Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Suffolk County Protocols > Adult > Flashcards

Adult Flashcards

1
Q

ACS Suspected

A
  • Nitro .4mg SL, may repeat q 5 min, BP>120
  • BP<90, Fluid Bolus 20 ml/kg, may repeat at 40 ml/kg
  • Morphine 10 mg OR Fentanyl 100 mcg for chest pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

ALS Adult Care

A

UNSTABLE PT.

  • HR<50 or >110
  • BP <90 or >180
  • RR <8 or >29
  • Persistent chest pain
  • Persistent respiratory distress
  • Post Cardiac Arrest and Respiratory Arrest
  • Multi system or p[enetrating trauma
  • Assist Airway and Breathing
  • C-Spine as needed
  • Pt. Assessment
  • O2
  • IV
  • Monitor
  • BGL
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

ACS Syndrome

A
  • BLS
  • Aspirin 324 mg PO
  • Monitor, 12-lead
  • IV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Adult Advanced Airway

A
  • BLS airway
  • BLS foreign body techniques
  • SpO2, Waveform Cap., Monitor
  • ETT or Supreglottic
  • Magill Forceps to remove foreign body
  • Needle Cric if unrelieved
  • MFI or RSI
  • Vent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Adult Behavioral emergency/ agitation

A
  • ABC’s, Vitals
  • Additional Assistance
  • Humane restraints, check distal pulses
  • BGL
  • Midazolam 5 mg IV or 10 mg IM/IN
    OR
  • Ketamine 2 mg/kg IV up to 4 mg/kg IM
    OR
  • Haloperidol 5 mg IM
  • Diphenhydramine 25 mg IM/IV for dystonic reactions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Medication Facilitated Intubation

A
  • Position Patient
  • SpO2
  • Prepare equipment
  • Pre-Oxygenate
  • IV
  • Etomidate .3 mg/kg over 30-60 seconds IV
  • Intubate and check
  • If failed, Supraglottic
  • If unable to ventilate, Needle Cric
  • EtCO2 Monitor
  • Midazolam 5 mg IV
    OR
  • Ketamine 2 mg/kg IV
  • Vent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Altered Mental Status

A
  • ABC’s, Vitals
  • Airway
  • SpO2, ETCO2
  • IV
  • BGL
  • Monitor
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anaphylactic Shock/ Allergic Reaction

A
  • Epi .3 mg (1:1,000) IM
  • Diphenhydramine 50 mg IM/IV
  • Methylprednisolone 125 mg IM/IV
  • if wheezing, Combivent x 2
  • IV
  • Monitor
  • BP<90, Fluid Bolus 20ml/kg, may repeat 40ml/kg
    MEDICAL CONTROL
  • Dopamine
  • Epi Infusion 1:10,000
  • ETT
  • MFI/RSI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Asthma

A
  • Combivent
  • IV
  • Methylprednisolone 125 mg IV
  • Monitor
  • If respiratory failure or distress, Epi .3 mg (1:1,000) IM
  • Mag Sulfate Infusion 2g in 100 ml over 10 minutes
    MEDICAL CONTROL
  • Albuterol
  • CPAP
  • ETT
  • MFI/RSI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Asystole/ PEA

A
  • BLS
  • Airway
  • Monitor
  • IV, 20 ml/kg, repeated at 40 ml/kg
  • Epi 1 mg (1:10,000) q 3-5 min
  • H’s and T’s
  • If Renal Failure, TCA OD, Hyperkalemia, Sodium Bicarb 1 mEq/kg IV
  • If Tension Pneumo, Needle D
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

A-Fib/ A-Flutter

A 
UNSTABLE
- HR>150, BP<90, Unresponsive
- Cardiovert 100, 200, 300, 360, MED CONTROL
UNSTABLE
- W/o decompensation
- Diltiazem .25mg/kg MAX 20mg IV  over 2 minutes
MED CONTROL
- Amiodarone
- Diazepam
- Midazolam
- Fentanyl
- Morphine
- Metoprolol
- ETT
- MFI/RSI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Burns

