Respiratory

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  1. Paramedic Protocol 2018-RESPIRATORY COMPROMISE-ADULT-What is indicated with minor to moderate cases of bronchospasm not responsive to albuterol? Pg.75
    Epinephrine 1:1000 0.3 MG, IM
  2. Paramedic Protocol 2018-RESPIRATORY COMPROMISE-ADULT-What can be administered to reduce myocardial workload and oxygen consumption in cases of pulmonary edema? Pg.75
    Nitroglycerin 0.4 MG SL
  3. Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What criteria must be met?***
    • AGE >8 YEARS OLD
    • PATIENT ALERT, ORIENTED, AND ABLE TO FOLLOW COMMANDS
    • PATIENT HAS THE ABILITY TO MAINTAIN AN OPEN AIRWAY (GCS>10)
    • SYSTOLIC BP > 90MMHG
  4. Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What are the four signs and symptoms that two must be present? Pg.94
    • RESPIRATORY RATE > 25 BREATHS PER MIN
    • RETRACTIONS OR ACCESSORY MUSCLE USE
    • PULSE OXIMETRY <94%
    • ADVENITIOUS (ABNORMAL) OR DIMINISHED LUNG SOUNDS
  5. Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What is a more important factor than the age in determining eligibility for CPAP? Pg.95
    The size and anatomy of the patient
  6. Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-How often must vital signs must be recorded? Pg.95
    Every 5 minutes
  7. Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What vital signs must be recorded? Pg.95
    • Respiratory rate
    • Heart rate
    • Blood pressure
    • Sp02
  8. Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-Can a CPAP patient be transferred to a Paramedic that has not been trained on the use of CPAP? Pg.95
    NO. Must be trained in it's use.
  9. Paramedic Protocol 2018-Can you administer Versed with CPAP?
    No, IV/IO/MAD
  10. Paramedic Protocol 2018-What are the contraindications of CPAP?
    • AGONAL OR ABSENT RESPIRATIONS
    • SUSPECTED PNEUMOTHORAX OR PENETRATING CHEST TRAUMA
    • PATIENT HAS TRACHEOSTOMY
    • SYSTOLIC BP OF <90 MMHG
    • RISK FOR ASPERATION (VOMITING, EPISTAXIS, FACIAL TRAUMA)
  11. Paramedic Protocol 2018-Can you administer Versed to intubate?
    No. Can utilize Versed after intubation has taken place.
  12. Paramedic Protocol 2018-If CPAP is unavailable, what medication do you consider?
    Epinephrine Adult:0.3mg IM 1:1000.
Author:
engmedic19
ID:
336342
Card Set:
Respiratory
Updated:
2018-04-19 22:04:55
Tags:
engmedic19
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Description:
2018 EMS Respiratory
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