Medications 1
An analgesic/antipyretic that has weak anti-inflammatory activity and no effects on platelets or bleeding time. _______________ acts both centrally and peripherally via multiple enzymatic processes
What is Acetaminophen
What does the yellow highlight on a protocol mean.
What is consult online medical control
1000 East 100 North
Mountain View Hospital
Adult: Cardiac Arrest: Anti-arrhythmics are indicated for shockable rhythms that are unresponsive to defibrillation: 300mg IV push. Consider repeating 150 mg IV push in 3-5 minutes. Wide complex tachycardia (stable): 150 mg rapid infusion IV (15 mg/min) over the first 10 minutes. May repeat 150 mg rapid infusion IV every 10 minutes as needed.
What is Amiodarone
Where did COVID 19 originate
What is Wuhan China
Contraindications: • Unconsciousness • Patient who is unable to swallow • Known diabetic who has not taken insulin for days.
What is Oral Glucose
Dose: Rapid bolus over 1-3 seconds. The dose should be followed quickly by a 20 ml saline flush • Adult: The initial dose is 6-mg. rapid bolus over 1-3 seconds. The dose should be followed quickly by a 20-ml saline flush. Then elevate the extremity. Repeat 12mg. in 1- 2 minutes if needed. • Pediatric: Initial- 0.1 mg/kg (Max 6mg), if not effective- 0.2 mg/kg (Max 12mg)
What is Adenosine
What number is hypoglycemia in adults
What is <50 mg/dl
300 South Main Street
What is Payson Memorial Park
Hypoglycemia and patient meets the following criteria: • Must be able to swallow and protect airway. • Low glucose by meter check or diabetic with clear signs and symptoms. • Altered mental status with a known history of diabetes mellitus.
What is Oral Glucose
How many EMT's make contact with a patient who is suspected of having COVID
What is 1
Precaution: Use with extreme caution in patients with asthma or COPD, increased intraocular pressure, hyperthyroidism, CV disease, hypertension. Drug and alcohol use causes increased CNS depression
What is Benadryl
Indication: For the relief of bronchospasm in patients two years of age and older with reversible obstructive airway disease and acute attacks of bronchospasm. Not for use in croup. High-risk preterm labor when delivery is imminent with medical control consulted.
What is Albuterol
Required systolic BP for administration of nitro
What is >90 mmHg
1851 West 200 South
What is Intermountain Nutrition
Indication: Mild to moderate pain. Fever Control.
What is Ibuprofen
Required personal protective equipment when caring for a COVID + patient
What are gloves, gown, and N95 mask
Adult: 4mg IV (over 2-5 minutes) OR 4 mg IM injection. May repeat up to 8 mg with medical control approval. • Pediatric: 0.1 mg/kg IV/IM. Max dose 4mg. NOT TO BE USED IN PATIENT’S UNDER 1 YRS OF AGE
What is Zofran
Contraindication: Hypersensitivity to NSAIDs; patients with asthma, rhinitis, and nasal polyps; use in children or teenagers for viral infections, with or without fever.
What is Aspirin
Administered when STRIDOR is present
What is nebulized epinehrine
632 South 100 West
What is Smiths
Hypersensitivity to ________, corn or corn products, or any component of the formulation; hypertonic solutions in patients with intracranial or intraspinal hemorrhage, diabetic coma, or delirium tremens, especially if dehydrated; severe dehydration; glucose-galactose malabsorption syndrome
What is Dextrose
What temperature on a patient is considered to be a fever
What is 100.4
Seizures (with large doses), hypotension, bradycardia, cardiac arrest, or may see tachycardia, and hypertension. Nausea and vomiting, rash, itching, urine retention, respiratory depression and arrest, hypothermia, and increased intracranial pressure may also been seen.
What is Morphine
Treatment of symptomatic sinus bradycardia, second and third degree heart block, or ventricular asystole. Second drug for asystole or PEA. Antidote in organophosphate poisoning.
What is Atropine
H's and T's
What are Hypovolemia, Hypoxia, Hydrogen ion (Acidosis), Hyperkalemia, Hypothermia, Hypoglycemia, or specific Toxins.
1190 West 400 North
What is Olsens Garden Shop
A short-acting benzodiazepine and CNS depressant 3-4 times as potent as diazepam. Depressant effects are dependent on dose, route of administration, presence of other medications, and age of patient. It can depress the ventilatory response to CO2 stimulation. It diminishes patient recall. Onset of action is 1-5 min with IV dosing, 5-15 min with IM dosing, and 10 min with IN dosing. Duration of action is generally less than 2 hours.
What is Midazolam (Versed)
can be described as respirators that protect the user by filtering out contaminants in the air and use a battery-operated blower to provide the user with clean air through a tight-fitting respirator, a loose-fitting hood, or a helmet.
What is a PAPR
Overcomes effects of narcotic overdose including respiratory depression, sedation, and hypotension. It does not have any narcotic effect itself. It exhibits essentially no pharmacologic activity. Diagnostic agent in unconsciousness of unknown origin. Pure opioid antagonist that competes and displaces opioids at opioid receptor sites
What is Naloxone
Paramedic Drug
Hyperkalemia. Hydrofluoric acid (HF) exposure. Calcium channel blocker toxicity. Beta blocker toxicity. Cardiac Arrest with presumed hyperkalemic cause (i.e. dialysis patient overdue for dialysis). Hypermagnesemia.
