Download SNHD Paramedic Protocol Exam Study Guide: Essential Formulas, Doses, and Procedures and more Exams Nursing in PDF only on Docsity!
Guide|graded A+
SNHD Paramedic Protocol Exam Study
Guide
Identify the Parkland Burn Formula for Fluid Replacement. - ✔️4ml x (body weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder over next 16 hours Pg. 28 For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center. - ✔️10 feet or two times the height of the child Pg. 127 What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - ✔️2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg Pg. 45 For a traumatic cardiac arrest, what interventions must be performed prior to considering terminating resuscitation efforts? - ✔️Provide effective ventilation with 100% oxygenation for two (2) minutes Open airway with basic life support measures Perform bilateral needle thoracentesis if tension pneumothorax suspected Pg. 125 For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin? - ✔️1.6 mg SL Pg. 49 Which patient(s) can be taken to a hospital that has been placed on internal disaster? - ✔️A patient in which an airway cannot be established A patient in cardiac arrest Pg. 12
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A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma center only. - ✔️False (Level 1, 2 or 3) Pg. 127 When should radio contact be established to a receiving facility? - ✔️All trauma patients Emergency (code 3) returns Need for telemetry physician Per protocol Pg. 11 How often can additional Diazepam (Valium) doses be administered to a pregnant patient who is refractory to Magnesium Sulfate? - ✔️Every 5 minutes Pg. 43 For non-trauma patients, telemetry reports should include at a minimum which of the following? - ✔️Attendant/vehicle identification, Nature of call: INFORMATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival including any special circumstances that may cause a delay in transport Pg. 115 A patient is defined as any individual that meets which of the following? - ✔️All of the above (A person who has obvious evidence of illness or injury, A person who has a complaint or mechanism suggestive of potential illness or injury, A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury) Pg. 6 Additional doses of Hydropmorphone (Dilaudid) are by physician order only. - ✔️True. Pg. 47 What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction?
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Pg. 134 What is the maximum dose of Activated Charcoal when administered to a pediatric patient? - ✔️50g Pg. 150 What is the maximum single pediatric dose of D10 for a patient experiencing low blood sugar? - ✔️25g Pg. 78 What is the dose of Naloxone for a pediatric patient who is unresponsive with respiratory depression and a suspected narcotic overdose? - ✔️0.1 mg/kg Pg. 78 An EMT cannot assist a patient with their own metered dose inhaler in respiratory distress and who is wheezing or is suffering from bronchospasm. - ✔️False Pg. 51 What is the Normal Saline fluid bolus for a patient in cardiogenic shock? - ✔️500mL Pg. 55 What is the APGAR score? Arms/legs are flexed Pulse above 100 Patient grimaces Appearance is normal except for extremities Patient is crying - ✔️ 7 Pg. 34 What is the definition of status epilepticus? - ✔️Two or more seizures successively without an intervening lucid period
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A seizure lasting over five minutes Pg. 54 For a patient in Pulmonary Edema/CHF, who is normotensive, what is the dose of Nitroglylcerin? - ✔️0.4 mg SL Pg. 49 What is the dose of Magnesium Sulfate for a patient in respiratory distress and who is wheezing or is suffering from bronchospasm? - ✔️2.0g in 50 ml Normal Saline over 10 minutes Pg. 51 What is the dose of Fentanyl for pain management? - ✔️1.0 mcg/kg IN/IM/IV Pg. 47 Describe EKG findings consistent with hyperkalemia. - ✔️Bradycardia with widening QRS complexes. Pg. 38 For a patient in shock, how much Dopamine should be administered? - ✔️5-20 mcg/kg/min Pg. 55 Which of the following are approved hypothermia (post-resus.) centers? - ✔️Centennial Hills, Desert Springs, Mountain View Hospital, St. Rose De Lima, St. Rose Siena, Southern Hills, Spring Valley, Summerlin, Sunrise, UMC, Valley Pg. 65 A patient complaining of abdominal pain, flank pain, or nausea/vomiting shall receive how much Ondansetron (Zofran)? - ✔️4.0mg Pg. 15 An auto vs pedestrian/bicyclist thrown, run over, or with significant (greater than 15 mph) impact requires transport to a Level 1, 2, or 3 trauma center. - ✔️False (greater than 20mph)
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Pg. 21 Identify which of the following patients should be transported to a burn center. - ✔️Second and/or third degree burns >10% body surface area (BSA) in patients under 10 years old or over 50 years old, Second and/or third degree burns >20% body surface area (BSA), Inhalational injury, Circumferential burns, Burns that involve the face, hands, feet, genitalia, perineum or major joints, Electrical burns, including lightning injury, Chemical burns Pg. 85 Alcohol is commonly a cause of total unresponsiveness to pain. - ✔️False Pg. 22 What is the pediatric dose of Ondansetron (Zofran)? - ✔️0.15 mg/kg ODT/IM/IV up to max dose of 4.0mg Pg. 74 Resuscitation that is started in the field by licensed EMS personnel can be discontinued without a physician order. - ✔️False Pg. 125 What is the dose of Midazolam (Versed) for a patient in seizure? - ✔️0.1 mg/kg IM/IN/IV up to a maximum of 5.0 mg Pg. 53 A patient complaining of abdominal pain, flank pain, or nausea/vomiting shall have a 12 lead EKG placed on them if their age is over - ✔️ 35 Pg. 15 What is the dose of Calcium Chloride in the setting of a Calcium Channel Blocker overdose? - ✔️1gm (10%) slow IVP Pg. 45 What is the lowest APGAR score that can be obtained? - ✔️ 0 Pg. 34
