SNHD AEMT PROTOCOL TEST AND STUDY GUIDE 2024-2025, Exams of Nursing

Download SNHD AEMT PROTOCOL TEST AND STUDY GUIDE 2024-2025 and more Exams Nursing in PDF only on Docsity! 1 | P a g e SNHD AEMT PROTOCOL TEST AND STUDY GUIDE 2024-2025 WITH ACTUAL CORRECT QUESTIONS AND VERIFIED DETAILED ANSWERS|FREQUENTLY TESTED QUESTIONS AND SOLUTIONS |ALREADY GRADED A+|NEWEST|GUARANTEED PASS |LATEST UPDATE A patient complaining of abdominal pain, flank pain, or nausea/vomiting and shows signs of hypovolemia shall receive how much normal saline? 500 mL bolus; repeated up to 2000 mL Faxed, copied or electronic versions of the DNR Identification/POLST are legal and valid. True Which of the following are associated with grand mal seizures? Loss of consciousness Incontinence Oral trauma Alcohol is commonly a cause of total unresponsiveness to pain. False What is the dose for D10 for adults? 25 gm IV (250ml of 10% solution) In the setting of pregnancy, what is defined as hypertension? 2 | P a g e In the setting of pregnancy hypertension is defined as >140 systolic or >90 diastolic or a relative increase of 30 systolic and 20 diastolic from the patient's normal prepregnancy BP. Intrusion on a motor vehicle of how many inches on the occupant's side requires transport to a Level 1,2, or 3 trauma center. Intrusion, including roof: greater than 12 inches occupant site; greater than 18 inches any site; Which vital signs need to be documented on the PCR? 1) Blood pressure 2) Heart rate 3) Respiratory rate 4) Temperature as indicated 5) Oxygen saturation as indicated 6) Reassessment after interventions, i.e. pain score after medications; 7) Any complications or other relevant information. How long should scene time be for a patient who is suspected of having a stroke? <10 minutes What is the maximum dose of Activated Charcoal when administered to a pediatric patient? 50 gm A patient who was ejected from a motor vehicle requires transport to a Level 1 and 2 trauma center only. False Symptom onset of less than ______ hours requires transport to an approved stroke center. 6 Glucagon is what class of drug? Insulin antagonist Glucagon dosage is? Adult : 1 mg IM or IV Glucose is what class of drug? Carbohydrate Dosage for oral glucose is? Adults 25 gm Pediatric up to 25 gm Narcan is what class of drug? 5 | P a g e A mild allergic reaction involves skin rashes, itchy sensation, or hives with no respiratory involvement True Patients evidence of a stroke shall be transported in accordance with the: Stroke Protocol What is the total dose of Naloxone for a pediatric patient who is unresponsive with respiratory depression and a suspected narcotic overdose? 10 mg What are causes of adrenal insufficiency? Long term administration of steroids Congenital adrenal hyperplasia Addison's disease What is the compression to ventilation ratio for neonatal resuscitation? 3:1 Which of the following are presumptive signs of death? Pulselessness Unresponsiveness Apnea Fixed, dilated pupils Which of the following are obvious signs of death? Body decomposition Decapitation Transection of thorax (hemicorpectomy) Incineration Which of the following are conclusive signs of death? Dependent lividity of any degree Rigor mortis Massive trauma to the head, neck or chest with visible organ destruction Ideally, when should procedures be performed? En route to the hospital All of the following are medical causes for a patient's behavior: Hypoglycemia Electrolytes Excited Delirium Head Injury 6 | P a g e Intoxication Hypoxia Overdose Post-Ictal State For a patient in shock that is non-trauma or non-cardiogenic, how much Normal Saline should be administered? 1000 ml bolus, repeated 1 time A pregnant patient that presents with limb delivery shall: Be placed in the left lateral recumbent position Pulse oximetry in a pediatric patient should be maintained at: > 94% Cervical stabilization does not need to be considered for the victim of a drowning. False For a patient experiencing a heat related emergency, what is the target blood pressure? SPB > 90 mmHg What is the dose of D10 in a pediatric patient? 