Name: Score:
40 Multiple choice questions
Term 1 of 40
Hyperkalemia - What are an ominous sign and must be treated immediately? Treated with what?
Hyperkalemia can cause death primarily through lethal cardiac arrhythmias. Wide QRS
complexes are an ominous sign and must be treated with CALCIUM CHLORIDE
immediately. (1g IV/IO, over 2 minutes (Diff. line than sodium bicarb))
Vital signs, 12 & 15 Lead, IV, Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1
MO)
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks,
RWCT, Sine Wave, Widening or bizarre QRS complex)
N/V, Abdominal pain, General weakness, AMS, Hypotension, Tachycardia.
Term 2 of 40
Medical Hemorrhagic Shock - Who has an increased risk for hemorrhagic shock? _____-_______ (list 3
examples of these)
Blood Thinners or anticoagulants (coumadin, plavix, pradaxa, xarelto, eliquis)
Hyperkalemia can cause death primarily through lethal cardiac arrhythmias. Wide QRS
complexes are an ominous sign and must be treated with CALCIUM CHLORIDE
immediately. (1g IV/IO, over 2 minutes (Diff. line than sodium bicarb))
N/V, Abdominal pain, General weakness, AMS, Hypotension, Tachycardia.
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks,
RWCT, Sine Wave, Widening or bizarre QRS complex)
,Term 3 of 40
Hyperkalemia - Consider hyperkalemia in patients with a history of _____-_______/_______ who are pre-
_______ AND present with any of the following: ______ _______ or ______ ___________ (Name 3 of the 5)
Hyperkalemia can cause death primarily through lethal cardiac arrhythmias. Wide QRS
complexes are an ominous sign and must be treated with CALCIUM CHLORIDE
immediately. (1g IV/IO, over 2 minutes (Diff. line than sodium bicarb))
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks,
RWCT, Sine Wave, Widening or bizarre QRS complex)
Blood Thinners or anticoagulants (coumadin, plavix, pradaxa, xarelto, eliquis)
Vital signs, 12 & 15 Lead, IV, Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1
MO)
Term 4 of 40
Sepsis - If criteria is met, we give C__________ (R_______), G_________, N_____ S_____
CALCIUM CHLORIDE: 1g IV/IO, over 2 minutes (Diff. line than sodium bicarb)
ALBUTEROL: 2.5mg via nebulizer, Continuous treatments (if an advanced airway is utilized,
administer via in-line nebulization)
SODIUM BICARBONATE: 100mEq IV/IO, over 2 minutes (Diff. line than calcium chloride)
Push Dose Epinephrine (same dose as normal, try to maintain a SBP of 100 or greater as a
single occurrence of hypotension significantly increases morbidity and mortality)
Ketamine (100mg diluted in a 50ml bag of NS, administer utilizing the 60 gtt set and run
wide open, give entire does regardless if seizure terminates with partial dose)
Ceftriaxone (Rocephin - IV/IO Reconstitute 2g using 20ml of NS THEN dilute in a 50ml bag
of NS and admin. over 10 minutes 15 gtt set and give 75 gtt/min or 1.25gtt/sec)
Gentamicin (80mg IM)
Normal Saline (1L IV/IO regardless of BP!! and repeat 1x if time permits)
, Term 5 of 40
Nausea/Vomiting - List 3 of the 4 differential diagnosis'
12&15 Lead & BGL
NORMAL SALINE (1L IV/IO, titrate to desired effect. Assess lung sounds and BP frequently.
May repeat 1x prn) & ZOFRAN: (4mg IV/IO/IM/PO, over 2 minutes for IV/IO usage May
repeat 1x prn)
NORMAL SALINE: 500mL IV/IO, titrate to desired effect. Assess lung sounds and BP
frequently. May repeat 1x prn
Cardiac
Stroke
Diabetic
Head Injury
Other
15 & 12 (leave cables connected)
ETC02 & SP02
Term 6 of 40
Allergic Reaction - What two vital signs do we need? __&__ ____, and _____&____.
Eliminate source of allergic reaction, if possible
15 & 12 (leave cables connected)
ETC02 & SP02
Immediately
Hours to Days
Normotensive + 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)
40 Multiple choice questions
Term 1 of 40
Hyperkalemia - What are an ominous sign and must be treated immediately? Treated with what?
