Platinum Final Review - Paramedic
Comprehensive Questions (Frequently
Tested) with Verified Answers Graded
A+
Best airway adjunct to use for smoke inhalation? - Answer: ET Tube
Most important info to evaluate ventilatory status - Answer: - Respiratory rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
Most important info for oxygenation status - Answer: - Mental status
- Skin signs
- Pulse ox
Most important assessment when evaluating pt O2 to the brain - Answer: - Airway patency
- RR
- SpO2
- Lung sounds
Next step if NRB don't work - Answer: BVM
,Next step for opening unresponsive pt with slow and shallow respirations - Answer: - Check
mouth for secretions
- Foreign body
Ventilation rates - Answer: - Adult 12-20•
- Children 15-30 •
- Infant 25-50
Flow rates - Answer: NC 2-6 LpM•
Neb 6-8 LpM
• NRB 10-15 LpM
- BVM 15 LpM
- ET tube 15 LpM
- Supraglottic 15 LpM
- CPAP 25 LpM
When to use ET tube - Answer: • Cardiac arrest X 2
• Go to supraglottic
When to use supraglottic - Answer: When ET tube is unsuccessful
When to use LMA / IGEL - Answer: Secured to the throat via inflation cuff (LMA) or non
inflatable cuff (IGEL)
When to use CPAP - Answer: CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
, When to use NRB - Answer: Used for pt who need more than 6LpM
Can have neb inlined
When to use BVM - Answer: Used for unconscious or conscious patients •
BLS before ALS
Anaphylaxis TX - Answer: Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
Advantages and disadvantages of surgical and needle crico - Answer: Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding, subcutaneous
emphysema • Most frequent type of crico
Findings in a spontaneous pneumothorax - Answer: SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
Best method to use for vomiting pt and need to tube - Answer: Reduce gastric volume
Supraglottic airway
Cricoid pressure
RSI
Comprehensive Questions (Frequently
Tested) with Verified Answers Graded
A+
Best airway adjunct to use for smoke inhalation? - Answer: ET Tube
Most important info to evaluate ventilatory status - Answer: - Respiratory rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
Most important info for oxygenation status - Answer: - Mental status
- Skin signs
- Pulse ox
Most important assessment when evaluating pt O2 to the brain - Answer: - Airway patency
- RR
- SpO2
- Lung sounds
Next step if NRB don't work - Answer: BVM
,Next step for opening unresponsive pt with slow and shallow respirations - Answer: - Check
mouth for secretions
- Foreign body
Ventilation rates - Answer: - Adult 12-20•
- Children 15-30 •
- Infant 25-50
Flow rates - Answer: NC 2-6 LpM•
Neb 6-8 LpM
• NRB 10-15 LpM
- BVM 15 LpM
- ET tube 15 LpM
- Supraglottic 15 LpM
- CPAP 25 LpM
When to use ET tube - Answer: • Cardiac arrest X 2
• Go to supraglottic
When to use supraglottic - Answer: When ET tube is unsuccessful
When to use LMA / IGEL - Answer: Secured to the throat via inflation cuff (LMA) or non
inflatable cuff (IGEL)
When to use CPAP - Answer: CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
, When to use NRB - Answer: Used for pt who need more than 6LpM
Can have neb inlined
When to use BVM - Answer: Used for unconscious or conscious patients •
BLS before ALS
Anaphylaxis TX - Answer: Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
Advantages and disadvantages of surgical and needle crico - Answer: Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding, subcutaneous
emphysema • Most frequent type of crico
Findings in a spontaneous pneumothorax - Answer: SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
Best method to use for vomiting pt and need to tube - Answer: Reduce gastric volume
Supraglottic airway
Cricoid pressure
RSI
