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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
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
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? Pg.94
- 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 is a more important factor than the age in determining eligibility for CPAP? Pg.95
The size and anatomy of the patient
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-How often must vital signs must be recorded? Pg.95
Every 5 minutes
Paramedic Protocol 2018-CONTINUOUS POSITIVE AIRWAY PRESSURE-What vital signs must be recorded? Pg.95
- 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? Pg.95
NO. Must be trained in it's use.
Paramedic Protocol 2018-Can you administer Versed with CPAP?
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)
Paramedic Protocol 2018-Can you administer Versed to intubate?
No. Can utilize Versed after intubation has taken place.
Paramedic Protocol 2018-If CPAP is unavailable, what medication do you consider?
Epinephrine Adult:0.3mg IM 1:1000.