EMT MA Protocol Quiz

CPR chest compressions rate

100-120 per minute

how long are CPR cycles

2 minutes

medication for mild distress anaphylaxis

diphenhydramine (25-50 mg)

medication for severe distress anaphylaxis

epinephrine (0.3 mg)

EMTs must contact medical control for pts over __ years of age

65

epinephrine pediatric dosage

0.15 mg (if body is over 25 kg, give adult dose- 0.3 mg)

diphenhydramine pediatric dosage

1 mg/kg for pts over 2 y/o up to 50 mg

mild distress anaphylaxis symptoms

itching, urticardia, nausea and no respiratory distress

severe distress anaphylaxis

stridor, bronchospasm, severe abdominal pain, respiratory distress, shock, tachycardia and edema of lips, tongue or face

conditions to give glucose

blood glucose levels need to be less than 70 mg/dL. dose is one tube (if pt is conscious)

glucose when pt is unconscious

glucagon 1 mg IM/IN, recheck glucose levels after 15 min, if it’s still <70 mg/dL and pt is in same condition, then give another dose

glucose administration for conscious pediatric pts

• glucose levels <70mg/dL + pt <20kg = oral glucose ½ tube

  • glucose levels <70mg/dL + pt >20kg = oral glucose 1 tube

glucose administration for unconscious pediatric pts

• pt <20 kg = 0.5 mg IM/IN

• pt >20kg = 1 mg IM/I

*may be given again if glucose level is still <70 mg/dL w continued altered mental status

olanzapine dose

10 mg ODT

risperidone dose 

2 mg ODT

respiratory distress pediatric

• mild distress: assist pt w/ inhaler/prescribed meds if not taken previously

  • severe distress: peds dose of epi

ibuprofen dosage

600 mg

acetaminophen dosage 

650-1000 mg

contraindications to ibuprofen & ketorolac

in case of: head injury, chest pain, abdominal pain, or any pt w potential bleeding, ulcer or renal dysfuntion, and pregnant women

contraindications to acetaminophen

if pt has liver failure

when is it appropriate to administer naloxone

• suspected overdose pts w/ inadequate respirations and respiratory rate (need to be ventilated)

• must be an opioid overdose, won’t work for other kinds of overdose

naloxone dosage

0.4-0.8 mg via IN or IM

ACS symptoms

diaphoresis, anxiety, restlessness, abnormal vital signs

aspirin dosage 

324 mg

nitroglycerin dosage

1 tab (0.4 mg) every 5 min, max 3 doses (only if it’s pt’s own NTG)

• sbp must be >120 mm Hg

emt standing orders for ACS

• aspirin

  • nitroglycerin if pt has it

BLS bronchodilators

• 6mo<pt<2y give albuterol (1.25 mg in 3 ml normal saline)

• pt>2y give albuterol (2.5-3 mg in 3 ml normal saline)