What is the flow rate for a nasal cannula?
1-6 lpm
What are the two medications you give for a patient with chest pain?
ASA and Nitroglycerin
What medication is given for nausea?
Zofran - Ondansetron
This medication is given for narcotic and opioid overdose.
Narcan - Naloxone
What is your game plan for the following patient:
24 M - HR 84, RR 6, SPO2 77%.
O2
Narcan
etc....
be ready
What is the flow rate for a standard nebulizer?
4-6 lpm
What is the dose for ASA? Bonus: When giving it to a patient, will they swallow the pills or chew them up?
324 mg (4 x 81mg tablets)
What is the dose of oral glucose?
15 gm - 25 gm
What is the dose for narcan?
0.5 - 2 mg
What are assessment questions you would ask an elderly fall with possible head injury?
LOC
Blood Thinners
Do you remember the event?
What is the dose for nebulized albuterol?
2.5 mg albuterol in 3 ml saline
What are the contraindications for ASA?
Allergy to ASA. Caution: Recent GI bleeding, Peptic ulcer disease.
What is activated charcoal used for and what is your dose?
Ingestion of toxins, 1 gm/kg
What routes can narcan be given?
IN, IV, IM, IO
Type of shock based of vital signs:
86 M - 102.3F, HR 123, RR 24, 98/56
Bonus: What can you do as an EMT-B for this patient?
Septic Shock
What are common side effects of albuterol and/or atrovent?
Tachycardia, tremors, anxiety, dry mouth, etc.
What is the dose and parameters for nitroglycerin?
0.4mg sublingual up to 3 doses as long as SBP > 100 mmHg.
What is the contraindication for oral glucose?
Inability to swallow/follow commands.
What are some common side effects of narcan?
Type of shock:
A 47 M, driver involved in MVA where a tire landed on top of vehicle causing 6 inch vertical intrusion. Pt reports back pain, denies LOC.
VS: AAOx4, HR 48, BP 80/42, RR 20.
Neurogenic Shock
Your 8 y/o patient is experiencing shortness of breath, red-flushed skin, and hives. What medication and dose will you give? Bonus: What is the adult dose and what is the route?
Epinephrine - 0.15 mg IM
What common medication is a contraindication for nitroglycerin?
Erectile dysfunction meds, Viagara (sildenafil)
No. Activated charcoal is contraindicated in ingestion of acids and alkaline products.
Describe the pupils for an opioid versus benzodiazepine overdose. Bonus: Will narcan work for a benzodiazepine overdose?
Opioids: Pinpoint
Benzos: Dilated, sluggish
What is a pulse pressure?
What is the normal pulse pressure?
What can narrow pulse pressures indicate?
What can wide pulse pressures indicate?
Difference between SBP and DBP
40 mmHg - 60 mmHg
Cardiac Issues - (Cardiogenic shock)
Brain Issues - Massive Head Bleed