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ACP study notes 2010 part 2
ACP study notes 2010 part 2
18
Medical
Professional
10/26/2010

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Cards

Term
If the bradycardic patient is in a 2nd degree type II or 3rd degree heart block
Definition
Patch to BHP for orders for TCP
Term
What rate do you begin pacing with?
Definition
Set pacing rate at 80 and increase output 5-10milliamps or 10%
Term
If TCP is not available, patch the BHP for consideration of dopamine.
True or false
Definition
True
Term
Adenosine is contraindicated in the following:
Definition
pts taking Aggrenox, persantin or tegratol
Patient in a 2nd or 3rd degree heart block or known sick sinus syndrome
Sinus tach, A-fib or A flutter
Term
If wide complex regular tachycardia administer lidocane at...
Definition
1.5mg/kg repeat after 5 mins with .75 mg/kg
Term
Perform synchronized cardioversion as per BHP order. Initial shock would normally be
Definition
100 j
Term
narcan may be given to a pt who...
Definition
has GCS< 12
RR <10
and suspected narcotic OD.
Term
Naloxone may be administered (by BHP order) in an adult at a
starting dose of
Definition
0.4 mg/ IV Q5 mins to a max of 2mg
or 0.8 mg sq/iv/in
Term
Midazolam IV/IO: Dose: for seizures
Definition
0.1 mg/kg, to a maximum single dose of 5 mg. may repeat to a max of 2
Term
Paramedic may administer morphine sulfate for extremety trauma or severe burns at the following dosage
Definition
Administer 2-5 mg morphine sulfate IV initially every 5 mins to a max of 20mg
Term
contraindications to Gravol
Definition
GCS< 13,
allergy to gravol or antihistamines
antihisamine or TCA OD
Term
Dilute dimenhydrinate (Gravol) 1:9 with Normal Saline true or false
Definition
True
Term
Gravol Dosage for Nausea
Definition
For patients > 25 kg - < 49 kg, administer 25 mg
For patients >49 kg, administer 50 mg
Term
What are the indications for a Patient requiring sedation:
Definition
a) Combative patients
b) Intubated, restless patients
c) procedural sedation (e.g. cardioversion)
Term
Patient requiring sedation must be
Definition
18yrs or greater, >40kg and
sbp>100 mmhg
Term
Midazolam dosage for sedation
Definition
2-4 mg iv/im/in initially,,subsequesnt 2 mg may be given 5 mins later...max 2 doses
Term
What is the dosage of lidocanie for V-tach with a pulse
Definition
1.5 mg/kg and subsequent dose of .75mg/kg
Term
What is the dosage of midazolam bucally /IM/IN for seizures?
Definition
0.2mg/kg to a single max of 5 mg may repeat after 2 mins
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