SNHD protocol test review 2023 complete
If the ability to adequately ventilate the patient cannot be established, the patient
must be...
transported to the nearest emergency department
Sexual assault victims under 13 should be transported to...
sunrise
Sexual assault victims 13 to 18 should be transported to...
sunrise or UMC
Sexual assault victims over 18 should be transported to...
UMC
BVM is acceptable method of ventilation and managing air way if the pulse
oximetry can be maintained at...
greater than or equal to 90%
Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal
pain my indicate...
an aneurysm
After each fluid bolus...
repeat vital signs
In patients with abdominal/flank pain, nausea and vomiting, older than 35 years
old...
consider cardiac origin and consider a 12 lead
Nitroglycerin is contraindicated in in any patient with...
hypotension, bradycardia, tachycardia in the absence of heart failure and evidence of a
right ventricular infarction
Perform a 12 lead on all patients 35 years old experiencing... (suspected acute
coronary syndrome)
vague jaw/chest/abdominal discomfort
Always perform ___________ when administering Epi.
ECG monitoring
For patients with altered mentation/syncope give oral glucose for a blood sugar
value...
less than 60
Dystonic reaction
involuntary muscle movements or spasms typically of the face, neck and upper
extremities, typically adverse reaction to drug like haloperidol?
S.
A.
F.
E.
R.
Stabilize the situation
Assess and acknowledge the crisis
Facilitate the id and activation of resources
Encourage the patient to use resources and take action is his best interest
Bradycardia causing symptoms is typically...
, less than 50 a minute
A common cause of bradycardia is...
hypoxemia
Cover a burned area only with...
dry sterile dressing
Adult burn patients should be transported to...
UMC trauma center
Burn patients are prone to...
hypothermia
What kind of burns must be transported to UMC burn center?
1. second/third degree adult >20%
2. second/third degree cover >10% in patients under 10 or over 50
3. burns to face hands feet genitals perineum or joints
4. electrical or chemical burns
5. circumferential burns
6. inhalation injury
Parkland formula for fluid replacement
4 ml x weight in kg x %BSA burned=total fluids for 24 hrs (1/2 for first 8 hrs, rest over
next 16 hrs)
What times do you record an APGAR score?
at one and five minutes after birth
APGAR of 7-10 is...
normal
APGAR of 4-7 requires...
resucitative measures
How is apgar scored?
0,1,2
0 being absent
1 being flexion, pulse below 100, grimace, normal skin except extremities, and slow
irregular respirations
2 being active move, pulse over 100, sneeze/cough/pull away, normal skin, crying/good
respirations
For adult drowning patients do you suction foam in the airway?
no
When do you do CCC?
non traumatic cardiac arrest, witnessed do 2 min, if witnessed, DO NOT DO THIS FOR
DROWNING
Hyperkalemia is suspected commonly in patients with...
chronic kidney disease
What must patients with suspected hyperkalemia have before initiating
treatment?
1. cush syndrome, chronic renal failure
2. electrocardiograph consistent with hyperkalemia
3. hemodynamic instability
Hyperkalemia is defined as a potassium level higher than...
5.5 mmol/L
If the ability to adequately ventilate the patient cannot be established, the patient
must be...
transported to the nearest emergency department
Sexual assault victims under 13 should be transported to...
sunrise
Sexual assault victims 13 to 18 should be transported to...
sunrise or UMC
Sexual assault victims over 18 should be transported to...
UMC
BVM is acceptable method of ventilation and managing air way if the pulse
oximetry can be maintained at...
greater than or equal to 90%
Neuro disorders or signs of hypo perfusion/shock in the presence of abdominal
pain my indicate...
an aneurysm
After each fluid bolus...
repeat vital signs
In patients with abdominal/flank pain, nausea and vomiting, older than 35 years
old...
consider cardiac origin and consider a 12 lead
Nitroglycerin is contraindicated in in any patient with...
hypotension, bradycardia, tachycardia in the absence of heart failure and evidence of a
right ventricular infarction
Perform a 12 lead on all patients 35 years old experiencing... (suspected acute
coronary syndrome)
vague jaw/chest/abdominal discomfort
Always perform ___________ when administering Epi.
ECG monitoring
For patients with altered mentation/syncope give oral glucose for a blood sugar
value...
less than 60
Dystonic reaction
involuntary muscle movements or spasms typically of the face, neck and upper
extremities, typically adverse reaction to drug like haloperidol?
S.
A.
F.
E.
R.
Stabilize the situation
Assess and acknowledge the crisis
Facilitate the id and activation of resources
Encourage the patient to use resources and take action is his best interest
Bradycardia causing symptoms is typically...
, less than 50 a minute
A common cause of bradycardia is...
hypoxemia
Cover a burned area only with...
dry sterile dressing
Adult burn patients should be transported to...
UMC trauma center
Burn patients are prone to...
hypothermia
What kind of burns must be transported to UMC burn center?
1. second/third degree adult >20%
2. second/third degree cover >10% in patients under 10 or over 50
3. burns to face hands feet genitals perineum or joints
4. electrical or chemical burns
5. circumferential burns
6. inhalation injury
Parkland formula for fluid replacement
4 ml x weight in kg x %BSA burned=total fluids for 24 hrs (1/2 for first 8 hrs, rest over
next 16 hrs)
What times do you record an APGAR score?
at one and five minutes after birth
APGAR of 7-10 is...
normal
APGAR of 4-7 requires...
resucitative measures
How is apgar scored?
0,1,2
0 being absent
1 being flexion, pulse below 100, grimace, normal skin except extremities, and slow
irregular respirations
2 being active move, pulse over 100, sneeze/cough/pull away, normal skin, crying/good
respirations
For adult drowning patients do you suction foam in the airway?
no
When do you do CCC?
non traumatic cardiac arrest, witnessed do 2 min, if witnessed, DO NOT DO THIS FOR
DROWNING
Hyperkalemia is suspected commonly in patients with...
chronic kidney disease
What must patients with suspected hyperkalemia have before initiating
treatment?
1. cush syndrome, chronic renal failure
2. electrocardiograph consistent with hyperkalemia
3. hemodynamic instability
Hyperkalemia is defined as a potassium level higher than...
5.5 mmol/L
