Paramedic State Test 2023 Pt 1

Question 1

What is lidocaine’s class

Answer 1

antiarrhythmic and local anesthetic

Question 2

What is lidocaine’s dosage

Answer 2

1-1.5 mg/kg slow IV push

Question 3

What are lidocaine’s contraindications

Answer 3

Severe HB, bradycardia, WPW

Question 4

What does a shark fin mean in capnography?

Answer 4

Asthma/wheezing/bronchoconstriction

Question 5

What does a top hat mean in capnography?

Answer 5

Normal or an obstruction

Question 6

What is valium’s adult dose

Answer 6

5-10 mg
MAX 30 mg

Question 7

What is valium’s peds dose

Answer 7

0.1-0.3 mg/kg
MAX 4 mg

Question 8

What is valium’s class?

Answer 8

Benzodiazepine

Question 9

What is valium’s MOA?

Answer 9

Depresses limbic system, thalamus, and hypothalamus resulting in calming effects

Question 10

What are valium’s contraindications?

Answer 10

Acute alcohol toxicity, pregnancy (except in eclampsia), and neonates

Question 11

What adverse effects are possible with valium?

Answer 11

Respiratory depression, respiratory arrest, bradycardia, and hypotension

Question 12

What is another name for valium

Answer 12

Diazepam

Question 13

What is another name for versed

Answer 13

midazolam

Question 14

What is the adult dose for versed (IV)

Answer 14

2-2.5 mg IV/IO
every 3-5 minutes as needed
MAX 10 mg

Question 15

What is the peds dose for versed (IV)

Answer 15

0.2 mg/kg IV/IO
MAX single dose 2.5 mg
May repeat every 3-5 minutes as needed
MAX 10 mg

Question 16

How much versed would you give to a patient equal or greater than 49 kg IM?

Answer 16

10 mg IM
Repeat in 5 minutes if needed
MAX 20 mg

Question 17

How much versed would you give a patient under 49 kg IM?

Answer 17

0.2 mg/kg IM
MAX single dose 5 mg
May repeat in 5 minutes if needed
MAX 10 mg

Question 18

What is versed used in?

Answer 18

Seizures

Question 19

What is haldol used in?

Answer 19

Psychotic episodes

Question 20

What is the dose of haldol for someone over 12 years old?

Answer 20

2-5 mg IM

Question 21

What is the dose of haldol for a patient over 65 years old?

Answer 21

2.5 mg IM

Question 22

What is an extrapyramidal reaction?

Answer 22

muscle spasms caused by an antipsychotic drug reaction

Question 23

How do you treat an extrapyramidal reaction?

Answer 23

Benadryl 50 mg IV/IO

Question 24

what is stroke volume?

Answer 24

Volume pumped out of left ventricle during each cardiac cycle

Question 25

what is asystole and diastole?

Answer 25

the heart at rest

Question 26

How much atropine do you give in organophosphate poisoning?

Answer 26

2 mg Repeated every 2 minutes IV until symptoms resolve

Question 27

How much 2PAM do you give an adult in organophosphate poisoning?

Answer 27

600 mg IV plus 2 mg atropine

Question 28

How much 2PAM would you give a peds patient in organophosphate poisoning?

Answer 28

15-25 mg/kg over 30 minutes

Question 29

What is the dose for atropine in peds?

Answer 29

0.02 mg/kg IV/IO May repeat X1 Minimum single dose 0.1 mg MAX single dose 0.5 mg

Question 30

How do you treat a tricyclic antidepressant OD?

Answer 30

Sodium bicarbonate

Question 31

What do you never give a patient after administering activated charcoal?

Answer 31

Water

Question 32

What do you do for a household cleaner ingestion?

Answer 32

Call poison control

Question 33

What class is atropine?

Answer 33

Anticholinergic (parasympathetic blocker)

Question 34

What is atropine's MOA?

Answer 34

Decreases legal tone, therefore increasing SA automaticity and AV conduction

Question 35

What is atropine used in?

Answer 35

Symptomatic bradycardia

Question 36

What are the contraindications for atropine?

Answer 36

Obstructive GI disease, liver disease, asthma, 2nd degree type 2 HB, 3rd degree HB

Question 37

What are the possible adverse side effects that atropine could cause?

Answer 37

v-fib, v-tach, and worsen areas of infarction

Question 38

What is a caution you should have when administering atropine?

Answer 38

Small doses or slow push may initially decrease HR

Question 39

what is the initial dose of synchronized cardioversion for v-tach with a pulse?

Answer 39

200 J

Question 40

what is the amount of Jules you would use for v-fib/v-tach?

Answer 40

120 or 200 biphasic and 360 monophasic

Question 41

what is the amount of jules you would use for a-fib?

Answer 41

120-200 biphasic or 200 monophasic

Question 42

what is the amount of jules you would use for a-flutter and SVT?

Answer 42

50-100 biphasic or monophasic

Question 43

what is the amount of jules for v-tach with pulse?

Answer 43

100 biphasic or monophasic

Question 44

What should you do for symptomatic bradycardia?

Answer 44

Pace first, then atropine

Question 45

What should you do for asymptomatic bradycardia?

Answer 45

Atropine, then pace if no response

Question 46

What is dopamine's MOA?

Answer 46

Stimulates dopaminergic beta-adrenergic and alpha-adrenergic receptors of the sympathetic nervous system. Exerts an inotropic effect on the myocardium, resulting in an increased cardiac output

Question 47

what is the peds dose for dopamine?

Answer 47

5-15 mcg/kg/min

Question 48

what is the adult dose for dopamine?

Answer 48

2-20 mcg/kg/min Titrate to SBP greater or equal to 90 mmHg

Question 49

What is dopamine used for?

Answer 49

To correct hemodynamic imbalances/shock and bradycardia

Question 50

What should you not use dopamine in?

Answer 50

Hypovolemic shock

Question 51

What are the adverse side effects possible with dopamine?

Answer 51

May cause tachycardia, angina, hypotension, palpitations