Protocols Flashcards
What is the min age for CPAP
Greater than or equal to 3
Indications for Fentanyl
-pain greater than or equal to 5/10
-SBP greater than or equal to 100 w/unimpaired resp.
-GCS normal to baseline
-no known anaphylaxis
Contraindications for ketamine
-GCS less than 14
-suspected/confirmed pregnancy
-suspected ACS
-known/suspected intoxication
-known allergy
When must pain control be confirmed by a physician?
-SBP less than 100
-Significant injury to head, chest, abd
Min age for humoral IO
18
What should you give for a TCA OD
Sodium Bicarb
What should you give for suspected Renal Failure
Calcium/sodium
Joules for defib
A: 200, 300, 360
P: 2J/kg then 4J/kg
What is the dose for narcan in a cardiac arrest
You don’t give narcan in a cardiac arrest
What should you do if asystole converts to an organized rhythm but is less than 40 or ETCO2 less than 20
Continue compressions for 2 mins then reassess
What should you do w/ any VF/VT code prior to termination
Call base
Important things to remember in an hypothermic pt in asystole/PEA
Only 1 round of med admin prior to base hospital contact
Airway considerations for pregnant pt in asystole/PEA
-use ETT 0.5-1mm smaller
-cricoid pressure
-expect more resistance when bagging
-increase resp. To 16-18 per min
When giving push dose what are you titrating to?
Greater than 90 SBP
After giving push dose what is important info to give to the hospital?
-Use of push dose
-Final concentration given
-Total amount of push dose given
What SBP are you maintaining when giving nitro?
Greater then 110 SBP
What should you do if the 12 lead says meets ST elevation criteria or acute MI suspected?
Put pads on pt and expedite transport
What should you do if hypotension is present in ACS but NS doesn’t work or signs of CHF are present?
Call base for push dose
What should you ask for prior to nitro administration?
If the pt has taken any sexual enhancers in the past 48 hours
What conditions must be met for you to consider an alternate airway device or maintain a BLS airway?
-ETT is contraindicated
-difficult airway/delayed airway is anticipated
Joules for Cardioversion(adult and peds)
A: 200, 360
P: 0.5j/kg then 2 J/kg
Minimum age for Zofran
Greater than or equal to 4y/o
What should you give for a calcium channel blocker overdose?
Calcium chloride then glucagon
When should you not administer activated charcoal
Ingestion of caustic materials(toilet bowl cleaner, draino, battery acid), corosive, or petroleum distillate substances(jet fuel, gasoline)