AIR METHODS CC Paramedic Study Questions with Correct Answers

AIR METHODS CC Paramedic Study Questions with Correct Answers 1. Vasopressor - used to treat ? - ANSWER hypotension / increase MAP / cause vasodialation 2. Vasopressor - Vasopressin - ANSWER Dose - 0.01U-0.06U/min 3. Vasopressor: Levophed - ANSWER *gold standard for septic shock Dose - 1-5mcg/min mixed with D5W 4. RSI - What are the 7 P's? - ANSWER Preparation Preoxygenation Pretreatment Paralysis Protection Placement Post intubation management 5. RSI Pharmacology - Sedative agent Etomidate - ANSWER Dose - 0.3mg/kg (typical dose for pts over 70kgs is 20mg) Onset - 10-15 seconds Duration - 10 minutes *Use caution in septic patients 6. RSI Pharmacology - Sedative agent Propofol - ANSWER Dose - 5mg/kg Onset - 10 minutes Duration 5-8 minutes Contraindicated for egg and egg product allergies 7. RSI Pharmacology - Paralytic agent Succinylcholine - ANSWER Dose - 2mg/kg Onset - 45 seconds Duration - 10 minutes *Use caution in crush patients and long code patients Contraindicated for muscle disorders, hx of malignant hypothermia, hyperkalemia, ocular inuries 8. RSI Pharmacology - Paralytic agent Rocuronium - ANSWER Dose - 1mg/kg Onset - 1 minute 9. Du CBC: Hemoglobin (Hgb) - what is the normal range? - ANSWER Normal Value: 14-17.5 G /DL 10. CBC: Hemoglobin (Hgb) - what do high and low values indicate? - ANSWER High value = smoking? Low value = anemia or blood loss? 11. CBC: Hematocrit - what is the normal range? - ANSWER Normal value = 41-50% 12. CBC: Hematocrit - what do high and low values indicate? - ANSWER High value = dehydrated? Low value = anemia or blood loss? 13. CBC: WBC - what is the normal range? - ANSWER Normal value = 4500 11000 14. CBC: WBC - what do high and low values indicate? - ANSWER High value = infection, anemia, steroid use Low value = viral infection or immunodeficiency 15. CBC: RBC - what is the normal range? - ANSWER Normal value = 3.9-5.5 million mm3 16. CBC: RBC - what do high and low values indicate? - ANSWER High value = polycythemia or high altitude Low value = cancer or bone marrow suppression 17. Coags: PT - what does it measure & how long? - ANSWER Coumadin anticoagulation 10-13 second 18. Coags: PT - what do high values indicate? - ANSWER High values can indicate liver cirrohsis, vitamin K deficiency or DIC 19. Coags: INR - ANSWER International normalized ratio. Normal INR = 1.0. 20. Coags: aPTT - what does it measure & how long? - ANSWER Measures Heparin 25-40 secondration - 40 minutes *Need to consider post intubation sedation; Prop running at 5-70mcg/kg/min 21. Inotropes - used to treat? - ANSWER CHF 22. Intrope: Digoxin - ANSWER Dose - 1-2ng/ml Indication: L sided heart failure, SV arrhythmias, AFib 23. Inotrope: Dopamine - ANSWER SVR INCREASER THROUGH VASOCONSTRICTION Dose - 3-5mcg/kg/ml Indication: bradycardia, cardiogenic shock, decompensated CHF Contraindicated for hypovolemic shock