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Paramedic Protocol 2018-RESPIRATORY COMPROMISE-ADULT-What is indicated with minor to moderate cases of bronchospasm not responsive to albuterol?***
Epinephrine 1:1000 0.3 MG, IM
Paramedic Protocol 2018-RESPIRATORY COMPROMISE-ADULT-What can be administered to reduce myocardial workload and oxygen consumption in cases of pulmonary edema?***
nitroglycerin 0.4 MG SL
Paramedic Protocol 2018-Comments Airway: CPAP***
CPAP is approved for use on adults and children eight (8) and older. CPAP is indicated for patients who are alert, oriented, and able to follow commands. Patient must have the ability to maintain an open airway (GCS>10). BP must be above 90 systolic. Additionally two (2) of the following must exist: Respirations above 25/min; retractions or accessory muscle use; pulse ox <94%; abnormal or diminished lung sounds.
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
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What are the four signs and symptoms that two must be present?***
- RESPIRATORY RATE > 25 BREATHS PER MIN
- RETRACTIONS OR ACCESSORY MUSCLE USE
- PULSE OXIMETRY <94%
- ADVENITIOUS (ABNORMAL) OR DIMINISHED LUNG SOUNDS
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What are the five signs and symptoms that must be absent?***
- AGONAL OR ABSENT RESPIRATIONS
- SUSPECTED PNEUMOTHROAX OR PENETRATING CHEST TRAUMA
- PATIENT HAS TRACHEOSTOMY
- SYSTOLIC BP OF <90 mmhg
- RISK FOR ASPIRATION (VOMITING, EPISTAXIS, FACIAL TRAUMA)
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What is a more important factor than the age in determining eligibility for CPAP?
The size and anatomy of the patient
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-How often must vital signs must be recorded?***
Every 5 minutes
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What vital signs must be recorded?
- Respiratory rate
- Heart rate
- Blood pressure
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?
Can you administer Versed with CPAP?
What are the contraindications of CPAP?
Agonal or absent breath sounds, suspected pneumothorax or penetrating chest injury, pt. w/ tracheostomy, BP <90, aspiration risk (N/V, epistaxis, facial trauma).
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