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Diploma Paramedic Quiz am Primary Care Paramedic Medical Directives Version 3.2 ALS, erstellt von thecatspyjamaz am 24/02/2016.

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Primary Care Paramedic Medical Directives Version 3.2 ALS

Primary Care Paramedic Medical Directives Version 3.2 ALS

Frage 1 von 41

1

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The conditions for salbutamol are:
AGE: N/A
LOA:
HR:
RR:
SBP: N/A
Other:

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Frage 2 von 41

1

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The contraindications for salbutamol are:

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Frage 3 von 41

1

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The conditions for epinephrine under the bronchoconstriction directive are:
AGE: N/A
LOA:
HR:
RR:
SBP:
Other:

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Frage 4 von 41

1

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The contraindications for Epinephrine under the Bronchoconstriction Medical Directive are:

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Frage 5 von 41

1

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Under the Bronchoconstriction Medical Directive Consider Salbutamol:
Weight: <( 25, 30, 20, 5 ) kg
Route: MDI
Dose: Up to ( 600, 800, 500, 700 ) mcg (( 6, 1, 4, 8 ) puffs)
Max. Single Dose: ( 600, 800, 100, 10000 ) mcg
Dosing interval ( 5, 3, 8, 10 )-( 15, 10, 8, 20 ) min. PRN
Max # of doses ( 3, 5, 7, 12 )

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Frage 6 von 41

1

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Under the Bronchoconstriction Medical Directive Consider epinephrine:
Weight: ( N/A, >25 kg, <25 kg, >50 kg )
Route: ( IM, IV, PO, SC )
Concentration: ( 1:1,000, 1:10,000, 2:20,000, 1:10 )
Dose: ( 0.01, 0.05, 0.5, 1.0 )mg/kg
Max. Single Dose: ( 0.5, 0.2, 1.0, 5.0 ) mg
Dosing interval : ( N/A, 10 min., 3-5 min., 5-15 min. PRN )
Max # of doses: ( 1, 2, 3, 6 )

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Frage 7 von 41

1

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Under the Bronchoconstriction Clinical Considerations:
should be the drug administered if the patient is .
MDI may be administered subsequently using a .

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Frage 8 von 41

1

Under the Bronchoconstriction Clinical Considerations:
Nebulizations is contraindicated in patients with a known or suspected or in the setting of a declared by the local of .

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    fever
    infection
    pnneumonia
    DNR
    febrile
    bacterial
    HIV
    water-based
    respiratory
    automimmune
    urinary tract
    gastrointestinal
    oral
    illness
    contagion
    vector
    epidemic
    pandemic
    outbreak
    situation
    uprising
    patient
    medical officer
    minister
    jurisdiction
    College of Nursing Representative
    health
    Ontario
    the Medical Advisory Committee
    Base Hospital

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Frage 9 von 41

1

Under the Bronchoconstriction Clinical Considerations:
When administering salbutamol MDI, the rate of administration should be:

Wähle eine der folgenden:

  • 100 mcg every 4 breaths

  • 1 puff every breath

  • gradual, so as not to cause reflux hypokalemia

  • 1000 mcg every 6 breaths

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Frage 10 von 41

1

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Under the Bronchoconstriction Clinical Considerations:
A should be used when administering salbutamol .

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Frage 11 von 41

1

Under the Bronchoconstriction Medical Directive Consider Salbutamol:
Weight: <25 kg
Route: Dose: 2.5 mg
Max. Single Dose:
Dosing interval min. PRN
Max # of doses

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    3
    5
    10
    1
    5-15
    4-5
    2
    2.5 mg
    5.0 mg
    50 mcg
    5.0 mcg
    NEB
    NRB
    BVM
    MDI

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Frage 12 von 41

1

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The indications for the Moderate to Severe Allergic Reaction Medical Directive:
to a
AND
and/or symptoms of a allergic reaction ()

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Frage 13 von 41

1

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Conditions for Epinephrine under the Moderate to Severe Allergic Reaction Medical Directive:
AGE:
WEIGHT: N/A
LOA:
HR:
RR:
SBP: N/A
Other: For

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Frage 14 von 41

1

The ONLY contraindication to giving a pediatric patient IM epinephrine without an autoinjector in the case of anaphylaxis according to the Moderate to Severe Allergic Reaction Medical Directive "contraindications" for Epinephrine is: "Allergy or sensitivity to epinephrine"

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 15 von 41

1

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Under the Moderate to Severe Allergic Reaction Medical Directive Consider epinephrine:
Weight:
Route: IM
Concentration: 1/
Dose: 0.01mg/kg
Max. Single Dose: mg
Dosing interval: N/A
Max # of doses:

