ICEMA Protocols Exam Questions With
Complete Solutions
Acetylsalicylic Acid - CORRECT ANSWER✔✔-325 mg PO chewed (one (1) adult
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non-enteric coated aspirin) or four (4) chewable 81 mg aspirin.
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Nitroglycerin - CORRECT ANSWER✔✔-0.4 mg sublingual/transmucosal
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One (1) every three (3) minutes as needed. May be repeated as long as patient
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continues to have signs of adequate tissue perfusion.
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Epinephrine 1:1000 1mg/1ml - CORRECT ANSWER✔✔-Severe Bronchospasm,
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Asthma Attack, Pending Respiratory Failure, Severe Allergic Reactions:
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0.3 mg IM. May repeat after fifteen (15) minutes one (1) time if symptoms do not
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improve.
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Adenosine 6mg/2ml - CORRECT ANSWER✔✔-6 mg rapid IVP followed
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immediately by 20 cc NS bolus, and 12 mg rapid IVP followed immediately by 20
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cc NS bolus if patient does not convert. May repeat one (1) time.
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Diphenhydramine 50mg/1ml - CORRECT ANSWER✔✔-25 mg IV/IO. 50 mg IM. | | | | | | | | |
Albuterol - CORRECT ANSWER✔✔-2.5 mg nebulized, may repeat two (2) times.
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Atrovent - CORRECT ANSWER✔✔-0.5 mg nebulized. Administer one (1) dose only.
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, Pediatric: 0.25mg 1day-12months. | |
TXA 1000mg/10ml -> 100ml bag - CORRECT ANSWER✔✔-Patients 15 years of age
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and older (ALS)
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Administer 1 gm in 50 - 100 ml of NS via IV/IO over ten (10) minutes. Do not
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administer IVP as this will cause hypotension. Must document patient
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temperature at least three times. Must secure wristband | | | | | | |
Magnesium Sulphate 5gm/ 10ml (50%) - CORRECT ANSWER✔✔-Polymorphic
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Ventricular Tachycardia: 2 gm IV/IO bolus over five (5) minutes for polymorphic
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VT if prolonged QT is observed during sinus rhythm post-cardioversion.
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Eclampsia (Seizure/Tonic/Clonic Activity): 4 gm IV/IO slow IV push over three (3)
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to four (4) minutes. 10 mg/min IV/IO drip to prevent continued seizures.
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Respiratory compromise refractory to traditional medication:
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2 gm in a 100ml drip over 20 minutes.
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Ondansetron 4mg tab and 4mg/2ml - CORRECT ANSWER✔✔-All patients four (4)
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to eight (8) years old: May administer a total of 4 mgs prior to base hospital
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contact.
All patients nine (9) and older: May administer 4 mg; may repeat two (2) times, at
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ten (10) minute intervals, for a total of 12 mgs prior to base hospital contact.
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May be used for narcotic administration.
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Sodium Bicarbonate 50mEq/50ml - CORRECT ANSWER✔✔-(base hospital order
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only)
Tricyclic Poisoning: |
Sodium Bicarbonate, 1 mEq/kg IV/IO.
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Complete Solutions
Acetylsalicylic Acid - CORRECT ANSWER✔✔-325 mg PO chewed (one (1) adult
| | | | | | | | | | |
non-enteric coated aspirin) or four (4) chewable 81 mg aspirin.
| | | | | | | | |
Nitroglycerin - CORRECT ANSWER✔✔-0.4 mg sublingual/transmucosal
| | | | |
One (1) every three (3) minutes as needed. May be repeated as long as patient
| | | | | | | | | | | | | | |
continues to have signs of adequate tissue perfusion.
| | | | | | |
Epinephrine 1:1000 1mg/1ml - CORRECT ANSWER✔✔-Severe Bronchospasm,
| | | | | | |
Asthma Attack, Pending Respiratory Failure, Severe Allergic Reactions:
| | | | | | |
0.3 mg IM. May repeat after fifteen (15) minutes one (1) time if symptoms do not
| | | | | | | | | | | | | | |
improve.
|
Adenosine 6mg/2ml - CORRECT ANSWER✔✔-6 mg rapid IVP followed
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immediately by 20 cc NS bolus, and 12 mg rapid IVP followed immediately by 20
| | | | | | | | | | | | | | |
cc NS bolus if patient does not convert. May repeat one (1) time.
| | | | | | | | | | | |
Diphenhydramine 50mg/1ml - CORRECT ANSWER✔✔-25 mg IV/IO. 50 mg IM. | | | | | | | | |
Albuterol - CORRECT ANSWER✔✔-2.5 mg nebulized, may repeat two (2) times.
| | | | | | | | | |
Atrovent - CORRECT ANSWER✔✔-0.5 mg nebulized. Administer one (1) dose only.
| | | | | | | | | |
, Pediatric: 0.25mg 1day-12months. | |
TXA 1000mg/10ml -> 100ml bag - CORRECT ANSWER✔✔-Patients 15 years of age
| | | | | | | | | | |
and older (ALS)
| | |
Administer 1 gm in 50 - 100 ml of NS via IV/IO over ten (10) minutes. Do not
| | | | | | | | | | | | | | | | | |
administer IVP as this will cause hypotension. Must document patient
| | | | | | | | | |
temperature at least three times. Must secure wristband | | | | | | |
Magnesium Sulphate 5gm/ 10ml (50%) - CORRECT ANSWER✔✔-Polymorphic
| | | | | | | |
Ventricular Tachycardia: 2 gm IV/IO bolus over five (5) minutes for polymorphic
| | | | | | | | | | | |
VT if prolonged QT is observed during sinus rhythm post-cardioversion.
| | | | | | | | |
Eclampsia (Seizure/Tonic/Clonic Activity): 4 gm IV/IO slow IV push over three (3)
| | | | | | | | | | | |
to four (4) minutes. 10 mg/min IV/IO drip to prevent continued seizures.
| | | | | | | | | | |
Respiratory compromise refractory to traditional medication:
| | | | | |
2 gm in a 100ml drip over 20 minutes.
| | | | | | | |
Ondansetron 4mg tab and 4mg/2ml - CORRECT ANSWER✔✔-All patients four (4)
| | | | | | | | | | |
to eight (8) years old: May administer a total of 4 mgs prior to base hospital
| | | | | | | | | | | | | | | |
contact.
All patients nine (9) and older: May administer 4 mg; may repeat two (2) times, at
| | | | | | | | | | | | | | |
ten (10) minute intervals, for a total of 12 mgs prior to base hospital contact.
| | | | | | | | | | | | | | | |
May be used for narcotic administration.
| | | | |
Sodium Bicarbonate 50mEq/50ml - CORRECT ANSWER✔✔-(base hospital order
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only)
Tricyclic Poisoning: |
Sodium Bicarbonate, 1 mEq/kg IV/IO.
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