SNHD PARAMEDIC PROTOCOLS ACTUAL EXAM 1

SNHD PARAMEDIC PROTOCOLS ACTUAL EXAM 1

ANSWERS/ SNHD PARAMEDIC PROTOCOLS REAL

EXAM -

A patient is any individual that, upon contact with an EMS system, has which of the following? - ANSWER-A complaint or mechanism suggestive of potential illness or injury, Obvious evidence of illness or injury, An individual or informed 2nd/3rd party caller requests evaluation for potential illness or injury.

Pg. 120

What is the definition of status epilepticus? - ANSWER-Two or more seizures successively without an intervening lucid period

A seizure lasting over five minutes

Pg. 54

What blood glucose level indicates a patient may require glucose? - ANSWER- <60mg/dl

Pg. 21

What is the dose of Fentanyl for pain management? - ANSWER-1.0 mcg/kg

IN/IM/IV

Pg. 47

Describe EKG findings consistent with hyperkalemia. - ANSWER-Bradycardia with widening QRS complexes.

Pg. 38

For a patient in shock, how much Dopamine should be administered? - ANSWER- 5-20 mcg/kg/min

Pg. 55

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Which of the following are approved hypothermia (post-resus.) centers? - ANSWER-Centennial Hills, Desert Springs, Mountain View Hospital, St. Rose De Lima, St. Rose Siena, Southern Hills, Spring Valley, Summerlin, Sunrise, UMC, Valley

Pg. 65

A patient complaining of abdominal pain, flank pain, or nausea/vomiting shall receive how much Ondansetron (Zofran)? - ANSWER-4.0mg

Pg. 15

A pregnant patient that presents with limb delivery shall: - ANSWER-Be placed in the left lateral recumbent position

Pg. 33

Identify the Parkland Burn Formula for Fluid Replacement. - ANSWER-4ml x (body weight in kg) x (% BSA burned) = total fluids for 24 hours, Give 1/2 in the first 8 hours; give remainder over next 16 hours

Pg. 28

How often can additional Diazepam (Valium) doses be administered to a pregnant patient who is refractory to Magnesium Sulfate? - ANSWER-Every 5 minutes

Pg. 43

For non-trauma patients, telemetry reports should include at a minimum which of

the following? - ANSWER-Attendant/vehicle identification, Nature of call:

INFORMATION ONLY or REQUEST FOR PHYSICIAN ORDERS, Patient information (i.e. number, age, sex), Patient condition (i.e. stable, full arrest), History, Objective findings, Treatment, Estimated time of arrival including any special circumstances that may cause a delay in transport

Pg. 115

A patient is defined as any individual that meets which of the following? - ANSWER-All of the above (A person who has obvious evidence of illness or injury, A person who has a complaint or mechanism suggestive of potential illness 2 / 3

or injury, A person identified by an informed 2nd or 3rd party caller as requiring evaluation for potential illness or injury)

Pg. 6

For children, a fall greater than ______ requires transport to a Level 1 or 2 trauma center. - ANSWER-10 feet or two times the height of the child

Pg. 127

What is the dose of Naloxone (Narcan) in the setting of a suspected overdose? - ANSWER-2.0 mg IN/IM/IV; may be repeated to a max dose of 10mg

Pg. 45

For a traumatic cardiac arrest, what interventions must be performed prior to considering terminating resuscitation efforts? - ANSWER-Provide effective ventilation with 100% oxygenation for two (2) minutes

Open airway with basic life support measures

Perform bilateral needle thoracentesis if tension pneumothorax suspected

Pg. 125

For a patient in Pulmonary Edema/CHF, who is hypertensive with a diastolic blood pressure greater than 100 mmHg, what is the dose of Nitroglycerin? - ANSWER- 1.6 mg SL

Pg. 49

Which patient(s) can be taken to a hospital that has been placed on internal disaster? - ANSWER-A patient in which an airway cannot be established

A patient in cardiac arrest

Pg. 12

A patient who was ejected from a motor vehicle requires transport to a Level 1 and

• trauma center only. - ANSWER-False (Level 1, 2 or 3)
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