Air Evac || with Errorless Answers.
Nitroglycerine Drip correct answers 10 mcg/min, titrated up by 10 mcg to max of 200 mcg/min
Lasix Dose correct answers 40 mg or double daily dose up to 200 mg
Norepinephrine Drip correct answers 5-10 mcg/min
Epinephrine Drip correct answers 2-10 mcg/min
SIRS (systemic inflammatory response syndrome) correct answers 1) Temperature < 36 or > 38
2) HR > 90
3) RR > 20 or PaCO2 < 32
4) WBC < 4,0000 or > 12,000, or > 10% bands
Early sepsis.
Sepsis correct answers SIRS + a documented infection
Severe Sepsis correct answers Sepsis + end organ damage/tissue hypoperfusion (hypotension,
elevated lacate, decreased urine output)
Septic Shock correct answers Severe sepsis + hypotension despite fluid administration
Treatment if not eligible for tPA correct answers Treat if: SBP >200 and/or DBP > 120
Options:
, a) Labetalol 10-20 mg, may repeat x1 to max total of 40 mg
b) Cardene 5 mg/hr, titrated by 2.5 mg/hr to max of 15 mg/hr. Reduce to 3 mg/min when target
met.
Treatment for known hemorrhagic stroke correct answers 1) Treat pain, anxiety, nausea
If SBP remains > 150: (target 140)
a) Labetalol 10 mg q 10 min to max of 300 mg
b) Cardene 5 mg/hr titrated by 2.5 mg/hr to max of 15 mg/hr
If SBP > 220:
a) Contact medical control or receiving facility
Treatment for unknown stroke type (scene flights) correct answers Treat if SBP >220 or DBP >
120
Options:
a) Labetalol 10 mg q 10 min to max of 40 mg
b) Cardene 5 mg/hr, titrated by 2.5 mg/hr
Target 185/110
Ruptured AAA treatment correct answers Target: SBP 80-100 and/or HR 60
1) Treat pain with morphine
2) Labetalol 20 mg q 10 minutes doubling each dose to max total of 300 mg
Nitroglycerine Drip correct answers 10 mcg/min, titrated up by 10 mcg to max of 200 mcg/min
Lasix Dose correct answers 40 mg or double daily dose up to 200 mg
Norepinephrine Drip correct answers 5-10 mcg/min
Epinephrine Drip correct answers 2-10 mcg/min
SIRS (systemic inflammatory response syndrome) correct answers 1) Temperature < 36 or > 38
2) HR > 90
3) RR > 20 or PaCO2 < 32
4) WBC < 4,0000 or > 12,000, or > 10% bands
Early sepsis.
Sepsis correct answers SIRS + a documented infection
Severe Sepsis correct answers Sepsis + end organ damage/tissue hypoperfusion (hypotension,
elevated lacate, decreased urine output)
Septic Shock correct answers Severe sepsis + hypotension despite fluid administration
Treatment if not eligible for tPA correct answers Treat if: SBP >200 and/or DBP > 120
Options:
, a) Labetalol 10-20 mg, may repeat x1 to max total of 40 mg
b) Cardene 5 mg/hr, titrated by 2.5 mg/hr to max of 15 mg/hr. Reduce to 3 mg/min when target
met.
Treatment for known hemorrhagic stroke correct answers 1) Treat pain, anxiety, nausea
If SBP remains > 150: (target 140)
a) Labetalol 10 mg q 10 min to max of 300 mg
b) Cardene 5 mg/hr titrated by 2.5 mg/hr to max of 15 mg/hr
If SBP > 220:
a) Contact medical control or receiving facility
Treatment for unknown stroke type (scene flights) correct answers Treat if SBP >220 or DBP >
120
Options:
a) Labetalol 10 mg q 10 min to max of 40 mg
b) Cardene 5 mg/hr, titrated by 2.5 mg/hr
Target 185/110
Ruptured AAA treatment correct answers Target: SBP 80-100 and/or HR 60
1) Treat pain with morphine
2) Labetalol 20 mg q 10 minutes doubling each dose to max total of 300 mg
