Kern County Protocols Comprehensive Test Paper With Solved Questions

KERN COUNTY PROTOCOLS
COMPREHENSIVE TEST PAPER WITH
SOLVED QUESTIONS

◉ Dextrose (Indications)
Answer: -Hypoglycemia (<60mg/dL)


◉ Dextrose (Dose)
Answer: -D10 bag, 5mL/kg max of 250mL rapidly (realistically the
whole thing).
-Handtevy for peds


◉ Dextrose (Contraindications)
Answer: -Wet lung sounds
-ICP


◉ Diphenhydramine (Indications)
Answer: -Allergic reaction
-Idiosyncratic reactions to Haldol or phenothiazine medications
group.


◉ Diphenhydramine (Dose)
Answer: -50mg IM

,-25-50mg slow IVP
-Handtevy for peds


◉ Diphenhydramine (Contraindications)
Answer: -Allergy (Ironic)
-Breastfeeding
-Infants


◉ Droperidol (Indications)
Answer: -Agitated pts who pose serious probable and imminent
bodily harm to self/others.
-Given after 5mg of midazolam.
-Paraonia, disorientation, hyper-aggression, hallucinations,
tachycardia, increased strength, hyperthermia.


◉ Droperidol (Dose)
Answer: -5mg IM
-To be given after 5mg of midazolam with no improvement


◉ Droperidol (Contraindications)
Answer: -Hypersensitivity
-Pediatrics
-Caution w/
-Anticholinergic effect

, -CNS depression
-Extrapyramidal
-Hyperprolactinemia
-Orthostatic hypotension
-Temperature regulation
-Arrhythmias


◉ Electricity (Indications)
Answer: -Symptomatic bradycardia
-Unstable tachycardia
-Pulseless V-fib and V-tach


◉ Electricity (Doses)
Answer: -Set pacer to 80bpm, typically dose between 50-90mA
-Perform synchronized cardioversion at the following:
-1st shock: 100jules / Peds: 0.5jules/kg
-2nd shock: 150jules / Peds: 1jules/kg
-3rd shock: 200jules / Peds: 2jules/ kg
-4th shock: 200jules / Peds: 2jules/kg
-Defibrillation
-1st shock 200jules / Peds 2jules/kg
-2nd shock 200jules / Peds 4jules/kg
-3rd shock 200jules / Peds 6jules/kg