SNHD Protocols Paramedic QUESTION AND ANSWERS 100% ACCURATE!

Adenosine Protocols: Action: Dose: (Adult & Peds) for (SVT-Unstable/Stable) Contraindications: - ANSWERProtocols: + Tachycardia (Stable/Unstable) Action: + Slows conduction through AV node; and can interrupt re-entry pathways Adult: + 6mg or 12mg RIVP + (Stable SVT: 6mg, 12mg) + (Unstable SVT: 12mg) Peds: + 0.1-0.2 mg/kg RIVP never to exceed 12mg + (Stable SVT: 0.1mg/kg not to exceed 6mg; 0.2mg/kg not to exceed 12mg) + (Unstable SVT: 0.2mg/kg not to exceed 12mg) Contraindications: + 2nd or 3rd-degree AV Block or SSS; A-Flutter; A-Fib Albuterol Protocols: Dose: (Adult & Peds) - ANSWERProtocols: + Allergic Reaction, Hyperkalemia, Respiratory Distress Adult: + 2.5mg/3mL via SVN; as needed/continuous/until improvement Peds: + Exact Same Amiodarone Protocols: Action: Dose: Contraindications: - ANSWERProtocols: + Cardiac Arrest, Tachycardia (Stable/Unstable) Action: + Antiarrhythmic Adult: + (Cardiac Arrest) 300mg initial; 150mg after 5th shock + (Stable/Unstable - Wide Tachycardia) 150mg in 50cc NS over 10 minutes Pediatric: + (Cardiac Arrest) 5mg/kg; may repeat once after 5th shock + (Stable/Unstable- Wide Tachycardia) 5mg/kg in 50cc NS over 20 minutes Contraindications: + Cardiogenic shock, High-Grade AV Block Atropine Protocols: Class: Action: Dose: - ANSWERProtocols + Bradycardia, Organophosphate Toxicity Class + Parasympathetic Blocker Action + Cholinergic Blocking Agent; Increases rate of SA node discharge; Increases conduction through AV node Adult + (Bradycardia) 0.5mg IVP; q 3-5 minutes; Max dose 3mg + (Organophosphate Toxicity) 2.0mg IV; q 15 minutes as needed Peds + (Bradycardia) 0.02mg/kg; minimu