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
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
3
Q
Discontinue CPR
A
- Indications: PT in cardiac arrest who has not responded to CPR & AED interventions
- Contraindications: Children & Hypothermic PTs
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
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)
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
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