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Diploma Paramedic Quiz sobre Primary Care Paramedic Medical Directives Version 3.2 ALS, criado por thecatspyjamaz em 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

Questão 1 de 41

1

Preencha os espaços em branco para completar o texto.

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

Explicação

Questão 2 de 41

1

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The contraindications for salbutamol are:

Explicação

Questão 3 de 41

1

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

Explicação

Questão 4 de 41

1

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The contraindications for Epinephrine under the Bronchoconstriction Medical Directive are:

Explicação

Questão 5 de 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 )

Explicação

Questão 6 de 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 )

Explicação

Questão 7 de 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 .

Explicação

Questão 8 de 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 .

Arraste e solte para completar o texto.

    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

Explicação

Questão 9 de 41

1

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

Selecione uma das seguintes:

  • 100 mcg every 4 breaths

  • 1 puff every breath

  • gradual, so as not to cause reflux hypokalemia

  • 1000 mcg every 6 breaths

Explicação

Questão 10 de 41

1

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

Explicação

Questão 11 de 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

Arraste e solte para completar o texto.

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

Explicação

Questão 12 de 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 ()

Explicação

Questão 13 de 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

Explicação

Questão 14 de 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"

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 15 de 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:

Explicação

Questão 16 de 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.

Explicação

Questão 17 de 41

1

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

Selecione uma das seguintes:

  • Epinephrine and Diphenhydramine

  • Epinephrine and Dimenhydrinate

  • Epinephrine and Salbutamol

  • Salbutamol and Benadryl

Explicação

Questão 18 de 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

Explicação

Questão 19 de 41

1

Preencha os espaços em branco para completar o texto.

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:

Explicação

Questão 20 de 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:

Explicação

Questão 21 de 41

1

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

Explicação

Questão 22 de 41

1

Epinephrine should be the first drug administered in anaphylaxis.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 23 de 41

1

Preencha os espaços em branco para completar o texto.

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

Explicação

Questão 24 de 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

Explicação

Questão 25 de 41

1

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

Selecione uma das seguintes:

  • Only one

  • 2

  • 3

  • 5

Explicação

Questão 26 de 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 ).

Explicação

Questão 27 de 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 ).

Explicação

Questão 28 de 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.

Explicação

Questão 29 de 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

Arraste e solte para completar o texto.

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

Explicação

Questão 30 de 41

1

Croup is generally the result of a:

Selecione uma das seguintes:

  • viral infection.

  • bacterial infection.

  • pneumonia.

  • genetic enzyme deficiency.

  • otherwise benign fungal spore.

Explicação

Questão 31 de 41

1

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

Explicação

Questão 32 de 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.

Explicação

Questão 33 de 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.

Explicação

Questão 34 de 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?

Selecione uma das seguintes:

  • 12

  • 11

  • 10

  • 17

  • 14

Explicação

Questão 35 de 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?

Selecione uma das seguintes:

  • 6

  • 7

  • 5

  • 9

  • 10

Explicação

Questão 36 de 41

1

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

Selecione uma das seguintes:

  • moderate croup.

  • severe croup.

  • mild croup.

  • no indication to suspect croup.

Explicação

Questão 37 de 41

1

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

Explicação

Questão 38 de 41

1

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

Explicação

Questão 39 de 41

1

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

Arraste e solte para completar o texto.

    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

Explicação

Questão 40 de 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

Explicação

Questão 41 de 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% )

Explicação

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