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Paramedic Entrance Exam > Fundamentals > Flashcards

Fundamentals Flashcards

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1
Q

What are the Breaths per min of an Asthma Pt while bagging?

A

6-8

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2
Q

What are the breaths per min for bagging a normal adult?

A

1 breath every 6 seconds (10 breaths per min)

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3
Q

Target Spo2 for COPD

A

92%

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4
Q

Lidocaine dose for IO

A

1 MG/KG

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5
Q

Max Lidocaine dose

A

50 MG

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6
Q

Ondasetron (Zofran) Dose

A

4MG slow IVP May repeat once in 10 min

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7
Q

Fentanyl Dose and MAX Dose

A

1 MCG/KG Max of 100 MCG May repeat in 5 min .

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8
Q

Fentanyl Max dose w/ OLMC

A

300 MCG

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9
Q

Elderly Fentanyl dose

A

0.5 MCG/KG

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10
Q

Max elderly single dose of Fentanyl

A

50 MCG

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11
Q

How Many Vital Signs should each transport have?

A

2

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12
Q

Ketamine PAIN Dose IN/IVP/IN

A

0.5 MG/KG slow IVP or 1 MG/KG IN/IM may rpt 1/2 after 10 min

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13
Q

A valid DNR must contain how many signatures

A
  1. Patient or guardian, Witness, And authorized practitioner
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14
Q

Log roll elderly pts?

A

no

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15
Q

Obese Pt’s

A

consider risk of apnea. elevate head of stretcher Higher risk of ET tube dislodgement
Listen over back for breath sounds
Humerous IO 15G needle

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16
Q

OBESE PT’s

A

request bariatric ambulance use right sized BP cuff

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17
Q

Airway obstruction

A

5 abd thrusts

chest thrusts if pregnant

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18
Q

DAI Drugs

A

Etomidate 0.5 MG/KG max of 40mg
or
ketamine 2 mg/kg slow ivp or 4mg/kg IM keep sedated with midazolam 2mg slow ivp up to 20 mg

19
Q

benzocaine

A

1-2 second spray 30 seconds apart x2

20
Q

DAI preoxygenate

A

for 3 min breathing at a RR of 8 or greater

21
Q

AFTER intubating

A

confirm with etco2, ascultate over epigastrum, bi-lateral midaxillary lines, and anterior chest
IF etco2 not detected, confirm with direct laryngoscopy

22
Q

Sedatives in pregnancies

A

caution…could be harmful to fetus

23
Q

Diphenhydramine

A

1mg/kg (max of 50)

24
Q

EPI 1:1000

A

0.3mg IM

to not delay transport while waiting for response

25
Q

Albuterol for ANPHYLACTIC

A

2.5 MG

26
Q

Ipratropium

A

0.5 MG

27
Q

CRITICAL ANAPHYLAXIS

A

EPI 1;1000 0.5mg IM vastus laterous THIGH
GLUCAGON if not responding to epi
AFTER IV— epi 1;10,000 titrate in 0.1 mg ivp/io doses to a max dose of 2mg
If no iv may repeat 1/1000 .5 mg may repeat x1

28
Q

Respiratory Distress- if wheezing without COPD/Asthma

A

consider aspiration, PE, HF/pulmonary edema

29
Q

NEB Treatments in Asthma/copd

A

may repeat x1
albuteral 2.5mg
Ipratropium .5 mg
Mag sulfate 2gm in NS total volume of 20ML Slow ivp over 5 min MAX 1 GM/MIN

30
Q

How should IV ondasetron be delivered

A

4mg slow ivp no less than 30 sec

31
Q

Blood thinners

A

Plavix, Coumadin, Pradaxa, Xarelto

32
Q

What should be done if an extremely obese Pt experiences respiratory arrest?

A

A. Insert an alternate airway rather then attempting a difficult intubation.

33
Q

Extremely obese Pts will lave decreased range of motion in laying supine?

A

True

34
Q

If an obese Pt has had recent weight reduction surgery, what should you ask?

A

What type/nature of procedure and compliance with follow up instructions.

35
Q

If given the option to DAI, or intubate…

A

DO IT

36
Q

Midazolam for POST intubation

A

2mg invriments up to 20mg

37
Q

What are the 2 most common side effects of Etomidate

A

Myoclonus and pain at the injection site

38
Q

What is the desired action of Ketaine in DAI

A

Dissociative Anesthetic

39
Q

Why choose ketamine for an asthmatic Pt

A

It causes bronchodilation

40
Q

Side effect of Ketamine

A

Emergence reaction

41
Q

WHen advancing ET over the bougie

A

the intubator should let the assistant pass th ET tube in the trachea

42
Q

Where should lubricant be applied to the king

A

distal tip of the and posterior surface, avoiding ventilatory openings

43
Q

when inserting a king airway, where should the blue orientation line be touching?

A

middle of the lower lip

Paramedic Entrance Exam (3 decks)

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