A
  • O2
  • PPV, if needed
  • ETT, if needed
  • IV, 20 ml/kg
  • Monitor
  • BP>90, no AMS
  • Morphine 10 mg IV
    OR
  • Fentanyl 100 mcg IV/IM
    OR
  • Midazolam 5 mg IV or 10 mg IM/IN
  • Zofran 4 mg IV/IM
    MED CONTROL
  • Ketamine
  • MFI/RSI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

COPD

A
  • Combivent x 2
  • CPAP
  • IV
  • Monitor
  • 12-lead
  • Methylprednisolone 125 mg IV
    MED CONTROL
  • Mag Sulfate
  • ETT
  • Epi 1:1,000
  • MFI/RSI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Cardiac Disrhythmia Entry

A
  • O2
  • Monitor, 12-lead
  • SpO2
  • IV
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Chest Trauma

A
  • BLS
  • For decompensated shock/Cardiac Arrest, Needle D
  • IV, 60ml/kg titrated to BP>90
    MED CONTROL
  • Hypovolemia/Hypotnesion
  • ETT
  • MFI/RSI
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Crush

A
  • Monitor, 12-lead
  • IV, 20ml/kg
  • 1 extremity for 2 hours, 2 extremities for 1 hour with s/s of hyperkalemia, Sodium Bicarb 50 mEq IV slow push over 5 min every 30 minutes
    MED CONTROL
  • Calcium Chloride
  • Midazolam
  • Fentanyl
  • Albuterol
  • Morphine
  • Diazepam
17
Q

Hypoglycemia

A
  • BGL<60
  • Dextrose 50% 25g IVP or 10% 250cc IV Bolus
  • 2nd dose of Dextrose if symptomatic after 5 min
  • Resolved, Monitor/Transport/34 MED CONTROL
18
Q

Head Trauma

A
  • Vitals, LOC
  • GCS, Pupils
  • If inadequate ventilations, BVM
  • Consider ETT
  • If unable to intubate RSI
19
Q

Hypoperfusion/Hypovolemia

A
  • COMPENSATED SHOCK
  • IV, 20 ml/kg
  • DECOMPENSATED SHOCK
  • IV 60 ml/kg
    MED CONTROL
  • Dopamine Drip
  • Norepi Drip
20
Q

Medical Shock/ Hypoperfusion

A
  • Monitor
  • IV, 20 ml/kg
  • Norepi 5 mcg/min, max 20 mcg/min if BP<90
    MED CONTROL
  • Epi Infusion
  • ETT
  • MFI/RSI
21
Q

OB/GYN

A
  • ABC’s/ Vitals
  • Monitor
  • IV
  • Left Lateral Recumbent
    PRETERM LABOR (24-37 wks)
  • IV 20 ml/kg
    S/S PREECLAMPSIA
  • Mag Sulfate 4g IV over 2 min
  • If pt. activelly seizing, Midazolam 5 mg IV or 10 mg IM
    MED CONTROL
  • Metoprolol
22
Q

Organophosphate/ Nerve Agent

A
  • Decon
    MED CONTROL
  • SLUDGEM
  • Mark 1 Kit or 1 DuoDote Kit, reasses q 5 min, MAX 3 kits
  • SLUDGEM+ dyspnea, Incontinence, Seizure, Paralysis
  • 3 x Mark 1 kit or 3 x DuoDote kit
  • IV 250ml Bolus
  • Repeat Atropine until secretions dry to max ind. dose of 20 mg
  • Diazepam 10 mg IV
  • Midazolam 1-2mg IV or 5 mg IM/IN
23
Q

Overdose

A

OPIATE

  • unconscious/unresponsive
  • Narcan .4mg IV MAX 6 mg or 2mg IM/IN MAX 4mg

BETA BLOCKER
- MED CONTROL

SYMPATHOMIMETIC
- Midazolam 5mg IV or 10mg IM/IN
OR
- Ketamine 2 mg/kg IV or 4 mg/kg IM
- 12 lead

MED CONTROL

  • Glucagon
  • Sodium Bicarb
  • Diazepam
  • AMS Protocol
  • Symptomatic Brady Protocol
  • ETT
24
Q

Pain Management

A
  • Airway
  • Monitor
  • SpO2
  • IV
  • Morphine 10 mg IV
    OR
  • Fentanyl 100 mcg IV
  • Zofran 4 mg IV/IM
    MED CONTROL
  • Keterolac
  • Ketamine
25
Q

