REAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS ) AGRADED.
____________________ burns to extremities are dangerous due to
potential vascular compromise secondary
to soft tissue swelling. -
ANSWER -circumferential
Burn patients are prone to... - ANSWER -hypothermia
Patients meeting the following criteria shall be transported to
the UMC Burn Center via the adult or pediatric trauma center: -
ANSWER -- 2nd/3rd degree burns >20 BSA - 2nd/3rd degree
burns >10 BSA in pts under 10 or over 50
- burns to hands, face, feet, genitalia, perineum or major joints
Parkland formula for fluid replacement - ANSWER -4ml x wt in
kg x % bsa burned= total fluids for 24 hrs
(give first half in
first 8 hrs)
For pediatric heat exhaustion and heat stroke you should... -
ANSWER -E: active cooling measures A: vascular access,
,NS bolus of 20ml/kg IV/IO repeat to effect age appropriate
SBP, max 60 ml/kg
Pediatric Age appropriate Systolic formula - ANSWER -
SBP>=70+2xage
For a pediatric pt with systemic hypothermia you should...
- ANSWER -E: perform active warming
A: vascular access and NS bolus 20 ml/kg IV/IO repeat to
age appropriate effect max of 60 ml/kg
For a neonate w/ HR <100, gasping, apnea, labored breathing or
cyanosis you should... - ANSWER -perform
ventilation management w/
BVM and monitor SPO2
For a neonate w/ a HR <60 you should... - ANSWER -do CPR 3:1
ratio and obtain vascular access
If a pediatric pt ingested poison or overdosed within an hour of
EMS arrival you should... - ANSWER -admin
activated charcoal 1 gm/kg PO w/ min dose 10 gm and max
dose 50 gm and consider vascular access
,For a pediatric pt opiate OD you should... - ANSWER -give
Naloxone 0.1 mg/kg IN/IM/IV may repeat to max
dose of
10 mg
For pediatric dystonic reaction you should give... - ANSWER -
Benadryl 1 mg/kg IM/IV max dose 50
Do not use Activated Charcoal if... - ANSWER -AMS, caustic,
hydrocarbon, or heavy metal ingestion
For pediatric pain management you can... - ANSWER -E:
comfort measures, positioning, splinting, ice
A: Vascular
access
Sedative and pain control agents may cause... - ANSWER -
hypotension and/or respiratory depression
For a pediatric pt with wheezing or bronchospasm you
should... - ANSWER -E: assist w/ own MDI
A: give 2.5 mg in 3.0 ml SVN albuterol repeat until
improvement and consider vascular access
, For a pediatric pt with stridor you should... - ANSWER -give
nebulizer NS SVN, provide comfort measures and
consider
vascular
access
For a pediatric pt with a history of seizures you
should... - ANSWER -E: manage ventilation
A: vascular
access
For a pediatric pt who has seized and has a bg <60 you should... -
ANSWER -give 5 ml/kg D10 IV max single
dose 250 ml or glucagon 0.5
IM for no IV access
Estimated minimun systolic is for patients... - ANSWER -age 10
and under
For pediatric pt in shock initial treatment
includes... - ANSWER -E: 15 L nrb
A: vascular
access