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Lake County Protocol
Flashcards
| Question | Answer |
|---|---|
| Comprehensive Stroke Centers | St. Josephs, Shands, FHS, Tampa, Halifax |
| The START method is based on 3 observations , what are they ? | Resp. Perfusion Mental Status |
| If ST depression is seen in V1-V3 what should be checked ? | V7-V9 |
| How is a Dopamine drip mixed ? | 400mg in 250ml D5W |
| Atropine should be administered per the bradycardia protocol when the HR is under | 50 bpm |
| What are the criteria for induced hypothermia? | 18 or older , Intubated and remains comatose , no purposeful response to pain , non traumatic cardiac arrest |
| What is stand by pacing ? | 60 bpm at 0mA |
| BVM should be used on all Pt.s with inadequate ventilations less than _____ and greater than _____ | 10 30 |
| What is the dose for lasix ? | 1mg/kg Max 80mg |
| Where are the three hyperbaric chambers ? | Central FL Regional ( Sanford) , FHS , Shands |
| If a bolus of Amiodarone is given does the Pt. require a maintenance drip ? | NO |
| Delta waves are shortened P-R interval and are indicative of what accessory pathway issue ? | WPW |
| What are the intial Synch cardioversion settings for A-fib ? A-Flutter/PSVT ? V-Tach ? | A-fib 100J AFlutter/PSVT 50J VTach 100J |
| 4 Unstable criteria | Pain or discomfort of cardiac origin , Severe dyspnea , Altered mental status , Hypotension with signs of hypoperfusion |
| Which medication should be used to control shivering in the induced hypothermic Pt. .... Dose and Max dose | Versed 2mg Max 10mg |
| What are signs and symptoms of Rhabdomyolysis ? | Muscle Pain /Tenderness , Hypovolemia , Decreased urine output , Peaked T-waves |
| Cat bites might rapidly lead to infection caused by what bacteria ? | Pasteurella Multicoda |
| What is the indicatio for the use of the Crush Syndrome Protocol ? | Extremity or torso impingement injusy greater than one hour |
| What is the condition that might result from a crush injury with extended impingement ? | Rhabdomyolysis |
| A fluid bolus of _____ should be given if significant blood loss is noted following birth . Repeat until SYS BP is ______ | 250cc NS 100mmHg |
| What are the two protocols that say to use lactated ringers ? | Burns and Heat related emergencies |
| What are the classifications of burns ? | Source Degree Severity |
| When does shivering cease ? | 32C 90F |
| Do / Do not apply ice packs to snake or marine bites/stings ?? | DO NOT |
| What are Crotalines ? | Pit Vipers , Rattlesnakes , Moccasins, Copper head |
| Besides the analgesics name the two other medications associated with the pain management protocol ? | Narcan 2mg Max 8mg Zofran 4mg Max 4mg |
| What is Hyphema ? | Blood in the anterior chamber of the eye |
| What is the Max dose of Benedryl in the allergic reaction protocol ? | 25mg |
| How should EPI be given in the unstable adult allergic reaction protocol ? | SQ 0.3mg 1:1,000 IV 0.3mg 1:10,000 |
| For hypertensive crisis not related to CVA what is the end point blood pressure goal ? | 185/90 |
| Tx for hypertensive crisis should begin when the BP is over _____ Tx should continue until _____ | 230/120 and/or 185/90 and/or |
| What is the dose of Dilaudid in the adult abdominal pain protocol ? | 0.5mg |
| What type of seizures start out as focal and become generalised ? | Jacksonian |
| What is the first line medication for an adult pt. having a grand mal seizure ? | Valium 5mg Max 20mg |
| If seizures are refractoryto the first line medication what is the second choice medication ? | Versed 2mg Max10mg |
| 5 Non MI ST elevations | Pacemaker Left Vent Hypertrophy Pericarditisis LBBB Early Repolarization |
| 11 Signs and symptoms of a tension pneumothorax | JVD, Anxiety, Diminshed breath sounds, Dypsnea with cyanosis, Rapid shallow breathing, Hypotension, Cool Clammy skin, Decreased LOC, loss of consciousness, Visible deterioration, Tracheal deviation |
| CRAMPS NH | Cardiogenic, Respiratory, Anaphylactic, Metabolic, Psychogenic, Septic, Neurogenic, Hypoglycemic |