MICN LA COUNTY FINAL EXAM 2024
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What can you give with IO insertion? - ANSWERS-Lidocaine 2% 40mg slow IO
push. May repeat once 20mg if pain with infusion
QUESTION 2
What is the dose for push dose epi? - ANSWERS-0.1mg/ml- take 1ml into 9ml of
NS. New concentration is 0.01mg/ml. Give 1 ml Q1-5 minutes for SBP >90
QUESTION 3
S/S of agitated delirium - ANSWERS-Confusion and extreme agitation with one of
the following: Diaphoresis, fever/flushed skin, tachycardia, rapid breathing
*very dangerous- can progress fast to resp/cardiac arrest*
END OF
PAGE 1
,MICN LA COUNTY FINAL EXAM 2024
QUESTION 4
Treatment for agitated delirium? - ANSWERS-Midazolam 5mg IV/IM/IN, may
repeat x1 in 5 min (max 10mg prior to base contact, max 20mg after base contact)
QUESTION 5
Treatment for prolonged QT intervals for suspected drug ingestion/agitated
delirium? - ANSWERS-CONTACT BASE if QRS >0.12 seconds, QT >500ms, or
HR >150 <50 and consider Sodium Bicarb 50mEq IV with base physician (may
repeat x1 if QRS remains >0.12)
QUESTION 6
Treatment for mental health crisis? - ANSWERS-Olanzapine 10mg ODT x1 (no
base contact required) and Midazolam 5mg IV/IM/IN (base contact required) max
20mg
QUESTION 7
Cardiac arrest in PEA treatment - ANSWERS-CPR! Epi (0.1mg/ml 1ml) ASAP
and can repeat Q5 min max 3mg, NS 1L rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb 50mEq
END OF
PAGE 2
, MICN LA COUNTY FINAL EXAM 2024
QUESTION 8
Cardiac arrest V.Fib/pulseless V. Tach treatment? - ANSWERS-CPR! Defib
@200J (repeat Q2 min)! Epi (0.1mg/ml 1ml, max 3 ml) after 2nd defib,
amnioderone 300 after 3rd fefib, amnioderone 150mg after 5th, NS 1L rapid
QUESTION 9
ROSC obtained on scene- when and where do we transport? - ANSWERS-After 5
minutes- to SRC
QUESTION 10
Do we transport medical cardiac arrests? - ANSWERS-No- only penetrating
traumatic! Best thing for medical cardiac arrest is high quality CPR with minimal
interruptions. Cant do that in the ambulance/transporting.
QUESTION 11
Treatment post ROSC with cardiogenic shock? - ANSWERS-If SBP <90 NS 1L
and push dose epi if no response after 250ml NS
END OF
PAGE 3
ANSWER ALL QUESTIONS IN THIS SECTION
QUESTION 1
What can you give with IO insertion? - ANSWERS-Lidocaine 2% 40mg slow IO
push. May repeat once 20mg if pain with infusion
QUESTION 2
What is the dose for push dose epi? - ANSWERS-0.1mg/ml- take 1ml into 9ml of
NS. New concentration is 0.01mg/ml. Give 1 ml Q1-5 minutes for SBP >90
QUESTION 3
S/S of agitated delirium - ANSWERS-Confusion and extreme agitation with one of
the following: Diaphoresis, fever/flushed skin, tachycardia, rapid breathing
*very dangerous- can progress fast to resp/cardiac arrest*
END OF
PAGE 1
,MICN LA COUNTY FINAL EXAM 2024
QUESTION 4
Treatment for agitated delirium? - ANSWERS-Midazolam 5mg IV/IM/IN, may
repeat x1 in 5 min (max 10mg prior to base contact, max 20mg after base contact)
QUESTION 5
Treatment for prolonged QT intervals for suspected drug ingestion/agitated
delirium? - ANSWERS-CONTACT BASE if QRS >0.12 seconds, QT >500ms, or
HR >150 <50 and consider Sodium Bicarb 50mEq IV with base physician (may
repeat x1 if QRS remains >0.12)
QUESTION 6
Treatment for mental health crisis? - ANSWERS-Olanzapine 10mg ODT x1 (no
base contact required) and Midazolam 5mg IV/IM/IN (base contact required) max
20mg
QUESTION 7
Cardiac arrest in PEA treatment - ANSWERS-CPR! Epi (0.1mg/ml 1ml) ASAP
and can repeat Q5 min max 3mg, NS 1L rapid
If suspected hyperkalemia= 1g Ca chloride and Sodium Bicarb 50mEq
END OF
PAGE 2
, MICN LA COUNTY FINAL EXAM 2024
QUESTION 8
Cardiac arrest V.Fib/pulseless V. Tach treatment? - ANSWERS-CPR! Defib
@200J (repeat Q2 min)! Epi (0.1mg/ml 1ml, max 3 ml) after 2nd defib,
amnioderone 300 after 3rd fefib, amnioderone 150mg after 5th, NS 1L rapid
QUESTION 9
ROSC obtained on scene- when and where do we transport? - ANSWERS-After 5
minutes- to SRC
QUESTION 10
Do we transport medical cardiac arrests? - ANSWERS-No- only penetrating
traumatic! Best thing for medical cardiac arrest is high quality CPR with minimal
interruptions. Cant do that in the ambulance/transporting.
QUESTION 11
Treatment post ROSC with cardiogenic shock? - ANSWERS-If SBP <90 NS 1L
and push dose epi if no response after 250ml NS
END OF
PAGE 3