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A patient who was involved in a traumatic situation, with a GCS less than ______ must be transported to a Level 1 or 2 trauma center. - ✔️ 13 Pg. 127 For a patient in shock that is non-trauma or non-cardiogenic, how much Normal Saline should be administered? - ✔️1000 ml bolus, repeated 1 time Pg. 55 How many IVs should be started for a patient with return of spontaneous circulation and is unable to respond to pain or voice? - ✔️ 2 Pg. 65 A patient with a possible crush syndrome should be suspected of having hyperkalemia. - ✔️True Pg. 38 What should occur first for an unwitnessed cardiac arrest? - ✔️2 minutes of CPR Pg. 134 When would Glucagon be indicated for a patient suffering from Bradycardia? - ✔️Beta Blocker OD Pg. 25 How should an EMS provider attempt to verify the validity of the DNR/POLST? - ✔️Patient's name, Patient's age, Patient's condition Pg. 118 St. Rose Dominican - Siena Campus is what level trauma center? - ✔️ 3 Pg. 128 Which of the following are associated with grand mal seizures? - ✔️Incontinence, oral trauma, loss of consciousness
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✔️>0.12 sec Pg. 63 Additional doses of Fentanyl are by physician order only. - ✔️True Pg. 47 An agency that provides patient care activities prior to the arrival of the transporting agency does not need to provide a verbal patient care report. - ✔️True Pg. 120 DNR/POLST can be revoked by the patient. - ✔️True Pg. 118 According to the Stroke/CVA protocol, which of the following need to be documented on a patient with a suspected stroke or CVA? - ✔️Last known normal (onset), Witness with phone number, Cincinnati Stroke Scale (CSS) Pg. 59 What are continuous chest compressions? - ✔️Compressions at a rate of at least 100 compressions per minute and a depth of about 2 inches without pauses for breaths Pg. 29 What is the dose of Benadryl in the setting of a suspected dystonic reaction? - ✔️50mg IV/IM Pg. 45 What is the dose of Albuterol for a child who drowned? - ✔️2.5 mg in 3.0 ml SVN Pg. 83 Prior to a transfer, what must the transferring the transferring physician notify the receiving physician of? - ✔️Estimated time of arrival, patient condition, reason for transfer Pg. 121
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What is the initial dose of Amiodarone? - ✔️300mg Pg. 29 For a patient in Pulmonary Edema/CHF and showing signs of cardiogenic shock with a blood pressure less than 100 mmHg, what is the dose for Dopamine? - ✔️5-20 mcg/kg/min Pg. 49 What is the APGAR score? Active moving Pulse above 100 Sneezes, coughs, pulls away Appearance is normal over entire body Respirations are good and crying - ✔️ 10 Pg. 34 Nitroglycerine is contraindicated for any patient having taken Viagra or similar medication in the past 24 hours, or 48 hours for Tadalifil, or similar. - ✔️True Pg. 32 CPAP may be performed on which of the following patients? - ✔️Respiratory distress with bronchospasm, Pneumonia, CHF Pg. 133 What is the fluid bolus for a pediatric patient with a blood glucose level more than 250 mg/Dl? - ✔️10 ml/kg Pg. 78 A patient not on a legal psychiatric hold can be placed in an ER waiting room if their respiratory rate is between: - ✔️10- Pg. 12 What is the initial dose of Diazepam for a patient experiencing a behavioral emergency? -
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What is the pediatric dose of Magnesium Sulfate in a pediatric patient with Torsades De Pointes? - ✔️25 mg/kg in 50cc Normal Saline over 10 minutes Pg. 108 A patient who has received which medication(s) can be placed in the ER waiting room? - ✔️Morphine, Ondansetron (Zofran) Pg. 130 A mild allergic reaction involves skin rashes, itchy sensation, or hives with no respiratory involvement - ✔️True Pg. 20 Hypoxemia is a common cause of bradycardia. - ✔️True Pg. 26 What can be used to maintain sedation for endotracheal intubation? - ✔️Diazepam (Valium), Midazolam (Versed) Pg. 67 Before a vagal maneuver can be performed on an adult patient, what must the patient have performed on them? - ✔️Cardiac monitoring, Vascular access Pg. 147 Midazolam (Versed) is recommended for use in children experiencing behavioral emergencies? - ✔️False Pg. 81 What is the drug used for a patient exhibiting pre-eclampsia? - ✔️Magnesium Sulfate 2.0gm in 50cc Normal Saline over 10 minutes Pg. 43 How often can Morphine be administered for pain management? - ✔️q 10 minutes
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Pg. 47 What is the concentration and dose of Epinephrine for a patient experiencing an allergic reaction and showing evidence of shock? - ✔️0.1 mg 1:10,000 IV/IO q 1 minute Pg. 19 Foam in the airway of a pediatric patient who drowned should be: - ✔️Left in place, bag through the foam initially Pg. 88 How often should a patient with an allergic reaction be reassessed? - ✔️Every 5 minutes Pg. 19 According to the Rule of 9's, a single arm of a child accounts for how much of the body surface area? - ✔️9% Pg. 85 What is the minimum dose of Atropine for a pediatric patient with a heart rate less than 60bpm? - ✔️0.02mg/kg min dose 0.1mg max 0.5mg Pg. 82 According to the burn protocol, how much Normal Saline should be administered to a patient who shows signs of hypoperfusion or has more than 10% of their body surface area burned? - ✔️500ml Pg. 27 What can be used to maintain sedation of a pediatric patient who is intubated? - ✔️Diazepam (Valium) 0.2mg/kg IV or 0.5mg/kg Rectal Which of the following will be seen with heat stroke? - ✔️Body temperature greater than 104°F, Hot dry skin, Hypotension, Altered Mental Status, Coma
