SNHD PROTOCOLS 2026 QUESTIONS
AND ANSWERS WITH COMPLETE
SOLUTIONS GUARANTEED SUCCESS!!!
Question: What is the standing clinical protocol for an adult patient complaining
of abdominal or flank pain, accompanied by nausea or vomiting? Answer: ✔✔
The management sequence requires the following steps:
Diagnostic Action: If the patient is greater than 35 years of age, perform a
diagnostic 12-lead electrocardiogram (ECG).
Fluid Management: Administer a Normal Saline (NS) fluid bolus ranging
between 500 mL and 2,000 mL depending on volume status.
Symptom Relief: Administer 4 mg of Ondansetron (Zofran) via the PO, IM,
IV, or IO route.
Question: What are the standard treatment guidelines for a patient presenting with
a mild allergic reaction? Answer: ✔✔ If the clinical signs are strictly mild (limited
to localized hives or swelling), administer 50 mg of Diphenhydramine (Benadryl)
via the IM, IV, IO, or PO route.
Moderate/Severe ⤵️
Epi 1:1,000 0.5mg IM q 15 max 1.5mg
Albuterol
NS
Diphenhydramine 50mg IM/IV/IO/PO
Persistent shock ⤵️
Push Dose Epi 1:100,000 10mcg IV/IO q 2-5 mins
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
IMC-RASS
+3 ➡️ Versed 2.5-5mg IN/IM/IV/IO x1 after 5 mins 2.5mg
+4 ➡️ versed 2.5-10mg IM
AND ANSWERS WITH COMPLETE
SOLUTIONS GUARANTEED SUCCESS!!!
Question: What is the standing clinical protocol for an adult patient complaining
of abdominal or flank pain, accompanied by nausea or vomiting? Answer: ✔✔
The management sequence requires the following steps:
Diagnostic Action: If the patient is greater than 35 years of age, perform a
diagnostic 12-lead electrocardiogram (ECG).
Fluid Management: Administer a Normal Saline (NS) fluid bolus ranging
between 500 mL and 2,000 mL depending on volume status.
Symptom Relief: Administer 4 mg of Ondansetron (Zofran) via the PO, IM,
IV, or IO route.
Question: What are the standard treatment guidelines for a patient presenting with
a mild allergic reaction? Answer: ✔✔ If the clinical signs are strictly mild (limited
to localized hives or swelling), administer 50 mg of Diphenhydramine (Benadryl)
via the IM, IV, IO, or PO route.
Moderate/Severe ⤵️
Epi 1:1,000 0.5mg IM q 15 max 1.5mg
Albuterol
NS
Diphenhydramine 50mg IM/IV/IO/PO
Persistent shock ⤵️
Push Dose Epi 1:100,000 10mcg IV/IO q 2-5 mins
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
IMC-RASS
+3 ➡️ Versed 2.5-5mg IN/IM/IV/IO x1 after 5 mins 2.5mg
+4 ➡️ versed 2.5-10mg IM
