ALL QUESTIONS AND VERIFIED ANSWERS
If the ability to adequately ventilate a patient cannot be
established the patient should be transported to...
the nearest emergency department
Sexual assault victims <13 y/o should be transported to...
sunrise
When should you obtain vascular access in a pregnant
patient?
after birth or special placement of pt. should ALWAYs obtain
vascular access in pregnant patients
If a pregnant patient is hypo perfusing you should...
administer 500 ml NS, repeat as needed up to 2,000 ml
Steps to childbirth with normal presentation
1. puncture amniotic sac if not already ruptured
,2. deliver and support head
3. suction mouth then nose
4. deliver upper shoulder then lower shoulder
5. deliver remainder of baby
6. clamp and cut umbilical cord
7. deliver placenta
8. vascular access
For a pregnant patient with limb presentation you should...
1. place pt in left lateral recumbent position
2. vascular access
For a pregnant patient with breech presentation you should...
1. support the body of the baby during delivery of the head
2. attempt vascular access
For a pregnant pt with cord presentation you should...
1. position pt on elbows and knees with hips elevated
2. wrap cord and keep it moist
,3. insert gloved hand to lift baby off cord, obtain and
document cord pulse
4. vascular access
For a patient who is giving birth you must document...
all times: delivery, contraction duration and frequency
Record APGAR at...
1 and 5 minutes
APGAR of __________ is normal while ___________
requires resuscitative measures.
7-10
4-7
After ventilation management and c spine consideration in a
drowning pt you should...
E: O2 15 Lnrb
A: give albuterol 2.5 mg in 3.0 ml SVN and repeat until
improvement
, Should you suction the airway foam in a drowning patient?
no, bag through it initially
For drowning victims in cardiac arrest emphasis should be
on...
good oxygenation/ventilation, use traditional 30:2 CPR no
CCC
For drownings you have to fill out...
the SNHD submersion incident report form
For pt with suspected hyperkalemia (from chronic kidney
disease) you should give...
albuterol 2.5 mg in 3.0 ml continuous SVN
Generally for heat illnesses you should...
remove them from environment, measure temp, remove tight
clothing, provides passive cooling measures