Behavioral
You administer Haldol to a violent patient and they begin smacking their lips and blinking their eyes fast. What is going on?
EPS Extrapyramidal Symptoms
When assessing a stroke patient, I need find out a specific time to tell the hospital. What is the time I need to figure out?
Last known well
You should start treatment for hypoglycemia when the glucose level is below what?
70
Your patient overdosed on a medication that you are not familiar with. What resource can you call to help you (not med control)
Poison Control
Pt c/o shortness of breath, bilateral rales, pulse normal, BP WNL. IV started, O2 via NRB. What is the first med you administer?
Nitro
After administering Ketamine for acute psychosis, what med should you administer to prevent an emergence reaction?
Benzos (Lorazepam or Medazolam)
When transporting a stroke patient, I should try to get ____________ large bore IVs
two large bore IVs
You are treating a homeless man for altered mental status. His skin is moist, blood sugar is 50. He appears extremely thin and frail. After administering O2, what med will you be delivering?
Thiamine
Your patient ovedosed on some pills. The almost empty pill bottle is on the scene and the patient vomited into a small waste can. What do you do with the pills and the vomit
Take them to the ED
What is the drug action of Benadryl?
Antihistamine
What is the dose of Ketamine and the required concentration for acute psychosis?
250 mg of the 100 mg/ml concentration
What are the components of the Cincinnati Stroke Scale
Arm Drift
Facial Droop
Slurred Speech
When administering Glucagon, how long will it generally take before a response is noticed
5-20 mins
You are called to a local nightclub for a patient overdosing on Ecstacy). Patient is Hypertensive, rapid pulse rate, tachypneic, skin is hot, and they say their chest hurts. Iv started and O2 being administered. Your partner is trying to cool the patient with ice packs. What med will you give?
A Benzo: Midazolam, Lorazepam, or Valium
Your pt was stung by a bee and is now having difficulty breathing. Radial pulses are present, but there is wheezing and airway swelling. BP is hypotensive. Oxygen is being given NRB. An IV is in place. What med will you administer (be specific) and the route you will administer the drug
Epinephrine IM 1:1000 (1mg/1ml)
You are treating a patient who was found wandering in the street and yelling at cars. You sedated the patient with Versed and he is in the back of your squad. ABCs are in tact but his skin feels very hot to the touch. What should you do?
Cool with ice packs in the groin and axilla
What is the name of a seizure that affects only a part of the body and does not involve a loss of consiousness?
Focal seizure (petit mal)
Your patient has altered mental status with glucose level 48. IV access is established. What med and dose will you administer.
Dextrose 10% 12.5 grams
You are called to the home where your patient was spraying ant killer and is now very sick. They are vomiting, with diarrhea, stomach cramping, and pupils are pinpoint. What medication should you administer?
Atropine
or
Duodote (atropine, a cholinergic muscarinic antagonist, and pralidoxime chloride, a cholinesterase reactivator)
Name 3 differences between pneumonia and CHF
CHF: Afebrile, JVD, hepato jugular reflux, bilateral rales, distal edema, history of CHF---
Pneumonia: Febrile, no JVD, no hepato jugular reflux, unilateral rales, no distal edema, history of infectious illness
When restraining a patient on the cot, how often do I need to assess MSPs?
Every 15 minutes
When transporting a stroke patient whose last known well time was over 4 and half hours ago or if they are on anticoagulants, what capability should the receiving hospital have?
thrombectomy capable medical center
You are treating a patient with a glucose level of 40 and they have a wearable insulin pump. What should you do with the pump?
Shut it off
You have a paient who escaped a house fire, but they were obviously exposed to smoke. They are alert and oriented but can't catch their breath, c/o nausea, headache and dizziness. Heart rate is tachy, respirations 20, SPO2 97%, your pulse CO-oximeter measures carboxyhemoglobin (SpCO) at 18. High flow O2 is being administered. What is the next intervention you should do?
CPAP (CO is above 10%)
Pt. has history of CHF and is in respiratory failure. Skin is cool and clammy. Pulse slow and only detectable at the carotid artery. BP is below 90 systolic. Breath sounds diminished. IV started. Your partner is admiistering breaths with a BVM. What is your next step
Push dose Epi