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