Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Region 10 HPH Medic SOPS 2024 > Region 10 HPH Medic SOPs > Flashcards

Region 10 HPH Medic SOPs Flashcards

(65 cards)

Start Studying
1
Q

When calling a hospital, which type of calls do you notify as an ALERT?

A

Stemi, Trauma, Sepsis, Stroke

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

Medication Dosage and route for chest pain (ACS)

A

Aspirin 324 mg oral

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

Medication Dosage and route for chest pain (ACS), after aspirin

A

Nitroglycerin .4 mg Sublingual

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

Medication for pain management dose and route

A

Fentanyl 1 mcg/kg IVP/IN/IO/IM max dose 200 mcg

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

Nitro is contraindicated if there is elevation in which leads

A

II, III, AVF

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

For sedation, which medication and dose should you give to patients that need cardioversion or pacing?

A

Versed 2 mg IVP/IO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the treatment for someone who has A-Fib/A-Flutter and is unstable?

A

Synchronized Cardioversion (Zoll 120J, 150J, 200J)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the treatment for someone who has A-Fib/A-Flutter and is stable?

A

Verapamil 5 mg IVP slowly over 5 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Medication for unstable bradycardia dose and route

A

Atropine 1 mg IVP/IO rapid, repeat every 3 mins max of 3 mg

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

If atropine does not work for unstable bradycardia, what do you do next?

A

Transcutaneous pacing

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

When pacing, if patient continues to deteriorate and MAP <65, contact medical control for which medication?

A

Push dose epinephrine 50 mcg IVP/IO, repeat in 5 min, max of 100mcg

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

Which heart blocks (2) should you not administer atropine and skip right to pacing?

A

2nd degree Type 2 or 3rd degree

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

What do you give for unstable cardiogenic shock?

A

Normal saline 500 mL increments, titrate to MAP > 65

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

If patient continues to deteriorate in cardiogenic shock, which medication can you call medical control for?

A

Push dose epinephrine 50 mcg IVP/IO repeat in 5 min, max 100mcg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment for unstable SVT

A

Versed 2 mg IVP/IO
Synchronized Cardioversion (Zoll 70J, 120J, 150J, 200J)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for stable SVT

A

Adenosine 6 mg IVP RAPID followed by 20 ml flush of normal saline, if no response in 2 min, Adenosine 12 mg RAPID followed by 20 ml flush of normal saline.

If no response after 2 mins then Verapamil 5 mg IVP slowly over 5 min, may repeat in 15 mins, max of 10 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Treatment for Unstable V-tach with a pulse (wide complex tachycardia)

A

Synchronized Cardioversion (Zoll 120J, 150J, 200J)
If patient does not convert and first cardioversion,
Amiodarone 150 mg diluted in 100 mL D5W IVPb over 10 mins, may repeat, max dose 300 mg
Fentanyl 1 mcg/kg IVP/IN/IO/IM

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

Treatment for Stable V-tach with a pulse (wide complex tachycardia)

A

Amiodarone 150 mg diluted in 100 mL D5W IVPb over 10 mins, may repeat, max dose 300 mg

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

If rhythm appears to be Torsade’s de Pointes, which medication do you need to contact medical control for?

A

Magnesium Sulfate 2g diluted in 100 mL D5W IVPB over 5 mins
(Not to be given to renal failure or dialysis patients)

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

Treatment for asystole

A

Epinephrine 1 mg/10mL IVP/IO repeat every 3-5mins
Normal saline 500 mL increments
If patient is on dialysis: Sodium Bicarbonate 50 mEq IVP/IO

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

Treatment for V-Fib/pulseless V-Tach

A

Epinephrine 1 mg/10mL IVP/IO repeat every 3-5mins
Normal saline 500 mL increments
Analyze heart rhythm and defibrillate appropriately starting at 120J, 150J, 200J for Zoll
Amiodarone 300 mg IVP/IO
If patient is on dialysis: Sodium Bicarbonate 50 mEq IVP/IO
Amiodarone 150 mg IVP/IO

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

Criteria for termination of resuscitative efforts

A

Perform at least 20 minutes of ALS care
Reaffirm the following
Nontraumatic arrest
Normothermic
>18 years old
Unwitnessed arrest by EMS provider
No respirations, pulse, heart sounds
Asystole or PEA <60bpm
EtCO2 < 20 mmHgW

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What needs to be documented when terminating resuscitative efforts?

