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229 Cards in this Set
- Front
- Back
|
OBSTRUCTED AIRWAY |
(1) Larygoscopy/Magills |
|
|
VF/PULSLESS VT |
(1) CPR (6) EPI (8) EPI |
|
|
VF/PULSLESS VT
standing order drugs |
Amiodarone Epinephrine |
|
|
VF/PULSLESS VT
medical control drugs |
(1) Amiodarone |
|
|
PEA/ASYSTOLE |
(1) CPR (5) Epi (6) Dextrose |
|
|
PEA/ASYSTOLE
standing order drugs |
(1) Epi |
|
|
PEA/ASYSTOLE
medical control options |
(1) Sodium Bicarb |
|
|
Name the two drugs that are in both PEA and VF medical control options.
|
(1) Sodium Bicarb
(2) Calcium Chloride |
|
|
Name the five initial steps taken with suspected AMI patients. |
(1) Monitor (3) Transport |
|
|
AMI/MYOCARDIAL ISCHEMIA |
(1) Aspirin |
|
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AMI/MYOCARDIAL ISCHEMIA
medical control drugs |
no medical control options |
|
|
AMI/CARDIOGENIC SHOCK |
(1) Fluid (2) Norepinephrine (3) Dopamine |
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AMI/CARDIOGENIC SHOCK
medical control options |
none |
|
|
Name the three initial steps taken for patients presenting with dysrhythmias.
|
(1) Monitor |
|
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SUPRAVENTRICULAR TACHYCARDIA
standing orders |
(1) Cardiovert (unstable) |
|
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SUPRAVENTRICULAR TACHYCARDIA
medical control options |
(1) Diltiazem |
|
|
True or False:
Amiodarone is given for SVT under standing orders. |
False.
But it can be given as a medical control option. |
|
|
True or False:
Diltiazem can be administered under medical control options for SVT. |
True.
|
|
|
True or False:
Adenosine may be used under standing orders to control a stable case of Rapid A-fib. |
False.
Adenocard is not indicated for A-fib or A-flutter. |
|
|
True or False:
Amiodarone can be used for A-flutter under medical control options. |
True.
|
|
|
ATRIAL FIB/ ATRIAL FLUTTER
standing orders |
Cardiovert (unstable) |
|
|
ATRIAL FIB/ ATRIAL FLUTTER
medical control options |
(1) Diltiazem |
|
|
True or False:
Medical control options for A-fib/flutter include calling for repeat cardioversion. |
False. |
|
|
True or False:
Medical control options for SVT include calling for repeat cardioversion. |
True. |
|
|
What are the two drugs that can be used for controlling both SVT and A-fib/flutter under medical control options?
|
(1) Diltiazem |
|
|
Besides Diltiazem and Amiodarone, what other drug can be used to control SVT?
|
Adenocard
|
|
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Besides Diltiazem and Amiodarone, what other drug can be used to control A-fib/A-flutter?
|
none.
|
|
|
True or False:
You can call for fluids for VF under medical control options. |
False. |
|
|
V-TACH / WIDE COMPLEX TACH w/PULSE
standing orders |
(1) Cardioversion |
|
|
Name the standing order drug that can be used to treat V-tach with a pulse.
|
Amiodarone |
|
|
V-TACH / WIDE COMPLEX TACH w/PULSE
medical control options |
(1) Cardioversion |
|
|
True or False: |
True. |
|
|
True or False.
You may call for Amiodarone under medical control options for V-tach with a pulse. |
False.
