AMR (ICEMA) PROTOCOLS TEST QUESTIONS AND
ANSWERS
In a poisoning emergency do you bring the substance with you? - ANSWER
yes
What is the poison control hotline - ANSWER 1800 222-1222
In a poisoning emergency how much cc's of NS do you give to a patient with
inadequate tissue perfusion? and how often can you repeat it? what about
PEDS? - ANSWER 500cc until perfusion improves-ADULT
20cc/kg IVP repeat until perfusion improves
What do you do for phenothiazine poisoning? how much? do you call base
hospital? - ANSWER administer diphenhydramine 25 mg IV 50 mg IM
no base hospital contact required.
what do you administer for an organophosphate overdose? how much? and do
you need to call base hospital? - ANSWER administer Atropine 2 mg q 5
minutes if patient remains symptomatic no need to call base hospital
what do you administer for TCA toxicity? and do you need to call base
hospital? - ANSWER Sodium Bicarbonate @ 1 mEq/kg IV/IO
**BASE HOSPITAL CONTACT REQUIRED**
what do you administer for calcium channel blocker overdose? is base hospital
contact necessary? - ANSWER give Calcium Chloride @ 1 gm(10cc of a 10%
solution) IV/IO
**BASE HOSPITAL CONTACT NEEDED**
, what do you administer for beta blocker poisonings? is base hospital contact
necessary? - ANSWER give Glucagon@ 1mg IV/IO
base hospital contact necessary
what are s/s of minor heat illnesses - ANSWER environmental factors,
increased skin temperature, increased body temperature, overall weakness,
muscle cramps.
what are signs and symptoms of heat exhaustion (compensated) - ANSWER
increased temperature, vomiting, hypotension, sweating, tachycardia,
tachypnea.
what are s/s of heat stroke - ANSWER hyperthermia, ALOC, loss or reduced
perspiration, tachycardia, hypotension
heat exhaustion/ heat stroke s/s - ANSWER dehydration, increasing temp,
vomiting, hypotension, tachycardia, and tachypnea, no change in LOC
How many cc's of NS you give to a hyperthermia victim if it has s/s of impaired
tissue perfusion? how about PEDS? - ANSWER 500cc, may repeat as
necessary until signs of perfusion return-ADULT
less than 9- initial 20cc/kg IV/IO bolus, recheck and repeat bolus as necessary if
still not better
if clinically indicated,what do you administer to a hyperthermic patient? -
ANSWER 10% Dextrose 250 ml (25gm) IV/IO bolus
if the hyperthermic patient exhibits tonic/clonic seizure activity, what do you
administer - ANSWER Midazolam@ 2.5 IV/IO/IN can repeat in 5 minutes if
the seizure persists or 5mg IM may repeat in 10 minutes if the seizure persists
Mild hypothermia s/s - ANSWER reduced core temperature, cold pale
extremities, shivering and loss of fine motor function, loss of judgment and/or
aloc or simple problem solving capacity
ANSWERS
In a poisoning emergency do you bring the substance with you? - ANSWER
yes
What is the poison control hotline - ANSWER 1800 222-1222
In a poisoning emergency how much cc's of NS do you give to a patient with
inadequate tissue perfusion? and how often can you repeat it? what about
PEDS? - ANSWER 500cc until perfusion improves-ADULT
20cc/kg IVP repeat until perfusion improves
What do you do for phenothiazine poisoning? how much? do you call base
hospital? - ANSWER administer diphenhydramine 25 mg IV 50 mg IM
no base hospital contact required.
what do you administer for an organophosphate overdose? how much? and do
you need to call base hospital? - ANSWER administer Atropine 2 mg q 5
minutes if patient remains symptomatic no need to call base hospital
what do you administer for TCA toxicity? and do you need to call base
hospital? - ANSWER Sodium Bicarbonate @ 1 mEq/kg IV/IO
**BASE HOSPITAL CONTACT REQUIRED**
what do you administer for calcium channel blocker overdose? is base hospital
contact necessary? - ANSWER give Calcium Chloride @ 1 gm(10cc of a 10%
solution) IV/IO
**BASE HOSPITAL CONTACT NEEDED**
, what do you administer for beta blocker poisonings? is base hospital contact
necessary? - ANSWER give Glucagon@ 1mg IV/IO
base hospital contact necessary
what are s/s of minor heat illnesses - ANSWER environmental factors,
increased skin temperature, increased body temperature, overall weakness,
muscle cramps.
what are signs and symptoms of heat exhaustion (compensated) - ANSWER
increased temperature, vomiting, hypotension, sweating, tachycardia,
tachypnea.
what are s/s of heat stroke - ANSWER hyperthermia, ALOC, loss or reduced
perspiration, tachycardia, hypotension
heat exhaustion/ heat stroke s/s - ANSWER dehydration, increasing temp,
vomiting, hypotension, tachycardia, and tachypnea, no change in LOC
How many cc's of NS you give to a hyperthermia victim if it has s/s of impaired
tissue perfusion? how about PEDS? - ANSWER 500cc, may repeat as
necessary until signs of perfusion return-ADULT
less than 9- initial 20cc/kg IV/IO bolus, recheck and repeat bolus as necessary if
still not better
if clinically indicated,what do you administer to a hyperthermic patient? -
ANSWER 10% Dextrose 250 ml (25gm) IV/IO bolus
if the hyperthermic patient exhibits tonic/clonic seizure activity, what do you
administer - ANSWER Midazolam@ 2.5 IV/IO/IN can repeat in 5 minutes if
the seizure persists or 5mg IM may repeat in 10 minutes if the seizure persists
Mild hypothermia s/s - ANSWER reduced core temperature, cold pale
extremities, shivering and loss of fine motor function, loss of judgment and/or
aloc or simple problem solving capacity