A

Time of withdrawal of efforts and physician’s name

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

When do we withhold resuscitative efforts?

A

Risk to health and safety of personnel
Resources are inadequate to treat all patients
Valid POLST or DNR
Irreversible death such as:
Rigor mortis without profound hypothermia
Profound dependent lividity
Decapitation
Transection
Incineration
Decomposition
Injuries incompatible with life
Mummification or putrefaction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Treatment and dose for Asthma/COPD with wheezing
Albuterol 2.5 mg/Ipratropium Bromide .5mg If severe, magnesium sulfate 2g diluted in 100 mL D5W IVPB over 15 minutes (not for renal failure or dialysis patients) If patient continues to deteriorate contact medical control for Epinephrine 1mg/mL: .3mg IM anterolateral thigh
26
Treatment for unstable acute heart failure(pulmonary edema) SBP < 100
Normal saline in 500 mL increments, titrate to MAP > 65 If condition worsens, contact medical control for Push dose epinephrine 50 mcg IVP/IO repeat in 5 min, max 100mcg
27
Treatment for unstable heart failure (pulmonary edema) SBP > 160
Nitroglycerin 1.2 mg Sublingual initial dose, may repeat .4 mg SL every 5 mins CPAP 5 cm PEEP, may increase to map of 10 cm PEEP
28
Treatment for stable heart failure (pulmonary edema)
CPAP 5 cm PEEP, may increase to map of 10 cm PEEP
29
If during CPAP, patient deteriorates, what do you do?
Remove CPAP and consider advanced airway placement
30
Who is the coolest and best looking guy on Deerfield?
94
31
What medication and dose do you use for Drug assisted intubation?
Ketamine 2 mg/kg IVP/IO slowly over 1 min, max of 300mg
32
What medication and dose do you use for post intubation sedation?
Ketamine .5mg/kg IVP/IO slowly over 1 min, may repeat every 5 min, no max dose
33
What medications and dosages do you give for Anaphylactic shock?
.3 mg Epinephrine 1mg/1mL IM Diphenhydramine 50 mg IVP/IO slowly over 2 mins or IM Normal saline 500 mL increments Albuterol 2.5 mg/Ipratropium bromide .5 mg may repeat x1 Albuterol 2.5 mg may repeat every 5 mins no max If condition continues to deteriorate contact medical control for Push dose Epinephrine 50 mcg IVP/IO, may repeat in 5 mins max of 100 mcg
34
What medications and dosages do you give for a stable allergic reaction with airway involvement?
.3 mg Epinephrine 1mg/1mL IM Diphenhydramine 50 mg IVP/IO slowly over 2 mins or IM Albuterol 2.5 mg/Ipratropium bromide .5 mg may repeat x1 Albuterol 2.5 mg may repeat every 5 mins no max
35
What medications and dosages do you give for a stable allergic reaction WITHOUT airway involvement?
Diphenhydramine 25 mg IVP slowly over 2 mins or IM
36
What medication and dosages do we give for Hypoglycemia
Oral glucose gel 15 grams if patient is able to tolerate Dextrose 10% 25 gram/250 mL IVP, may repeat to a max of 50 grams If no IV, glucagon 1 mg IM/IN
37
What medication do we give for nausea/vomiting?
Ondansetron(Zofran) 4mg IVP over 30 seconds or 4 mg oral, may repeat in 10 mins, max of 8mg
38
What medications and dosages do we give for a Beta Blocker overdose?
Normal saline 500 mL increments Atropine 1 mg IVP/IO rapid, may repeat every 5 minutes, max of 3 mg Glucagon 1 mg IVP/IO repeat in 5 mins, max of 2 mg If widened QRS consider sodium bicarbonate 50 mEq IV/IO Consider pacing
39
What medications and dosages do we give for a Calcium Channel Blocker overdose?
Normal saline 500 mL increments If patient deteriorates consider atropine 1 mg IVP/IO, rapid, may repeat every 5 mins, max of 3 mg Consider pacing
40
What medication and dose do we give for an Overdose?
Narcan 2 mg IN/IM/IV/IO, repeat every 3 mins, max of 10 mg
41
What medication do we give to someone with SEVERE agitation, aggression or violent behavior?
Last resort <65 years old Ketamine 4 mg/kg IM, may repeat in 5 min 2 mg/kg, max of 500mg >65 years old Midazolam 10 mg IM or 2 mg IVP/IO/IN may repeat every 2 mins, max of 10mg
42
What medication do we give for seizures?
Midazolam(Versed) 10 mg IM or 2 mg IVP/IO/IN
43
What medications do we give for Sepsis?
