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Fire Protocol > meds and treatment > Flashcards

meds and treatment Flashcards

1
Q

succinylcholine action

A

short acting motor nerve depolarizer, skeletal muscle relaxant. Binds to cholinergic receptors in the motor neuron end-plate to cause muscle depolarization followed by paralysis.

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2
Q

succinylcholine indications

A

use after induction of anesthesia to produce skeletal muscle paralysis. when ETT is indicated and muscle tone or seizure activity prevents it. Pt. who exhibits high probability of airway compromise during transport.

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3
Q

succinylcholine contraindications

A

crush injury, kidney failure: hyperkalemia. hx. of glaucoma and malignant hyperthermia.

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4
Q

side effects of sodium bicarbonate

A

seizures, metabolic alkalosis, electrolyte imbalance

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5
Q

Naloxane with severe respiratory depression dosage

A

<6 breaths a minute at 2 mg

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6
Q

amiodarone contraindications

A

cardiogenic shock, sinus bradycardia, high degree AV block

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7
Q

Etomidate properties

A

a hypnotic drug without analgesic properties or muscle relaxing properties. Will usually cause myoclonus on injection.

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8
Q

Pacing protocol amperage

A

Set amperage at lowest setting; gradually increase the amperage until patient demonstrates electrical capture on EKG and mechanical capture as evidenced by pulses simultaneous with paced beat. Set amperage approximately 5 milliamps above capture point.

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9
Q

Ativan (lorazepam) when pacing

A

Conscious patients requiring pacing may be given Ativan 0.05 mg / kg, IV push. Titrate to patient comfort, up to a maximum dose of 4 mg or a systolic blood pressure of > 100 mm/Hg.

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10
Q

Atropine contraindications

A

tachycardia, narrow angle glaucoma, myasthenia gravis

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11
Q

ketamine properties

A

rapid acting general anesthetic producing a disassociative state characterized by profound analgesia; with cardiovascular and respiratory stimulation.

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12
Q

Labetalol preeclampsia

A

gestational age >20 weeks, elevated BP 160/110, S&S such as edema, visual disturbance, headache and epigastric pain: labetalol 10 mg IVP every 10 minutes until BP is <130/100

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13
Q

Magnesium sulfate pregnant female

A

consult medical control for <20 weeks gestation or postpartum: 4 grams IV in 100 mL D5W over 15 minutes with SEIZURE ACTIVITY

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14
Q

Calcium Chloride Action

A

an essential electrolyte for functional integrity of the nervous and muscular system, cardiac contractility and coagulation of blood.

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15
Q

Syncope possible causes

A

subarachnoid bleed, acute coronary syndrome, aortic dissection, leaking aortic aneurysm, ruptured ectopic pregnancy.

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16
Q

Glucose over 200 (hyperglycemic) with signs of DKA or dehydration

A

administer 500 mL bolus NS

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17
Q

Atropine dose

A

0.5 mg rapid IV push; repeat every 3-5 minutes; max dose 3 mg: Pediatric 0.02 mg/kg max 0.5 mg (minimum dose 0.1 mg)

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18
Q

Abdominal pain

A

male > 30 ALS; female > 45 ALS possible CAD

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19
Q

TFR 365

A

hard copy patient care report

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20
Q

snake bite

A

immobilize the limb: ALS; keep limb below level of the heart and use pain control protocol

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21
Q

Sodium bicarbonate

A

alkalizing agent raises metabolic pH. use with OD in cocaine, tricyclic antidepressants, aspirin or diphenhydramine. 1 mEq/kg q 10 min @ 0.5 mEq/kg. 25 mEq for crush injuries.

22
Q

tachycardia > 100 BPM

A

labetalol 5 mg over 1-2 minutes max of 20 mg. may repeat dose after 5 minutes. 5 mg, 5 min; 10 mg, 10 min.
DO NOT use in hypotension syst. < 100 or signs of hypoperfusion.

23
Q

if cooling causes shivering

A

Lorazepam 2 mg IV/IM

24
Q

Diltiazem (cardizem) action

A

calcium channel blocker: inhibits transport of calcium; causes systemic vasodilation decreasing blood pressure.

25
Q

Diltiazem dosage

A

0.25 mg/kg in SVT or rapid ventricular rates in A-flutter/fibrillation, over 2 minutes max 20 mg.

26
Q

more than 5 shocks without response is

A

refractory VF

27
Q

Atropine contraindications

A

tachycardia, narrow angle glaucoma, myasthenia gravis

28
Q

Calcium chloride action

A

essential electrolyte for functional integrity of the nervous and muscular system, cardiac contractility and coagulation of blood.

29
Q

Halperidol action

A

butyropherone anti-psychotic

30
Q

Magnesium sulfate action

A

depresses myoneural junctions decreasing excitability; decreases neural and myocardial membranes: limits seizure activity and helps to control arrythmias

31
Q

Midazolam (versed) action

A

short acting benzodiazepine; produces generalized CNS depression.

32
Q

Rocuronium bromide action

A

non-depolarizing neuromuscular blocking agent; blocks acetylcholine receptors.

33
Q

Rocuronium dose and onset of action

A

1 mg/kg and onset of action 45-60 seconds; duration 25-70 minutes

34
Q

Total cumulative dose of Amiodarone

A

450 mg

35
Q

sustained HR greater than 120

A

1 point trauma

36
Q

sustained RR greater than 30

A

1 point trauma

37
Q

age greater than or equal to 55

A

1 point trauma alert

38
Q

BMR best motor response 5

A

1 point trauma alert

39
Q

single fx site due to MVA or single fracture site due to fall greater than or equal to 10 feet

A

1 point trauma alert

40
Q

ejection from vehicle excluding ATV, motorcycle, bike/moped or bed of truck

A

1 point trauma alert

41
Q

deformed steering wheel

A

1 point trauma alert

42
Q

A GCS score less than or equal to 12 (excluding those whose baseline is 12 or less)

A

1 or 2 point trauma alert

43
Q

a neck laceration with swelling, sustained bleeding, escape of air from wound or stridor/any other neck laceration: transport to trauma center but do not call a trauma alert

A

1 or 2 point trauma alert

44
Q

EMS provider high index of suspicion

A

1 or 2 point trauma alert

45
Q

active assistance with airway (BVM, CPAP, advanced)

A

2 point trauma alert

46
Q

weak radial pulse with sustained HR of 120 or greater

A

2 point trauma alert

47
Q

systolic BP less than 90

A

2 point trauma alert

48
Q

BMR best motor response of 4 or less/paralysis or suspected spinal cord injury, or loss of sensation

A

2 point trauma alert

49
Q

amputation proximal to the wrist or ankle,

A

2 point trauma alert

50
Q

2nd or 3rd degree burns to greater than or equal to 15% TBSA or any high voltage electricity/lightning injury

A

2 point trauma alert

51
Q

penetrating injury to head, neck or torso (excluding superficial wounds that depth is easily determined)

A

2 point trauma alert

52
Q

multiple fracture sites

A

2 point trauma alert

Fire Protocol (2 decks)

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