medical

Question 1

sodium Bicarb dose

Answer 1

50 mEq slow IVP over 5 min followed by 20 ml flush

Question 2

Hyperkalemia CRITICAL

Answer 2

Sodium BiCarb 50 mgeq
if no IV Albuterol 5mg
OLMC may use both

Question 3

AAA

Answer 3

do not give IV fluids unless SBP <80

Question 4

What are the indications per SOP for NOREPINEPHRINE

Answer 4

Severe hypotension/ MAP < 60

Question 5

NOREPINEPHRINE desired action

Answer 5

Alpha receptor stimulant causing vasoconstriction and increased peripheral vascular resistance

Question 6

Narcan dose for an apneic Pt

Answer 6

1 MG

.4 for a breathing pt

Question 7

How should an intoxicated Pt be assessed to determine degree of impairment

Answer 7

Cincinatti Stroke Scale

Question 8

A Pt recieved dextrose for hypoglycemia and wants to sign a refusal

Answer 8

watch Pt eat to prevent recurring hypoglycemia

Question 9

3 clinical signs for a Pt with DKA

Answer 9

dehydration, acidosis, hyperglycemia

Question 10

Intervention for DKA or HHNS

Answer 10

IV fluid bolus up to 1L

Question 11

Excited delerium ketamine dose

Answer 11

2mg/kg slow IVP over 1 min or 4 mg/kg IM/IN

Question 12

Pt presents with tearing, drooling, nausea, and tiny pupils following organophosphate poisoning

Answer 12

Mark 1 and duodote kit

Question 13

what is the antidote for cyanide poisoning

Answer 13

Cyanokit-Hydroxocobalamin

Question 14

Interventions for a frostbite victim

Answer 14

move to warm environment, remove wet clothes and jewelry, immerse in warm water, hot packs

Question 15

Fluid resiscitation for a Pt w/ heat exhaustion

Answer 15

200 ML NS to maintain SBP >90

Question 16

what is the only type of siezure that can be treated with Midazolam

Answer 16

Generalized Tonic Clonic

Question 17

Midazolam Doses

Answer 17

2mg/kg IVP/IO
0.2 mg/kg IN
Up to 10 MG IVP/IO/IN
IM 5-10 MG

Question 18

Overdose on Beta Blockers (LOL’s)

Answer 18

Glucagon 1MG

Question 19

Cyclic Antidepressant Overdose

Answer 19

if hypotensive NS WO up to 1L

If wide QRS Sodium Bicarb 1mEq/KG IVP

Question 20

DXM overdose

Answer 20

sodium bicarb

Question 21

Hallucinigens

Answer 21

supportive care, quiet environment, avoid stimulations (lights, sounds, touch)

Question 22

Organophosphates poisoning

Answer 22

Atropine 1MG rapid IVP repeat in 3 min until reduction in secretions

Question 23

carbon monoxide poisoning

Answer 23

CO-oximeter >12% is normal
Transport rto hyperbaric chamber if Pt is severely confused but hemodynamically stable
if unstable, transport to nearest hospital

Question 24

Cyanide poisoning

Answer 24

Amyl Nitrate inhalants 1 per min x12 min
or Hydroxocobalamin 5gm IVpb over 15 min
may repeat x1 to 1st dose
max dose 10 gm

Question 25

Hypothermia

Answer 25

Mild- core temp 90.6-95 degrees
Moderate- 82.4-90.6
SEVERE <82.4

Question 26

Severe hypothermia

Answer 26

rewarm trunk only
Tripple zero cannot be confirmed on these Pt’s
Rewarm-goal temp is 93.2

Question 27

all persons submerged less than one hour

Answer 27

should be resuscitated

Question 28

Submersions

Answer 28

be prepared to suction because of vomiting

BLS airways if apneic with a pulse

Question 29

Heat Exhaustion vs Heat Stroke

Answer 29

Exhaustion- heavy sweating, weekness, cool, pale, fast weak pulse. treat with fluids.
Stroke- Body temp above 103! hot, red, dry skin. Initiate rapid cooling cold packs to cheeks, palms, soles of feet.

Question 30

Dextrose 10% 25g/250 ML

Answer 30

Blood glucose 60-70 1/2 bag, 12.5 GM’s
less than 60, all 25 gm’s, whole bag.
PEDS- 0.5 g/kg
assess pt after 5 min after dose has been administered

Question 31

Hyperglycemia

Answer 31

240 or above

Question 32

Hypertension crisis

Answer 32

SBP >220 DBP >130
elevate head 10 to 15 degrees
chest pain or pulmonary edema NiTRO 0.4 mg

Question 33

STROKE

Answer 33

if less than 30 min transport time, go to comprehensive stroke center
determine last time known well
Minimize on scene time >10 min