AIR METHODS CC PARAMEDIC FULL
QUESTIONS AND ANSWERS COMPLETE
STUDY GUIDE
◉ CVA HTN Tx if over Sys: 210 or Dia: 120.
Answer: Start with Nicardipine, 5mg/hr and titrate up with adding
2.5mg/hr every 5 minsnprior to dropping back down, up to 15mg
◉ Bougie Cricothyrotomy.
Answer: Step1-Equipment (6cuffed, syringe,scalpel, bvm w/Etco2,
dressing, bougie)
Step2-Landmarks (between cricoid ring and thyroid cartilage)-can't
find, then vertical incision
Step3-1.5-2cm incision into cricothyroid membrane, immediately
placing finger into incision to augment/keep location.
Step4-insert bougie, feel for tracheal clicks
Step5-insert 6 ETT, make have to put pressure/back&forth, and once
balloon in, your good to blow up cuff
◉ hypotension with ACS.
Answer: Consider 1-2L NS, and then inotropes:
dopamine/dobutamine
,◉ For AMS and hx Alcoholism/Malnutrition.
Answer: Give Thiamine IV 100mg
◉ Options for Combative Patient.
Answer: 1)Versed 2-5mg IV
2)Ativan 1-2mg IV, q/3mins can repeat
3)Valium 5-10mg can repeat 15min
4)Haldol same as Valium but IM also
5)Ketamine .2mg/kg
◉ For adult anaphylaxis don't forget.
Answer: corticosteroid: Solumedrol, helps with late phase
200mg Anaphylaxis, 125mg Hace and Resp. Distress
◉ History of WPW, treat like.
Answer: V-Tach Protocol, not Afib-RVR
so Ami 150mg in ten mins, may repeat
◉ Afib RVR Stable vs. Unstable.
Answer: Dilt IV 5-10 mins =Stable (can repeat in 5-10) .25mg/kg
(repeat at .35)
Cardiovert 100J=Unstable
, don't forget 12 leads
◉ Positioning for CVA pts.
Answer: 20-30 degree head elevation
◉ Cincinnati Stroke Scale.
Answer: Droop, Drift, Speech
◉ On CVAs don't forget?.
Answer: 12-lead, over 185/110 & candidate, over 185 2x give 10mg
labetalol, titrate to effect but don't drop more than 15%
◉ Blood Glucose should not be dropped?.
Answer: 50-100 mg/dl per hour
◉ In DKA patients, avoid?.
Answer: intubation, if you have to, set RR @30, help breath off acid
◉ Sepsis Patient Induction.
Answer: Use Ketamine over Etomidate due to adrenal suppression,
QUESTIONS AND ANSWERS COMPLETE
STUDY GUIDE
◉ CVA HTN Tx if over Sys: 210 or Dia: 120.
Answer: Start with Nicardipine, 5mg/hr and titrate up with adding
2.5mg/hr every 5 minsnprior to dropping back down, up to 15mg
◉ Bougie Cricothyrotomy.
Answer: Step1-Equipment (6cuffed, syringe,scalpel, bvm w/Etco2,
dressing, bougie)
Step2-Landmarks (between cricoid ring and thyroid cartilage)-can't
find, then vertical incision
Step3-1.5-2cm incision into cricothyroid membrane, immediately
placing finger into incision to augment/keep location.
Step4-insert bougie, feel for tracheal clicks
Step5-insert 6 ETT, make have to put pressure/back&forth, and once
balloon in, your good to blow up cuff
◉ hypotension with ACS.
Answer: Consider 1-2L NS, and then inotropes:
dopamine/dobutamine
,◉ For AMS and hx Alcoholism/Malnutrition.
Answer: Give Thiamine IV 100mg
◉ Options for Combative Patient.
Answer: 1)Versed 2-5mg IV
2)Ativan 1-2mg IV, q/3mins can repeat
3)Valium 5-10mg can repeat 15min
4)Haldol same as Valium but IM also
5)Ketamine .2mg/kg
◉ For adult anaphylaxis don't forget.
Answer: corticosteroid: Solumedrol, helps with late phase
200mg Anaphylaxis, 125mg Hace and Resp. Distress
◉ History of WPW, treat like.
Answer: V-Tach Protocol, not Afib-RVR
so Ami 150mg in ten mins, may repeat
◉ Afib RVR Stable vs. Unstable.
Answer: Dilt IV 5-10 mins =Stable (can repeat in 5-10) .25mg/kg
(repeat at .35)
Cardiovert 100J=Unstable
, don't forget 12 leads
◉ Positioning for CVA pts.
Answer: 20-30 degree head elevation
◉ Cincinnati Stroke Scale.
Answer: Droop, Drift, Speech
◉ On CVAs don't forget?.
Answer: 12-lead, over 185/110 & candidate, over 185 2x give 10mg
labetalol, titrate to effect but don't drop more than 15%
◉ Blood Glucose should not be dropped?.
Answer: 50-100 mg/dl per hour
◉ In DKA patients, avoid?.
Answer: intubation, if you have to, set RR @30, help breath off acid
◉ Sepsis Patient Induction.
Answer: Use Ketamine over Etomidate due to adrenal suppression,
