PBCFR Protocols - ALS Medical Emergencies Exam Questions with 100% Correct Answers

PBCFR Protocols - ALS Medical Emergencies Exam Questions with 100% Correct Answers Allergic Reaction - What two vital signs do we need? __&__ ____, and _____&____. - answer15 & 12 (leave cables connected) ETC02 & SP02 Allergic Reaction - Mild reaction is described as _________ ____? Treatment is ________? - answerUrticaria only. Tx is Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, 1 MO) Allergic Reaction - Moderate Reaction is described as ____________ + __________ ________? Tx is ___, _______, _________, ____-______? - answerNormotensive + Additional Symptoms (Airway Swelling, Abd pain, Vomiting, Respiratory distress, Bronchospasm, Tongue and/or facial swelling) Tx - Epi (1:1,000 1mg/ml IM, may repeat 2x in 5 min intervals), Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, 1 MO), Albuterol (2.5mg via nebulizer prn), Solu-medrol (125mg IV/IO/IM, over 2 min for IV/IO) Allergic Reaction - Severe Reaction is described as ___________ + __________ ________? Tx is ____ ____ ___, __, ________, ________, ____-______? - answerHypotensive + Addition symptoms (loss of radial pulse or SBP 90 mmHg) Tx - Push Dose Epi (1:100,000, Titrate to maintain SBP 100mmHg. Max total dose 300mcg (30mL)), Normal Saline (1L IV/IO, assess lung sounds and BP frequently. May repeat 1x prn), Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, 1 MO), Albuterol (2.5mg via nebulizer prn), Solu-medrol (125mg IV/IO/IM, over 2 min for IV/IO) Allergic Reaction - _________ source of ________ ________, if possible. - answerEliminate source of allergic reaction, if possible Diabetic Emergencies - Vitals to be obtained are ___, __, __ & __ ____? - answerBGL (Heel stick preferred for 1yo), Establish an IV, 12 & 15 Lead Diabetic Emergencies - Hypoglycemia is defined as BGL __? Tx is ____ ______, and/or _-__? - answerBGL 60 Tx - Oral glucose (15g, may repeat 1x, must be conscious enough to swallow), D10 (100ml IV/IO, retest glucose, may repeat 1x) IF *pt is in cardiac arrest we give 250ml via 15 gtt set, run wide open, my repeat 1x* Diabetic Emergencies - Hyperglycemia is defined as BGL ___? Tx is __? - answerBGL 300 Tx - Normal Saline (1L IV/IO, titrate to desired effect. Assess lung sounds and BP frequently. May repeat 1x prn) Diabetic Emergencies - Symptoms of hypoglycemia are A__, S_____ S____, D_____ P_____, I_________, S_____? - answerAMS, Slurred Speech, Dilated Pupils, Irritability, Seizures. Diabetic Emergencies - Symptoms of hyperglycemia with DKA are N_____/V______, A________ P___, G_____ W_______, A__, H_______, H_________? - answerN/V, Abdominal pain, General weakness, AMS, Hypotension, Tachycardia. Dystonic Reaction - General requirements are ______ ____ _____, __&__ ____, __, _________? - answerVital signs, 12 & 15 Lead, IV, Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, 1 MO) Dystonic Reaction - are caused by Anti-_________, Anti-_______, and Anti-___________. (2 examples for each) - answerAnti-psychotics (droperidol, haldol, risperdal) Anti-emetics (compazine, reglan, phenergan) Anti-depressants (prozac, paxil) Dysonic Reaction - a dystonic reaction can occur ___________ or be delayed for _____ to ____? - answerImmediately Hours to Days Fluid Resuscitation/Dehydration - Symptoms (list 5, there are 8) - answerHypotension Fatigue Dark color urine Dry mouth Headache Prolonged vomiting and/or diarrhea Suspected rhabdomyolysis Paramedic Discretion