What type of medication is most commonly given for patients with high cholesterol?
What is a statin?
Common statins include Atorvastatin (Lipitor), Rosuvastatin (Crestor), Simvastatin (Zocor), Pravastatin (Pravachol), Lovastatin (Altoprev), Pitavastatin (Livalo), and Fluvastatin (Lescol XL).
What is the minimum Systolic Blood Pressure for Nitro administration?
What is 120?
Changed from SBP of 100.
Blood sugar is 45
What is low?
How many devices act as a long back board in the ambulance for adults?
What is 3?
x2 yellow (normally) back boards in the passenger side rear compartment. x1 scoop stretcher in the main oxygen tank compartment.
What are the two most common BLS medications given?
What are Oxygen and Normal Saline.
Which type of medication helps prevent blood clots?
What are blood thinners?
Warfarin (Coumadin, Jantoven)
Apixaban (Eliquis) Rivaroxaban (Xarelto) Dabigatran (Pradaxa) Edoxaban (Savaysa)
Enoxaparin (Loxenox)
How many sets of vitals are required to no load a patient?
What is two sets?
New protocol requires 2 sets of vitals changed from just 1
Male hemoglobin (Hgb) is 6 g/dL
What is low?
Normal male Hgb is 14-18 g/dL.
Normal female Hgb is 12-16 g/dL. Both male and female patients would probably get blood products at 6 g/dL.
How many Mega Movers should be in the ambulance at all times?
What is 3?
1) Head of the cot 2) Active shooter bag
3) Under the bench seat
What are the 2 medical conditions that are indicated for CPAP usage?
P.6
Dyspnea attributed to pulmonary edema, COPD/emphysema, or asthma.
What are common medications prescribed for anxiety?
What are SSRIs and Benzodiazepines?
SSRIs- Sertraline (Zoloft) Escitalopram (Lexapro) Fluoxetine (Prozac) Paroxetine (Paxil, Pexeva) Citalopram (Celexa)
Benzodiazepines- Alprazolam (Xanax) Lorazepam (Ativan) Diazepam (Valium) Clonazepam (Klonopin)
Syncope has been removed as meeting rapid scene time criteria. Which 3 remain?
What are Trauma, Stroke and STEMI?
Potassium (K+) is 7.0 mEq/L
What is high?
Normal K+ 3.5-5.0 mEq/L
How many places can you find CAT tourniquets in the ambulance?
What is 4 places?
1) 1st in bag 2) Active shooter bag
3) Blue Bag 4) Trauma cabinet
How many times can an Albuterol Nebulizer be administered before calling medical control?
What is 2 times?
D.1
Albuterol 2.5mg nebulized. (may repeat 1x)
Common types of medications used to fight bacterial infections
What are antibiotics?
Amoxicillin Azithromycin amoxicillin/clavulanate (Augmentin) cephalexin (Keflex) ciprofloxacin (Keflex)
What is the new standing order for a midazolam dose for a behavioral patient?
What is 10mg IM?
Changed from 5 mg IM.
INR or International Normalized Ratio for a patient on coumadin is 5.0. Is it high or low?
What is high?
Standardized lab calculation that measures how long blood takes to clot. Normal range for a patient on coumadin is 2.0-3.0.
Less than 2.0 and the blood is too thick and more than 3.0 and the blood is too thin.
Where can you find OPAs on the ambulance?
Where are the 1) first in bag 2) the interior cabinet
3) the active shooter bag?
What medications can be administered as a BLS provider?
What are Aspirin, Nitro, Oxygen, Normal Saline, Albuterol, Epinephrine, Narcan, Glucagon, and oral Glucose?
Medications used to treat hypertension?
ACE inhibitors (ending in "pril") Lisinopril
Angiotensin 2 Receptor Blockers (ending in "sartan") Losartan
Calcium Channel Blockers Amlodipine (Norvasc) or Diltiazem
Should we consider oral rehydration for hyperthermic patients?
What is yes?
Consider oral rehydration if the patient is stable, free of nausea, and alert enough to protect their own airway. Encourage slow consumption. Discontinue if priority symptoms or nausea develops or decrease in metal status.
Cardiac troponin for a patient is .12 ng/mL. Is it high or low?
What is high?
A troponin .04 ng/mL is the high end of normal for a patient on coumadin. An troponin of .12 ng/mL indicates injury to the heart muscle.
1801 has 4 and 1802 has 5. What am I?
What are Oxygen cylinders?
What IV medication types may a BLS provider manage during an interfacility transfer?
Hint: More than one.
A.19
3. BLS Medications
TPN/ Lipids, home or self-administered.
PCA pumps, narcotic infusions running longer than 24 hours.
Antibiotic Infusions.