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SNHD PARAMEDIC PROTOCOL EXAM AND STUDY
GUIDE EXAM NEWEST 2025 TESTBANK| COMPLETE
300 QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+| BRAND
NEW!!
What is the purpose of the manual? - ANSWER - To provide guidance for all prehospital care providers and emergency department physicians within the Clark County EMS system
What is the goal of the manual? - ANSWER - To standardize prehospital patient care in Clark County.
The protocols are - ANSWER - Guidelines, nothing contained in these protocols shall be constructed to expand the scope of practice of any licensed attendant beyond that which is identified in the CC Emergency Medical Services Regulations and these protocols
Allergic reaction history - ANSWER - Onset and location, insect sting or bite, food allergy/exposure, medication allergy/exposure, new clothing/soap/detergent, past history of reactions, past medical history, medication history
Allergic reaction signs and symptoms - ANSWER - Itching or hives, coughing/wheezing or respiratory distress, throat or chest constriction, difficulty swallowing, hypotension/shock, edema, nausea/vomiting
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pg. 2 Allergic reaction differential - ANSWER - Urticarial (rash only), anaphylaxis (systemic effect), shock (vascular effect), angioedema (drug induced), aspiration/airway obstruction, asthma/COPD, CHF
Allergic reaction recommended exam - ANSWER - Mental status, skin, heart, lung
Allergic reaction pearls - ANSWER - Epinephrine is a first-line drug that should be administered in acute anaphylaxis (moderate/severe
symptoms). IM epi (1:1000) should be administered in priority before or
during attempts at IV or IO access Contact medical control for refractory anaphylaxis Consider ETCO2 monitoring Hypovolemia or distributive shock should be addressed with a fluid bolus prior to the administration of pressors Epinephrine should be used with caution in elderly patients, patients with known cardiovascular disease, or significant tachycardia or hypertension, and should be administered only when the patient's signs and symptoms are severe
Allergic reaction severity - ANSWER - Mild: Involve skin rashes, itchy
sensation, or hives with no respiratory involvement
Moderate: involve skin disorders and may include some respiratory
involvement like wheezing, yet the patient still maintains good tidal volume air exchange
Severe: involve skin disorders, respiratory difficulty, and may include
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Allergic reaction special considerations - ANSWER - Always perform ECG monitoring when administering Epi Consider dopamine for hypotension refractory to administration of Epi Provide oxygen and airway support as needed
Bradycardia 1 - ANSWER - General adult assessment Vascular access Cardiac monitor/12 lead ECG -> STEMI -> *acute coronary syndrome (suspected) -signs of hypotension, AMS, Shock -> consider transcutaneous pacing -> consider atropine 0.5 mg IVP/IO; may repeat q 3-5 min; max dose 3 mg
Bradycardia 2 - ANSWER - HR<50 bpm and ANY of the following:
hypoperfusion; altered mental status; signs of shock
No: observe transport
Yes: continue
Bradycardia 3 - ANSWER - Atropine 0.5 mg IVP/IO; may repeat q 3-5 min; max dose 3 mg Responsive to atropine -> repeat 12 lead notify receiving hospital Refractory-> next step
Bradycardia 4 - ANSWER - Transcutaneous pacing -Failure to capture -> 3 / 4
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pg. 4 Push dose phenylephrine 100 mcg-200mcg IV/IO, may repeat q 2-5 min to maintain SBP>90 (1 ml-2 ml of a 100 mcg/ml solution) Consider dopamine 5-10 mcg/kg/min IV/IO; titration to SBP >90, max dose 20 mcg/kg/min Consider Glucagon 1 mg IV/IO for patients on beta blocker Calcium chloride 1 g IV/IO for patients on calcium channel blockers Notify receiving hospital
Bradycardia recommended exam - ANSWER - Mental status, HEENT, heart, lung, neuro
Bradycardia history - ANSWER - Past medical history, medications, pacemaker
Bradycardia signs and symptoms - ANSWER - HR < 60/min with hypotension, acute AMS, chest pain, acute CHF, seizure, syncope, or shock secondary to bradycardia Respiratory distress
Bradycardia differential - ANSWER - Acute MI, hypoxia, pacemaker failure, hypothermia, sinus bradycardia, athletic, head injury (elevated ICP) or stroke, spinal cord lesion, AV block, overdose
Bradycardia pearls - ANSWER - Bradycardia causing symptoms is typically <50/min. Rhythm should be interpreted in the context of
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