AEMCA-Ontario - Primary Care
Paramedic -Practice Questions Fully
Solved.
Bronchoconstriction Indications - Answer Respiratory distress
AND
Suspected bronchoconstriction
Bronchoconstriction Epinephrine Conditions - Answer BVM Ventilations Required and a HX of
Asthma
Salbutamol Dosing <25kg via MDI - Answer 600 mcg, 5-15 minutes PRN, 3 times
Salbutamol Dosing >25kg via MDI - Answer 800 mcg, 5-15 minutes PRN, 3 times
Nebulization is contraindicated in... - Answer patients with known or suspected fever, setting
in declared febrile respiratory illness outbreak
Administering Salbutamol is... - Answer 1 puff or 100mcg every 4 breaths. 1 full dose should
take about a minute to administer.
If patient is apneic the first drug administered (under Bronchoconstriction protocol) is... -
Answer Epinephrine, 0.01 mg/kg, max 0.5mg (Max dose 1) Salbutamol can subsequently be
administered via MDI adaptor on BVM.
Moderate To Severe Allergic Reaction Medical Directive Indications - Answer Exposure to a
probable allergen, signs / symptoms of a moderate to severe allergen reaction (including
anaphylaxis)
Diphenhydramine Conditions - Answer Equal to or greater than 25kg
What is a BIPHASIC reaction? - Answer Reoccurring anaphylaxis up to 72 hours after initial
reaction
Diphenhydramine Dosing - Answer Equal to or less than 25kg - 25mg, Equal to or greater 50kg
-50mg via IV or IM
,Diluting Diphenhydramine (Anaphylaxis) - Answer Administer via 50mL 0.9% saline (Label
appropriately). Drug name / dose / time initiated, Attending name and Initials. Flush line with
10mL after administration.
Croup Medical Directive Indications - Answer Severe Respiratory Distress + Stridor At Rest +
Current History of URTI + Barking Cough or Recent History of a Barking Cough
Croup - Epinephrine Conditions - Answer Age: Less than 8, Heart Rate less than 200bpm
Croup - Epinephrine Dosing - Answer -Less than 1 year, under 5kg - 0.5mg
-Less than 1 year, over 5kg 2.5mg
-1 year-less than 8 years, 5mg
Minimum volume for nebulization is 2.5mL via NEB
Analgesia Medical Directive - Acetaminophen Conditions - Answer Equal to or greater than 12,
Unaltered
Analgesia Medical Directive - Acetaminophen Contraindications - Answer -Allergy / Sensitivity
to Acetaminophen
-Acetaminophen use within previous 4 hours
-Hx of Liver Disease
-Active Vomiting
-Unable to tolerate oral medication
-Suspected Ischemic chest pain
Analgesia Medical Directive - Acetaminophen Dosing - Answer Equal to 12 - less than 18, 500-
650mg
Equal to or greater than 18, 960-1,000mg
Max dose 1
Analgesia Medical Directive - Ibuprofen Conditions - Answer Equal to or greater than 12,
Unaltered
Analgesia Medical Directive - Ibuprofen Contraindications - Answer -Allergy / Sensitivity to
NSAIDS
-NSAID use within previous 6 hours
, -Patient on anticoagulation therapy
-History of GI or Peptic Ulcer Disease
-Current / Active Bleeding
-If Asthmatic no prior use of ASA or other NSAIDS
-Pregnant
-Known Renal Impairment
-CVA TBI in previous 24 hours
-Suspected Ischemic Chest Pain
-Active Vomiting
-Unable to tolerate oral medication
Analgesia Medical Directive - Ibuprofen Treatment - Answer Equal to or greater than 12,
400mg (single dose)
Analgesia Medical Directive - Ketorolac Conditions - Answer Equal to or greater than 12,
Unaltered, Normotensive
Analgesia Medical Directive - Ketorolac Contraindications - Answer -Allergy / Sensitivity to
NSAIDS
-NSAID use within previous 6 hours
-Current / Active Bleed
-Patient on Anticoagulation Therapy
-History of GI or Peptic Ulcer Disease
-Known Renal Impairement
-If asthmatic no prior use of NSAIDS
-CVA TBI in previous 24 hours
-Suspected Ischemic Chest pain
-Pregnant
Analgesia Medical Directive - Ketorolac Dosing - Answer 10-15mg (IM / IV)
Opioid Toxicity Medical Directive Indications - Answer Altered LOC + Respiratory Depression +
Inability to Adequately Ventilate + Persistent need to assist with ventilations + Suspected Opioid
Overdose
Opioid Toxicity Medical Directive Conditions - Answer Equal to or greater than 24 hours
Paramedic -Practice Questions Fully
Solved.