Amio is a standing order only for V-tach with pulse. |
|
|
Besides sodium bicarb, name the drugs that can be given to V-tach with a pulse under medical control options. |
(1) Magnesium Sulfate |
|
|
BRADYDYSRHYTHMIAS/COMPLETE HEART BLOCK
standing orders |
(1) Atropine
(2) Pacing |
|
|
BRADYDYSRHYTHMIAS/COMPLETE HEART BLOCK
medical control options |
(1) Atropine |
|
|
True or False: |
False. |
|
|
ACUTE PULMONARY EDEMA |
(1) Nitro |
|
|
ACUTE PULMONARY EDEMA
medical control options |
(1) Lorazepam or Midazolam (2) Furosemide |
|
|
True or False: |
True. |
|
|
ASTHMA/WHEEZING standing orders drugs |
(1) Abuterol (2) Ipratropium (3) Epi (4) Magnesium (5) Methylprednisolone (6) Dexamethazone |
|
|
ASTHMA/WHEEZING |
Epinephrine |
|
|
COPD standing order drugs |
(1) Combivent (2) Methylprednisolone (3) Dexamethazone |
|
|
What two drugs are present in the standing orders for Asthma but not COPD?
|
(1) Epi
(2) Magnesium |
|
|
COPD
medical control options |
none |
|
|
ANAPHYLACTIC REACTION |
(1) Tube (3) Fluid |
|
|
ANAPHYLACTIC REACTION
medical control drugs |
Norepinephrine Dopamine |
|
|
True or False:
Dopamine and norepinephrine are under medical control options for anaphylaxis. |
True. |
|
|
ALTERED MENTAL STATUS
standing order drugs |
(1) Dextrose |
|
|
ALTERED MENTAL STATUS
medical control options |
Repeat standing. |
|
|
SEIZURES
standing order drugs |
(1) Dextrose (2) Glucagon |
|
|
SEIZURES
medical control drugs |
(1) Lorazepam |
|
|
NON-CARDIOGENIC SHOCK
standing orders |
(1) Tension Pneumo |
|
|
True or False:
You should place a cardiac monitor on non-cardiogenic shock patient per standing orders. |
True.
|
|
|
NON-CARDIOGENIC SHOCK
medical control options |
none |
|
|
TRAUMATIC ARREST standing orders |
(1) Transport (2) Tension Pneumo (3) Tube (4) Monitor (non-penetrating) (5) IV Fluids |
|
|
TRAUMATIC ARREST
medical control options |
none |
|
|
HEAD INJURIES
standing order drugs |
(1) Lorazepam (2) Diazepam (3) Midazolam |
|
|
HEAD INJURIES |
(1) Lorazepam (2) Diazepam (3) Midazolam |
|
|
CHEMICAL EYE INJURIES
medical control options |
none
|
|
|
CHEMICAL EYE INJURIES
standing orders |
(1) remove contacts
(2) Proparacaine/Tetracaine |
|
|
BURNS standing orders |
(1) Tube (airway burns) (2) Monitor (electrical) (3) Oximetry (4) IV (5) Fluids (6) Morphine or Fentanyl |
|
|
BURNS
medical control options |
Transport decision |
|
|
PAIN MANAGEMENT |
Transport decision |
|
|
PAIN MANAGEMENT
standing orders |
(1) monitor |
|
|
EXCITED DELIRIUM standing orders |
(1) Midazolam (2) IV (3) Fluid (4) Monitor (5) Oximetry (6) BGL |
|
|
EXCITED DELIRIUM medical control drugs |
(1) Ketamine (2) Lorazepam (3) Diazepam (4) Midazolam |
|
|
True or False: |
True.
|
|
|
OBSTETRIC COMPLICATIONS
standing orders |
IV |
|
|
OBSTETRIC COMPLICATIONS
medical control options |
Magnesium Sulfate |
|
|
NEONATE RESUSCITATION |
(1) CPR (6) IV/IO Fluid (7) Epi Q 3-5 |
|
|
Name the one drug given during a neonate resuscitation.
|
Epinephrine
|
|
|
True or False:
An IV/IO may be established on standing orders in the case of a neonate resuscitation. |
True. |
|
|
PEDIATRIC RESPIRATORY ARREST
standing orders |
(1) Tube
(2) Tension Pneumo (3) Transport (4) Naloxone (5) NG/OG tube PRN |
|
|
What drug is given on standing orders for pediatric respiratory arrest cases?
|
Naloxone
|
|
|
PEDIATRIC RESPIRATORY ARREST
medical control options |
IV/IO |
|
|
True or False:
An IV/IO may be established on standing orders in pediatric respiratory arrest. |
False.
