11 month med test Flashcards
What medication can EMT-Bs assist in administering that can help with chest pain?
Nitroglycerin
How much NTG can be administered by EMT-B? What conditions must be met?
3 Total doses. Only if the NTG is prescribed to the pt.
What are the contraindications for NTG?
BP < 100
Altered mental status
Pt has taken erectile dysfunction meds in the last 24 hours.
Medication is expired
Pt has already administered 3 or more doses.
Aside from NTG, what other medication can a EMT-B administer in the presence of chest pain? What is the dose?
Aspirin
324 mg
What are the contraindications for ASA (Aspirin)?
Allergy
Recent history of GI or other internal bleeding/disorder
Under 18
In CHF pt’s, what should oxygen saturations be titrated to? What other respiratory assistance can EMT-Bs provide?
94-98%
Assisted ventilations with BVM until CPAP can be administered.
What signals will the Lucas produce if the pt is too small?
Three fast signals.
When is an AED contraindicated?
If the pt is conscious with stable signs and symptoms.
If the patient is suffering from major traumatic injury.
What are the five major considerations for CPR?
Rate, depth, recoil, uninterrupted, and ventilation control.
In HP CPR, which position operates the Lucas? What else do they do?
Position 1 (Pt’s right side)
Assess Pt
Begin chest compressions
Ventilate when not compressing
In HP CPR, what does position 2 do?
Applies AED
Performs CPR
Compressions during AED charging
In HP CPR, what does position 3 do?
Assembles, checks, and applies all equipment for airway and ventilations.
Opens/clears airway
Inserts OPA
Assembles and applies BVM
Two hand mask seal
Secures supraglotic airway when in scope.
How many ventilations per minute during HP CPR?
6-10, asynchronously
Define newborn
Birth to the time the infant leaves the hospital.
Define infant
Less than 1 year of age
Define child
1 year to onset of puberty and 100 LBS.
When should oxygen be administered to pediatric patients?
When indicated, or any time they have a respiratory complaint, regardless of SPO2.
Define pediatric hypotension
70+(age in years x 2)= Systolic B/P or 90 mm hm, whichever is lower.
What are the three sides to the pediatric assessment triangle?
Appearance, Work of breathing, Circulation/Skin
What is the does for pediatric medications in respiratory distress?
2.5 mg Albuterol
.5 mg Atrovent
Or 2 puffs of prescribed inhaler (or as many as prescribed)
Or nebulizer inhaler (family or pt must prepare) but use 6-8 LPM oxygen.
What does is Epi-pen jr? And for what weights? What is the concentration of Epi?
When to repeat?
.15 mg
< 30 kg
1:1000
After 10 minutes with no improvement
What heart rate contraindicates use of Albuterol in pediatric patients?
HR > 200
In pediatric seizures, what should I do to determine the pt’s color category?
Use a length based resuscitation tape.
What BLS treatments should be performed for seizing patients?
Oxygen (high flow if deficits or altered)
Recovery position and prevent harm
Anticipate post ictal state
Obtain BG and temperature
