest. What is the maximum amount of fluids ?
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3 liters. In SO.
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Review the Head Injury Protocol.
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In patients with head trauma with a Glasgow Coma Scale (GCS) score of 13 or lower
1. BLS 2. Advanced Airway Management 3. EKG 4. IV 5. If a seizure is witnessed: a. Lorazepam 2mg, IV/SL IN or IM. A single repeat dose of Lorazepam 2 mg, 5 min OR b. Diazepam 5 mg, IV/SL A single repeat dose of Diazepam 5 mg, IV/SL not to exceed 5 mg/min.) OR c. Midazolam 10 mg, IM or IN, 6. If the Glasgow Coma Scale (GCS) score is less than 8, and active seizures or one or more of the following signs of brain herniation are present, hyperventilate the patient to maintain a continuous end-tidal waveform capnography value between 30-35mmHg: a. Fixed or asymmetric pupils b. Abnormal flexion or extension (neurologic posturing) c. Hypertension and bradycardia (Cushing's Reflex) d. Intermittent apnea (periodic breathing) e. Further decrease in GCS score of 2 or more points (neurologic deterioration) 7. If seizure activity persists, contact Medical Control Lorazepam 2 mg, IV/SL or, if IV access is unavailable, IN or IM. OR Diazepam 5 mg, IV/SL OR Midazolam 10 mg, IN or IM |
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