SNHD AEMT DRUG PROTOCOLS EXAM WITH 100% CORRECT ANSWERS 2024, 141 QUESTIONS AND CORRECT ANSWERS, WITH COMPLETE SOLUTION.

SNHD AEMT DRUG PROTOCOLS EXAM WITH 100% CORRECT ANSWERS 2024, 141 QUESTIONS AND CORRECT ANSWERS, WITH COMPLETE SOLUTION. ACETYLSALICYLIC ACID (ASPIRIN) CLASS: Nonsteroidal anti-inflammatory (NSAID) ACTION: Platelet Inhibition DOSE: ADULT: 324mg PO (81mg tablets x4) PED: Not recommended for use ROUTE: PO (chew and swallow) CONTRAINDICATIONS: Allergy to Aspirin ADVERSE REACTIONS: None RELATED PROTOCOLS: Acute Coronary Syndrome ACTIVATED CHARCOAL CLASS: Adsorbent ACTION: Inhibits gastrointestinal absorption of toxic substances DOSE: ADULT: 50gm PO PED: 1.0 gm/kg; min dose 10gm; max dose 50gm ROUTE: PO CONTRAINDICATIONS: Altered mental status; ingestion of acids, alkalis, or petroleum distillates; inability to swallow; previous administration of an emetic ADVERSE REACTIONS: Nausea, vomiting RELATED PROTOCOLS: Overdose/Poisoning, Pediatric Overdose/Poisoning ALBUTEROL CLASS: Sympathomimetic ACTION: Bronchodilator DOSE: ADULT: 2.5mg in 3.0ml SVN, repeat until improvement PED: 2.5mg in 3.0ml SVN, repeat until improvement ROUTE: Inhalation by oxygen nebulization (O2 at 6-8 lpm) CONTRAINDICATIONS: Hypersensitivity to the drug ADVERSE REACTIONS: Tachycardia, palpitations, anxiousness, headache RELATED PROTOCOLS: Allergic Reaction, Chest Pain, Drowning, Hyperkalemia, Respiratory Distress, Pediatric Allergic Reaction, Pediatric Drowning, Pediatric Respiratory Distress DIPHENHYDRAMINE HYDROCHLORIDE (BENADRYL) CLASS: Antihistamine ACTION: Blocks histamine receptors; has some sedative effects; anticholinergic DOSE: ADULT: 50mg IM/IV PED: 1.0 mg/kg IM/IV; max 50mg ROUTE: IV or deep IM CONTRAINDICATIONS: Hypersensitivity to the drug ADVERSE REACTIONS: Sedation, palpitations, decreased blood pressure, headache, dries (thickens) bronchial secretions, blurred vision RELATED PROTOCOLS: Allergic Reaction, Pediatric Allergic Reaction EPINEPHRINE 1:1000 CLASS: Sympathomimetic ACTION: Bronchodilation, positive chronotrope, positive inotrope DOSE: Allergic Reaction (Anaphylaxis): ADULT: 0.5mg IM; may repeat q 15 min up to max 1.5mg PED: 0.01 mg/kg IM; max single dose 0.5mg; may repeat q 5 min up to max 1.5 mg ROUTE: IM/IV/ETT/SVN CONTRAINDICATIONS: Underlying cardiovascular disease/angina, hypertension, pregnancy, pt. over 40 y/o, hyperthyroidism ADVERSE REACTIONS: Palpitation due to tachycardia or ectopic beats may produce arrhythmia if cardiac disease present, elevation of blood pressure, headache, anxiousness RELATED PROTOCOLS: Allergic Reaction, Cardiac Arrest, Pediatric Allergic Reaction, Pediatric Bradycardia, Cardiac Arrest Non-Traumatic, Pediatric Neonatal Resuscitation, Pediatric Respiratory Distress GLUCAGON CLASS: Insulin antagonist ACTION: Reverses the effects of hypoglycemia DOSE: ADULT: 1.0mg IM for no IV access PED: (AMS/SHOCK): 0.5mg IM (20 kg); 1.0mg IM (20 kg) for no IV access; (SEIZURE): 0.5mg IM for no IV access ROUTE: IV/IM CONTRAINDICATIONS: None ADVERSE REACTIONS: Nausea, vomiting RELATED PROTOCOLS: Altered Mental Status (AMS)/Syncope, Bradycardia, Overdose/Poisoning, Seizure, Pediatric Altered Mental Status, Pediatric Seizure, Pediatric Shock GLUCOSE CLASS: Carbohydrate ACTION: Quick infusion of sugar into blood for metabolism DOSE (Oral Glucose): ADULT: 25gm between gum and cheek, if gag reflex is present PED: Up to 25gm between gum and cheek, if gag reflex is present and as tolerated DOSE (D10 in 250ml NS): ADULT: 25gm IV may repeat x1 in 5 min PED: 5 ml/kg IV max dose 250ml ROUTE: Slow IVP, IV drip or PO CONTRAINDICATIONS: None ADVERSE REACTIONS: None RELATED PROTOCOLS: AMS/Syncope, Seizure, Pediatric AMS, Pediatric Seizure, Pediatric Shock NALOXONE HYDROCHLORIDE (NARCAN) CLASS: Narcotic Antagonist ACTION: Reverses effects of narcotics DOSE: ADULT: 0.4-2.0 mg IN/IM/IV; may repeat 2.0mg IN/IM/IV if pt slow to respond; titrate to effect, max dose 10mg PED: 0.1 mg/kg IN/IM/IV may repeat if pt slow to respond; titrate to effect; max single dose 2.0mg; max total dose 10mg ROUTE: IN/IM/IV CONTRAINDICATIONS: Patients with a history of hypersensitivity to the drug, intubated pt, the newly born during initial resuscitation ADVERSE REACTIONS: Rapid administration causes projectile vomiting RELATED PROTOCOLS: AMS/Syncope, Overdose/Poisoning, Pediatric AMS, Pediatric Overdose/Poisoning Pediatric burns Ivf age 13 and older 500ML ns or lr fluid bolus Age 6-12 250 ML NS OR LR FLUID BOLUS AGE 5 years or less 125 ML FLUID BOLUS IF SIGNS OF HYPOPERFUSION OR 20% BSA CONTACT MEDICAL CONTROL Pediatric burn center criteria SECOND DEGREE BURNS %10 BSA ANY THIRD DEGREE BURNS BURNS THAT INVOLVE FACE,HANDS,FEET GENITALIA PERINIUM MAJOR JOINTS ELECTRICAL BURNS CHEMICAL BURNS CIRCUMFERENTIAL BURNS INHALATION BURNS BURN INJURY WITH CONCOMITANT TRUAMA BSA child Head 18% Stomach 18% Arms 4 1/2 % front and back total of 9% per arm Legs 7 front and back Genitalia 1% Back 18% BSA infant Head 18% Arms 9% 4 1/2 for front and back