Protocols Flashcards

1
Q

Medical Cardiac Arrest Protocol

A
  • Indications: PT is in cardiac arrest
  • Contraindications: VERIFIABLE Do Not Resuscitate (DNR) or No CPR orders, and Obvious Death
  • Cautions: Cardiac arrest w/ treatable causes (see cardiac arrest overview)

Note: Full protocols were too complex to easily turn into flashcards, as such you will have to find and study them from the JIBC EMR TT&P

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2
Q

Traumatic Cardiac Arrest Protocol

A
  • Indications: PT is in Cardiac Arrest due to to trauma related causes
  • Contraindications: VERIFIABLE Do Not Resuscitate (DNR) or No CPR orders, obvious death, medical cardiac arrest PT who has sustained trauma
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3
Q

Discontinue CPR

A
  • Indications: PT in cardiac arrest who has not responded to CPR & AED interventions
  • Contraindications: Children & Hypothermic PTs
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4
Q

Pain Management

A
  • Indications: Pain
  • Contraindications: Entonox: Pneumothorax, Air Embolism, Inhalation Injury, Nitro in last 5 mins, Decompression Illness, Inability to Comply, Enclosed Space
  • Cautions: Entonox: Shock, Abdominal Distention, Depressant Drugs, Maxillo Facial Injuries, COPD
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5
Q

Chest Pain

A
  • Indications: PT whose presentation is suggestive of cardiac chest pain
  • Contraindications:
    1. ASA (Aspirin): Allergy/hypersensitivity to Aspirin, Pediatric PT, Asthma Exacerbation, Acute bleed, and Dose
    2. Nitroglycerin: Allergy or sensitivity to Nitrates, SYS BP < 110mmHg, Viagra/Levitra <24 hrs, or Calais <48 hrs
  • Cautions:
    1. ASA (Aspirin): Recent internal bleeding, known bleeding diseases, currently taking anticoagulants, recent surgery, possibility of pregnancy
    2. Nitroglycerin: Hypotension (fall risk)
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6
Q

Diabetic

A
  • Indications: PT w/ decreased LOC whose history suggests hyper/hypoglycemia
  • Contraindications:
    1. Oral administration: PT is unable to maintain their own airway, sit & follow commands
    2. Buccal Administration: PT must be placed semi-prone position prior to administration; if this position cannot be achieved due to other related complications, administration is contraindicated due to the possibility of aspiration
  • Cautions: Monitor closely for airway complications
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7
Q

Narcotic Overdose

A
  • Indications: Decreased lvl of responsiveness, Respiratory depression requiring BVM, Signs & symptoms suggestive of narcotic overdose
  • Contraindications: known allergy to Naloxone, Neonate (0-28 days)
  • Cautions: May precipitate withdrawal symptoms
    1. Naloxone: Patient Combativeness
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