REMS Clinical Guidelines UPDATED Questions and CORRECT
Answers
1. Student Health 713-348-4966
Services
2. Send burns to: Memorial Hermann
3. Send chemical Memorial Hermann
exposures to:
4. Send dental hospital-based emergency department
emergencies to:
5. Send eye in- hospital-based emergency department
jury/condition to:
6. Send psych to: -Ben Taub
-Methodist
(inpatient care)
7. Send sexual as- -Ben Taub: SANE
sault to: -TCH or Hermann for peds
8. Peds pads are pt less than 8 or under 25 kg
used on:
9. 5 rights of med -patient
administration -route
-dose
-time
-medication
10. Contraindica- -risk of introducing infection
tions of IV access -distal to a fracture
-underlying cellulitis/abscess
, REMS Clinical Guidelines UPDATED Questions and CORRECT
Answers
-same extremity as AV fistula in ESRD pt
-upper extremities of pt w/ axillary node removal
11. When to stop at- after 2 min or 2 tries
tempting IV
12. Contraindica- -can't locate anatomical landmarks
tions to IO -suspected cellulitis at insertion site
-suspected acute or non-healed fracture proximal to foot in same leg or proximal
to forearm in same arm
-suspected total knee arthroplasty/replacement
-poor circulation extremity
13. IO: Pink needle 15 mm for 3-39 kg
14. IO: Blue needle 25 mm for 3 kg
15. IO: Yellow needle 45 mm for 40 kg
16. IO Complications -through and through bone penetration
-extravasation
-fracture of bone
-infection
-growth plate injury in peds
17. Which pts re- intoxicated, trauma, or AMS
quire careful
monitoring of
the airway?
18. Contraindica- SpO2 > or equal to 95
tions for O2
19. 2-6 L/min
, REMS Clinical Guidelines UPDATED Questions and CORRECT
Answers
Flow rate of nasal
cannula
20. Flow rate of neb- 6-8 L/min
ulizer
21. Flow rate of NRB 10-15 L/min
22. Flow rate of BVM 15-20 L/min
23. Criteria for -hypoxia and/or hypoventilation refractory to noninvasive airway/respiratory
Supraglottic Air- management
way -airway protection to reduce aspiration in setting of sustained AMS w/ GCS < 8
24. Contraindica- -maintain oxygenation/ventilation by less invasive methods (BVM)
tions for -intact gag reflex
Supraglottic -known esophageal disease
Airway -ingestion of caustic substance or extensive airway burns
-tracheotomy or laryngectomy
-suspected foreign body airway obstruction
25. Green king tube -cuff volume: 25-35 mL
-height: 35-45 in, 90-115 cm
26. Orange king tube -cuff volume: 30-40 mL
-height: 41-51 in, 105-130 cm
27. Yellow king tube -cuff volume: 45-60 mL
-height: 4-5 ft, 122-155 cm
-recalled for peds use, can use in adults
28. Red king tube -cuff volume: 60-80 mL
-height: 5-6 ft, 155-180 cm
Answers
1. Student Health 713-348-4966
Services
2. Send burns to: Memorial Hermann
3. Send chemical Memorial Hermann
exposures to:
4. Send dental hospital-based emergency department
emergencies to:
5. Send eye in- hospital-based emergency department
jury/condition to:
6. Send psych to: -Ben Taub
-Methodist
(inpatient care)
7. Send sexual as- -Ben Taub: SANE
sault to: -TCH or Hermann for peds
8. Peds pads are pt less than 8 or under 25 kg
used on:
9. 5 rights of med -patient
administration -route
-dose
-time
-medication
10. Contraindica- -risk of introducing infection
tions of IV access -distal to a fracture
-underlying cellulitis/abscess
, REMS Clinical Guidelines UPDATED Questions and CORRECT
Answers
-same extremity as AV fistula in ESRD pt
-upper extremities of pt w/ axillary node removal
11. When to stop at- after 2 min or 2 tries
tempting IV
12. Contraindica- -can't locate anatomical landmarks
tions to IO -suspected cellulitis at insertion site
-suspected acute or non-healed fracture proximal to foot in same leg or proximal
to forearm in same arm
-suspected total knee arthroplasty/replacement
-poor circulation extremity
13. IO: Pink needle 15 mm for 3-39 kg
14. IO: Blue needle 25 mm for 3 kg
15. IO: Yellow needle 45 mm for 40 kg
16. IO Complications -through and through bone penetration
-extravasation
-fracture of bone
-infection
-growth plate injury in peds
17. Which pts re- intoxicated, trauma, or AMS
quire careful
monitoring of
the airway?
18. Contraindica- SpO2 > or equal to 95
tions for O2
19. 2-6 L/min
, REMS Clinical Guidelines UPDATED Questions and CORRECT
Answers
Flow rate of nasal
cannula
20. Flow rate of neb- 6-8 L/min
ulizer
21. Flow rate of NRB 10-15 L/min
22. Flow rate of BVM 15-20 L/min
23. Criteria for -hypoxia and/or hypoventilation refractory to noninvasive airway/respiratory
Supraglottic Air- management
way -airway protection to reduce aspiration in setting of sustained AMS w/ GCS < 8
24. Contraindica- -maintain oxygenation/ventilation by less invasive methods (BVM)
tions for -intact gag reflex
Supraglottic -known esophageal disease
Airway -ingestion of caustic substance or extensive airway burns
-tracheotomy or laryngectomy
-suspected foreign body airway obstruction
25. Green king tube -cuff volume: 25-35 mL
-height: 35-45 in, 90-115 cm
26. Orange king tube -cuff volume: 30-40 mL
-height: 41-51 in, 105-130 cm
27. Yellow king tube -cuff volume: 45-60 mL
-height: 4-5 ft, 122-155 cm
-recalled for peds use, can use in adults
28. Red king tube -cuff volume: 60-80 mL
-height: 5-6 ft, 155-180 cm
