Basics
What are your contraindications for Oxygen?
Open flame is possibly COPD.
You are on scene for a 4 year old patient who is just "sick". They are drooling and you hear stridor. What, if any, medications would you give.
Nebulized Epi 1:1 - 2mg/3ml
You are resuscitating a neonate in cardiac arrest. If your neonate weighs 3.6 kg, what is your dosage range of Epi 1:10?
.36 mg - 1.08 mg
Name three (3) medications classes AEMTs commonly use!
Analgesics and Antipyretics
Sympathomimetics
Anticonvulsants / Benzodiazepines
Antidysrhythmics
Parasympatholytics
Opioid Antagonists
What age does your patient have to be over to give Torodol?
Over the age of 2.
What medications would you NOT want to give someone with AMS?
Oral Glucose, Activated Charcoal, Morphine, Fentanyl, Diazepam, Midazolam.
You are called to treat a 17 year old female experiencing anaphylaxis; what is your treatment plan?
IM Epinephrine, Albuterol, Diphenhydramine,
What would be your Saline dosage be in the first 8 hours for a patient with 1/2 of their body burned and they weigh 104 KG? Using the 4ml formula. + 50 points if you can name what the formula is called!
20,800 / 2 = 10,400 ml
Parkland Formula
What are your 3 seizure medications and their pediatric doses? +50 if you can name their brand names!
1. Diazepam (Valium) - 0.1 mg/kg (max 10 mg) IV | 0.02 mg/kg IM
2. Midazolam (Versed) - 0.1 mg/kg (max 5 mg) IV | 0.02 mg/kg IN or IM
3. Lorazepam (Ativan) - 0.05-0.1mg/kg IV | (max 4 mg)
Name your concentrations of Epinephrine! +50 points if you can name what each one is for.
Epi 1:1 - Anaphalaxis
Epi 1:10 - Cardiac arrest
Epi 1:100 - Medical hypotention
Name every route you can give medications through!
IV, IM, PO, IO, IN, Inhalation
You come on scene to a patient having a suspected STEMI; why and why would you not use Fentanyl on this patient?
Why: Severe Chest pain
Why not: Respiratory depression, hypotension, head injury, cardiac dysrhythmia, myasthenia gracis, or hypersenstivity
Your medical control orders you to give 25mg of Diphenhydramine to your patient having a mild allergic reaction. It comes packaged as 50mg/1ml in a vial. How many mls do you draw up?
0.5 ml
Name all of your narcotics and their adult doses!
Fentanyl- 25-100 mcg
Morphine- 2-4 mg
Midazolam- 2.5-5 mg
Diazepam- 5 mg
What is the rule when it comes to dosing medications for pediatrics?
Do not exceed the adult dose.
What is the mechanism of Diphenhydramine?
Nonselectively blocks histamine receptors (H1 and H2)
You are called on scene to a 73 year old male experiencing a AMI. What drugs would you administer and in what order?
Oxygen, Asprin, Nitroglycerine, Zofran, Fentanyl
You are dispatched to a 6 yo female who is 22 kg experiencing status epilepticus. What medication(s) would you give and how many milliliters would you give if your concentration was 5mg/1ml?
Diazepam-
Dose = 2.2 mg
.44 ml
What medications have special considerations when it comes to pediatrics?
Asprin, Nitroglycerine, Oxytocin, Ketorlac, Glucagon, D10.
Over what percent of Oxygen will patients with COPD not tolerate?
Greater then 35%
Name three (3) adverse reactions a patient might feel after Atropine is administered.
hypotension, dry mouth, nausea and vomiting, tachyarrhythmias
You have a patient experiencing pain; at what point would you make the decision to switch from narcotics to NSAIDS?
Narcotics are used for severe acute pain where as NSAIDS are used for mild to moderate pain with swelling/inflammation. At any point if the patient says they don't want narcotics, if your patient has AMS or there is a risk or already existing respiratory depression.
What are the three metric units of measurement we use in EMS?
Toxidromes! Name as many toxidromes as you can and an example of each! A minimum of 3.
Anticholergenic (Atropine), Cholergenic (Mushrooms), Opioid (Heroin), Sympathomimetic (Caffeine), Sedative-Hypnotic (Muscle relaxants)
Name all of your medications! Group them up into what they are indicated for! +5 points for each generic name you can assign!
Diazepam, Midazolam, Asprin, Nitroglycerine, Glucagon, Dextrose, Oxytocin, Fentanyl, Ketorlac, Acetamenophen, Ibuprofen, Diphenhydramine, Narcan, Zofran, Morphine, Normal Saline,Lactated Ringer, Oxygen, Amiodarone, Epi 1:1, Epi 1:10, Epi 1:100, Albuterol, Ipatropium, Atropine