SNHD AEMT Protocols Exam Study Guide: Questions and Answers, Exams of Nursing

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SNHD AEMT Protocols Exam Study Guide

Questions and Answers

1. Acetylsalicylic Acid : Aspirin
2. Acetylsalicylic Acid (Aspirin) class : Non-steroidal anti-inflammatory (NSAID)
3. Acetylsalicylic Acid (Aspirin) action : Platelet inhibition
4. Acetylsalicylic Acid (Aspirin) dose : Adult: 324mg PO (81mg tablets x 4)

2 / 34 Pediatric: not recommended for use

5. Acetylsalicylic Acid (Aspirin) route : PO - Chew and swallow
6. Acetylsalicylic Acid (Aspirin) contraindications : Allergy to aspirin
7. Acetylsalicylic Acid (Aspirin) adverse reactions : None
8. Activated charcoal Class : Adsorbent
9. Activated charcoal Action : Inhibits gastrointestinal absorption of toxic substances
10. Activated charcoal Dose

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14. Albuterol : Proventil
15. Albuterol (Proventil) Class : Sympathomimetic
16. Albuterol (Proventil) Action : Bronchodilator

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17. Albuterol (Proventil) Dose: Both adults and pediatrics: 2.5 mg and 3 mL SVN, repeat until improved
18. Albuterol (Proventil) Route: Inhalation by oxygen nebulization
19. Albuterol (Proventil) Contraindications: Hypersensitivity to the drug
20. Albuterol (Proventil) Adverse reactions: Tachycardia palpitations anxiousness headache
21. Bronchodilator metered dose inhaler Class: Sympathomimetic
22. Bronchodilator metered dose inhaler Action: Bronchodilator
23. Bronchodilator metered dose inhaler Dose: Both Adult and Pediatric: Assisted patient in administering his or her own bronchodilator metered dose inhaler exactly as prescribed
24. Bronchodilator metered dose inhaler Route: Inhalation
25. Bronchodilator metered dose

7 / 34 1 mg/kg IM/IV Maximum 50 mg

31. Diphenhydramine hydrochloride (Benadryl) Route: IV or deep IM
32. Diphenhydramine hydrochloride (Benadryl) Contraindications: Hypersensitivity to the drug
33. Diphenhydramine hydrochloride (Benadryl) Adverse reactions: Sedation palpations decreased blood pressure headache dries (thickens) bronchial secretions blurred vision
34. Epinephrine Class: Sympathomimetic
35. Epinephrine Action: Bronchodilation positive chronotrope positive initrope
36. Epinephri ne Dose: Adult: 1:1000, 0.5 mg IM; may repeat q 15 min. Up to max 1.

8 / 34 mg pediatric: 0.01 mg/kg IM; max single dose 0.3 mg; may repeat q 15 min. Up to max 0.9 mg

37. Epinephri ne Route: IM IV ETT SVN
38. Epinephrine Contraindications: Underlining cardiovascular disease/angina; hypertension; pregnancy; patient over 40 years of age; hyperthyroidism
39. Epinephrine Adverse reactions: Palpations due to tachycardia or ectopic beats may produce arrhythmia if cardiac disease present; elevation of blood pressure; headache; anxiousness

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46. Glucagon Class: Insulin antagonist
47. Glucagon Action: Reverses the effects of hypoglycemia
48. Glucago n Dose: Adult: 1 mg IM for no IV access Pediatric: .5 mg IM for no IV access
49. Glucago n Route: IV IM
50. Glucagon Contraindications: None
51. Glucagon Adverse reactions: Nausea vomiting

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52. Glucose Class: Carbohydrate
53. Glucose Action: Quick infusion of sugar into blood for metabolism
54. Glucose Oral dose: Adult: 25 gm glucose between the gum and cheek, if gag reflex is present Pediatric: Up to 25 gm glucose between the gum and Cheek if gag reflex is presence and as tolerated
55. Glucose D50 dose: Adult: 25 gm slow IVP Pediatric: See specific protocol for dosing based on weight, age, and concentration
56. Glucose D10 (10% dextrose in 250 ml NS) dose: Both Adult and Pediatrics: 1ml/kg max dose 250ml
57. Glucose D10 (10% dextrose in 250 ml NS) route: Slow IVP IV drip

13 / 34 max single dose - 2.0 mg Max total dose - 10mg

64. Naloxone hydrochloride (narcan) Pediatric Dose: 0. mg/kg IN I M IV May repeat if patient slow to respond; titrate to effect; max single dose - 2.0 mg Max total dose - 10mg
65. Naloxone hydrochloride (narcan) Route: IN I M IV
66. Naloxone hydrochloride (narcan) Contraindications: Patient with a history of hypersensitivity to the drug; intubated patients; the newly born during initial resuscitation
67. Naloxone hydrochloride (narcan) Adverse reactions: Rapid administration causes projectile vomiting
68. Nitroglycer

14 / 34 in Class: Vasodilator

69. Nitroglycerin Action: Dilated systemic arteries and veins; reduces both preload and afterload
70. Nitroglyce rin Dose: Adults: Assist patient with own nitro as prescribed; may repeat 3 times. pediatrics: See specific protocol
71. Nitroglycer in Route: Sublingual Spray or tablet
72. Nitroglycerin Contraindications: Hypotension, systolic pressure below 100 MMHG unless or- dered by physician; Bradycardia;

16 / 34 consciousness, incontinence, and oral trauma

81. Focal seizures: Affect only part of the body and are not usually associated with loss of consciousness
82. Hypotension defined as: BP less than 90 systolic, not always reliable, and should be interpreted in context and patients typical BP
83. Hypovolemic shock: Hemorrhage, trauma, G.I. bleeding, ruptured aortic aneurysm, or pregnancy related bleeding

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84. Cardiogenic shock: Heart failure, MI, cardiomyopathy, myocardial contusion, toxins
85. Distributive shock: Sepsis, anaphylaxis, neurogeni c, toxins
86. Obstructive shock: Pericardial Tampanade, Pulmonary embolus, tension pneumothorax
87. Trauma centers: University medical center, level one. Sunrise Hospital, level two. Saint Rose sienna, level Three.
88. Pediatric destinations: Saint Rose sienna. Summerlin medical center. Sunrise hospital. University medical center.
89. Burn centers: University medical center
90. Sexual assault centers: Sunrise hospital, for patients less than 13 years old. Sunrise hospital, university medical center for patients 13 years old to

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94. What is the most important airway device and also the most difficult to use correctly?: The bag valve mask
95. Difficult BVM ventilations acronym: Moans
96. 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.
97. Difficult extraglottic device placement acronym: Rods
98. 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.
99. What is mandatory with all methods of intubation: Capnometry or capnog- raphy
100. When is an airway maintained effectively with BVM and simple adjuncts?-

20 / 34 : Pulse ox greater or equal to 90%

101. An appropriate ventilation rate maintains an ETCO2 of what?: 35 - 45
102. Mild allergic reaction: Involve skin rashes, itchy sensation/hives, no respiratory involvement.
103. Moderate allergic reaction: Involve skin disorders, and may include some respiratory involvement like: wheezing, yet the patient still maintains title volume air exchange.
104. Severe allergic reaction: Involve skin disorders, respiratory difficulty, and may include hypotension
105. What position would you never transport a patient in?: A prone position
106. Adult burn victim role of nines: Head, 9. Torso, 18 front & 18 back. Legs, 18.