Procedures
The RSI dose for Ketamine:
What is 2mg/kg?
Per PCG C1; Nitroglycerin drip should be initiated at what dose after X 3 NTG 0.4mg SL if still no relief:
What is 5mcg/min? May titrate by 5mcg/min q 5 min if SBP remains >100. Use analgesia before considering NTG infusion if inferior lead elevation and avoid NTG infusion use with phosphodiesterase inhibitors.
In adult patients with altered mental status, blood glucose <70 and no IV access; consider this drug, dose and route.
What is glucagon 1MG/IM?
OB patients should be transported in what position?
What is left or right lateral (side lying) position? left is preferable; to displace fetus off of vena cava and improve venous return
For postpartum hemorrhage; TXA should be considered (2GM in 100 ml NS over 10 minutes) but only after this:
What is consult with medical control?
The "A" in the HEAVEN airway criteria stands for what?
What is "Anatomic changes"? examples include micrognathia and cleft palate
The appropriate cardioversion dose in joules for the Zoll monitor; first shock is:
What is 70j? Reference Q31 in Quick references.
This is the oxygen calculation for total liters of oxygen available: ________-200 X ________. Fill in the blanks.
What is Total PSI - 200 x conversion factor = total liters of oxygen available. EC135 conversion factor is .99.
DTR's should be monitored and documented how frequently with OB patients receiving Magnesium Sulfate?
What is every 15 minutes?
The dose of Versed for seizure patients in the stabilization phase (0-5 minutes) is
What is Versed 5 mg; if unresolved may repeat in 5 minutes. Route for versed with seizures is IV/IO?IM/IN/Buccal
The onset and duration of Etomidate
What is 30-60 seconds onset and 3-5 minute duration?
Prior to initiating transcutaneous pacing, what should the MA and rate be set at? Per PCG P25
What is rate of 60 and MA of zero......expeditiously increase MA until mechanical capture is achieved; then increase by 10%. Confirm mechanical capture with presence of radial pulse that correlates with pacing. May increase rate as needed to achieve adequate BP/perfusion.
You are transporting a pediatric patient who weighs 30kg with nausea and vomiting; you administer zofran at a correct dose of
What is 3mg? 0.1mg/kg
You and your partner are called to BHC to transport a patient with pre-term labor; contractions are every 7 minutes upon your arrival. Patient states that her "water broke" just as you arrived. Upon your assessment you note the presence of an umbilical code prolapse. Do you transport immediately or arrange for ground transport?
What is -do not transport by air; arrange ground immediately. The cord must be manually displaced to ensure adequate perfusion to the fetus.
Treatment for adult patient with blood glucose of <70 and altered mental status.
What is D10 -125ml (12.5 GM) IV/IO over 10 minutes?
What is the max single dose of Succinylcholine for RSI?
What is 150mg? Dose is 1MG/KG per PCG P28.
The correct dose of epinephrine for a pediatric patient in asystole or PEA is:
What is 0.01mg/kg? Max dose of 1mg q3-5 minutes.
Dose for Magnesium Sulfate for a pediatric patient in respiratory distress
What is 50mg/kg over 15 minutes? Max 2gms
Treatment for pre-eclampsia is warranted when patient exhibits X 2 or more blood pressures 15 minutes apart with what parameters? (SBP and DBP)
What is SBP 160 and DBP 110? Treatment is MG+ and labetalol.
Ketamine dose for pain management and max single dose:
What is 0.2mg/kg with max single dose of 20mg; may repeat q 5 minutes.
Phenylephrine is an appropriate push dose pressor for a patient with the following VS: BP 80/46, P52, RR16, SPO2 90%; true or false.
What is False.... bradycardia rules out the use of Phenylephrine as a push dose pressor for this patient. See PCG P27
What is the dose of Magnesium for refractory VT/VF, polymorphic VT; Torsades des pointes?
What is 2GM? Given over 2 minutes, monitor respiratory drive and effort closely.
You are transporting a 9kg pediatric patient with suspected hemorrhage related to abdominal trauma; you administer Plasma and PRBC's. What is the appropriate amount of each and which will you administer first?
What is 90ml or 180ml? -and Plasma is administered first.
You are transporting an OB patient with recent seizures and PIH. She is on a magnesium drip at 2GM/hr after a 6GM bolus from the sending facility. Blood pressure is well controlled. You are mid-flight when your patient begins to become lethargic with decreased SPO2 to 86%. You apply a 15LPM NRB. Your astute assessment reveals slowed respirations of 8/minute and DTR's are very diminished. You stop the magnesium drip. What medication and dose do you anticipate administering next?
What is Calcium Gluconate 2GM or Calcium Chloride 1GM? PCGO3
Goal SBP for a 10-year-old pediatric patient according to PCG M15 "Sepsis"
What is 90-110? 70 + (2X age in years) - 90 + (2X age in years)