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Fire Academy > Protocol Test Prep > Flashcards

Protocol Test Prep Flashcards

1
Q

adrenal insufficiency txment

A

125mg solumedrol

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2
Q

with Hx of adrenal insufficiency, stress doses can be administered in what symptoms

A

shock, fever over 100.4, multi-system trauma, multiple long bone Fx’s, vomiting/diarrhea and dehydration

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3
Q

ETOH withdrawals

A

500 NS, 2.5 iv versed (or 5mg im versed) all are q5 for iv and q10 for im

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4
Q

anaphylaxis txment

A

0.3mg im epi q5 until symptoms resolve (max 4 doses), consider up to 4 albuterol tx’s, 25-50 iv benadryl for hives

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5
Q

if im epi doesn’t resolve anaphylaxis use…

A

2-10mcg/min iv epi

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6
Q

pediatric epi/benadryl dosing for anaphylaxis

A

0.3mg im over 25kg, 0.15mg im under 25kg, q5 max 3 doses, then 0.1mcg/kg/min epi (titrate to effect);

1mg/kg IV/IM benadryl or 1.25mg/kg po benadryl

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7
Q

symptoms indicating a brief resolved unexplained event

A

child under 2 involving apnea, color change, cyanosis, limpness, choking; assume caregiver’s Hx is accurate

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8
Q

asthma, copd, rad in an adult

A

assist Pt w/ MDI (4-6 puffs), consider duoneb (max 3 doses), consider 125mg solumedrol or 10mg dexamethasone or 1.25mg levalbuterol, consider mag and epi

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9
Q

asthma in kids

A

assist MDI 4-6 puffs q5, move to duoneb 3 tx’s max, then cpap; standing orders for dexamethasone 0.6mg/kg po preferred or solumedrol

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10
Q

bronchiolitis in kids

A

low grade fever, runny nose, wheezing under 2 y/o, use racemic epi if doesn’t respond to suctioning or for impending failure

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11
Q

croup in kids

A

0.6 mg/kg PO dexamethasone

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12
Q

croup with stridor at rest

A

consider racemic epi after dexamethasone

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13
Q

epiglotitis in kids

A

transport in upright position, usually 2-6 m/o infants

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14
Q

pediatric fever (>3 mo)

A

passive cooling, for fever over 101.5, if no tylenol in last 4 hours, consider 15 mg/kg PO tylenol or a catch up dose

Don’t treat fevers under 3 m/o

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15
Q

adult hyperglycemia

A

500ml saline bolus then 250ml/hr, get 12 lead, consider potential for sepsis

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16
Q

pediatric hyperglycemia

A

10ml/kg saline bolus, repeat to 3 total boluses, not to exceed 500ml

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17
Q

dka

A

uncontrolled bgl over 250 with weakness, ams, abd pain, n/v, polyuria/polydipsia, tachypnea,

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18
Q

hyperglycemia hyperosmolar nonketotic syndrome

A

bgl over 600, dehydration, neuro deficits including coma or ams

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19
Q

hyperkalemia causes

A

renal failure/injury, crush injury, rhabdomyolysis

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20
Q

hyperkalemia signs

A

wide qrs (>250ms), loss of p waves, peaked t waves

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21
Q

hyperkalemia txment

A

1gm CaCl2 over 5 min, may repeat either x1 q5, nebulized albuterol up to 20mg

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22
Q

levofed indications

A

sepsis, ROSC

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23
Q

levofed dose

A

1-30mcg/min titrated to effect

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24
Q

reglan dose for nausea/vomiting

A

5-10mg iv/im may repeat once q10

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25
Q

reglan dose for migraine

A

10mg iv over 15 min or 10mg im

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26
Q

reglan other name

A

metoclopramide

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27
Q

toradol other name

A

ketoralac

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28
Q

toradol contraindications

A

pregnancy, renal insufficiency, likely to need surgery, undifferentiated abd pain, suspected fx’s, over 55 y/o

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29
Q

toradol dose

A

15 mg iv/im

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30
Q

toradol precautions

A

don’t combine with other nsaids

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31
Q

ketamine restraint dose

A

4mg/kg im (round to nearest 50mg) max single dose of 500mg, may administer additional 100mg im q5-10min, 1mg/kg IV

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32
Q

ketamine pain dose

A

0.3mg/kg iv/im max 30mg, no repeat dose

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33
Q

ketamine post intubation dose for sedation

A

1-2mg/kg

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34
Q

fentanyl post intubation analgesia dose

A

1-2 mcg/kg max 200

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35
Q

versed restraint dose

A

5mg im or 2.5mg iv, repeat at 5 min

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36
Q

with benzos for restraint consider

A

10mg haldol im

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37
Q

pediatric ketamine restraint dose

A

same as adult

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38
Q

Ketamine adverse Rx’s

A

Tachycardia/hypertension, emergence Rx’s, vomitting, respiratory depression lasting a few minutes, laryngospasm

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39
Q

Ketamine side effects

A

Nystagmus, facial flushing, bronchospasm

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40
Q

Ketamine contraindications

A

Head injury, stroke, schizophrenia, heart failure Pt’s

41
Q

Burn victim less than 1hr txport time

A

Saline at 500ml/hr

42
Q

Burn victim saline dosing

A

4ml × tbsa% × kg, 50% in first 8hrs, 50% in next 16hrs

43
Q

CHF meds

A

0.4-0.8mg SL nitro at while symptoms persist, no max
If ineffective consider

Nitro 1-2” (if IV nitro unavailable)