It is a medical control option. |
|
|
What is the only drug in the pediatric respiratory arrest protocol?
|
Naloxone
|
|
|
PEDIATRIC OBSTRUCTED AIRWAY
medical control options |
none
(all standing orders) |
|
|
PEDIATRIC OBSTRUCTED AIRWAY
standing orders |
(1) Direct Laryngoscopy (Magills) |
|
|
PEDIATRIC CROUP/EPIGLOTTITIS
standing orders |
(1) Do NOT intubate
(2) Transport (3) NG/OG Tube PRN |
|
|
True or False:
Passage of an NG/OG Tube is contraindicated in cases of pediatric epiglottitis. |
False.
It's a standing order. |
|
|
PEDIATRIC NON-TRAUMATIC ARREST
standing orders |
(1) Monitor (9) Shock |
|
|
PEDIATRIC NON-TRAUMATIC ARREST |
(1) Epinephrine |
|
|
PEDIATRIC NON-TRAUMATIC ARREST
medical control options |
(1) Repeat Standing |
|
|
True or False:
Magnesium sulfate is in the medical control options for pediatric non-traumatic arrest. |
True.
It is used for Torsades de Points |
|
|
What is Magnesium used for in the pediatric arrest protocol?
|
Torsades |
|
|
PEDIATRIC ASTHMA/WHEEZING |
(1) Combivent |
|
|
PEDIATRIC ASTHMA/WHEEZING
medical control options |
(1) Albuterol |
|
|
True or False:
You can start an IV/IO on standing orders in cases of pediatric asthma. |
False.
You must call medical control for IV/IO in cases of pediatric asthma. |
|
|
PEDIATRIC ANAPHYLACTIC REACTION standing orders |
(1) Tube (2) Epi (ET or IM) (3) Transport (4) NG/OG |
|
|
What is the one drug given for pediatric anaphylaxis?
|
Epinephrine |
|
|
PEDIATRIC ANAPHYLACTIC REACTION
medical control options |
(1) Repeat Standing (Epi) |
|
|
True or False:
It is permissible to start an IV/IO on standing orders for a pediatric patient in anaphylactic shock. |
False.
You must call medical contol. |
|
|
PEDIATRIC ALTERED MENTAL STATUS
standing orders |
(1) Transport |
|
|
PEDIATRIC ALTERED MENTAL STATUS
standing order drugs |
(1) Glucagon |
|
|
True or False: |
True
|
|
|
True or False:
Albuterol is used for bronchospasm in pediatric anaphylactic reactions. |
False.
Albuterol is used only for adult anaphylaxis. |
|
|
PEDIATRIC ALTERED MENTAL STATUS
medical control options |
repeat standing orders
|
|
|
PEDIATRIC SEIZURES
standing orders |
(1) Glucagon (2) Midazolam (3) Transport |
|
|
True or False: |
True. |
|
|
True or False: |
True |
|
|
PEDIATRIC SEIZURES |
(1) Lorazepam (2) Diazepam (3) Midazolam
|
|
|
PEDIATRIC DECOMPENSATED SHOCK
standing orders |
(1) monitor (if no hypovolemia)
(2) transport (3) IV/IO Fluid (20 ml/kg) (4) Fluid repeat (to 40 ml/kg) |
|
|
True or False: |
True.
|
|
|
PEDIATRIC DECOMPENSATED SHOCK
medical control options |
(1) Fluid (20 ml/kg)
(2) Cardiovert and SVT (3) Adenocard |
|
|
PEDIATRIC TRAUMATIC CARDIAC ARREST standing orders |
(1) Transport (2) Tube (3) Tension Pneumo (4) IV/IO Fluid (5) NG/OG (6) Fluid |
|
|
In pediatric patients with craniofacial trauma, pass an ______ tube.