5ml/kg max dose 240ml How many proximal long bone fractures require transport to a Level 1 or 2 trauma center? Two or more What is the pediatric Diphenhydramine dose for a patient having an allergic reaction? 1.0 mg/kg IM/IV to a max of 50 mg In a pediatric patient, a blood glucose level of ______ indicates a need for glucose. <60 mg/Dl What triage system is typically used in Clark County? START For a patient in cardiac arrest that was not witnessed by EMS or there is no CPR in progress, what should occur first? 2 minutes of continuous cardiac compressions Are faxed, copied or electronic versions of the DNR Identification/POLST legal and valid? Yes 7 | P a g e If there is a suspicion a pediatric patient is in DKA, what is the maximum Normal Saline fluid bolus? 20 ml/kg According to the rule of 9's, the adult patient's leg represents how much of the total body surface area? 18% A pediatric patient requiring evaluation in a burn center shall be transported to: UMC Pediatric ED Which of the following are not approved hypothermia centers? Boulder City Hospital Mesa View Hospital Mike O'Callaghan North Vista Southern Hills St. Rose San Martin Which of the following may indicate pre-eclampsia? Severe headache, vision changes or RUQ pain may indicate pre‐eclapsia. How should an EMS provider attempt to verify the validity of the DNR/POLST? patient's name, age, and condition of identification. What is the pediatric dose of Epinephrine 1:1,000 for a patient having an allergic reaction? 0.01 mg/kg IM According to the Stroke/CVA protocol, which of the following need to be documented on a patient with a suspected stroke or CVA? Document: 1. Last known normal (onset) 2. Witness with phone number What is the dose of Benadryl for a pediatric patient experiencing a dystonic reaction? 1.0 mg/kg Patients sustaining traumatic injuries shall be transported in accordance with: Trauma Field Triage Criteria Protocol What is the pediatric dose of D10 for a patient experiencing low blood sugar? 5 ml/kg IV For patients on home oxygen or with chronic conditions, supplemental oxygen should be used to maintain an oxygen saturation of: 10 | P a g e Albuterol Proventil Albuterol (Proventil) Class Sympathomimetic Albuterol (Proventil) Action Bronchodilator Albuterol (Proventil) Dose Both adults and pediatrics: 2.5 mg and 3 mL SVN, repeat until improved Albuterol (Proventil) Route Inhalation by oxygen nebulization Albuterol (Proventil) Contraindications Hypersensitivity to the drug Albuterol (Proventil) Adverse reactions Tachycardia palpitations anxiousness headache Bronchodilator metered dose inhaler Class Sympathomimetic Bronchodilator metered dose inhaler Action Bronchodilator Bronchodilator metered dose inhaler Dose 11 | P a g e Both Adult and Pediatric: Assisted patient in administering his or her own bronchodilator metered dose inhaler exactly as prescribed Bronchodilator metered dose inhaler Route Inhalation Bronchodilator metered dose inhaler Contraindications Hypersensitivity to the drug Bronchodilator metered dose inhaler Adverse reactions Tachycardia palpations anxiousness headache Diphenhydramine hydrochloride Benadryl Diphenhydramine hydrochloride (Benadryl) Class Antihistamine Diphenhydramine hydrochloride (Benadryl) Action Blocks histamine receptors; has some sedative effects; anti-cholinergic Diphenhydramine hydrochloride (Benadryl) Dose Adult: 50 mg IM/IV Pediatric: 1 mg/kg IM/IV Maximum 50 mg Diphenhydramine hydrochloride (Benadryl) Route IV or deep IM 12 | P a g e Diphenhydramine hydrochloride (Benadryl) Contraindications Hypersensitivity to the drug Diphenhydramine hydrochloride (Benadryl) Adverse reactions Sedation palpations decreased blood pressure headache dries (thickens) bronchial secretions blurred vision Epinephrine Class Sympathomimetic Epinephrine Action Bronchodilation positive chronotrope positive initrope