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AEMCA Prep > ALS - PCP > Flashcards

ALS - PCP Flashcards

1
Q

Bronchoconstriction

Indications

A

Respiratory distress

Suspected bronchoconstriction

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2
Q

Bronchoconstriction

Salbutamol - Conditions

A
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3
Q

Bronchoconstriction

Epinephrine - Conditions

A
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4
Q

Bronchoconstriction

Contraindications - Salbutamol

A

Allergy or sensitivity to salbutamol

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5
Q

Bronchoconstriction

Epinephrine - Contraindications

A

Allergy or sensitivity to epinephrine

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6
Q

Bronchoconstriction

Salbutamol - Treatment

A
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7
Q

Bronchoconstriction

Epinephrine - Treatment

A

Route: IM
concentration: 1:1000
Dose: 0.05mg/kg
Max dose: 0.5mg
Max # doses: 1

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8
Q

Bronchoconstriction

Clinical considerations

A
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9
Q

Moderate to Severe Allergic Reaction

Indications

A

Exposure to a probable allergen

Signs or symptoms of a Moderate to Severe Allergic Reaction (including anaphylaxis)

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10
Q

Moderate to Severe Allergic Reaction

Epinephrine - Conditions

A
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11
Q

Moderate to Severe Allergic Reaction

Diphenhydramine - Conditions

A
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12
Q

Moderate to Severe Allergic Reaction

Epinephrine - contraindications

A

Allergy or sensitivity to epinephrine

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13
Q

Moderate to Severe Allergic Reaction

Diphenhydramine - Contraindications

A

Allergy or sensitivity to diphenhydramine

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14
Q

Moderate to Severe Allergic Reaction

Epinephrine - Treatment

A
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15
Q

Moderate to Severe Allergic Reaction

Diphenhydramine - Treatment

A
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16
Q

Moderate to Severe Allergic Reaction

Clinical considerations

A
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17
Q

Croup

Indications

A

Current HX of URTI

Barking cough or recent history of barking cough

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18
Q

Croup

Epinephrine - Conditions

A

> 6 months to <8 years

HR: <200 bpm

Stridor at rest

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19
Q

Croup

Epinephrine - Contraindications

A

Allergy or sensitivity to epinephrine

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20
Q

Croup

Epinephrine - Treatment

A

Weight: <10kg
Route : NEB
Concentration: 1:1000
Dose: 2.5mg
Max dose: 2.5mg
# of doses: 1

Weight: >10kg
Route: NEB
Concentration: 1:1000
Dose: 5mg
Max dose: 5mg
# of doses: 1

