REMS Clinical Guidelines ACTUAL 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- -any emergency dept in the TMC
sault to: Ben Taub: has Sexual Assault Nurse Examiners (SANE)
-TCH or Hermann for peds
-Memorial Hermann and Ben Taub have forensic exams
8. Peds AED pads pt less than 8 or under 25 kg
are used on: -If pediatric pads are not available, place adult pads on anterior and posterior left
chest position and use standard AED.
9. 5 rights of med -patient
administration -route
-dose
-time
-medication
10. intoxicated, trauma, or AMS
, REMS Clinical Guidelines ACTUAL UPDATED Questions and
CORRECT Answers
Which pts re-
quire careful
monitoring of
the airway?
11. LAPSS -Age > 45
-no history of seizures and epilepsy
-symptoms duration < 24 hr
-BGL bn 60 and 400
-obvious asymmetry in: facial smile, grip strength, arm strength
12. RACE -facial palsy
-arm motor function
-leg motor function
-gaze deviation
-aphasia
-agnosia
-score greater than or equal to 5 --> LVO
13. GCS eye: 4: spontaneously
3: to command
2: to pain
1: no response
14. GCS verbal: 5: oriented, conversational
4: disoriented, conversational
3: inappropriate words
2: inappropriate sounds
1: no response
15. GCS motor 6: obeys verbal orders
5: localizes to pain
4: withdraws to pain
, REMS Clinical Guidelines ACTUAL UPDATED Questions and
CORRECT Answers
3: flexion (decorticate)
2: extension (decerebrate)
1: no response
16. Abdominal Pain, -TKO if SBP > 100 w/o hypotension symptoms
N/V, Diarrhea: IV -250 mL if SBP < 100 w/ hypotension symptoms and no signs of pulmonary
and NS dose - edema
adults
17. Abdominal Pain, -TKO if SBP < 70 + 2x age w/o hypotension symptoms
N/V, Diarrhea: IV -20 mL/kg bolus if SBP > 70 + 2x age w/ hypotensive symptoms and no signs
and NS dose - pulmonary edema
peds
18. Acute allergic re- give diphenhydramine IM
action
19. Epi dose - adults if greater than 10 kg:
0.01 mg/kg IM (max 0.5 mg)
20. Epi dose - peds 0.01 mg/kg IM (max 0.3 mg)
21. Albuterol - adults 5 mg/6 mL (2 flasks)
22. Albuterol - peds 2.5/3 mL (1 flask)
23. What is con- BGL below 60
sidered hypo-
glycemia?
24. AMS: overdose (for adults or peds > 25 kg)
suspected - Naloxone 0.4 mg IVP/IOP/IM/IN, repeat every 2-5 min (max 4 mg)
adults
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- -any emergency dept in the TMC
sault to: Ben Taub: has Sexual Assault Nurse Examiners (SANE)
-TCH or Hermann for peds
-Memorial Hermann and Ben Taub have forensic exams
8. Peds AED pads pt less than 8 or under 25 kg
are used on: -If pediatric pads are not available, place adult pads on anterior and posterior left
chest position and use standard AED.
9. 5 rights of med -patient
administration -route
-dose
-time
-medication
10. intoxicated, trauma, or AMS
, REMS Clinical Guidelines ACTUAL UPDATED Questions and
CORRECT Answers
Which pts re-
quire careful
monitoring of
the airway?
11. LAPSS -Age > 45
-no history of seizures and epilepsy
-symptoms duration < 24 hr
-BGL bn 60 and 400
-obvious asymmetry in: facial smile, grip strength, arm strength
12. RACE -facial palsy
-arm motor function
-leg motor function
-gaze deviation
-aphasia
-agnosia
-score greater than or equal to 5 --> LVO
13. GCS eye: 4: spontaneously
3: to command
2: to pain
1: no response
14. GCS verbal: 5: oriented, conversational
4: disoriented, conversational
3: inappropriate words
2: inappropriate sounds
1: no response
15. GCS motor 6: obeys verbal orders
5: localizes to pain
4: withdraws to pain
, REMS Clinical Guidelines ACTUAL UPDATED Questions and
CORRECT Answers
3: flexion (decorticate)
2: extension (decerebrate)
1: no response
16. Abdominal Pain, -TKO if SBP > 100 w/o hypotension symptoms
N/V, Diarrhea: IV -250 mL if SBP < 100 w/ hypotension symptoms and no signs of pulmonary
and NS dose - edema
adults
17. Abdominal Pain, -TKO if SBP < 70 + 2x age w/o hypotension symptoms
N/V, Diarrhea: IV -20 mL/kg bolus if SBP > 70 + 2x age w/ hypotensive symptoms and no signs
and NS dose - pulmonary edema
peds
18. Acute allergic re- give diphenhydramine IM
action
19. Epi dose - adults if greater than 10 kg:
0.01 mg/kg IM (max 0.5 mg)
20. Epi dose - peds 0.01 mg/kg IM (max 0.3 mg)
21. Albuterol - adults 5 mg/6 mL (2 flasks)
22. Albuterol - peds 2.5/3 mL (1 flask)
23. What is con- BGL below 60
sidered hypo-
glycemia?
24. AMS: overdose (for adults or peds > 25 kg)
suspected - Naloxone 0.4 mg IVP/IOP/IM/IN, repeat every 2-5 min (max 4 mg)
adults
