Medication Packaging
50mcg/mL and 100mcg in 2mL
Sodium Bicarbonate 1mEq/kg IV/IO
Atropine 1mg IV/IO repeated to max dose 3mg
What is the formula (i.e. mg/kg) for Pediatric Ibuprofen PO?
10 mg/kg to a max of 600mg
If you have a patient with a 4 lead EKG rhythm showing IVR at a rate 30 and a BP 80/50 showing signs of altered mental status, what is the most appropriate first line intervention per 3.3A protocol?
Transcutaneous Pacing (TCP)
In context of patient assessment during either medical or trauma calls, what does NOI/MOI each stand for?
Nature of Illness (NOI) & Mechanism of Injury
When reconstituting Diltiazem, what is the concentration we create?
1mg in 1mL
What medication (Med Control option) and what formula is used to calculate the only vasopressor we carry to address distributive shock caused by Allergic Reaction/Anaphylaxis in adults?
Dopamine Infusion: 2-20mck/kg/min IV/IO
Patient is less than 2 years old requiring a duoneb what is the dose for both Albuterol and Ipratroprium Bromide?
Albuterol 1.25mg, Iprotroprium Bromide 250mcg.
What is the starting synchronized cardioversion Joules for Atrial Fibrillation and above what HR would you need to consider this treatment before other interventions?
200 J and above 150 HR symptomatic patient
What does the acronym O-P-Q-R-S-T each stand for?
O-Onset
P-Provocation
Q-Quality
R-Radiation
S-Severity
T-Time
How is the Dopamine we carry packaged, in other words what are the total mcg's and mL's?
400mg/250ml
1600 mcg/1mL
At what age is Med Control required in order to administer TXA @ 15mg/kg over 10 minutes?
What is the fluid resuscitation rate for Pediatrics?
(ml per kg)
20 ml/kg
In Atrial Flutter, what is the starting Joules for synchronized cardioversion for adults?
50 J (reference 3.2 Atrial Fibrillation/Flutter)
Protocol 1.0 covers "points of entry"
What are Wrentham Fire Departments POE for the follow patient populations:
Level 1 Trauma
Pediatrics
STEMI
General Medicals(looking for our 2 most common hospital transports)
Level 1 Trauma-RI Hospital
Pediatrics-Hasbro Hospital
STEMI-Landmark Hospital
General Medicals- Sturdy/Milford Hospital
How many mL do we need to give in a conscious adult who is able to percieve pain IO of Lidocaine per our packaging which conforms to the protocol?
4mL
10mg/1mL
Protocol calls for 40mg over two minutes followed by a 10 mL fluid bolus over 5 seconds.
You have a patient in Septic Shock and you call medical control for orders for Dopamine. Your patient weighs 180lbs and is an adult. What is the gtts or drops per minute to administer 10mcg/kg/min?
Street math on dopamine:
Weight in lbs, drop the last digit, subtract three and that = gtts/min or drops per minute for 5mcg/kg/min.
Therefore: 180lbs,
18-3=15gtts/min=5mcg/kg/min
30gtts/min=10 mcg/kg/min
What is the pediatric dose for Methylprednisolone?
2mg/kg to a max of 125 mg IV/IO/IM
40kg or 14 years of age which ever comes first
Exclusion is the legal capacity to make decisions ie refusals and consent to treat.
Using 1mg of epi 1:1000 as it is vialed in the ambulance pelicans, what size fluids bag would you need to make a concentration of 4mcg/mL?
250mL Fluid bag
1mg=1000mcg
1000mcg/250mL=4mcg/1mL Cardiac pressor calls for 2-10mcg/min BY INFUSION PUMP ONLY
What is the dose range for Med Control ordered Furosemide(Lasix) in a CHF patient (include the range for the patient on diuretics already)?
20-40mg IV/IO or
40-80mg IV/IO is already on diuretics
What medication and at what dose under Paramedic Standing in the following routes would you administer for a Pediatric Seizure (IV/IO/IM)?
Midazolam 0.1 mg/kg IV/IO/IM to a max single dose 8 mg
You have a pediatric patient in V-Fib who weighs 55lbs and requires defibrillation, what is the initial dose/number of Joules?
50J initial defibrillation
55lbs/2.2=25kg
Protocol 3.5 V-Fib/Pulseless VT-Peds calls for 2 J/kg
2Jx25kg=50J
Conscious pediatric patients in need of an IO, what is the dose (??mg/kg) and up to what max dose for Lidocaine for this population per Protocol 1.0 Routine Patient Care?
***Both required for a correct answer***
1mg/kg to a max of 20mg.