ICEMA PROTOCOLS EXAM NEWEST ACTUAL
EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A
COPD Tx algorithm - ANSWER O2/IV/EKG
Albuterol 2.5 mg x3
Atrovent 0.5mg x1
CPAP
ET/NT intubation PRN
Asthma/Bronchospasm/Toxic Inhalation Tx Algorithm - ANSWER O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
300ml bolus for poor perfusion MR PRN
CPAP
Epi 0.3mg (1:1000) IM MR x1 in 15min (BASE for >40, CAD, HTN, Cardiac)
ET/NT PRN
Pediatric Asthma/Bronchospasm/Toxic Inhalation - ANSWER O2/Iv/EKG
Albuterol 2.5mg x3
Atrovent - >1yo 0.5mg x1
<1yo =0.25mg x1
20ml/kg bolus for decreased perfusion
Epi 0.01 mg/kg (1:1000) IM max single dose of 0.3mg
ET/NT intubation PRN
Pulmonary Edema/CHF - ANSWER O2/IV/EKG/Lung sounds (crackles
wheezing)/JVD/PE
NTG 0.4mg MR q 3min PRN
CPAP
ET/NT intubation PRN
BASE:
-Dopamine 400mg/250ml @ 5 - 20 mcg/kg/min to maintain adequate perfusion
- Albuterol 2.5mg/Atrovent 0.5mg
Allergic Reaction - ANSWER O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
Epi (1:1000) 0.3mg IM MR 15min
300ml Bolus for poor perfusion
, Benadryl 25mg IV or 50mg IM
2nd IV PRN
Epi (1:10,000) 0.1mg SIVP MR PRN (Max total 0.5mg)
Pediatric Allergic Reaction - ANSWER O2/IV/EKG
Albuterol 2.5mg x3
Atrovent - <1yo 0.25mg x1
>1yo 0.5mg x1
Epi (1:1000) 0.1mg/kg IM max 0.3mg
20ml/kg bolus for poor perfusion MR PRN
Benadryl 1mg/kg SIVP IV/IO or 2mg/kg IM (max of adult dose)
2nd IV PRN
Epi 0.01mg/kg (1:10,000) IV/IO MR PRN (ax single dose 0.1mg/max total 0.5mg)
Shock (non-traumatic) - ANSWER O2/IV/EKG
Trendelenburg
S/S poor perfusion - 300ml Bolus MR x1 to sustain BP >90
If BP >90 give 150ml/hr (25gtts/min using 10gtts/ml
BASE:
2nd large bore IV en route
Dopamine 400mg/250ml @ 5-20 mcg/kg/min if low BP after bolus
Pediatric Shock (non-tramautic) - ANSWER O2/IV/EKG
Trendelenburg
S/S poor perfusion
20ml/kg MR x1 tachycardia, changes in central.peripheral pulses, limb temp changes,
ALOC
ALOC - ANSWER O2/IV/EKG
D-stick, pupils, trauma?
D10 IV/IO bolus
Glucagon 1mg IM/SC/IN once
Narcan 0.5mg IV/IO/IM/IN MR q 2-3 min PRN Max total 10mg
Pediatric ALOC - ANSWER O2/IV/EKG
D-stick/Pupils/Trauma?
0-4 wks - <35 = D10 0.5gm/kg (5ml/kg) IV/IO
>4wks - <60 = D10 0.5gm/kg (5ml/kg) IV/IO
Glucagon 0.025 mg/kg IM/IN MR x1 aft 20min (max total 1mg)
Narcan
0-8yo 0.1mg/kg IV/IO/IM/IN
9-14yo 0.5mg IV/IO/IM/IN MR q 2-3min PRN (Max total 10mg)
Stroke - ANSWER O2/IV/EKG
D-stick/pupils/Trauma
MLAPSS
EXAM COMPLETE 200 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS) |
ALREADY GRADED A
COPD Tx algorithm - ANSWER O2/IV/EKG
Albuterol 2.5 mg x3
Atrovent 0.5mg x1
CPAP
ET/NT intubation PRN
Asthma/Bronchospasm/Toxic Inhalation Tx Algorithm - ANSWER O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
300ml bolus for poor perfusion MR PRN
CPAP
Epi 0.3mg (1:1000) IM MR x1 in 15min (BASE for >40, CAD, HTN, Cardiac)
ET/NT PRN
Pediatric Asthma/Bronchospasm/Toxic Inhalation - ANSWER O2/Iv/EKG
Albuterol 2.5mg x3
Atrovent - >1yo 0.5mg x1
<1yo =0.25mg x1
20ml/kg bolus for decreased perfusion
Epi 0.01 mg/kg (1:1000) IM max single dose of 0.3mg
ET/NT intubation PRN
Pulmonary Edema/CHF - ANSWER O2/IV/EKG/Lung sounds (crackles
wheezing)/JVD/PE
NTG 0.4mg MR q 3min PRN
CPAP
ET/NT intubation PRN
BASE:
-Dopamine 400mg/250ml @ 5 - 20 mcg/kg/min to maintain adequate perfusion
- Albuterol 2.5mg/Atrovent 0.5mg
Allergic Reaction - ANSWER O2/IV/EKG
Albuterol 2.5mg x3
Atrovent 0.5mg x1
Epi (1:1000) 0.3mg IM MR 15min
300ml Bolus for poor perfusion
, Benadryl 25mg IV or 50mg IM
2nd IV PRN
Epi (1:10,000) 0.1mg SIVP MR PRN (Max total 0.5mg)
Pediatric Allergic Reaction - ANSWER O2/IV/EKG
Albuterol 2.5mg x3
Atrovent - <1yo 0.25mg x1
>1yo 0.5mg x1
Epi (1:1000) 0.1mg/kg IM max 0.3mg
20ml/kg bolus for poor perfusion MR PRN
Benadryl 1mg/kg SIVP IV/IO or 2mg/kg IM (max of adult dose)
2nd IV PRN
Epi 0.01mg/kg (1:10,000) IV/IO MR PRN (ax single dose 0.1mg/max total 0.5mg)
Shock (non-traumatic) - ANSWER O2/IV/EKG
Trendelenburg
S/S poor perfusion - 300ml Bolus MR x1 to sustain BP >90
If BP >90 give 150ml/hr (25gtts/min using 10gtts/ml
BASE:
2nd large bore IV en route
Dopamine 400mg/250ml @ 5-20 mcg/kg/min if low BP after bolus
Pediatric Shock (non-tramautic) - ANSWER O2/IV/EKG
Trendelenburg
S/S poor perfusion
20ml/kg MR x1 tachycardia, changes in central.peripheral pulses, limb temp changes,
ALOC
ALOC - ANSWER O2/IV/EKG
D-stick, pupils, trauma?
D10 IV/IO bolus
Glucagon 1mg IM/SC/IN once
Narcan 0.5mg IV/IO/IM/IN MR q 2-3 min PRN Max total 10mg
Pediatric ALOC - ANSWER O2/IV/EKG
D-stick/Pupils/Trauma?
0-4 wks - <35 = D10 0.5gm/kg (5ml/kg) IV/IO
>4wks - <60 = D10 0.5gm/kg (5ml/kg) IV/IO
Glucagon 0.025 mg/kg IM/IN MR x1 aft 20min (max total 1mg)
Narcan
0-8yo 0.1mg/kg IV/IO/IM/IN
9-14yo 0.5mg IV/IO/IM/IN MR q 2-3min PRN (Max total 10mg)
Stroke - ANSWER O2/IV/EKG
D-stick/pupils/Trauma
MLAPSS
