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DCFD > Probation 121.12 > Flashcards

Probation 121.12 Flashcards

1
Q

BLS providers can only assist patient with taking their own prescribed Nitroglycerin provided the patient’s systolic blood pressure is at least?

A

110

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2
Q

Name (2) “Caution” withhold Nitroglycerin and consult medical control if:

A

Systolic BP <60, Pediatric, or taken ED meds within 24 hours

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3
Q

In pediatric patients that present with a loud cough that mimics the “bark of a seal”, respiratory distress, grunting, wheezing or stridor on inspiration, you would suspect that patient to have?

A

CROUP

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4
Q

In general patient care for a patient with chest pains, you should administer_________ PO (chewed or swallowed) if not taken during the previous 24 hours or has a known allergy?

A

Aspirin 324mg

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5
Q

What would a provider do if a patient presentation is atypical and the protocol treatment may not be in the best interest for the patient or in any situation where the EMS provider is not sure about the best treatment for the patient?

A

Contact Medical Control

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6
Q

What is the dose of Albuterol given via nebulizer?

A

2.5mg

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7
Q

A patient with Asthma/COPD that presents with respiratory distress with suspected bronchospasm/wheezing, administer a combination of __________ and __________ via nebulizer, one time only for pre-hospital care.

A

Albuterol (2.5mg) and Atrovent (500mcg)

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8
Q

How many additional Albuterol 2.5 mg via Nebulizer can a BLS provider administer if the symptoms are still present?

A

None without contacting Medical Control

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9
Q

If a patient with a medical history of asthma, without significant cardiac history and still presents with respiratory distress and is in extremis you should administer?

A

EPI 0.3mg IM

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10
Q

If the patient is ≥ 8 years of age with a blood glucose level of ______ and displays signs/symptoms of hypoglycemia, administer oral glucose 24gm PO if the patient is conscious enough to swallow.

A
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11
Q

If a narcotic (opiate) overdose is suspected administer?

A

Narcan 2mg IN

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12
Q

If a patient presents with a severe Anaphylactic reaction with associated hypoperfusion and/or respiratory distress, proceed to the following treatment regiment?

A

Anaphylaxis / EPI

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13
Q

The current hospitals in the District of Columbia identified as designated stroke centers are?

A

H05 Howard, H07 Georgetown, H08 George Washington, H10 Providence

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14
Q

On what channel on the radio can you contact Poison Control?

A

Ch. H-11

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15
Q

In general indications for a referral to a burn center apply to patients with basically _____ or _____ degree burns.

A

2nd Degree >10%

3rd Degree >1%

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16
Q

Consider activation of the _________ for a patient involved in an unusual extrication, prolonged crush injury, or possible field amputation.

A

Go Team (H-08)

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17
Q

__________ is a limb and life-threatening condition seen when perfusion pressure falls below tissue pressure in a closed anatomical space.

A

Compartment Syndrome

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18
Q

What is the cut-off age to take a child trauma/medical patient to Children’s National Medical Center (CNMC)?

A

15 years of age

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19
Q

When does the PDOA protocol not apply to the trauma patient that is pregnant?

A

20 weeks or greater in gestation

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20
Q

When you need to contact medical control which hospitals are medical control hospitals for patients being transported to them?

A

Each hospital will serve as its own Medical Control

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21
Q

When you have a pediatric patient and need to contact medical control what hospital would you utilize?

A

H02 / the hospital you are transporting to

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22
Q

What does AVPU stand for?

A

Alert, Verbal, Painful, Unconscious

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23
Q

What are the normal vital signs for an adult?

A

RR 12-20, HR 60-100, Systolic BP 90-140

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24
Q

To inquire about pertinent past medical history you may use the acronym?

A

SAMPLE: Signs/Symptoms, Allergies, Medication, Past History, Last oral intake, Events

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25
Q

To effectively maintain awareness of changes in the patient’s condition, repeated assessments are essential and should be performed?

A

Unstable: 5min
Stable: 15min

26
Q

For trauma alert or burn patients _________, transport to a trauma or burn facility capable of handling adult patients. Patients________ years of age should be transported to Children’s National Medical Center

A

15 years of age or greater. // less than 15 years of age

27
Q

Sexual assault patients <18 years of age should be transported to?

A

Children’s National Medical Center (H-02)

28
Q

How many levels of priority transports are there?

A

3

29
Q

What determines their priority level?