Hyperkalemia can cause death primarily through lethal cardiac arrhythmias. Wide QRS
complexes are an ominous sign and must be treated with CALCIUM CHLORIDE
immediately. (1g IV/IO, over 2 minutes (Diff. line than sodium bicarb))
Vital signs, 12 & 15 Lead, IV, Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1
MO)
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks,
RWCT, Sine Wave, Widening or bizarre QRS complex)
N/V, Abdominal pain, General weakness, AMS, Hypotension, Tachycardia.
Term 2 of 40
Medical Hemorrhagic Shock - Who has an increased risk for hemorrhagic shock? _____-_______ (list 3
examples of these)
Blood Thinners or anticoagulants (coumadin, plavix, pradaxa, xarelto, eliquis)
Hyperkalemia can cause death primarily through lethal cardiac arrhythmias. Wide QRS
complexes are an ominous sign and must be treated with CALCIUM CHLORIDE
immediately. (1g IV/IO, over 2 minutes (Diff. line than sodium bicarb))
N/V, Abdominal pain, General weakness, AMS, Hypotension, Tachycardia.
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks,
RWCT, Sine Wave, Widening or bizarre QRS complex)
,Term 3 of 40
Hyperkalemia - Consider hyperkalemia in patients with a history of _____-_______/_______ who are pre-
_______ AND present with any of the following: ______ _______ or ______ ___________ (Name 3 of the 5)
Hyperkalemia can cause death primarily through lethal cardiac arrhythmias. Wide QRS
complexes are an ominous sign and must be treated with CALCIUM CHLORIDE
immediately. (1g IV/IO, over 2 minutes (Diff. line than sodium bicarb))
Renal-Failure/Dialysis, Pre-Dialysis
General weakness OR Cardiac arrhythmias (Bradycardia, 2nd or 3rd degree heart blocks,
RWCT, Sine Wave, Widening or bizarre QRS complex)
Blood Thinners or anticoagulants (coumadin, plavix, pradaxa, xarelto, eliquis)
Vital signs, 12 & 15 Lead, IV, Benadryl (50mg/1ml, dilute with 9ml of NS, over 2 min IV/IO, >1
MO)
Term 4 of 40
Sepsis - If criteria is met, we give C__________ (R_______), G_________, N_____ S_____
CALCIUM CHLORIDE: 1g IV/IO, over 2 minutes (Diff. line than sodium bicarb)
ALBUTEROL: 2.5mg via nebulizer, Continuous treatments (if an advanced airway is utilized,
administer via in-line nebulization)
SODIUM BICARBONATE: 100mEq IV/IO, over 2 minutes (Diff. line than calcium chloride)
Push Dose Epinephrine (same dose as normal, try to maintain a SBP of 100 or greater as a
single occurrence of hypotension significantly increases morbidity and mortality)
Ketamine (100mg diluted in a 50ml bag of NS, administer utilizing the 60 gtt set and run
wide open, give entire does regardless if seizure terminates with partial dose)
Ceftriaxone (Rocephin - IV/IO Reconstitute 2g using 20ml of NS THEN dilute in a 50ml bag
of NS and admin. over 10 minutes 15 gtt set and give 75 gtt/min or 1.25gtt/sec)
Gentamicin (80mg IM)
Normal Saline (1L IV/IO regardless of BP!! and repeat 1x if time permits)
, Term 5 of 40
Nausea/Vomiting - List 3 of the 4 differential diagnosis'
12&15 Lead & BGL
NORMAL SALINE (1L IV/IO, titrate to desired effect. Assess lung sounds and BP frequently.
May repeat 1x prn) & ZOFRAN: (4mg IV/IO/IM/PO, over 2 minutes for IV/IO usage May
repeat 1x prn)
NORMAL SALINE: 500mL IV/IO, titrate to desired effect. Assess lung sounds and BP
frequently. May repeat 1x prn
Cardiac
Stroke
Diabetic
Head Injury
Other
15 & 12 (leave cables connected)
ETC02 & SP02
Term 6 of 40
Allergic Reaction - What two vital signs do we need? __&__ ____, and _____&____.
Eliminate source of allergic reaction, if possible
15 & 12 (leave cables connected)
ETC02 & SP02
Immediately
Hours to Days
Normotensive + 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)