(NG / OG) |
OG |
|
|
PEDIATRIC TRAUMATIC CARDIAC ARREST |
Fluid
|
|
|
True or False:
You must call for IV/IO in pediatric traumatic cardiac arrest. |
False.
|
|
|
Name the six pediatric protocols in which IV/IO may be established on standing orders. |
(1) Non-Traumatic Cardiac Arrest (2) Traumatic Cardiac Arrest (3) Neonate Resuscitation
(circulatory/CNS protocols) |
|
|
Name the three pediatric protocols in which you must call medical control to obtain permission to establish IV/IO access. |
(respiratory protocols) |
|
|
True or False:
For both pediatric "cardiac arrests" (traumatic and non-traumatic), it is permissible to establish an IV/IO on standing orders. |
True
|
|
|
True or False:
For neonate resuscitation, it is permissible to start an IV/IO on standing orders. |
True |
|
|
True or False: |
True
|
|
|
What are the "Three C's" of pediatric decompensated shock?
|
(1) Coma or AMS |
|
|
What are the four signs of pediatric decompensated shock?
|
(1) Systolic BP below 70 mm Hg +2Xage |
|
|
In the pediatric patient, a systolic BP of below ______ OR signs of inadequate ______ pefusion indicate decompensated shock.
|
70 + (2xage)
central |
|
|
CYANIDE TOXICITY / SMOKE INHALATION |
None besides "Transport Decision." (all standing orders) |
|
|
CYANIDE TOXICITY / SMOKE INHALATION standing orders |
(1) Tube (2) Monitor/Pulse Ox (2a) CO (smoke inh. only) (3) IV x2 and Bloods (4) Hydroxocobalamin (5) Sodium Thiosulfate (6) Norepinephrine or Dopamine |
|
|
True or False: |
False. Standing orders. |
|
|
In suspected cyanide poisonings, prior to administration of Hyroxocobalamin, if possible, obtain ______.
|
three blood samples
(tubes in cyanide kit) |
|
|
For suspected cyanide poisoning, in the event that only one IV line is established, administer ______ first, followed by a ______ flush. |
Hydroxocobalamin
20ml |
|
|
True or False. Sodium Thiosulfate, Dopamine, and Diazepam may not be administered via the same line as Hydroxocobalamin. |
False.
Follow Hydroxocobalamin with a 20ml flush. |
|
|
You've exhausted standing orders for PEA/Asystole and are about to call medical control. What are three conditions that should cross your mind that may be treatable under medical control options? |
(1) Acidosis |
|
|
You've exhausted standing orders for a refractory V-fib. What three conditions should cross your mind as potentially treatable through medical control options? |
(1) Acidosis |
|
|
______ must be treated prior to initiation of a 12 lead EKG.
|
An unstable dysrhythmia |
|
|
"12-lead EKG" only appears in what protocol? |
504 Suspected Myocardial Infarction
subprotocols: (A) Therapy of Myocardial Ischemia (B) Cardiogenic Shock |
|
|
Before each administration of Nitroglycerin, check the patient's ______ and ______ to ensure the patient is ______.
|
pulse
BP hemodynamically stable |
|
|
Nitro may NOT be administered to patients with a systolic BP of less than ______ unless...
|
100 mm Hg |
|
|
Following Morphine or Fentanyl administration, if ______ developes, administer Naloxone. |
hypoventilation |
|
|
Each time Etomidate is used for intubation, it can be followed by ______ or ______ for continued sedation. |
Diazepam |
|
|
When administering Norepinephrine or Dopamine, if there is ______ in hemodynamic status, the infusion rate may be increased until ______ or ______.
|
insufficient improvement |
|
|
State the two components ("HA") for identifying unstable arrhythmias in adults. |
Hypotension (<90mmHg) AMS |
|
|
List the three components ("HAP") for identifying unstable arrhythmias in pediatrics. |
Hypotension (<70+2Xage) |
|
|
What are the only two differences between the SVT and A-fib/A-flutter protocols?
|
SVT only: |
|
|
True or False:
Stable A-fib/flutter can only be treated under medical control options. |
True.
|
|
|
Name the two methods of treating STABLE A-fib/flutter.
|
(1) Diltiazem
(2) Amiodarone |
|
|
What is the first treatment option for Bradycardia/Complete Heart Block with decompensated shock?
|
atropine |
|
|
What is the second treatment option for Bradycardia/Complete Heart Block wih decompensated shock?
|
transcutaneous pacing |
|
|
In cases of adult asthma, administer epinephrine on standing orders to patients with signs of ______.
|
impending respiratory failure
|
|
|
True or False:
Magnesium sulfate is given on standing orders in cases of adult asthma. |
True.
