Treatment Plans

Card Set Information

Author:
Ritameeker
ID:
302811
Filename:
Treatment Plans
Updated:
2015-05-16 14:57:01
Tags:
Paramedic Treatment Plan Care
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Description:
Paramedic treatment plans for common medical emergencies
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  1. Chest Pain
    • BSI / Scene Safety
    • Assess ABCs
    • O2 prn
    • Attach monitor and obtain baseline vitals while obtaining SAMPLE hx including allergies and ED medications.
    • Administer 324 mg ASA orally
    • 12 lead EKG
    • IV access
    • Reconfirm allergies and ED medications
    • Administer 0.4 mg NTG SL
    • Prepare for transport
    • Reassess including vitals and EKG
    • Consider 4.0 mg Zofran for nausea
    • Consider 2.0 - 10.0 mg Morphine or 25 - 100 mcg Fentanyl for pain and reduced cardiac workload.
    • Reassess every 5 minutes, 12 lead EKG, re-administer 0.4 mg NTG SL every 3 - 5 minutes as needed.
    • Transport to PCI center
  2. Stroke
    • BSI / Scene Safety
    • Assess ABCs
    • O2 prn
    • Attach monitor and obtain baseline vitals while obtaining SAMPLE hx including allergies.
    • 12 lead EKG
    • IV access
    • Stroke scale:
    • facial droop
    • arm drift
    • grips
    • speech
    • Time of onset of symptoms
    • BGL
    • Activate stroke alert and transport to a stroke center with CT Scan
    • Position patient and protect paralyzed extremities.
    • Reassess every 5 minutes for changes in condition, support ABCs, protect airway.
  3. Hypoglycemia
    • BSI / Scene Safety
    • Assess ABCs
    • O2 prn
    • Attach monitor and obtain baseline vitals while obtaining SAMPLE hx including allergies.
    • IV access
    • BGL
    • Administer 25g Dextrose (D50) IV
    • Reassess every 5 minutes
    • Transport while maintaining airway
    • Consider second dose of D50 if needed
  4. Seizure
    • BSI / Scene Safety
    • Assess ABCs
    • O2 prn
    • Attach monitor and obtain baseline vitals while obtaining SAMPLE hx including allergies.
    • Consider c-spine precautions
    • IV access
    • Protect patient from harming self if still seizing
    • 0.5 - 2.0 mg Ativan/Diazepam IV or 1.0 - 4.0 mg IM if IV access unavailable
  5. CHF
    • BSI / Scene Safety
    • Assess ABCs
    • O2 prn
    • Attach monitor and obtain baseline vitals while obtaining SAMPLE hx including L/S, SpO2, and ETCO2.
    • 12 lead EKG
    • IV access
    • 0.5 - 1.0 inch NTG paste
    • CPAP
    • Assess for JVD, peripheral edema
    • Consider 4.0 mg Zofran for nausea
    • Reassess frequently including L/S, quality of breathing, ETCO2, SpO2, and 12 lead EKG
  6. COPD
    • BSI / Scene Safety
    • Assess ABCs
    • O2 prn
    • Attach monitor and obtain baseline vitals while obtaining SAMPLE hx including allergies.
    • IV access
    • 12 lead EKG
    • 2.5 mL Albuterol mixed with 2 - 3 mL NS via SVN
    • Consider adding 0.5 mL Ipratropium to SVN for duo-neb
    • Transport in fowler or semi-fowler position
    • Reassess every 5 minutes for changes in condition, work of breathing, coloring, SpO2, ETCO2, 12 lead EKG
    • Have suction ready and be prepared to manage airway more aggressively if needed.

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