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Exam (elaborations)

EMR BC Provincial Licensing Exam

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EMR BC Provincial Licensing Exam

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EMR BC Provincial Licensing Exam
APGAR scale (0-2, 2 being good) - ANSWER-Activity (muscle tone)
Pulse
Grimace (reflex irritability)
Appearance (skin colour)
Respiration

ASA cautions - ANSWER-Pregnant
Anti-coagulants?
Internal bleeding? (recent, last 3 months)
Disease effecting?
Surgery recently?

ASA contraindications - ANSWER-Dose ability (162 mg MAX in last 12 hours)
Asthma inducing?
Acute bleed? (peptic ulcer? GI bleed? stroke <3yrs?)
Allergy?
Pediatric

cautions for entonox - ANSWER-COPD
Facial trauma
Abdominal distention (must palpate)
Depressants?
Shock

Chemical burn intervention - ANSWER-flush/cool with saline for 20 minutes

considerations of SMR - ANSWER-<16 years old
>65 years old
degenerative bone disease
pre-existing spinal conditions

contraindications for entonox - ANSWER-Decompression illness
Inhalation injury
Ventilated space?
Inability to comply?
Nitro in the last 5 minutes?
Embolism (must auscultate to rule out)

CVA/TIA pnemonic - ANSWER-Face: right or left droop?
Arm: right or left weak?
Speech: slurred?
Time: less than 6 hours or woke up with symptoms

, Vision: right or left gaze?
Aphasia: naming difficulties?
Neglect: ignoring left body?

do you leave the AED attached to the patient during transport - ANSWER-yes

Drug Rights - ANSWER-right route
right medication
right dose
right patient
right expiry
right time
right documentation

EMR medical protocols - ANSWER-Cardiac chest pain
Cardiac arrest
Discontinue CPR
Diabetic
Overdose
Pain management

Eye-opening response (GCS) score of 1 - ANSWER-No response

Eye-opening response (GCS) score of 2 - ANSWER-Patient's eyes open only to painful
stimulus

Eye-opening response (GCS) score of 3 - ANSWER-Patient's eyes open to a verbal
command

Eye-opening response (GCS) score of 4 - ANSWER-Patient's eyes open simultaneously

FBAO - ANSWER-foreign body airway obstruction

Findings in a stable FBAO patient - ANSWER-alert and oriented
complete removal of airway obtruction

Findings in an unstable FBAO patient - ANSWER-active airway obstruction (full or
partial)
decreased LOC
stridor
respiratory distress

findings in an unstable neonatal - ANSWER-low APGAR score
ABC intervention (HR <50 or >100)

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