A

Unstable (P1)
Potentially Unstable (P2)
Stable (P3)

30
Q

What hospitals inside the District of Columbia are adult major trauma capable?

A

H-04
H-05
H-08

31
Q

What hospital has a hyperbaric chamber?

A

H-08 George Washington University Hospital

32
Q

What are the hospital codes within the District of Columbia?

A 
H-01 United Medical Center
H-02 Children’s National Medical Center
H-04 Medstar
H-05 Howard University Hospital
H-07 Georgetown University Hospital
H-08 George Washington University Hospital
H-09 United Medical Center Pediatrics
H-10 Providence Hospital 
H-12 Sibley Hospital
H-13 Washington Hospital Center
H-15 VA Hospital
33
Q

In order for an ALS provider to transfer care to a BLS provider the patient must be?

A

Stable with complaints that would be cared for at the BLS level

34
Q

A minor patient may refuse care if he/she is?

A

A parent

35
Q

The contraindications for requesting aero medical evacuation of a patient include?

A

Pt is in cardiac arrest
Pt is contaminated by HAZMAT
Pt displays violent or erratic behavior

36
Q

What are the contraindications when using the AED?

A

Traumatic cardiac arrest
Fully obstructed airway
Hazardous environments

37
Q

What are the clinical indications for using the AED?

A

PTs in cardiac arrest

Age 1-8 years use Pediatric Pads

38
Q

When the pulse oximetry is on a patient, what is the normal SPO2 on room air?

A

96-100%

39
Q

You should include SPO2 as a vital sign? True or False

A

True

40
Q

The King Lt-D Airway Device should be used on __________ patients without a gag reflex.

A

Cardiac Arrest PTs

41
Q

There are 3 contraindications when using the combi-tube – list them.

A

PT who are conscious or have a gag reflex
PTs under 3 feet in height
PTs with known esophageal disease or ingestion of caustic substances

42
Q

What is the clinical indication for the use of the carbon monoxide (co) oximeter?

A

PTs with smoke inhalation or other hydrocarbon exhaust

43
Q

A reading of _____ indicates mild carbon monoxide inhalation.

A

> 12%

44
Q

A reading of _____ indicates severe carbon monoxide inhalation.

A

> 25%

45
Q

When reading the medical formulary of Tetracaine HCL, what is the class (type of use)?

A

Topically Applied

46
Q

What is the dose of Tetracaine HCL?

A

1-2 drops

47
Q

What are the clinical indications for intranasal medication administration?

A

Pt w/o IV access requiring urgent medication administration

48
Q

What are the dose and the route in which BLS provider can administer Naloxone (Narcan) and can a BLS provider establish IV access?

A

2mg IN, only qualified BLS providers my establish IV access

49
Q

When can a BLS provider establish IV access?

A

If they completed the IV training module

50
Q

What is the clinical indication when using the blood glucose analysis?

A

Obtain Blood Glucose reading unless declined by PT / displays signs of hypoglycemia

51
Q

If the patient’s blood glucose level is ______, administer oral glucose, 24 grams if conscious per protocol

A

<70mg/dl

52
Q

What is informed consent?

A

When a competent patient or guardian is informed of the potential benefits and risks of a process or procedure, alternatives to that procedure, and the possible consequences related to each

53
Q

What is expressed consent?

A

Written or verbal request to be evaluated and treated

54
Q

What is implied consent?

A

When a patient is unable to express consent because of AMS or severe distress

55
Q

In order to allow a patient to refuse care and/or transport you must conduct three assessments first – what are they?

A

Legal Competence
Mental Competence
Medical / Situational Competence

56
Q

When using oxygen (02) on an adult patient, the dosage should be ______ for BVM, ______ via NRB mask, or ______ via nasal cannula.

A

> 15 lpm via BVM
12-15 lpm via NRB
2-6 lpm via NC

57
Q

What are the indications for the use of oxygen (02)?

A

Cardiac/Respiratory Arrest, Trauma, Dyspnea, Suspected hypoxemia, Cardiac related Chest Pain

58
Q

When administering oxygen what is an adverse reaction?

A

May induce respiratory drive in some COPD patients

59
Q

What are if any contraindications are listed for the use of Oxygen?

A

None

60
Q

Members shall administer supplemental oxygen in order to maintain SpO2 level of at least_______

A

94%

DCFD (8 decks)

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