Normal saline 500 mL increments, target 30 mL/kg If condition continues to deteriorate, Push dose Epinephrine 50 mcg IVP/IO repeat in 5 mins, max of 100 mcg
44
What scale do we use for strokes?
BEFAST Balance Eyes Face Arm Speech Time
45
When would you consider a stroke to be a large vessel occlusion?
Dense profound deficit -new sudden onset speech deficit -sudden significant gait disturbance -significant extremity weakness Fixed eye gaze deviation Hemineglect (ignoring on side of the body)
46
Where do we take patients that are positive for a LVO(large vessel occlusion) screen?
Comprehensive Stroke Center (LGH or Evanston)
47
What are our level 1 trauma centers that we transport to?
Condell, Evanston, LGH
48
If transporting a traumatic arrest, where do we transport to?
Closest trauma center(HPH)
49
When can we withhold resuscitation on a traumatic arrest?
Patients in asystole Patient with an injury incompatible with life -decapitation -thoracic transection -incineration
50
What medication do we give for a traumatic arrest?
None
51
What are some injuries that would be considered Category 1 and transport to a Level 1 trauma center?
Penetrating injuries to head, neck, torso or extremities proximal to elbow/knee >1 proximal long bone fractures Unstable pelvis Chest wall instability or deformity Crushed, degloved, mangled or pulseless extremity Open or depressed skull fractures Amputation proximal to wrist or ankle Paralysis
52
How do we treat a patient with a crush injury?
Coordinate extrication with treatment, administer fluids Contact medical control for Sodium Bicarbonate 50 mEq IVP/IO and/or Albuterol 2.5mg NEB, may repeat in 5 mins, max of 5 mg Fentanyl 1mcg/kg IVP/IN/IO/IM max single dose 100mcg, may repeat in 10 mins. max dose of 200mcg
53
What medication do we give for patients that have sustained some sort of trauma and are unstable? (SBP < 90 and HR > 120bpm) (not an isolated head injury)
Transexamic Acid(TXA) 1g diluted in 100 mL D5W IVPB over 10 mins
54
What is are the signs and symptoms of heat stroke?
Altered mental status. rectal temperature > 104F, sweating has stopped
55
What is the treatment for a patient with EXERTIONAL heat stroke?
Cool on scene with a tank, or Tarp assisted cooling with oscillation (TACO method). Transport when altered mental status improves. Rectal temperatures only ;) Stop immersive cooling if patient begins to shiver Watch for Arrhythmias and brain injuries
56
What is the treatment for a patient with heat stroke?
Establish IV and administer normal saline only if the patient is hypotensive Initiate active rapid cooling Stop active cooling if patient begins to shiver
57
What questions should you ask a patient with signs of imminent birth?
Duration/frequency of contractions Gravida (# of pregnancies) Para (# of births) Due date Previous labor time
58
What are signs of imminent birth?
Crowning Bulging perineum Involuntary pushing
59
What are signs of complications during emergency childbirth?
Prolapsed cord Profuse bleeding Meconium staining
60
What is a nuchal cord?
Umbilical cord is wrapped around the neonates neck
61
How do you stimulate a neonate?
Drying, rubbing the back or flicking soles of the feet. Do not shake the neonate
62
When should you obtain an APGAR score?
1 minute and 5 minute mark, if APGAR score is < 7, repeat every 5 mins for 20 mins total
63
What does APGAR stand for?
0 1 2 Appearance Blue/pale Blue hands/feet Pink Pulse Absent <100 >100 Grimace Absent Grimace Crying/active withdrawal Activity Absent Some movement Active motion Respirations Absent Weak cry Strong cry
64
What is a Glasgow coma scale?
EYE Verbal Motor 6 Obeys commands 5 Oriented Localizes pain 4 Spontaneous Confused Withdraws from pain 3 To voice Inappropriate Flexion to pain 2 To pain Incomprehensible Extension to pain 1 None None None
65
What does MAP stand for and how do we calculate it?
Mean arterial pressure MAP = (2 x DBP) + SBP BP: 120/80 (2 x 80) +120 ----------------------- ------------------ 3 3 MAP = 93

Region 10 HPH Medic SOPS 2024 (1 decks)

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