(to patients with persistent, severe respiratory distress) |
|
|
True or False:
Methylprednisolone and Dexamethazone are in the medical control options in the adult asthma protocol. |
False. |
|
|
True or False:
Epi may be given on standing orders to patients with excacerbation of COPD. |
False. |
|
|
In adult anaphylaxis, what can be done under standing orders for the patient with bronchospasms?
|
nebulized Albuterol
|
|
|
If the glucometer reading is ______, dextrose and glucagon should be withheld. |
above 60 mg/dl (Treat symptomatic diabetics at 60-80) |
|
|
In Adult Altered Mental Status, Naloxone may be administered ____ or ____ if IV/IO access has not been established.
|
IM |
|
|
True or False: |
True. |
|
|
What three pediatric protocols contain Naloxone as an intervention (excluding post-Morphine)? |
(1) Ped Non-traumatic Cardiac Arrest (2) Ped Resp Arrest (3) Ped AMS |
|
|
Explain how Naloxone is administered in the Ped Non-traumatic Cardiac Arrest. |
PPMC 2mg IV/IO/ET (2 or older) 1mg IV/IO/ET (under 2) no titration |
|
|
True or False:
Midazolam IV may be given for ongoing seizures under standing orders. |
False. |
|
|
For ongoing seizures, when is Midazolam given and by what route?
|
In the Seizure protocol, Midazolam is given IM/IN when IV access cannot be established for Lorazepam or Diazepam. |
|
|
True or False. |
True |
|
|
True or False. |
False. IV/IO/IN only. The IM option for Lorazepam does not appear in the pediatric seizure protocol. |
|
|
True or False. |
True. |
|
|
In cases of traumatic arrest, excluding patients with ______, begin cardiac monitoring.
|
penetrating chest trauma
|
|
|
If V-fib or pulseless V-tach are present in traumatic cardiac arrest, you would...
|
treat them medically under VT/VF protocols, as long as there is no penetrating chest trauma. |
|
|
The Head Injuries protocol applies to patients with head trauma who have a Glascow Coma Scale score of ___ or lower.
|
13
|
|
|
According to the Head Injuries protocol, you should intubate patients with a Glascow Coma Score of less than ___, if less invasive methods of airway management are ineffective.
|
8 |
|
|
In the Chemical Eye Injury protocol, Proparacaine or Tetracaine is administered for the purpose of... |
facilitating irrigation in the patient who is agitated or unable to hold his eyelid open. |
|
|
In the Burns protocol, perform cardiac monitoring for patients with ______.
|
electrical burns |
|
|
True or False:
In the Burns protocol, Morphine and Fentanyl are given on standing orders. |
True. |
|
|
Morphine may be administered for pain management of an isolated extremity injury provided the systolic BP is greater than ______ mm Hg. |
110 |
|
|
Severe pre-eclampsia is characterized by a systolic BP of ______ mm Hg or higher and a diastolic BP of ______ mm Hg or higher.
|
160
110 |
|
|
Name the drug used to treat pre-eclampsia.
|
Magnesium Sulfate
|
|
|
In neonate resuscitation, if CPR has been initiated, and the heart rate remains less than ___ beats per minute and not rapidly increasing after ___ seconds of CPR, perform ___.
|
60 |
|
|
What is the only drug used in neonate resuscitation?
|
epinephrine |
|
|
What is the first drug and route administered on standing orders for neonate resuscitation? |
epi by ET |
|
|
Summarize the essence of the medical control options for neonate resuscitation. |
There are no medical control options. |
|
|
The pediatric respiratory arrest protocol applies to pediatric patients in actual or impending respiratory arrest, OR those who are ______ and ____.
