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Exam (elaborations)

SNHD PROTOCOL EXAM ALL WITH COMPLETE ANSWERS

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SNHD PROTOCOL EXAM ALL WITH COMPLETE ANSWERS

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Name: Score:


101 Multiple choice questions

Term 1 of 101
what is the medication and does for an opiate overdose patient?

0.4 mg SL (EMT may assist with pt's own) , may repeat q5 min, x2 (can only be given 3
doses)

2 minutes of chest compressions and then analyze the rhythm to determine the need for
defibrillation

- scene safety
- nature of call/MOI
- PPE/BSI
- bring all equipment including broselow tape

Naloxone 2-4 mg intranasal, titrated to increase respiratory drive. may repeat to a max
dose of 10 mg

,Term 2 of 101
list the signs and symptoms of pulmonary edema/CHF

- vaginal bleeding
- abdominal pain
- seizures
- hypertension
- severe headache
- vision changes
- edema of the hands or face
- oliguria


- respiratory distress and bilateral rales
- apprehension and orthopnea
- JVD
- pink frothy sputumn
- peripheral edema
- diaphoresis
- hypertension and shock
- chest pain

- mild 90-95 degrees F
- moderate 82-90 degrees F
- severe < 82


- second degree burns >10% BSA
- ANY third degree burns
- burns involving the face, head, feet, genitalia, perineum or joints
- electrical, chemical, inhalation, and circumferential burns

,Term 3 of 101
what is the treatment for a patient when EMS witnessed the cardiac arrest?

- position patient in trendelenburg and slightly on left side
- obtain and document cord pulse
- wrap cord and keep it moist
- insert gloved hand to lift baby off cord

immediately begin chest compressions, place patient on AED and analyze the heart
rhythm to determine the need for defibrillation as soon as possible

place parent in left lateral recumbent position


Naloxone 2-4 mg intranasal, titrated to increase respiratory drive. may repeat to a max
dose of 10 mg

Term 4 of 101
what is crucial in patients who had electrical exposures?

this person does not require restraints

identifying an entrance and exit wound


oxygenation and ventilation

normal mental status, palpable radial pulse

Term 5 of 101
what basic maneuvers should be utilized in order to ensure proper ventilation?

- hypoxia
- intoxication /overdose
- hypoglycemia/ electrolytes
- head injury
- postictal state

- hypertension
- anticoagulant and antiplatelet medications

- chin lift/jaw thrust, NPA or OPS and suctioning as needed

- <13yo to sunrise hospital
- 13-18 yo to either sunrise or UMC

, Term 6 of 101
what other assessment should be performed on a patient who is experiencing an altered
mental status/syncope?

do not place the cold pack directly onto the skin

0.4 mg SL (EMT may assist with pt's own) , may repeat q5 min, x2 (can only be given 3
doses)

retroperitoneal palpation for kidney pain

neurologic exam paying attention to the head for signs of injury

Term 7 of 101
list some other signs and symptoms patients may experience with hyperkalemia

- hypoxia
- intoxication /overdose
- hypoglycemia/ electrolytes
- head injury
- postictal state

- cardiac conduction disturbances
- irritability
- abdominal distension
- nausea
- diarrhea
- oliguria
- weakness

immediately begin chest compressions, place patient on AED and analyze the heart
rhythm to determine the need for defibrillation as soon as possible

- oral glucose 15 g (if patent airway)
- D10 5 ml/kg, max single does 25 g
- glucagon 0.5 mg (<20 kg) or 1 mg (>20kg)

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