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Frage 16 von 41

5

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According to the formula for approximate pediatric weight (kg) calculation, a 4 year old child should weigh ( 18, 15, 28, 20 ) kg.
Using this weight, the proper dose of IM epinephrine for this child according to the Moderate to Severe Allergic Reaction Medical Directive for anaphylaxis would be ( 0.18, 0.28, 0.5, 1.8 ) mg which may be rounded to the nearest ( 0.05, 1, 0.5, 0.1 ) mg, making the proper dose ( 0.2, 0.19, 0.5, 2.00 ) mg.
According to the Epinephrine 1:1000 IM Dosing Chart on page 24, the dose of epinephrine that would be given to a 4 year old child who weighs 18kg is actually ( 0.15, 0.20, 0.10, 0.18 ) mg.
However, according to the same chart, a child weighing 28 kg should receive a dose of ( 0.3, 0.5, 0.28, 0.25 ) mg.

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Frage 17 von 41

1

The two drugs administered under the Moderate to Severe Allergic Reaction Medical Directive are:

Wähle eine der folgenden:

  • Epinephrine and Diphenhydramine

  • Epinephrine and Dimenhydrinate

  • Epinephrine and Salbutamol

  • Salbutamol and Benadryl

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Frage 18 von 41

3

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Conditions for Diphenhydramine under the Moderate to Severe Allergic Reaction Medical Directive:
AGE:
WEIGHT: ≥kg
LOA:
HR: N/A
RR: N/A
SBP: N/A
Other: N/A

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Frage 19 von 41

1

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Under the Moderate to Severe Allergic Reaction Medical Directive Consider diphenhydramine (if certified and authorized):
Weight: ≥ kg to < kg
Route: or IM
Dose: mg
Max. Single Dose: mg
Dosing interval:
Max # of doses:

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Frage 20 von 41

1

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Under the Moderate to Severe Allergic Reaction Medical Directive Consider diphenhydramine (if certified and ):
Weight: ≥ kg
Route: or IM
Dose: mg
Max. Single Dose: mg
Dosing interval:
Max # of doses:

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Frage 21 von 41

1

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Patch to BHP for authorization to use pediatric auto injector for patients <( 10, 5, 12, 25 )kg

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Frage 22 von 41

1

Epinephrine should be the first drug administered in anaphylaxis.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

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Frage 23 von 41

1

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Under the Croup Medical Directive, the indications are:
r
AND
r
AND
history of
AND
B OR history of cough

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Frage 24 von 41

1

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Conditions for Epinephrine under the Croup Medical Directive:
AGE: ( <8, >8, ≤8, N/A )
LOA: ( N/A, unaltered, altered )
HR: ( <200, 60-159, ≥50, Normocardic )/min
RR: ( N/A, <10/min, absent, bradypneic )
SBP: N/A
Other: N/A

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Frage 25 von 41

1

Number of contraindications listed under the Croup Medical Directive for Epinephrine:

Wähle eine der folgenden:

  • Only one

  • 2

  • 3

  • 5

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Frage 26 von 41

1

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You are giving epinephrine to a 6 month old under the croup medical directive. Her weight is 17.7lbs or approximately ( 8, 9, 10, 12 )kg. The correct dose is ( 2.5, 0.5, 0.25, 5.0, 0.01 )( mg, g, millequivelents/cm, CC/kg, /kg ) of 1:1,000 concentration epinephrine. You can give ( 1, the second ) dose and the dosing interval is ( N/A, q5 mins, 3-5 mins, 10-15 mins ). The route you use is ( NEB, IM, MDI, IV ).

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Frage 27 von 41

1

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You are giving epinephrine to a 3 month old under the croup medical directive. Her weight is 8.8lbs or approximately ( 4, 3, 5, 6 )kg. The correct dose is ( 0.5, 5, 0.01, 2.5 )( mg, g, /kg, /min. ) of 1:1,000 concentration epinephrine. You can give ( 1, 2, unlimited ) dose(s) and the dosing interval is ( N/A, 1-3 mins, 3-5 mins, 20 mins ). The route you use is ( NEB, MDI, IM, NRM ).

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Frage 28 von 41

1

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The largest single dose of epinephrine in the PCP medical directives v3.2 is in the directive. A Primary Care Paramedic can give of 1:1000 epinephrine to a patient who meets the conditions and is ≥ year(s) old.

