SNHD AEMT Protocol Study Guide 2024- 2025 Emergency Medicine, Exams of Nursing

Download SNHD AEMT Protocol Study Guide 2024- 2025 Emergency Medicine and more Exams Nursing in PDF only on Docsity!

SNHD AEMT Protocol Study Guide 2024- 2025 Emergency Medicine

SNHD AEMT Protocol Study Guide 2024- 2025 Emergency Medicine Acetylsalicylic Acid - CORRECT ANSWER -As pirin Acetylsalicylic Acid (Aspirin) class - G@RRECIAINGWERE Non-steroidal anti-inflammatory (NSAID) Acetylsalicylic Acid (Aspirin) action - GORRECTANGWER Platelet inhibition Acetylsalicylic Acid (Aspirin) dose - GORRECTANGWERL Adulr: 324mg PO (81mg tablets x 4) Pediatric: not recommended for use Acetylsalicylic Acid (Aspirin) route - CORRECT ANSWER -PO - Chew and swallow Acetylsalicylic Acid (Aspirin) concraindications - G@RRECMANSWERE- Allergy co aspirin Acetylaliylic Acid (Aspirin) adverse reactions - SUIRRISSTEANISIRE. None Activated charcoal Class - GORRECTANSWERL Adsorbent Activated charcoal Action - CORRECT ANSWER Inhibits gastrointestinal absorption of toxic substances Activated charcoal Dose - SRRESIANSIVERE A i: 50gm PO Pediatric: lgm/kg PO; minimum dose 10gm Maximum dose 50gm Activated charcoal Route - SORRECRANSHMBR Po Activated charcoal Contraindications - G@RREGHANGWVER Altered mental status; ingestion of acid, alkalis, or petroleum distillate; an inability co swallow; previous administration of an emetic Activated charcoal Vomiting Chass - CORRECT ANSWER -Sprapathomimeric Bronchodilator metered dose inhaler Action - CORRECT ANSWER Bronchodilacor Bronchodilator metered dose inhaler Dose - SORRNGANSWVERL Boch Adulcand Pediatric Assisted patient in administering his or her own bronchodilator metered dose inhaler exactly as prescribed Bronchodilator metered dose inhaler Route - SOREECRANSHIR sion Bronchodilator metered dose inhaler Contesindications - SGRRECINAINSWER 1 ypersensitivicy wo the drug Bronchodilator metered dose inhaler Adverse reactions - (SQIRRISSINBINSWWBIR-T achycaria palpations anxiousness headache Diphenhydramine hydrochloride - GORREGHANSWER Benadryl Diphenhydramine hydrochloride (Benadryl) Class - GORRECTANSWERL Antihistamine Diphenhydramine hydrochloride (Benadryl) Action - GORRECTANSWER-Blocks histamine receptors; has some sedative effects; anti-cholinergic Diphenhydramine hydrochloride (Benadryl) Dose - SRRESIANSIVERE A i: 50 mg IM/TV Pediatric: 1 mg/kg IM/IV Maximum 50 mg Diphenhydramine hydrochloride (Benadryl) Rou - QORREGHANSWERLV o: deep IM Diphenhydramine hydrochloride (Benadryl) Contesindications - SORRECINAINSWER 1 ypersensitivicy wo che drug Diphenhydramine hydrochloride (Benadryl) Adverse reactions - GORRECTENGWER Sedation palpations decreased blood pressure headache dries (thickens) bronchial secretions blurred vision Epinephrine Adverse reactions - SGIRREGINAINSWER-Palpacions due to tachycardia or ectopic beats may produce arthythmia if cardiac disease present; elevation of blood pressure; headache; anxiousness Epinephrine Auto-injector Class SRORRIEGTIANSNIRE sympathomimetic Epinephrine Auto-injector Action - GORRECTANSWER! Bronchodilacion positive chronotrope positive initrope Epinephrine Auto-injector Dose - CORRECT ANSWER -Both adult and pediatrics: Assist patient with his or her own epinephrine auto-injector Epinephrine Auto-injector Route - SORRESIANSIIR 1 Epinephrine Auto-injector Contraindications - GORRECTENSWEN-Underlining cardiovascular disease/angina; hypertension; pregnancy; patient over 40 years of age; hyperthyroidism Epinephrine Auto-injector Adverse reactions - SGIRREGHIANGIERLP alpacions due wo tachycardia or ectopic beats may produce arthythmia if cardiac disease present; elevation of blood pressure; headache; anxiousness Glucagon Class - GORRECTANSWERL