2021 TRAA STANDING ORDERS (Paramedic) Flashcards
- You are caring for a 34 yom patient presenting with bizarre/destructive behavior who is also extremely confused and unable to communicate aside from yelling out random sounds or words. You and your partner have concluded that this patient is presenting with excited delirium. There is no IV established at this time in which you decide to administer Ketamine IM. Your patient is 100 kg. What is your dose for Ketamine IM for this patient?
Answer: 300 mg
See page # 35 of the TRAA 2021.1.1 Standing Orders Book
- You are caring for a 72 yom patient who has suffered 27% burns to his torso and arms. You have decided to administer Dilaudid for pain management purposes. What is your dose of Dilaudid for this patient?
Answer: 0.5 mg every 10 minutes to a max of 1 mg
See page # 45 of the TRAA 2021.1.1 Standing Orders Book
- A pt who has suffered 27% burns does not respond to pain management efforts and his pain is not improving. You have opted to use Ketamine for sedation since his severe discomfort was not relieved by pain medications. What is your dose for Ketamine for this patient via IV administration?
Answer: 1 mg/kg, may repeat once without OLMC orders.
See page # 17-18 of the TRAA 2021.1.1 Standing Orders Book
- You are caring for a 62 yom patient who is in cardiac arrest. Your Advanced EMT offers to administer the Epinephrine. The Advanced EMT’s dose of Epinephrine for this cardiac arrest is __________ mg(s) to a max total of __________ mg(s).
Answer: 1 , 4
See page # 21 of the TRAA 2021.1.1 Standing Orders Book
You have administered an initial 6 mg dose of Adenosine to your 46 yof patient in SVT. The patient returned to SVT after presenting in a sinus rhythm for a brief period of time in which your administered another dose of 12.0mg Adenosine. The patient remains stable in SVT after two doses of Adenosine. What is your next step?
Answer: Contact OLMC
See page # 26 of the TRAA 2021.1.1 Standing Orders Book
For a Priority 2 call, the minimum equipment that must be taken to the patient to ensure effective patient management is:
Answer: Cardiac Monitor, Oxygen Bag, First-In Bag, and Cot
See page # 136 of the TRAA 2021.1.1 Standing Orders Book
True or False: A multi system blunt trauma patient, such as from a high velocity crash or significant fall, who is unable to follow commands due to combativeness, intoxication, or decreased mental status, should remain on the backboard until handoff at the ED.
Answer: True
See page # 54 of the TRAA 2021.1.1 Standing Orders Book
The load limit for the Pedi-Mate device is:
Answer: 10-40 lbs
See page # 139 of the TRAA 2021.1.1 Standing Orders Book
Your 76 yof patient is presenting with rales and difficulty in breathing. You opt to treat your patient with Nitro and CPAP administration. What is your dose of Nitro and your CPAP maximum setting for this patient?
Answer: SL every 5 minutes if dyspnea persists but B/P remains elevated, 10 cm/H2O
See page # 30 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a hypoglycemic patient in which their blood glucose level was 23 mg/DL. You should administer up to 250.0 ml of D10W until:
Answer: The patient’s mental status is normal and until the blood glucose is above 80 mg/DL
See page # 31 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a 58 yom patient who presents as cool, pale, and diaphoretic. Pt has a history of HTN, high cholesterol, two stents placed, and ESRD. Vitals are noted to be 80/40 mmHg, 52 bpm, 22rr, at 90% O2 saturations. Upon inspection of his EKG, you note the patient has no P waves present and a wide QRS complex. Your treatment of choice for this patient is:
Answer: Calcium Chloride 1 gram along with Sodium Bicarbonate 50 mEq
See page # 32 of the TRAA 2021.1.1 Standing Orders Book
You respond to a 23 yof who has just given birth to a 4 kg baby boy. You have done all the necessary assessment procedures (dry, stimulate, APGAR, etc.). You note that the newborn’s heart rate is at 40 bpm. The newborn is presenting with bradycardia. Your partner begins ventilation and CPR. The dose of Epinephrine to be given is?
Answer: 0.04 mg IV/IO
See page # 42-43 of the TRAA 2021.1.1 Standing Orders Book
Your 89-year-old patient presents with a temp of 102, blood pressure of 82 mmHg systolic, heart rate of 120, and a respiratory rate of 30. You suspect sepsis. So far, a fluid bolus has not helped this patient. What is the dose of Epi via drip that may be given?
Answer: 1 mcg/min titrate to a MAP > 65
See page # 50 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a patient who is C-STAT & FAST positive. These patients may be eligible for intervention for up to __________ hours.
