Platinum Final Review – Paramedic
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Best airway adjunct to use for smoke inhalation? - CORRECT ANSWER - ET Tube
Most important info to evaluate ventilatory status - CORRECT ANSWER - - Respiratory
rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
Most important info for oxygenation status - CORRECT ANSWER - - Mental status
- Skin signs
- Pulse ox
Most important assessment when evaluating pt O2 to the brain - CORRECT ANSWER --
Airway patency
- RR
- SpO2
- Lung sounds
Next step if NRB don't work - CORRECT ANSWER - BVM
Next step for opening unresponsive pt with slow and shallow respirations - CORRECT
ANSWER - - Check mouth for secretions
- Foreign body
Ventilation rates - CORRECT ANSWER - - Adult 12-20•
,- Children 15-30 •
- Infant 25-50
Flow rates - CORRECT ANSWER - NC 2-6 LpM•
Neb 6-8 LpM
• NRB 10-15 LpM
- BVM 15 LpM
- ET tube 15 LpM
- Supraglottic 15 LpM
- CPAP 25 LpM
When to use ET tube - CORRECT ANSWER - • Cardiac arrest X 2
• Go to supraglottic
When to use supraglottic - CORRECT ANSWER - When ET tube is unsuccessful
When to use LMA / IGEL - CORRECT ANSWER - Secured to the throat via inflation
cuff (LMA) or non inflatable cuff (IGEL)
When to use CPAP - CORRECT ANSWER - CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
When to use NRB - CORRECT ANSWER - Used for pt who need more than 6LpM
Can have neb inlined
When to use BVM - CORRECT ANSWER - Used for unconscious or conscious patients •
BLS before ALS
, Anaphylaxis TX - CORRECT ANSWER - Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
Advantages and disadvantages of surgical and needle crico - CORRECT ANSWER -
Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding, subcutaneous
emphysema • Most frequent type of crico
Findings in a spontaneous pneumothorax - CORRECT ANSWER - SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
Best method to use for vomiting pt and need to tube - CORRECT ANSWER - Reduce
gastric volume Supraglottic airway
Cricoid pressure
RSI
Advantages and disadvantages of ET vs supraglottic - CORRECT ANSWER --
Supraglottic is simpler and faster than ET tube•
- ET is more complex and requires two practitioners, more equipment - - Supraglottic achieves
initial ventilation more often
- Aspiration occurs more frequently in supraglottic
Causes of pt resps being shallow after striking head while driving - CORRECT
ANSWER - C 3,4,5 innervate the diaphram and spine can be compressed
UPDATED ACTUAL Exam Questions and
CORRECT Answers
Best airway adjunct to use for smoke inhalation? - CORRECT ANSWER - ET Tube
Most important info to evaluate ventilatory status - CORRECT ANSWER - - Respiratory
rate (12-20)
- Clear bilateral lung sounds
- Auditory confirmation of breath sounds
Most important info for oxygenation status - CORRECT ANSWER - - Mental status
- Skin signs
- Pulse ox
Most important assessment when evaluating pt O2 to the brain - CORRECT ANSWER --
Airway patency
- RR
- SpO2
- Lung sounds
Next step if NRB don't work - CORRECT ANSWER - BVM
Next step for opening unresponsive pt with slow and shallow respirations - CORRECT
ANSWER - - Check mouth for secretions
- Foreign body
Ventilation rates - CORRECT ANSWER - - Adult 12-20•
,- Children 15-30 •
- Infant 25-50
Flow rates - CORRECT ANSWER - NC 2-6 LpM•
Neb 6-8 LpM
• NRB 10-15 LpM
- BVM 15 LpM
- ET tube 15 LpM
- Supraglottic 15 LpM
- CPAP 25 LpM
When to use ET tube - CORRECT ANSWER - • Cardiac arrest X 2
• Go to supraglottic
When to use supraglottic - CORRECT ANSWER - When ET tube is unsuccessful
When to use LMA / IGEL - CORRECT ANSWER - Secured to the throat via inflation
cuff (LMA) or non inflatable cuff (IGEL)
When to use CPAP - CORRECT ANSWER - CHF or drowning patients• BP > 100•
able to follow commands• Can have neb inlined if needed
When to use NRB - CORRECT ANSWER - Used for pt who need more than 6LpM
Can have neb inlined
When to use BVM - CORRECT ANSWER - Used for unconscious or conscious patients •
BLS before ALS
, Anaphylaxis TX - CORRECT ANSWER - Epi 1:1000 0.3mg IM•
If deteriorates give 1mg of epi 1;10,000 IV
Advantages and disadvantages of surgical and needle crico - CORRECT ANSWER -
Surgical
• Provides definitive airway • Less frequent
Needle
• Provides effective ventilation in presence of airway obstruction • Failure results from
inadequate exhalation via narrow tube• Leads to pneumothorax, bleeding, subcutaneous
emphysema • Most frequent type of crico
Findings in a spontaneous pneumothorax - CORRECT ANSWER - SOB
Sudden onset of sharp CP Pallor
Tachypenia
Diaphoretic
Best method to use for vomiting pt and need to tube - CORRECT ANSWER - Reduce
gastric volume Supraglottic airway
Cricoid pressure
RSI
Advantages and disadvantages of ET vs supraglottic - CORRECT ANSWER --
Supraglottic is simpler and faster than ET tube•
- ET is more complex and requires two practitioners, more equipment - - Supraglottic achieves
initial ventilation more often
- Aspiration occurs more frequently in supraglottic
Causes of pt resps being shallow after striking head while driving - CORRECT
ANSWER - C 3,4,5 innervate the diaphram and spine can be compressed