Insulin antagonist Glucagon Action - GORRECTANGWER Reverses the effects of hypoglycemia Glucagon Dose- SORRSCRANSINERE At 1 mg IM for no IV access Pediatric: .5 mg IM for no IV access Glucagon Rove - CORRECHANSIER1V IM Pediatric: See specific protocol for dosing based on weight, age, and concentration Glucose D10 (10% dextrose in 250 ml NS) dose - GORRECTENSWER Both Adule and Pediatrics: Iml/kg max dose 250ml Glucose D10 (10% dextrose in 250 ml NS) route - GORRECTANSWER slow IVP IV drip PO Glucose Contraindications - GORRECTANGWERLN one Glucose Naloxone hydrochloride - GORRECTENSWER Narcan Naloxone hydrochloride (narcan) Class - GORRECTANSWERL Narcotic antagonist Naloxone hydrochloride (narcan) Action - GORRECTANGWER Reverses effects of narcotics Naloxone hydrochloride (narcan) Adult Dose - CORRECT ANSWER -0.4 - 2.0 mg IN IM Iv May repeat if patient slow to respond; titrate to effect; max single dose - 2.0 mg Max total dose - 10mg Naloxone hydrochloride (narcan) Pediatric Dose - CORRECT ANSWER -0.1 me/kg IN IM Iv May repeat if patient slow to respond; titrate to effect; max single dose - 2.0 mg Max total dose - 10mg Naloxone hydrochloride (narcan) Rout - ORES 1 IM Iv Naloxone hydrochloride (narcan) Contraindications - @ORREGHANSWER-Hypotension, systolic pressure below 100 MMHG unless ordered by physician; Bradycardia; Tachycardia, heart rate greater than 100 BPM; use of Viagra (sildenafil) or similar medication within the past 24 hours; or 48 hours for Cialis (tadalafil); patients with demonstrated hypersensitivity to nitrates or nitrites Nitroglycerin Adverse reactinns- CORRECT ANSWER -Ilypatensinn SAFER - SGRREGHISINSWER!S: stabilize the situation. (contain and lower stimuli) A: assess and acknowledge the crisis. F: facilitate identification and activation of resources. TE; encourage patients to use resources, R: recovery/referral, leave patients in care of responsible person/profession or transport to appropriate facility. Pediatrics, age for a destination - CORRECT ANSWER -Less than 18 years old Pediatrics, age for protocols - CORRECT ANSWER -12 years old or less Profound altered mental status - GORRECTANSWER Defined as: A deficit that includes disorientation, bewilderment, and difficulty following commands, Implement with all respiratory distress - SORREGDANSWER Pulse ox and capnography Status epilepticus - GORREGIAINSWER! Two or more seizures successfully without a lucid period, or a seizure lasting over five minutes Grand mall seizures - G@RIRECIANSWERI- (Generalized) ate associated with loss of consciousness, incontinence, and oral trauma Focal seizures - GORRECTIANSWERD- Affect only pare of che body and are not usually associated with loss of consciousness Hypotension defined as - CORRECT ANSWER -BP less than 90 systolic, not always reliable, and should be interpreted in context and patients typical BP Hypovolemic shock - GORRECTENGWEN Hemorthage, trauma, G.I. bleeding, ruptured aortic aneurysm, University medical center. Burn centers - GORRECTANSWER- University medical center Sexual assault centers - CORRECTING WER Sunrise hospital, for patients less than 13 years old. Sunrise hospital, university medical center for patients 13 years old to 17 years old. University medical Center for patients 18 years old and up Stroke destinations - CORRECT ANSWER -All hospitals except: Boulder City Hospital. Mesa view hospital. Mike O'Callaghan federal hospital. North Vista Hospital. Hypothermia centers - CORRECT ANSWER -All hospitals except: Boulder city hospital. Mesa view hospital. Mike O'Callaghan federal hospital. North Vista Hospital. Saint Rose San Martin. Tn any cardiac arrest and postarrest resuscitation what should you never do? - GORREGTANGIVER Hyperventilate What is the