Quiz 4

Select all the conditions needed to patch for a trauma TOR:
Greater than or equal to 16 years of age
Greater than or equal to 18 years of age
No palpable pulses
No defibrillation delivered
No more than one shock delivered
Monitored HR = 0
Monitored HR > 0 but transport to closest ED is > 30 min away
Monitored HR > 0 but transport to trauma hospital is > 30 min away
True or false: If there are no obvious signs of trauma for a cardiac arrest pt, treat according to appropriate medical cardiac arrest directive.
True
False
When a pt is in cardiac arrest due to a FBAO, how many defibrillations can a paramedic perform?
None
One
Two
Three
Every two minutes if still in VF/Vtach
After obtaining a ROSC, your patient remains hypotensive and you choose to administer Dopamine, what age do they have to be?
Adult, so greater than 18 yrs old
Greater than or equal to 12 years old
Greater than or equal to 8 years old
I would never choose to administer Dopamine, the calculations are too hard
Post arrest it is important to optimize ventilation and oxygenation. In order to do this, you should:
Hyperventilate to get rid of excess CO2
Avoid hyperventilation
Titrate oxygen to 92%
Titrate oxygen to 94-98%
Target ETCO2 to 30-40 mmHg
Target ETCO2 to 35-45 mmgHg
True or False: You should titrate dopamine for a ROSC to acheive a SBP between 90-110 mmHg
True
False
Calculate the correct dose of Dopamine for a hypotensive ROSC pt using a single strength (i.e. 800 mcg/ ml) solution, a 60 gtts/ml drip set, for a 55kg pt. Assume you are wanting 5 mcg/kg/min.
19
21
23
42
What are the clinical considerations for adult oral intubation?
An intubation attempt is defined as inserting the laryngoscope blade into the mouth for purpose of intubation
The maximum number of intubation attempts is two
The maximum number of intubation attempts is two per ACP on scene
The ETT tube placement must be confirmed by ETCO2 (waveform capnography)
ETT placement must be reconfirmed immediately after each pt movement
A pt experiencing severe respiratory distress and bronchoconstriction may receive 0.01 mg/kg of Epi 1:1000 IM if the following conditions apply:
The pt is less than 50 yrs of age
The pt is greater than or equal to 50 yrs of age
Ventilation is required with BVM
The pt has a hx of asthma
They are not allergic/ have a sensitivity to epi
They have already received Ventolin tx
Because your partner really likes to draw up medication from ampules
True or false: If you patch to a BHP for a needle thoracostomy and they authorize you to insert the needle at the mid-axillary line 5th intercostal space, you should proceed as directed.
True
False
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