Bronchoconstriction Indications - Answer Respiratory distress
AND
Suspected bronchoconstriction
Bronchoconstriction Epinephrine Conditions - Answer BVM Ventilations Required and a HX of
Asthma
Salbutamol Dosing <25kg via MDI - Answer 600 mcg, 5-15 minutes PRN, 3 times
Salbutamol Dosing >25kg via MDI - Answer 800 mcg, 5-15 minutes PRN, 3 times
Nebulization is contraindicated in... - Answer patients with known or suspected fever, setting
in declared febrile respiratory illness outbreak
Administering Salbutamol is... - Answer 1 puff or 100mcg every 4 breaths. 1 full dose should
take about a minute to administer.
If patient is apneic the first drug administered (under Bronchoconstriction protocol) is... -
Answer Epinephrine, 0.01 mg/kg, max 0.5mg (Max dose 1) Salbutamol can subsequently be
administered via MDI adaptor on BVM.
Moderate To Severe Allergic Reaction Medical Directive Indications - Answer Exposure to a
probable allergen, signs / symptoms of a moderate to severe allergen reaction (including
anaphylaxis)
Diphenhydramine Conditions - Answer Equal to or greater than 25kg
What is a BIPHASIC reaction? - Answer Reoccurring anaphylaxis up to 72 hours after initial
reaction
Diphenhydramine Dosing - Answer Equal to or less than 25kg - 25mg, Equal to or greater 50kg
-50mg via IV or IM
,Diluting Diphenhydramine (Anaphylaxis) - Answer Administer via 50mL 0.9% saline (Label
appropriately). Drug name / dose / time initiated, Attending name and Initials. Flush line with
10mL after administration.
Croup Medical Directive Indications - Answer Severe Respiratory Distress + Stridor At Rest +
Current History of URTI + Barking Cough or Recent History of a Barking Cough
Croup - Epinephrine Conditions - Answer Age: Less than 8, Heart Rate less than 200bpm
Croup - Epinephrine Dosing - Answer -Less than 1 year, under 5kg - 0.5mg
-Less than 1 year, over 5kg 2.5mg
-1 year-less than 8 years, 5mg
Minimum volume for nebulization is 2.5mL via NEB
Analgesia Medical Directive - Acetaminophen Conditions - Answer Equal to or greater than 12,
Unaltered
Analgesia Medical Directive - Acetaminophen Contraindications - Answer -Allergy / Sensitivity
to Acetaminophen
-Acetaminophen use within previous 4 hours
-Hx of Liver Disease
-Active Vomiting
-Unable to tolerate oral medication
-Suspected Ischemic chest pain
Analgesia Medical Directive - Acetaminophen Dosing - Answer Equal to 12 - less than 18, 500-
650mg
Equal to or greater than 18, 960-1,000mg
Max dose 1
Analgesia Medical Directive - Ibuprofen Conditions - Answer Equal to or greater than 12,
Unaltered
Analgesia Medical Directive - Ibuprofen Contraindications - Answer -Allergy / Sensitivity to
NSAIDS
-NSAID use within previous 6 hours
, -Patient on anticoagulation therapy
-History of GI or Peptic Ulcer Disease
-Current / Active Bleeding
-If Asthmatic no prior use of ASA or other NSAIDS
-Pregnant
-Known Renal Impairment
-CVA TBI in previous 24 hours
-Suspected Ischemic Chest Pain
-Active Vomiting
-Unable to tolerate oral medication
Analgesia Medical Directive - Ibuprofen Treatment - Answer Equal to or greater than 12,
400mg (single dose)
Analgesia Medical Directive - Ketorolac Conditions - Answer Equal to or greater than 12,
Unaltered, Normotensive
Analgesia Medical Directive - Ketorolac Contraindications - Answer -Allergy / Sensitivity to
NSAIDS
-NSAID use within previous 6 hours
-Current / Active Bleed
-Patient on Anticoagulation Therapy
-History of GI or Peptic Ulcer Disease
-Known Renal Impairement
-If asthmatic no prior use of NSAIDS
-CVA TBI in previous 24 hours
-Suspected Ischemic Chest pain
-Pregnant
Analgesia Medical Directive - Ketorolac Dosing - Answer 10-15mg (IM / IV)
Opioid Toxicity Medical Directive Indications - Answer Altered LOC + Respiratory Depression +
Inability to Adequately Ventilate + Persistent need to assist with ventilations + Suspected Opioid
Overdose
Opioid Toxicity Medical Directive Conditions - Answer Equal to or greater than 24 hours