Answer: 24 hours
See page #52 of the TRAA 2021.1.1 Standing Orders Book
A multiple-casualty incident that severely taxes local EMS personnel and resources, requires the activation of the Disaster Response Team, and may require mutual aid from outside organizations, is considered to be a:
Answer: High-impact incident
See page # 133-134 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a 78 yof experiencing COPD exacerbation. Part of your treatment for this patient includes a nebulizer treatment consisting of Albuterol and Atrovent. As per scope of practice within TRAA standing orders, who can administer this nebulizer treatment to the patient?
Answer: Paramedic, Advanced EMT, and EMT Basic
See page # 15 of the TRAA 2021.1.1 Standing Orders Book
For I-Gels, the appropriate size should be chosen by utilizing the patient’s:
Answer: Ideal body weight
See page # 99-102 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a burn patient whose B/P remains 80/40 mmHg post the initial fluid bolus. You may administer additional boluses of __________ mls, repeating the bolus __________ times, as per standing order.
Answer: 500 , 3
See page # 17-18 of the TRAA 2021.1.1 Standing Orders Book
You respond to a 2 yom child who has a hx of V-Tach due to a congenital heart defect. This pt is unstable and you will need to perform synchronized cardioversion. The patient weighs 25 kg. What is your initial Joules setting for the Lifepack?
Answer: 25 joules
See page # 74 of the TRAA 2021.1.1 Standing Orders Book
The normal respiratory rate for an infant (1-12 months), as per the normal pediatric vitals chart in the standing orders is?
Answer: 30 – 60 rr/min
See page # 68,70, or 81 of the TRAA 2021.1.1 Standing Orders Book
A 12-Lead EKG is required for all patients who present with signs/symptoms consistent with cardiac related problems, i.e. syncope, weakness, arrhythmias, CHF, SOB, atypical AMI symptoms, and non-traumatic chest pain in anyone greater than the age of ________.
Answer: 25
See page # 119 of the TRAA 2021.1.1 Standing Orders Book
You are caring for an 8-month-old male patient presenting with seizure activity. Due to patient still actively seizing, you decide to administer Versed IN. What is your dose of Versed for this patient who weighs 6 kg?
Answer: 1.2 mg IN
See page # 79 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a patient that is presenting with chest pain and dizziness. You and your partner obtain a 12 lead in which you interpret the patient to be presenting with a lateral wall MI. Which leads pertain to the lateral wall when viewing your 12-Lead?
Answer: I, aVL, V5 & V6
See page # 119 of the TRAA 2021.1.1 Standing Orders Book
You are caring for a 62 yof patient complaining of epigastric pain. You plan to obtain a 12-Lead EKG due to her atypical possible cardiac presentation and due to her being a female. When interpreting the 12-Lead, you recall that STEMI criteria involves _________ mm of ST elevation in __________ or more contiguous leads.
Answer: 1.0 , 2
You are utilizing the mnemonic PAILS from the procedure section of your SO book to detect reciprocal changes for your patient who is presenting with an anterior wall MI. You would anticipate that the reciprocal changes would be noted in which leads?
Answer: II, III, and aVF
See page # 119-121 of the TRAA 2021.1.1 Standing Orders Book
ETCO2 should be applied to any advanced airway no later than how many seconds/minutes after placement?
Answer: 1 minute
See page #84-86 of the TRAA 2021.1.1 Standing Orders
An intubation attempt is defined as:
Answer: Insertion of a laryngoscope blade into the mouth for orotracheal methods
See page # 9-11 of the TRAA 2021.1.1 Standing Orders Book
You have successfully intubated an adult patient whom is in respiratory arrest (not cardiac arrest). You have decided to use a PEEP valve to help maintain oxygenation. What should you set your PEEP valve at?
Answer: 5 cm/H2O
See page # 9-11 of the TRAA 2021.1.1 Standing Orders Book
In the traumatic arrest patient, you may contact OLMC after ________ minutes of resuscitation efforts to discuss the need to continue active resuscitation efforts.
Answer: 20 minutes
See page # 59-61 of the TRAA 2021.1.1 Standing Orders Book
The fire department has just removed your patient from a house fire. You find your patient to have burns to approximately 36% body surface area with partial and full-thickness burns throughout. Their blood pressure remains greater than 100 systolic. How many ml of normal saline should you bolus this patient?
Answer: 500 ml
See page # 17-18 of the TRAA 2021.1.1 Standing Orders Book
You find your 62 year old patient sitting behind his desk at an office building. He is complaining of feeling faint. His skin is pale and diaphoretic. His blood glucose is 124. You find his heart rate to be 38/min. He takes no medicine. His ECG is shown. A 0.5mg dose of Atropine is given without any change. What is the total amount of Atropine that may be given?
Answer: 3.0 mg
See page # 19 of the TRAA 2021.1.1 Standing Orders Book