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21
Q

Croup

Clinical considerations

A

none

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22
Q

CPAP

Indications

A

Severe respiratory distress

And

SS of Acute Pulmonary Edema or COPD

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23
Q

CPAP

Conditions

A
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24
Q

CPAP

Contraindications

A
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25
Q

CPAP

A

Treatment

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26
Q

ROSC

Indications

A

Patient with ROSC after resuscitation was initiated

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27
Q

ROSC

Fluid bolus - conditions

A
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28
Q

ROSC

Fluid Bolus - contraindications

A

Fluid overload

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29
Q

ROSC

Fluid bolus - treatment

A
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30
Q

ROSC

Clinical considerations

A

Consider initiating transport during above treatment

For PCP IV

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31
Q

Cardiac ischemia

Indications

A

Suspected cardiac ischemia

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32
Q

Cardiacs inschemia

ASA - conditions

A
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33
Q

Cardiac ischemia

ASA - contraindications

A
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34
Q

Cardiac ischemia

ASA - Treatment

A
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35
Q

Cardiac ischemia

Nitro - conditions

A
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36
Q

Cardiac Ischemia

Nitro - Contraindications

A
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37
Q

Cardiac ischemia

Nitro - Treatment

A
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38
Q

Cardiac ischemia

Clinical considerations

A
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39
Q

ACPE

Indications

A

Moderate to severe respiratory distress

AND

Suspected ACPE

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40
Q

ACPE

Nitro - conditions

A
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41
Q

ACPE

Nitro - contraindications

A
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42
Q

ACPE

Nitro - Treatment

A
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43
Q

IV and Fluid therapy

Indications

A

Actual or potential need for IV medication OR fluid therapy

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44
Q

IV or fluid therapy

IV cannulation - conditions

A

Equal to or older than 2 years old

45
Q

IV and fluid therapy

IV cannulation - contraindications

A

Suspected fracture proximal to access site

46
Q

IV and fluid therapy

Fluid bolus - conditions

A

Equal to or older than 2 years old

Hypotension

47
Q

IV and fluid therapy

Fluid bolus - contraindications

A

Fluid overload

48
Q

IV and fluid therapy

Fluid bolus - treatment

49
Q

IV and fluid therapy

Maintenance infusion - treatment

50
Q

IV and fluid therapy

Provincial patch point

A

Patch to base hospital to administer fluid bolus if:
- patient is =< 2 - 12 years old
- with suspected DKA

51
Q

Hypoglycaemia

Indications

A

Suspected hypoglycaemia

52
Q

Hypoglycaemia

Dextrose - conditions

53
Q

Hypoglycaemia

Dextrose - contraindications

A

Allergy or sensitivity to dextrose

54
Q

Hypoglycaemia

Dextrose - treatment

55
Q

Hypoglycaemia

Glucagon - conditions

56
Q

Hypoglycaemia

Glucagon - contraindications

A

Allergy or sensitivity to glucagon

Pheochromocytoma

57
Q

Hypoglycaemia

Glucagon - treatment

58
Q

Hypoglycaemia

Clinical considerations

59
Q

Nausea and Vomiting

Dimenhydrinate - conditions

60
Q

Nausea and vomiting

Dimenhydrinate - contraindications

61
Q

Nausea and vomiting

Dimenhydrinate - Treatment

62
Q

Nausea and vomiting

Clinical considerations

63
Q

Opiod toxicity

Indications

A

Altered LOC

Respiratory distress

Inability to adequately ventilate OR persistent need to assist ventilations

Suspected Opiod overdose

64
Q

Opiod toxicity

Nalaxone - conditions

65
Q

Opioid toxicity

Nalaxone - contraindications

A

Allergy or sensitivity to Nalaxone

66
Q

Opioid toxicity

Nalaxone - Treatment

(What is the preferred order of drug routes)

67
Q

Opioid toxicity

Clinical considerations

68
Q

Suspected adrenal crisis

Indications

A

A patient with primary adrenal failure who is experiencing clinical signs of adrenal failure

