BLS Medications
975mg PO
What is the adult dose of acetaminophen?
When the patient is 35 years or older and the pain is above umbilicus.
When must you complete a 12 Lead ECG?
The maximum dose in this age group for morphine and fentanyl remain the same; however, reduce individual doses by half and double the administration time.
What is the dosing changes for geriatric patients (65 years or older)? Consider biological age vs chronological age.
Types of dangerous headaches (name 3).
What are infectious, intercranial hemorrhage, shunt blockages, cancer/brain tumor, glaucoma, hypoglycemia, venous thrombus/stroke
If able to tolerate PO medications 15mg/kg to a single max of 975mg
What is the pediatric dose for acetaminophen?
Self-administered PRN
What is the dose of Entonox?
4 GI symptoms that require infection, prevention and control considerations.
What do the following symptom: abdominal pain, diarrhea, nausea and or vomiting require for considerations?
Ketorolac class and dose
What is an NSAID; 15mg IV/IM
Can be characterized as mild in the morning and worsens throughout the day, characterized as dull achy pain.
What is a tension headache?
Behavioral indicators of pain (name 2)
What are these a sign of: grimaces, crying, body posture, rigidity, guarding, splinting and inability to console?
Patients with medical history of renal insufficiency or increased risk of bleeding.
What patients require caution when administering NSAIDS?
Aortic Aneurysm, Peritonitis, Ectopic pregnancy, Uncontrolled Gastrointestinal Hemorrhage, Acute MI
What are some life threatening causes of abdominal pain?
Entonox, midazolam (versed), fentanyl, ketamine
What pain medications can be used for fracture realignment?
Narcotics should be avoided in patients with this sign as it may complicate physical exam in ER dept.
Patients with a fever.
Physiologic indicators of pain. name two
What are these a sign of: increased heart rate, irritable dry cough, increased respiratory rate, restlessness, and diaphoresis?
Do not administer if the patient has taken this medication and dose within 6 hours.
What is the timeframe for maximum dose of 400mg of ibuprofen?
you should assume an ectopic pregnancy.
What condition should you assume a female of childbearing age with lower abdominal pain is experiencing?
Used for pain in hypotensive patients (80mmHg or less)
When is Ketamine indicated for use for pain management?
The indication for Maxeran (Metoclopramide).
What is a headache suggestive of being vascular in origin or nausea/vomiting as a result of a suspected migraine?
The medication that can be given intranasal for pediatric pain management.
What is fentanyl?
What is the minimum length of time since an ALS intervention ie. pain medication has been administered that an ALS crew may transfer care to BLS.
What is 15 minutes?
Abdominal pain is classified into three main categories.
What are visceral, somatic and referred pain?
Can be used with a systolic BP between 80-90mmHg; greater than 90mmHg or greater than 100mmHg depending on the protocol.
What blood pressure can fentanyl be used between?
Caused by chronic use of acetaminophen and NSAIDS
What can cause rebound headaches?
Must treat concurrently with shock protocol if this pediatric vital sign is this value.
What is under systolic BP (70 + 2x age)?