***1*** - Important Protocol Updates Flashcards
Magnesium for eclamptic seizure:
A. 4 g/5-10 min
B. 2 g/20 min
C. 2 g/1-2 min
A. 4 g/5-10 min
Magnesium for Torsades:
A. 4 g/5-10 min
B. 2 g/20 min
C. 2 g/1-2 min
C. 2 g/1-2 min
Magnesium for severe asthma:
A. 4 g/5-10 min
B. 2 g/20 min
C. 2 g/1-2 min
B. 2 g/20 min
Regarding Magnesium, look up how you administer it (does it go into a bag?)
Look up.
In what case is calcium chloride used in adult patients?
A. Hyperkalemia
B. Wide QRS dialysis code
C. Crush injuries
B. Wide QRS dialysis code - This is a specific change to our protocols.
Incorrect:
A. We no longer administer calcium chloride for routine hyperkalemia. They require lab work.
C. Crush injuries no longer require calcium chloride.
T/F: Bicarbonate (50 mEq) is administered to adult cardiac arrest patients.
False
In the case of _____ with wide QRS, 50 mEq of bicarbonate is administered.
A. Crush injuries
B. Prolonged (over 1 hour) crush/pin injury
C. Hyperkalemic arrests
D. TCA overdose
D. TCA overdose
How is bicarbonate administered to crush injuries?
50 mEq added to 1000 mL bag of normal saline
In hypoglycemic cardiac arrest, how is glucose administered?
A. D10 drip
B. 25 g of D50
B. 25 g of D50
Outline the indications for TXA administration.
Blunt or penetrating trauma with signs and symptoms of hemorrhagic shock
Systolic blood pressure of less than 90 mmHg at scene of injury, during ground medical transport, or on arrival to designated trauma centers ·
Estimated blood loss (EBL) of 500 mL in the field accompanied by a heart rate greater than
120bpm ·
Bleeding not controlled by direct pressure or tourniquet (non-compressible) ·
Less than three hours from the time of injury
Contraindications of TXA
Under 18 years of age ·
Active thromboembolic event (within the last 24 hours); i.e. active stroke, myocardial infarction
or pulmonary embolism ·
Hypersensitivity or anaphylactic reaction to Tranexamic Acid ·
More than three hours post injury · Traumatic arrest with greater than five minutes of CPR without return of vital signs ·
Penetrating cranial injury ·
Traumatic brain injury with brain matter exposed ·
Isolated drowning or hanging victims ·
Documented cervical cord injury with motor deficit
Administration of TXA
Add 1 g to a 100mL bag of NS
Administer over 10 minutes (appx. 2 gtt/sec)
Ketamine for intubation/sedation:
A. Medical control dosage ordered
B. 5 mg/kg IM
C. 2.5 mg/kg IV/IO
C. 2.5 mg/kg IV/IO
Ketamine for ExDS
A. Medical control dosage ordered
B. 5 mg/kg IM
C. 2.5 mg/kg IV/IO
B. 5 mg/kg IM
Incorrect
A. Medical control dosage ordered - This is for pain management
C. 2.5 mg/kg IV/IO is for medication assisted intubation
Ketamine for pain control.
A. Medical control dosage ordered
B. 5 mg/kg IM
C. 2.5 mg/kg IV/IO
A. Medical control dosage ordered
