- | P a g e
pg. 1
SNHD PARAMEDIC PROTOCOL EXAM 2 NEWEST 2025
ACTUAL EXAM| COMPLETE 250 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) ALREADY GRADED A+| NEW!!
Abdominal/ flank pain what should be considered in women of childbearing age? - ANSWER - Pregnancy until proven otherwise
Allergic Reaction Meds for NO evidence of airway involvement? - ANSWER - Diphenhydramine 50mg IM/IV/IO/PO
Allergic Reaction
Meds for airway involvement - ANSWER - Epi 1:1000, 0.5mg IM
may repeat q15min up to max 1.5mg
Allergic Reaction Meds if no signs of shock? - ANSWER - Albuterol 2.5mg SVN, repeat as needed IV access- 500 ml NS or LR bolus; repeat up to 2000ml Diphenhydramine 50mg IM/IV/IO/PO
- / 4
- | P a g e
pg. 2 Allergic Reaction What is the first-line drug in acute anaphylaxis ? - ANSWER - Epinephrine.
IM Epi (1:1000) should be administered in priority before or during
attempts at IV or IO
Allergic Reaction What is the next step if there is refractory anaphylaxis? - ANSWER - Contact medical control
Allergic Reaction There are no absolute contraindications to episodes, but when should it be used in caution? - ANSWER - In elderly patients, patients with known cardiovascular disease, or significant tachycardia or hypertension, and only should be administered when the patients signs and symptoms are severe
Mild allergic reaction - ANSWER - Skin rashes itchy sensation hives with NO respiratory involvement
Moderate allergic reaction - ANSWER - skin disorders May include some respiratory involvement like wheezing - still maintains good tidal volume
- / 4
- | P a g e
pg. 3 Severe allergic reaction - ANSWER - skin disorders respiratory difficulty MAY include hypotension
Allergic reaction special considerations - ANSWER - Always perform ECG monitoring when administering EPI Provide oxygen and airway support as needed
Altered Mental Status BG <60mg/dl - ANSWER - Glucagon 1.0 mg IM for no IV access
Altered Mental Status BG >60mg/dl - ANSWER - Cardiac Monitoring Consider NS or LR 500ml IV/IO; may repeat up to 2000ml
Behavioral Emergency Meds for patient severely agitated - ANSWER - Ketamine 2mg/kg
IV/IO OR
2-4 mg/kg IM
Chest pain/ ACS how many minutes within patient contact should you get a 12 LEAD? - ANSWER - 5 Minutes
- / 4
- | P a g e
pg. 4 Chest pain/ ACS Nitroglycerin - ANSWER - 0.4mg SL; may repeat q5 min x2
Chest pain/ACS Nitroglycerin contraindication - ANSWER - Nitro is contraindicated in any pt with hypotension, bradycardia, tachycardia (HR>100) in the absence of heart failure, evidence of a right ventricular infarction, and use of elective dysfunction medications within last 48 hours.Caution advised in pts with inferior wall STEMI and right-sided ECG should be performed to evaluate RV infarction
Hypothermia Steps to take if pulse is present in systemic hypothermia - ANSWER - - Active warming measure -Vascular access -Cardiac monitor -NS or LR bolus; 500ml IV/IO; repeat to effect SBP >90; max 2000 ml
Hypothermia What is active warming consist of? - ANSWER - -hot packs that can be used in armpit and groin (dont place directly on skin) -Warm saline or lactated ringers may be used
Bradycardia What to not delay waiting for IV access? - ANSWER – Pacing
- / 4