Pulmonary Edema BP>120

A
  • Vitals
  • Nitro .4mg
  • CPAP, Waveform
  • IV
  • CHF Suspected, Nitro .4mg q 5 min, MAX 3 NTG BP>120 prior to each administration
  • Monitor, 12-lead
  • Morphine 10 mg IV
    MED CONTROL
  • Nitro
  • Furosemide
  • Fentanyl
  • Albuterol
  • MFI/RSI
  • ETT
26
Q

Seizure

A 
- Diazepam 10 mg IV
OR
- Midazolam 5 mg IV or 10 mg IM/IN
MED CONTROL
- AMS Protocol
- ETT
- MFI/RSI
27
Q

Shock/ Hypoperfusion after ROSC

A
  • O2
  • Monitor, 12-lead
  • IV, 20 ml/kg, may be repeated to 40 ml/kg
  • 2nd Iv if needed
  • Norepi 5 mcg/min up to 20 mcg/min
    MED CONTROL
  • Sodium Bicarb
  • ETT
  • Calcium Chloride
  • Glucagon
  • Epi infusion
  • MFI/RSI
28
Q

Stroke/CVA

A
  • Time of onset
  • Facial Droop
  • Arm Drift
  • Speech
  • Time last seen well
    MED CONTROL
  • Destination Decision
  • AMS Protocol
  • ETT
  • MFI/RSI
29
Q

SVT

A 
- Adenosine 6mg, 12mg
UNSTABLE/DECOMPENSATED/UNRESPONSIVE
- Cardiovert 100,200,300,360, MED CONTROL
UNSTABLE/DECOMPENSATED/AWAKE
- Diazepam 10 mg IV
OR
- Midazolam 5 mg IV or 10 mg IM/IN
OR 
- Fentanyl 100 mcg IV/IM/IN
- Cardiovert 50J, may repeat 100J, if after 4 attempts no result, MED CONTROL
MED CONTROL
- Amiodarone
- Morphine
- Diltiazem
- Zofran
- ETT
- MFI/RSI
30
Q

Cyanide/ Smoke Inhalation

A
  • Decon
  • IV
  • Monitor
  • SpO2
  • If in cardiac arrest or hypotensive
  • 2nd IV
    Hydroxocobalamin 5g/200ml NS over 15 min (15ml/min)
31
Q

Syptomatic Bradycardia

A 
UNSTABLE, chets pain, 1st degree HB, 2nd degree Type 1
- Atropine .5 mg
- Repeat Atropine .5 mg
UNSTABLE, 2nd degree type 2, Junctional, 3rd degree
- Diazepam 10 mg
OR
- Midazolam 5 mg IV/IM or 10 mg IM/IN
OR 
- Fentanyl 100 mcg IV/IM/IN
- Transcutaneous Pacing
32
Q

V-Fib/ V-Tach

A
  • BLS
  • Airway
  • Monitor
  • D-fib 360
  • IV
  • D-fib 360
  • Epi 1 mg (1:10,000) q 3-5 min
  • D-fib 360
  • If suspected renal failure, TCA OD, Hyperkalemia
  • Sodium Bicarb 1 mEq/kg IV
  • If Torsades suspected
  • Mag Sulfate 2g IV
  • Amiodarone 300 mg IV, may repeat 150 mg in 3-5 min
33
Q

V-Tach w/ Pulse

A 
UNSTABLE/UNRESPONSIVE
- Cardiovert 100,200,300,360, MED CONTROL
STABLE
- QRS wide, polymorphic
- Mag Sulfate 1 g in 100 ml NS over 10 min
- Amiodarone 150 mg in 100 ml over 10 min
UNSTABLE/AWAKE
- Diazepam 10 mg IV
OR
- Midazolam 5 mg IV or 10 mg IM/IN
OR
- Fentanyl 100 mcg IV/IM/IN
Cardiovert 100,200,300,360, MED CONTROL
MED CONTROL
- Mag Sulfate
- ETT
- MFI/RSI
- Adenosine
- Zofran

Suffolk County Protocols (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions