11 month med test

Question 1

What medication can EMT-Bs assist in administering that can help with chest pain?

Answer 1

Nitroglycerin

Question 2

How much NTG can be administered by EMT-B? What conditions must be met?

Answer 2

3 Total doses. Only if the NTG is prescribed to the pt.

Question 3

What are the contraindications for NTG?

Answer 3

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.

Question 4

Aside from NTG, what other medication can a EMT-B administer in the presence of chest pain? What is the dose?

Answer 4

Aspirin

324 mg

Question 5

What are the contraindications for ASA (Aspirin)?

Answer 5

Allergy
Recent history of GI or other internal bleeding/disorder
Under 18

Question 6

In CHF pt’s, what should oxygen saturations be titrated to? What other respiratory assistance can EMT-Bs provide?

Answer 6

94-98%

Assisted ventilations with BVM until CPAP can be administered.

Question 7

What signals will the Lucas produce if the pt is too small?

Answer 7

Three fast signals.

Question 8

When is an AED contraindicated?

Answer 8

If the pt is conscious with stable signs and symptoms.

If the patient is suffering from major traumatic injury.

Question 9

What are the five major considerations for CPR?

Answer 9

Rate, depth, recoil, uninterrupted, and ventilation control.

Question 10

In HP CPR, which position operates the Lucas? What else do they do?

Answer 10

Position 1 (Pt’s right side)
Assess Pt
Begin chest compressions
Ventilate when not compressing

Question 11

In HP CPR, what does position 2 do?

Answer 11

Applies AED
Performs CPR
Compressions during AED charging

Question 12

In HP CPR, what does position 3 do?

Answer 12

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.

Question 13

How many ventilations per minute during HP CPR?

Answer 13

6-10, asynchronously

Question 14

Define newborn

Answer 14

Birth to the time the infant leaves the hospital.

Question 15

Define infant

Answer 15

Less than 1 year of age

Question 16

Define child

Answer 16

1 year to onset of puberty and 100 LBS.

Question 17

When should oxygen be administered to pediatric patients?

Answer 17

When indicated, or any time they have a respiratory complaint, regardless of SPO2.

Question 18

Define pediatric hypotension

Answer 18

70+(age in years x 2)= Systolic B/P or 90 mm hm, whichever is lower.

Question 19

What are the three sides to the pediatric assessment triangle?

Answer 19

Appearance, Work of breathing, Circulation/Skin

Question 20

What is the does for pediatric medications in respiratory distress?

Answer 20

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.

Question 21

What does is Epi-pen jr? And for what weights? What is the concentration of Epi?
When to repeat?

Answer 21

.15 mg
< 30 kg
1:1000
After 10 minutes with no improvement

Question 22

What heart rate contraindicates use of Albuterol in pediatric patients?

Answer 22

HR > 200

Question 23

In pediatric seizures, what should I do to determine the pt’s color category?

Answer 23

Use a length based resuscitation tape.

Question 24

What BLS treatments should be performed for seizing patients?

Answer 24

Oxygen (high flow if deficits or altered)
Recovery position and prevent harm
Anticipate post ictal state
Obtain BG and temperature

Question 25

Define symptomatic hypoglycemia

Answer 25

BG < 60 mg/dl with an altered LOC.

Question 26

What is the max does of oral glucose that can be administered?

Answer 26

45 G (3 tubes of 15 G)

Question 27

What is the difference in the pediatric rule of 9s vs. the adult?

Answer 27

Pediatric patients get an extra 9% on their heads and their legs as 14% each instead of 18%.

Question 28

What are the six p’s of a trauma assessment?

Answer 28

Pain
Poikilothermia
Paresthesia
Paralysis
Pulselessness
Palor