Epinephrine Dose Adult: 1:1000, 0.5 mg IM; may repeat q 15 min. Up to max 1.5 mg pediatric: 0.01 mg/kg IM; max single dose 0.3 mg; may repeat q 15 min. Up to max 0.9 mg Epinephrine Route IM IV ETT SVN Epinephrine Contraindications Underlining cardiovascular disease/angina; hypertension; pregnancy; patient over 40 years of age; hyperthyroidism 15 | P a g e Glucose D50 dose Adult: 25 gm slow IVP Pediatric: See specific protocol for dosing based on weight, age, and concentration Glucose D10 (10% dextrose in 250 ml NS) dose Both Adult and Pediatrics: 1ml/kg max dose 250ml Glucose D10 (10% dextrose in 250 ml NS) route Slow IVP IV drip PO Glucose Contraindications None Glucose Adverse reactions None Naloxone hydrochloride Narcan Naloxone hydrochloride (narcan) Class Narcotic antagonist Naloxone hydrochloride (narcan) Action Reverses effects of narcotics Naloxone hydrochloride (narcan) Adult Dose 0.4 - 2.0 mg IN IM 16 | P a g e IV May repeat if patient slow to respond; titrate to effect; max single dose - 2.0 mg Max total dose - 10mg Naloxone hydrochloride (narcan) Pediatric Dose 0.1 mg/kg IN IM IV May repeat if patient slow to respond; titrate to effect; max single dose - 2.0 mg Max total dose - 10mg Naloxone hydrochloride (narcan) Route IN IM IV Naloxone hydrochloride (narcan) Contraindications Patient with a history of hypersensitivity to the drug; intubated patients; the newly born during initial resuscitation Naloxone hydrochloride (narcan) Adverse reactions Rapid administration causes projectile vomiting Nitroglycerin Class Vasodilator Nitroglycerin Action Dilated systemic arteries and veins; reduces both preload and afterload Nitroglycerin Dose Adults: Assist patient with own nitro as prescribed; may repeat 3 times. 17 | P a g e pediatrics: See specific protocol Nitroglycerin Route Sublingual Spray or tablet Nitroglycerin Contraindications Hypotension, systolic pressure below 100 MMHG unless ordered by physician; Bradycardia; Tachycardia, heart rate greater than 100 BPM; use of Viagra (sildenafil) or similar medication within the past 24 hours; or 48 hours for Cialis (tadalafil); patients with demonstrated hypersensitivity to nitrates or nitrites Nitroglycerin Adverse reactions Hypotension S.A.F.E.R S: stabilize the situation. (contain and lower stimuli) A: assess and acknowledge the crisis. F: facilitate identification and activation of resources. E: encourage patients to use resources. R: recovery/referral, leave patients in care of responsible person/profession or transport to appropriate facility. Pediatrics, age for a destination Less than 18 years old Pediatrics, age for protocols 12 years old or less 20 | P a g e Difficult BVM ventilations acronym Moans Difficult BVM ventilations - moans M: difficult Mask seal, due to facial hair, anatomy, blood/secretion/trauma. O: Obese or late pregnancy. A: Age greater than 55. N: No teeth- roll gauze and place between gums and cheek to improve seal. S: Stiff or increased airway pressure - asthma, COPD, obese, pregnant. Difficult extraglottic device placement acronym Rods Difficult extra glottic device placement - rods R: Restricted mouth opening. O: Obstruction/Obese or late pregnancy. D: Distorted or Disrupted airway. S: Stiff or increased airway pressure - asthma, COPD, obese, pregnant. What is mandatory with all methods of intubation Capnometry or capnography When is an airway maintained effectively with BVM and simple adjuncts? Pulse ox greater or equal to 90% An appropriate ventilation rate maintains an ETCO2 of what? 35 - 45 Mild allergic reaction Involve skin rashes, itchy sensation/hives, no respiratory involvement. Moderate allergic reaction 21 | P a g e Involve skin disorders, and may include some respiratory involvement like: wheezing, yet the patient still maintains title volume air exchange. Severe allergic reaction Involve skin disorders, respiratory difficulty, and may include hypotension What position would you never transport a patient in? A prone position