69
Q

Suspected adrenal crisis

Hydrocortisone - conditions

70
Q

Suspected adrenal crisis

Hydrocortisone contraindications

A

Allergy or sensitivity to hydrocortisone

71
Q

Suspected adrenal crisis

Hydrocortisone - treatment

72
Q

Suspected adrenal crisis

Clinical considerations

A

IV us if hydrocortisone only applies to IV certified paramedics

73
Q

Analgesia

Indications

74
Q

Analgesia

Acetaminophen - conditions

75
Q

Analgesia

Acetaminophen - Contraindications

76
Q

Analgesia

Acetaminophen - Treatment

77
Q

Analgesia

Ibuprofen - conditions

78
Q

Analgesia

Ibuprofen - Contraindications

79
Q

Analgesia

Ibuprofen - treatment

80
Q

Analgesia

Ketorolac - conditions

81
Q

Analgesia

Ketorolac - Contraindications

82
Q

Analgesia

Ketorolac - Treatment

83
Q

Analgesia

Clinical considerations

84
Q

Bronchoconstriction

Dexamethasone - Conditions

A

HX of asthma OR
COPD OR
20 pack a year smoking hx

85
Q

Bronchoconstriction

Dexamethasone - Contraindications

A

Allergy / Sensitivity

Currently on PO or parenteral steroids

86
Q

Bronchoconstriction

Dexamethasone - Treatment

A

Route : PO / IM / IV
Dose : 0.5mg/kg
Max dose : 8mg
# of doses : 1

87
Q

Croup

Dexamethasone - Conditions

A

> 6 months - <8 years

Unaltered

For mild, moderate and severe croup

88
Q

Croup

Dexamethasone - Contraindications

A

Allergy / Sensitivity

Steroids received in the last 48 hours

Unable to tolerate oral medications

89
Q

Croup

Dexamethasone - Treatment

A

Age: >6M - <8Y
Route: PO
Dose: 0.5mg/kg
Max dose: 8mg
# of doses: 1

90
Q

Supraglottic Airway

Indications

A

Need for ventilatory assistance or airway control

Other airway management ineffective

91
Q

Supraglottic Airway

Conditions

A

Absent gag reflex

92
Q

Supraglottic Airway

Contraindications

A

Airway obstructed by foreign object

Known esophageal diseases

oropharynx trauma

Caustic ingestion

93
Q

Supraglottic Airway

Confirming airway placement

A

Primary:
ETCO2 Waveform

Secondary:
ETCO2 (non waveform)
Auscultation
Chest rise

94
Q

Nausea / Vomiting

Ondansetron - Conditions

A

Weight: >25kg
LOA: Unaltered

95
Q

Nausea / Vomiting

Ondansetron - Contraindications

A

Allergy / Sensitivity

Prolonged QT syndrome (Known to patient)

Apomorphine use

96
Q

Nausea / Vomiting

Ondansetron - Treatment

A

Weight: >25kg
Route: PO
Dose: 4mg
Max dose: 4mg
# of doses: 1

97
Q

Emergency Childbirth

Indications

A

Pregnant patient experiencing labor

OR

Post partum patient immediately following delivery and/or placenta

98
Q

Emergency Childbirth

Delivery - Conditions

A

Age: Childbearing years

Other:
Second stage labor,

Imminent birth,

Shoulder dystocia,

Breech ,

Prolapsed cord

99
Q

Emergency Childbirth

Delivery - Treatment

A

Position patient and deliver neonate

100
Q

Emergency Childbirth

Umbilical Cord Management - Conditions

A

Age: Childbearing years

Other:
Cord complications

Neonatal or maternal resuscitation is required

Due to transport considerations

101
Q

Emergency Childbirth

Umbilical Cord Management

A

Elevate fetal part in presence of prolapsed cord

Assist patient into knee-chest position or exagerated sims

Insert gloved finger/hand into vagina and apply manual digital pressure to presenting partsu until TOC

102
Q

Emergency Childbirth

External Uterine Massage - Condtions

A

Age: Childbearing years

Other:
Post Placental delivery

103
Q

Emergency Childbirth

External Uterine Massage - Contraindications

A

Placenta not delivered

104
Q

Emergency Childbirth

External Uterine Massage - treatment

A

To be done post placenta delivery

105
Q

Emergency Childbirth

Oxytocin - Conditions

A

Age: Childbearing years
SBP: <160 mmHg
Other: Post partum delivery AND/OR placental delivery

106
Q

Emergency Childbirth

Oxytocin - Contraindications

A

Allergy / Sensitivity

Undelivered fetus

Suspected or known pre-eclampsia with current pregnancy

Eclampsia with current pregnancy

> = 4 hours post placenta delivery

107
Q

Emergency Childbirth

Oxytocin - Treatment

A

Route: IM
Dose: 10 units
# Doses: 1

108
Q

Emergency Childbirth

Shoulder dystocia - Treatment

A

Perform ALARM twice on scene

Successful: Deliver fetus
Unsuccessful: Transport to closest ED

109
Q

Emergency Childbirth

Breach Delivery - Treatment

A

Hands off approach

Allow fetus to deliver to umbilicus

Carefully release arms and legs as they are delivered

Once hairline visible, or 3 minutes passed since umbilucus –> smeilie veits

AEMCA Prep (14 decks)

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