|
unconscious
cannot be adequately ventilated |
|
|
What is the only drug used in the Pediatric Respiratory Arrest protocol?
|
Naloxone
|
|
|
True or False: |
False. |
|
|
True or False: |
True.
|
|
|
A pediatric patient has SVT. What can be done? |
Cardioversion or Adenosine. Under Pediatric Decompensated Shock, call for orders to administer adenosine if the defibrillator cannot deliver a calculated dose. Do not cardiovert if the monitor cannot deliver a calculated dose. |
|
|
Can a pediatric patient be paced?
|
There is no reference to pediatric pacing in any of the protocols. |
|
|
A pediatric patient has V-tach with a pulse. What can be done? |
Cardiovert under Pediatric Decompensated Shock protocol at calculated dose.
There is no mention of sedation. Amio is not in this protocol. |
|
|
Since there is no bradyarrhythmia protocol for children, what should be done for a child with a hemodynamically unstable bradyarrhythmia?
|
Perform CPR in children under the age of 9 with a rate below 60 and signs of decompensated shock; treat as an arrest.
|
|
|
For infants and children under 9 years of age with a heart rate of less than 60 and signs of inadequate central perfusion...
|
perform CPR.
|
|
|
In cases of croup/epiglottitis, do NOT attempt ______. Use ______ ventilation. |
advanced airway management
high pressure BVM or mouth-to-mask |
|
|
In cases of croup/epiglottitis, pass an NG/OG tube if distention occurs, but do NOT attempt to pass an NG/OG tube in a ______ patient.
|
conscious
|
|
|
In pediatric non-traumatic cardiac arrest, if the defibrillator is unable to deliver the recommended dose...
|
...use the lowest available setting.
|
|
|
What is the first drug/route administered in pediatric non-traumatic arrest? |
Epi via ET |
|
|
Name the five conditions you would be looking to treat under medical control options for pediatric non-traumatic arrest. |
(1) Narcotic OD |
|
|
In the Pediatric Asthma protocol, epinephrine may be administered to patients ___ year of age and older with _____, _____ or _____.
|
1
severe respiratory distress respiratory failure decreased breath sounds |
|
|
Name the four findings ("TADS") that characterize severe respiratory distress in children. |
(1) Tripod position |
|
|
In a child, ______ is an ominous sign that indicates that respiratory failure and arrest are imminent.
|
a silent chest |
|
|
True or False:
A Bradycardic and decompensated pediatric being treated as an arrest can be given Atropine to increase the heart rate. |
False.
Atropine is not in the pediatric arrest protocol, but Epinephrine may be given. |
|
|
What is the first drug administered in Pediatric Anaphylaxis?
|
Epi ET |
|
|
When is diphenhydramine administered in pediatric anaphylaxis?
|
Never.
|
|
|
What are the medical control options for pediatric anaphylaxis? |
(1) IV/IO (2) Fluid |
|
|
The Pediatric Altered Mental Status protocol applies to pediatric patients in a ______, with evolving ______, or with ______ of unknown etiology. |
coma
neurological deficits altered mental status |
|
|
What is always the first priority, according to the Pediatric Altered Mental Status protocol?
|
maintenance of normal respiratory and circulatory function
|
|
|
Any AMS secondary to what six conditions does the Pediatric AMS protocol state should be treated under other protocols? |
(1) Shock (2) Trauma (3) Resp. Failure/Arrest (4) Obstructed Airway (5) Other Anoxic Injury (6) Near Drowning
STROON |
|
|
What pharmocologic trio forms the basis for the pediatric AMS protocol?
|
(1) Glucagon
(2) Dextrose (3) Naloxone |
|
|
What drugs/routes can be given in a Pediatric AMS case with no IV access? |
(1) Glucagon IM |
|
|
Describe the medical control options for Pediatric AMS.
|
Repeat standing orders.
|
|
|
What is the first standing order drug/route administered to a pediatric seizure patient if indicated by BGL? |
Glucagon IM |
|
|
What is the second standing order drug/route administered to a pediatric seizure patient? |
Midazolam IM/IN (IN preferred) |
|
|
By which route(s) may Lorazepam be administered to a pediatric seizure patient?
|
IV/IO/IN
(not IM) |
|
|
By which route(s) may Diazepam be administered to a pediatric seizure patient?
|
IV/IO
|
|
|
By which route(s) may Midazolam be administered to a pediatric seizure patient?
|
IM/IN |
|
|
In pediatric patients, do not administer Lorazepam, Diazepam, or Midazolam if...
|
...the seizures have stopped.
|
|
|
In cases of pediatric decompensated shock, if signs of hemorrhage or dehydration are NOT present, begin ______.
|
cardiac monitoring
|
|
|
What two possible situations may be treated under the medical control options for Pediatric Decompensated Shock?
|
(1) hypovolemia (hemorrhage/dehydration) |
|
|
Do not perform cardioversion in pediatric patients unless...
|
the defibrillator is able to deliver a calculated dose.
|
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What is the highest priority for the pediatric patient in traumatic cardiac arrest?
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rapid transport
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True or False:
A needle decompression can be performed on children and infants under standing orders. |
True.
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According to the Pediatric Traumatic Arrest protocol, do NOT pass an NG tube in patients with ______.
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craniofacial trauma
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In Pediatric Traumatic Arrest, attempt vascular access no more than ______. |
twice
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Use one world to describe the Pediatric Traumatic Arrest medical control options.
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Fluid. |
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What is the appropriate joule setting for neonate defibrillation?
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Neonates are not defibrillated.
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What is the difference between the treatment of PEA/Asystole versus VF/VT in the neonate?
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Nothing. Cardiac rhythm is of no consequence in neonate resuscitation.
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True or False: |
True.
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Obstructed Airway "right mainstem push" (Steps a-f) |
Note. Deflate. Advance. Return. Reinflate. Ventilate. Transport. |
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If BLS care is already being provided, transition from AED use to ALS monitor must occur... |
...only after the completion of the next analysis/shock decision. |
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Non-Traumatic Cardiac Arrest root protocol (503) addresses these three things. |
BLS Cardiac Monitor Transfer from AED |
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Name the four protocols in which the potential for hyperkalemia is a concern. |
VF/VT Arrest PEA/Asystole Arrest Wide/VT with Pulse Brady/Heart Block |
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Name the four protocols in which the potential for calcium channel blocker overdose is a concern.
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VF/VT Arrest
PEA/Asystole Arrest Wide/VT with Pulse Brady/Heart Block |
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True or False
Calcium chloride is administered in cases of hypokalemia. |
False. Calcium is indicated in the protocols in cases of HYPERkalemia. |
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For VT/Wide Complex with Pulse and Brady Dysrhythmias, administer sodium bicarb for cases of...
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...pre-existing acidosis. |
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In the adult protocols tension pneumo decompression comes (before/after) intubation. |
before |
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In the pediatric protocols tension pneumo decompression comes (before/after) intubation.
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after |
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In all adult protocols in which it appears, how many times may sodium bicarbonate be repeated at 44 mEq.
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It may be repeated every 10 minutes.(no max specified in adult protocols)
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For protocols in which norepinephrine and dopamine appear together, administration is indicated in the event of...
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...continued hypotension (SBP <90mmHg). |
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Name the protocols in which norepinephrine and dopamine appear together.
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Smoke Inhalation Cyanide Exposure Cardiogenic Shock Anaphylaxis |
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Norepinephrine appears without dopamine in this protocol. |
Septic Shock |
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True or False. Dopamine is in the Septic Shock protocol. |
False. |
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BP threshold for administration of Norepi. |
SBP Below 90 |
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True or False
Pain Management for Isolated Extremity injuries may be selectively applied to patients with other injuries. |
True.
"If mechanism of injury suggests that there may be other injuries, transport should begin and pain management be done enroute after consultation with OLMC." |
