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Primary Care Paramedic > Protocols > Flashcards

Protocols Flashcards

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1
Q

Bronchoconstriction - What are the conditions for Salbutamol?

A

none

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2
Q

Bronchoconstriction - What are the conditions for Epi?

A
  • BVM ventilation required
  • Hx of Asthma
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3
Q

Bronchoconstriction - What are the conditions for Dexamethasone?

A

Hx of Asthma OR COPD OR 20 pack/yr history of smoking

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4
Q

What medications can be given for Bronchoconstriction?

A

Salbutamol
Epi
Dexamethasone

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5
Q

Bronchoconstriction - What are the contraindications for Salbutamol?

A

Allergy or sensitivity

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6
Q

Bronchoconstriction - What are the contraindications for Epi?

A

Allergy or Sensitivity

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7
Q

Bronchoconstriction - What are the contraindications for Dexamethasone?

A
  • Allergy or Sensitivity
  • Currently on PO parenteral steroids (steroids administered anywhere other than mouth - ie, IM or IV)
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8
Q

Bronchoconstriction - What is the dosage for Salbutamol?

A

<25 kg
MDI - up to 600mcg (6 puffs), max of 3 doses, 5-15 min interval

NEB - 2.5 mg (with 2.5mg saline), max of 3 doses, 5-15 min interval

> =25 kg
MDI - up to 800 mcg (8 puffs), max of 3 doses, 5-15 min interval

NEB - 5mg, max of 3 doses, 5-15 min interval

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9
Q

Bronchoconstriction - What is the dosage for Epi?

A

IM (1mg/ml - 1:1000)
0.01mg/kg, max of 0.5mg
Max of 1 dose

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10
Q

Bronchoconstriction - What is the dosage for Dexamethasone?

A

PO / IM / IV
0.5mg/kg, max of 8mg
Max of 1 dose

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11
Q

Moderate to severe allergic reaction - What are the conditions for Epinephrine?

A

For anaphylaxis only

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12
Q

Moderate to severe allergic reaction - What are the conditions for Diphenhydramine?

A

> = 25 kg

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13
Q

Moderate to severe allergic reaction - What are the contraindications for Epi?

A

Allergy or sensitivity

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14
Q

Moderate to severe allergic reaction - What are the contraindications for Diphenhydramine?

A

Allergy or sensitivity

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15
Q

What are the indications for Moderate to severe allergic reaction?

A

Exposure to a possible allergen
AND
Signs and symptoms of a moderate or severe allergic reaction

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16
Q

Moderate to severe allergic reaction - What is the dosage for Epi?

A

IM (1mg/ml - 1:1000)
0.01mg/kg, max of 0.5mg
Max of 2 dose, min 5 minute interval

17
Q

Moderate to severe allergic reaction - What is the dosage for Diphenhydramine?

A

> = 25 kg - < 50 kg
IV / IM
25mg, max of 1 dose
= 50 kg
IV / IM
50 mg, max of 1 dose

18
Q

Croup - what are the indications?

A

Current Hx or URTI
OR
current or recent Hx of barking cough

19
Q

Croup - what are the conditions for Epi?

A

> = 6 months to < 8 years
HR < 200 bpm
Stridor at rest

20
Q

Croup - what are the conditions for Dexamethasone?

A

> = 6 months to < 8 years
Form mild, moderate and severe croup

21
Q

Croup - What are the contraindications for Epi?

A

Allergy or sensitivity

22
Q

Croup - What are the contraindications for Dexamethasone?

A

Allergy or sensitivity
Steroid received within last 48 hours
Unable to tolerate oral medication

23
Q

Croup - What is the dosage for Epi?

A

< 10kg (22 pounds)
NEB
2.5 mg, max of 1 dose

> = 10kg (22 Pounds)
NEB
5 mg, max of 1 dose

24
Q

Croup - What is the dosage for Dexamethasone?

A

> = 6 months - < 8 years
PO
0.5 mg/kg, max of 8 mg
Max of 1 dose

25
Q

CPAP - What are the indications?

A

Severe respiratory distress
AND
Acute signs/symptoms of ACPE or COPD

26
Q

CPAP - What are the conditions?

A

> = 18 years old
Tachypnea
Normotension
SpO2 < 90% or accessory muscle use

27
Q

CPAP - What are the contraindications?

A
  • Asthma exacerbation
  • Suspected pneumothorax
  • unprotected or unstable airway
  • Major trauma or burns to the head or torso
  • Tracheostomy
  • Inability to sit upright
  • Unable to cooperate
28
Q

CPAP - What are the settings?

A

Initial setting - 5cm H2O
Titrate - 2.5cm H2O increments
Interval - 5 minutes
Max setting - 15 cm H2O

29
Q

CPAP - When should you increase FiO2?

A

If pt sats still <92% despite treatment, and/or 10cm H2O has been set, increase to 100%

30
Q

Medical cardiac arrest - What are the indications?

A

Non-traumatic cardiac arrest

31
Q

Medical cardiac arrest - What are the considerations?

A

Consider very early transport if:
1. pt is >= 20 weeks pregnant (funds above umbilicus
2. Hypothermia
3. airway obstruction
4. non-opioid drug overdose / toxicology
5. Any other known reversible cause of the arrest

**For pt’s in VT or VF, begin transport after 3rd shock

32
Q

Medical cardiac arrest - What are the conditions for CPR?

A

Altered LOA
Performed in 2-minute intervals

33
Q

Medical cardiac arrest -what are the conditions for manual defibrillator?

A

> = 24 hours old
VF or pulseless VT

34
Q

Medical cardiac arrest - What are the conditions for Epi?

A

If anaphylaxis is the causative event

35
Q
A

Primary Care Paramedic (1 decks)

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