Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Primary Care Paramedic > Protocols > Flashcards

Protocols Flashcards

1
Q

Bronchoconstriction - What are the conditions for Salbutamol?

A

none

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Bronchoconstriction - What are the conditions for Epi?

A
  • BVM ventilation required
  • Hx of Asthma
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Bronchoconstriction - What are the conditions for Dexamethasone?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What medications can be given for Bronchoconstriction?

A

Salbutamol
Epi
Dexamethasone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Bronchoconstriction - What are the contraindications for Salbutamol?

A

Allergy or sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Bronchoconstriction - What are the contraindications for Epi?

A

Allergy or Sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Bronchoconstriction - What is the dosage for Dexamethasone?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A

For anaphylaxis only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

A

> = 25 kg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

A

Allergy or sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

Allergy or sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Croup - what are the indications?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Croup - what are the conditions for Epi?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Croup - what are the conditions for Dexamethasone?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Croup - What are the contraindications for Epi?

A

Allergy or sensitivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Croup - What are the contraindications for Dexamethasone?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
Altered
VF or pulseless VT

34
Q

Medical cardiac arrest - What are the conditions for Epi?

A

> = 24 hours old
Altered
If anaphylaxis is the causative event

35
Q

Medical cardiac arrest - What are the conditions for Medical TOR?

A

> = 16 years old
Altered
Arrest not witnessed by EMS AND No ROSC 20 min of resuscitation AND No defibrillation delivered

36
Q

Medical cardiac arrest - What are the contraindications for CPR?

A

Obviously dead as per BLS PCS
DNR

37
Q

Medical cardiac arrest - What are the contraindications of manual defibrillation?

A

Rhythms other than VF or pulseless VT

38
Q

Medical cardiac arrest - What are the contraindications of Epi?

A

Allergy or sensitivity

39
Q

Medical cardiac arrest - What are the contraindications of Medical TOR?

A

Known reversible cause of the arrest unable to be addressed

Pregnancy presumed to be >= 20 weeks

Suspected hypothermia

Airway obstruction

Non-opioid drug overdose/toxicology

40
Q

Medical cardiac arrest -What is the manual defib treatment?

A

> = 24 hours to <8 years old
- 2 j/kg
- 4 j/kg (subsequent doses)
- 2 minute dosing interval
- NO max # of doses

> = 8 years old
- 120j, 150 j, 200 j, 200 j
- 2 minute dosing interval

41
Q

Medical cardiac arrest - What is the dose of epi if allergic reaction is causative event?

A

1mg/ml = 1:1,000

0.01mg/kg
Max of 0.5 mg
Max of 1 dose

42
Q

Medical cardiac arrest - How many minutes of resuscitation do you complete before you transport to closest hospital if no ROSC achieved?

A

20 minutes

43
Q

Medical cardiac arrest - How many analyzes do you complete before patching for a medical TOR if eligible?

44
Q

Medical cardiac arrest - if pt is in VF or pulseless VT, after how many shocks to you begin transport?

45
Q

What are the indications of a traumatic cardiac arrest?

A

Cardiac arrest secondary to severe blunt or penetrating trauma

46
Q

Traumatic Cardiac Arrest - What are the conditions for CPR?

A
  • Altered LOA
  • Performed in 2 minute intervals
47
Q

Traumatic Cardiac Arrest - What are the conditions for Manual defibrillation?

A

> = 24 hours old
Altered LOA
VF or Pulseless VT

48
Q

Traumatic Cardiac Arrest - what is the criteria for a Trauma TOR?

A

> = 16 years old
Altered LOA

No palpable pulse AND no defib delivered AND asystole AND no signs of life fully since extricated OR signs of life when extricated and the closest hospital >= 30 min transport time OR rhythm PEA with closest ED >= 30 min transport time away

49
Q

Traumatic Cardiac Arrest - what are the contraindications for CPR?

A
  • Obviously dead
  • DNR
50
Q

Traumatic Cardiac Arrest - what are the contraindications for manual defibrillation?

A

Rhythms other than VF or pulseless VT

51
Q

Traumatic Cardiac Arrest - What are the contraindications for Trauma TOR?

A

< 16 years old
Defib delivered
Signs of life at any time since full extricated medical contact
Patients with penetrating trauma to the torso, head, neck and lead trauma hospital < 30 min transport time

52
Q

When performing CPR, how many seconds of CPR do you do before analyzing?

A

30 Seconds

53
Q

Traumatic Cardiac Arrest - what is the dosing for manual defib?

A

> = 24 hours - <8 years old
- max of 1 dose
- 2 j/kg

> = 8 years old
- max of 1 dose
- 120 j

54
Q

Traumatic Cardiac Arrest - is no TOR is obtained, when do you transport the pt?

A

After 1 analyze or defib

55
Q

What age is considered a neonate?

56
Q

Newborn resuscitation - What are the conditions for Positive pressure ventilation (PPV)?

A

<24 hours old
HR < 100 bpm

57
Q

Newborn resuscitation - What are thew conditions for CPR?

A

< 24 hours old
HR < 60 bpm
After 30 seconds of PPV using room air

58
Q

Newborn resuscitation - What are the contraindications for PPV?

A

Obviously dead
Presumed gestational age < 20 weeks

59
Q

Newborn resuscitation - What are the contraindications for CPR?

A

Obviously dead
Presumed gestational age < 20 weeks

Primary Care Paramedic (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions