SNHD PROTOCOLS 2026 QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
GUARANTEED SUCCESS!!!
Question: What is the standing protocol for an adult patient complaining of
abdominal or flank pain, with associated nausea or vomiting?
Answer: ✔✔ The clinical management steps include:
Age Check: If the patient is greater than 35 years of age, obtain a diagnostic
12-lead electrocardiogram (ECG).
Fluid Resuscitation: Administer a normal saline (NS) volume bolus
ranging between 500 mL and 2,000 mL based on perfusion needs.
Antiemetic Therapy: Administer 4 mg of Ondansetron (Zofran) via the PO,
IM, IV, or IO route.
Question: What are the treatment guidelines for a mild allergic reaction versus a
moderate-to-severe systemic anaphylactic reaction?
Answer: ✔✔ Treatment is dictated by the severity of the clinical presentation:
Mild Presentation (Localized hives or swelling only): Administer 50 mg
of Diphenhydramine (Benadryl) via the IM, IV, IO, or PO route.
Moderate to Severe Presentation (Respiratory or circulatory
involvement):
o Administer Epinephrine 1 mg/mL ($1:1,000$) at a dose of 0.5 mg IM.
This may be repeated every 15 minutes to a maximum cumulative
dose of 1.5 mg.
o Provide nebulized Albuterol for bronchospasms.
o Initiate a Normal Saline (NS) fluid bolus for circulatory support.
o Administer 50 mg of Diphenhydramine via IM, IV, IO, or PO.
, Refractory/Persistent Shock: Utilize Push-Dose Epinephrine ($1:100,000$
or 0.01 mg/mL) at a concentration of 10 mcg IV/IO every 2 to 5 minutes
titrated to hemodynamic effect.
Allergic Reaction VS Anaphylaxis -ANSWER ✔✔Allergic Reaction Mild ➡️
Local swelling, hives
Anaphylaxis Moderate/Severe ⤵️
1. Exposure to known/likely allergen w/ hypotension OR resp. compromise
2. Exposure to known/likely allergen PLUS 2 of the following;
- Hives, flushing, edema
- SOB, wheezing, stridor, hypoxia
- Hypotension, signs of shock
- Abdominal pain, vomiting
AMS/Syncope -ANSWER ✔✔BGL <60 ⤵️
Glucose 15g
D10 25g IV/IO x1 in 5 mins
Glucagon 1mg IM
Behavioral -ANSWER ✔✔S - stabilize
A - asses
F - facilitate
E - encourage
R - recovery/referral
AND ANSWERS WITH COMPLETE
SOLUTIONS 100% CORRECT RATED A+
GUARANTEED SUCCESS!!!
Question: What is the standing protocol for an adult patient complaining of
abdominal or flank pain, with associated nausea or vomiting?
Answer: ✔✔ The clinical management steps include:
Age Check: If the patient is greater than 35 years of age, obtain a diagnostic
12-lead electrocardiogram (ECG).
Fluid Resuscitation: Administer a normal saline (NS) volume bolus
ranging between 500 mL and 2,000 mL based on perfusion needs.
Antiemetic Therapy: Administer 4 mg of Ondansetron (Zofran) via the PO,
IM, IV, or IO route.
Question: What are the treatment guidelines for a mild allergic reaction versus a
moderate-to-severe systemic anaphylactic reaction?
Answer: ✔✔ Treatment is dictated by the severity of the clinical presentation:
Mild Presentation (Localized hives or swelling only): Administer 50 mg
of Diphenhydramine (Benadryl) via the IM, IV, IO, or PO route.
Moderate to Severe Presentation (Respiratory or circulatory
involvement):
o Administer Epinephrine 1 mg/mL ($1:1,000$) at a dose of 0.5 mg IM.
This may be repeated every 15 minutes to a maximum cumulative
dose of 1.5 mg.
o Provide nebulized Albuterol for bronchospasms.
o Initiate a Normal Saline (NS) fluid bolus for circulatory support.
o Administer 50 mg of Diphenhydramine via IM, IV, IO, or PO.
, Refractory/Persistent Shock: Utilize Push-Dose Epinephrine ($1:100,000$
or 0.01 mg/mL) at a concentration of 10 mcg IV/IO every 2 to 5 minutes
titrated to hemodynamic effect.
Allergic Reaction VS Anaphylaxis -ANSWER ✔✔Allergic Reaction Mild ➡️
Local swelling, hives
Anaphylaxis Moderate/Severe ⤵️
1. Exposure to known/likely allergen w/ hypotension OR resp. compromise
2. Exposure to known/likely allergen PLUS 2 of the following;
- Hives, flushing, edema
- SOB, wheezing, stridor, hypoxia
- Hypotension, signs of shock
- Abdominal pain, vomiting
AMS/Syncope -ANSWER ✔✔BGL <60 ⤵️
Glucose 15g
D10 25g IV/IO x1 in 5 mins
Glucagon 1mg IM
Behavioral -ANSWER ✔✔S - stabilize
A - asses
F - facilitate
E - encourage
R - recovery/referral