44
Q

Ketamine for pain in the elderly

A

0.15mg/kg

45
Q

For suspected dehydration but no shock

A

250ml saline bolus

46
Q

Ventilatory rate for bls airway

A

Adult 12-20
Child 12-20
Infant 20-30

47
Q

Ventilatory rate for advanced airway

A

Adult 8-10
Child 8-10
Infant 18-20

48
Q

Respiratory rates indicating failure in peds

A

Under 6 y/o - less than 20
Less than 16 y/o -less than 12
For any kid more than 60

49
Q

Racemic epi dose

A

0.5ml of 2.25% with 3ml saline

50
Q

Glucagon adult

A

1mg, recheck BGL at 15min, repeat dose if BGL still under 70 and AMS at 15min

51
Q

Hypoglycemia and insulin pump

A

If BLS or ALS care is given then don’t touch the pump, if interventions aren’t able to be given, stop or remove the pump

52
Q

Danger meds in hypoglycemia pt’s

A

Sulfonylureas (glyburide, glipizide)

53
Q

Pediatric glucagon dose

A

0.5mg if under 20kg

54
Q

Pediatric nausea vomitting

A

10-20ml/kg saline bolus
0.15mg/kg zofran iv max 4
If over 5 y/o 4mg PO zofran

55
Q

Pediatric atropine for OP poisoning

A

0.05mg-0.1mg/kg atropine repeat at as needed

56
Q

Pediatric fentanyl dose

A

1mcg/kg initial, repeat a half dose at 5min to max 3 doses

57
Q

Pediatric ibuprofen

A

10mg/kg max 400

58
Q

FLACC scores

A

Under 3 y/o

59
Q

Wong baker

A

3-8 y/o

60
Q

Sodium channel blocker overdose ekg changes

A

Wide complex tachycardia

61
Q

Sepsis txment

A

Two large bore IV’s, 500ml saline boluses q20 to maintain bp>90
After 2L consider pressers
Bolus saline up to 4L

62
Q

Pediatric sepsis

A

20ml/kg NS boluses up to 3 boluses (60ml)

63
Q

Pediatric atropine dose

A

0.02mg/kg iv may repeat just once

64
Q

Pediatric verses dose for pacing or cardioversion

A

0.05mg/kg iv

65
Q

CA lidocaine dose

A

1.5mg/kg iv, repeat 0.75mg/at 5-10min if unsuccessful cardioversion, can repeat once more

If ROSC achieved, infuse at 1-4mg/min

66
Q

Pediatric defib dose

A

2J/kg then 4J/kg

67
Q

Per amiodarone dose

A

5mg/kg max 300

68
Q

Ped lido dose

A

1mg/kg max 100

69
Q

Ped mag dose for torsades in CA

A

25-50 mg/mg over 1-2min

70
Q

Parkland formula

A

4ml × kg × BSA %
Half is given in first 8hrs, half in the next 16hrs

Only if more than 20% TBSA

71
Q

HFl burns

A

Apply gauze soaked in 2.5% calcium gluconate gel, change gauze q2min

72
Q

Ped arms BSA

A

Each arm is 9%

73
Q

Ped legs bsa

A

Each leg is 13.5%

74
Q

Submersion drowning

A

Dies of hypoxia then cools down

75
Q

Immersion CA

A

Cools down in water then dies, better prognosis

76
Q

Needle decompression

A

2nd intercostal midclavicular

77
Q

Pediatric shock

A

20ml/kg max 3 boluses

78
Q

SMR kids under 6

A

Just use the ped restraint device

79
Q

Ventilatory rate for TBI

A 
Only if signs of cerebral herniation present
Adult 20
Child 25
Infant 30
aim for end tidal between 30-35
80
Q

Signs of cerebral herniation

A

Posturing, lack of motor response to noxious stimuli, asymmetric or non reactive pupils, decrease in gcs >2 if initial score <9

81
Q

Tidal volume for ventilators

A

6-8ml/kg

82
Q

Indications for posterior stemi

A

Depression in v1 - v3

83
Q

Weight guideline for versed in seizure

A

5mg versed<39kg, 10mg versed >39kg (85lbs)

84
Q

Weight guideline for epi in anaphylaxis

A

15kg

85
Q

Weight guideline for glucagon

A

20kg

86
Q

Symptomatic beta blocker or ca channel blocker overdose

A

5mg glucagon over 3-5min

87
Q

amiodarone infusion dose

A

1mg/min post conversion

88
Q

lidocaine infusion dose

A

1-4mg/min post conversion

89
Q

narrow and regular tachycardia electricity

A

100J synchronize

90
Q

narrow and irregular tachycardia electricity

A

200J synchronized

91
Q

wide and regular tachycardia dose

A

100J synchronized

92
Q

wide and irregular tachycardia dose

A

200J UNSYNCHRONIZED

93
Q

heat stroke, AMS cooling

A

above 104 degrees initiate cooling, DC at 101.5 or if excessive shivering, DO NOT TRANSPORT IF ABLE TO COOL ON SCENE, cool for minimum 20 min or until clinical improvement

94
Q

pediatric fever tylenol dose

A

15mg/kg if no tylenol in last 4 hours, if there was then catch up dose

95
Q

pediatric definition

A

under 79lbs or 4’9”

96
Q

morphine dose for acs

A

.1mg/kg max 5mg q5, total of 15 max

97
Q

severe preeclampsia symptoms requiring txment

A

sbp>160 or dbp>110, new onset cerebral or visual disturbances, RUQ pain, pulmonary edema, seizures; usually last 10 weeks of gestation or up to 48hrs post partum

98
Q

preterm labor txment

A

20ml/kg iv nacl, may repeat x1

99
Q

preeclampsia txment

A

4grams in 100ml saline bolus over 10min, 1gram/hr infusion

Fire Academy (2 decks)

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