most important airway device and also the most difficult co use correctly? - GORRECT AINSWURE. The bag valve mask Difficult BVM ventilations acronym - GORRECTANSWERL Moans Difficule BVM ventilations - moans - G@RRECIAINGWERLM: difficult Mask seal, due to facial hair, anatomy, blood/secretion/trauma. O: Obese or late pregnancy. A: Age greater than 55. N: No teeth- roll gauze and place between gums and cheek to improve seal. S: Stiff or increased airway pressure - asthma, COPD, obese, pregnant. Difficult extraglottic device placement acronym - SGRRECHINSWER!-Rods Difficult extra glottic device placement - rods - GORREGTANSWER-R: Restricted mouth opening. O: Obstruction/Obese or late pregnancy. D: Distorted or Disrupted airway. S: Stiff or increased airway pressure - asthma, COPD, obese, pregnant. Groin, 1. Pediatric burn victims rule of nines - SORREGIANSWER Head, 18. Torso, 18 front & 18 back. Legs, 14. Arms, 9. Parkland formula - CORRECT ANSWER -4 mL. times weight in kilograms,times BSA burned = total amount of fluid for 24 hours. ¢ halfin the first eight hours, remainder over the next 16 Superficial - 1st” burn - CORRECT ANSWER -Red and painful Partial thickness - 2nd’ burn - GORRECTANGWER Blistering Full thickness - 3rd” buen - GORRECTANSWER Painless or charred ‘What ace burn patients considered - SGRREGIANS WER Trauma patienss You are on scene for a 14-year-old female patient who was sexually assaulted. The patient requires transport to the hospital for further examination. Using the general pediatric assessment protocol, this patient should be transported to? - GORRECTANSWER Either UMC, or sunrise Hospital You are called to the scene for a man who has suffered and inhalation injury after an explosion at a factory. Which hospital should the patient be transported to? - GGRRECHANSWERL UMC What is the pediatric dose of Narcan? - GORRECIAINSWERL-0.1 mg per kilogram. IM/IMIIV. Max single dose 2 mg. Max total dose to 10 mg. In the pediatric drowning protocol, after a general patient assessment has been completed, the highest priority should be protecting the airway and adequate ventilation. True or false? - GQRREGTANSWHR True You are called to a hotel for a male in seizure. Upon arrival, you find that the patienc has stopped Seizure activity, but is still unresponsive. After ensuring adequate airway, you check the patients BGL. The patient should be administered glucose if it is noted to be below what MG/DL - GORRECTANSWER-6o MG/DL On all patients suspected of alcohol as the cause of an altered mental status the EMS provider should rule out CORRNCTANSWER Iofecvn, what other causes? trauma, insulin - hypo/hyperglycemia. In the termination of resuscitation protocol, resuscitation started in the field may be discontinued only by a physician order when the following conditions have been met for a medical arrest: the patient remains in persistent a-systole or agonal rhythm and has a capnography less than 10 MMHG after 20 minutes of appropriate paramedic resuscitation, to include: - CORRECT ANSWER -CPR, effective ventilation with 100% oxygen, administration of appropriate ACLS medications You arrive on scene for a two-year-old male who was reported to have fallen. The parents inform you that the patient crawled up onto a ladder that had been left by some workers and fell approximately 8 feet co the ground. The patient is 3 feet tall and weighs 55 pounds. He is alert and oriented and acting appropriately per his parents, but Wences when you couch his lower back. Using this information does the patient meets criteria for transport to a trauma center? True or false? - CORRECT ANSWER -True, children go toa trauma center for falls greater than 10 feet or two times the height of the child