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Frage 29 von 41

1

Match the assessment findings with their point vales according to the Westley Croup Score chart on page 30.
Altered level of consciousness is worth point(s).
Audible inspiratory stridor with a stethoscope is worth point(s).
Severely Decreased Air Entry is worth point(s).
Cyanosis with agitation is worth point(s)
The highest score possible is point(s)
The lowest score possible is point(s)
Moderate croup is considered a score of points
Severe croup is a score of points

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    5
    6
    1
    2
    4
    17
    19
    15
    21
    0
    -5
    -10
    4-7
    3-6
    5-9
    >7
    7-19
    ≥7
    >8

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Frage 30 von 41

1

Croup is generally the result of a:

Wähle eine der folgenden:

  • viral infection.

  • bacterial infection.

  • pneumonia.

  • genetic enzyme deficiency.

  • otherwise benign fungal spore.

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Frage 31 von 41

1

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Croup is a(n) ( upper, lower, vesicular, esophageal ) ( respiratory, end-expiratory, alimentary, glial cellular ) ( infection, rupture, reflux, foramen ).

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Frage 32 von 41

1

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Croup tends to occur in children aged months to years and is most prevalent at the age of years.

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Frage 33 von 41

1

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Generally speaking, patients with ( moderate, mild, new onset, compensatory ) to ( severe, epiglottital ) croup should be considered for therapy as per the medical directive.

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Frage 34 von 41

1

You are following the croup medical directive for a patient whose stridor is audible without a stethoscope, has no retraction, has somewhat decreased air entry, cyanosis only when agitated and a GCS of 13 (this child is normally GCS 15). According the Westley Croup score, what score does this patient receive?

Wähle eine der folgenden:

  • 12

  • 11

  • 10

  • 17

  • 14

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Frage 35 von 41

1

You are following the croup medical directive for a patient whose stridor is audible with a stethoscope, has severe retraction, has severely decreased air entry, no cyanosis and a GCS of 15. According the Westley Croup score, what score does this patient receive?

Wähle eine der folgenden:

  • 6

  • 7

  • 5

  • 9

  • 10

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Frage 36 von 41

1

Your croup patient has a Westley Croup Score of 7. According to ALS, they would be considered to have:

Wähle eine der folgenden:

  • moderate croup.

  • severe croup.

  • mild croup.

  • no indication to suspect croup.

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Frage 37 von 41

1

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Indications for Continuous Positive Airway Pressure (CPAP) Medical Directive - Auxiliary:
S
AND
and/or of OR

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Frage 38 von 41

1

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Conditions for Continuous Positive Airway Pressure (CPAP) Medical Directive - Auxiliary
AGE: ≥ years
LOA:
HR:
RR:
SBP:
Other: <% or

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Frage 39 von 41

1

Contraindications for CPAP
Asthma
Suspected
Unprotected or unstable
Major to the
ostomy
Inability to
Unable to

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    exacerbation
    without prior Hx
    without relief from nebulized salbutamol
    pneumothorax
    tension pneumothorax
    spontaneous hemothorax
    airway
    mandible
    cervical spine
    trauma or burns
    stroke
    extremity deformity
    facial asymmetry
    head or torso
    neck and chest
    lung apices
    Trache
    laryng
    gastr
    pharyng
    sit upright
    communicate verbally
    ventilate
    position airway
    cooperate
    open mouth
    administer salbutamol
    diagnose cause

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Frage 40 von 41

1

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Consider CPAP:
Initial setting ( 5, 2.5, 3, 10, 15 ) cm H2O or equivalent flow rate of device as per BH direction.
( Titration, Amplitude, Concentration, Adjustment ) ( increment, level, period, parameters ) ( 2.5, 3, 5, 10, 0.5 ) cm H2O or equivalent flow rate of device as per BH direction.
( Titration, Timing, Cutoff, Rest ) ( interval, period, zone, timeframe ) ( 5, 30, 90, 15 ) ( min, secs, hours, breaths ).
Max. ( setting, suction, resistance, power ) ( 15, 30, 45, 5 ) cm H2O or equivalent flow rate of device as per BH direction

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Frage 41 von 41

1

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Under the treatment section of the Continuous Positive Airway Pressure Medical Directive:
Consider increasing FiO2 (if available):
Initial FiO2: ( 50, 10, 25, 95 )-( 100, 20, 90, 65 )%
FiO2 increment (if available on device) SpO2 ( <92%, ≥92%, >92%, ≤92%, 93% ) despite treatment and/or ( 10, 2.5, 8, 5, 25 ) cm H2O pressure or equivalent flow rate of device as per BH direction.
Max FiO2: ( 100%, 25lpm, N/A, 94-99% )

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