What is Calcium Chloride
Paramedic skill used for advanced airway placement
590 West 500 South
What is Wilson Elementary
Competes with histamine for H1-receptor sites on effector cells. Prevents, but does not reverse, histamine-mediated responses. It also has anticholinergic (antispasmodic), antiemetic, and sedative effects. It has a rapid onset and is widely distributed throughout the body.
What is Diphenhydramine
What is the length of quarantine for someone who has COVID 19
What is 14 Days with no symptoms for 72 hrs
Paramedic Medication
Control of postpartum hemorrhage Contraindications: In the field _________ should not be used until after the baby is fully delivered. Be sure there is only one baby.
What is Oxytocin
Adult: 50mg IV/IO/IM once • Pediatric: 1 mg/kg IM/IV/PO (Max 50mg) Children may be more prone to paradoxical responses than adults
What is Diphenhydramine
Possible causes of Altered Mental Status
What is AEIOUTIPPS
Alcohol, electrolytes, insulin, opiates, uremia, trauma, infection, psycogenic, poison, shock and sepsis
633 South 950 West
What is Stadium Cinemas
Either Alone or with other bronchodilators, especially beta adrenergics, is used for treatment of bronchospasm associated with chronic obstructive pulmonary disease, including asthma, chronic bronchitis, and emphysema.
What is Atrovent
This person fills out the paperwork for a covid test
The EMT
Patients who are actively bleeding or have incomplete bleeding control, such as trauma. Patients at high risk for bleeding, including current use of Aspirin, NSAIDs, or blood thinners. Patients with known or suspected renal disease. Significant volume depletion or dehydration. History of peptic ulcer disease or GI bleed. Hypersensitivity to NSAIDS or ASA. Pregnant or nursing. Elderly
What is Toradol
Cardiac arrest: VF, pulseless VT, asystole, pulseless electrical activity. Anaphylaxis, severe allergic reactions, and profound bradycardia or hypotension after other drugs tried may be used as a gtt.
What is Epinephrine 1:10000
Appearance: Evaluate tone, interactiveness, consolability, gaze, and speech or cry
oBreathing: Evaluate abnormal airway sounds, abnormal positioning, retractions, and nasal flaring.
oCirculation/Skin Color: Evaluate for pallor, mottling, delayed capillary refill and cyanosis ●
What is the Pediatric Assessment Triangle
586 North Main Street
What is Payson Market
Paramedic Drug
__________ is a dissociative anesthetic agent, structurally similar to phencyclidine (PCP). It is unique among sedative agents in that it provides analgesia along with its amnestic and sedative effects.
What is Ketamine
What are the three brands of COVID Vaccines
What are Moderna, Pfizer, and Johnson and Johnson
One tablet S.L. 0.4 mg • May repeat same dosage every 5 minutes x 3 if SBP remains 100 or greater if medical control gives authorization.
What is Nitroglycerin
Moderate to severe acute pain management. Consider in isolated extremity injuries such as strains or sprains, non-complicated isolated fractures, known kidney stones, acute exacerbations of chronic back pain.
What is Toradol
Paramedic skill that is also known as a surgical airway
What is - Cricothyrotomy
6211 West 10400 South
What is the Payson Landfill
__________ is a potent synthetic narcotic with similar actions to those of Morphine and Demerol, but action is more prompt (<5min) and less prolonged (half-life 90 min). __________ exhibits less hemodynamic effects than does Morphine or Demerol. Fentanyl is also less likely to cause nausea/vomiting.
What is Fentanyl
Length of time it takes to process a COVID test at the station
What is 15 minutes
Paramedic Medication
Metabolic acidosis caused by circulatory insufficiency resulting from shock or severe dehydration, severe renal disease, cardiac arrest w/prolonged CPR, tricyclic overdoses, and hyperkalemia.
What is Sodium Bicarb
An opium-derivative, narcotic analgesic, which is a CNS depressant. Induces sleep and inhibits perception of pain by binding to opiate receptors, decreasing sodium permeability, and inhibiting transmission of pain pulses. Causes peripheral vasodilation, thereby decreasing venous blood return to the heart. Relieves pulmonary congestion, and lowers myocardial oxygen need. Metabolized in the liver and excreted in the urine. Onset 2-3 minutes, peak 30 minutes, and duration is 3-6 hours.
What is Morphine
12.5–25 mg IV titrated to effect if SBP >100 or peripheral pulse present ● Dilute with 5–10 mL of NS and administer over 30 seconds ● Avoid in elderly patients due to potential for sedation ● Should be given through AC or larger vessel due to extravasation risk ● Promethazine 25 mg IM, if no vascular access
What is Promethazine
388 East 100 North
Adult: Give 1 mg. IM, after reconstituting powder and sterile water, for symptomatic diabetic patient whose IV access has been difficult. • Pediatric: 0.01-0.02 mg/kg (max dose of 1 mg) IM if no IV/IO access after reconstituting powder and sterile water, for symptomatic diabetic patient whose IV access has been difficult.
What is Glucagon
Where do we test for Covid at station 92
What is in the patients own car
Paramedic Medication
• Blunt or penetrating trauma patient’s ≥ 14 years of age, at high risk of ongoing internal hemorrhage or significant external bleeding, that meet the following: o Injury sustained within 3 hrs prior to administration. TXA must be administered within 3 hrs of injury. Administer as early as possible following gross bleeding control and other lifesaving interventions. o Systolic BP < 90mmHg and signs of ongoing hemorrhage, AND/OR o Tachycardia > 110bpm with signs of hypoperfusion (altered mental status, pallor, cool extremities) and signs of ongoing hemorrhage.
What is TXA