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SNHD AEMT Protocol Study Guide: Medications, Procedures, and Emergency Protocols, Exams of Nursing

This comprehensive study guide provides essential information on various medications, their dosages, routes of administration, and contraindications, crucial for aemt protocols. it also covers critical procedures like airway management, intubation techniques, and emergency response protocols, including handling of seizures, shock, and cardiac arrest. The guide is designed to aid students in mastering essential aemt skills and knowledge.

Typology: Exams

2024/2025

Available from 05/02/2025

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SNHD AEMT Protocol Study Guide
Rated A+
Acetylsalicylic Acid ✔✔Aspirin
Acetylsalicylic Acid (Aspirin) class ✔✔Non-steroidal anti-inflammatory (NSAID)
Acetylsalicylic Acid (Aspirin) action ✔✔Platelet inhibition
Acetylsalicylic Acid (Aspirin) dose ✔✔Adult:
324mg PO (81mg tablets x 4)
Pediatric:
not recommended for use
Acetylsalicylic Acid (Aspirin) route ✔✔PO - Chew and swallow
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SNHD AEMT Protocol Study Guide

Rated A+

Acetylsalicylic Acid ✔✔Aspirin

Acetylsalicylic Acid (Aspirin) class ✔✔Non-steroidal anti-inflammatory (NSAID)

Acetylsalicylic Acid (Aspirin) action ✔✔Platelet inhibition

Acetylsalicylic Acid (Aspirin) dose ✔✔Adult:

324mg PO (81mg tablets x 4)

Pediatric:

not recommended for use

Acetylsalicylic Acid (Aspirin) route ✔✔PO - Chew and swallow

Acetylsalicylic Acid (Aspirin) contraindications ✔✔Allergy to aspirin

Acetylsalicylic Acid (Aspirin) adverse reactions ✔✔None

Activated charcoal

Class ✔✔Adsorbent

Activated charcoal

Action ✔✔Inhibits gastrointestinal absorption of toxic substances

Activated charcoal

Dose ✔✔Adult:

50gm PO

Pediatric:

1gm/kg PO;

minimum dose 10gm

Maximum dose 50gm

Action ✔✔Bronchodilator

Albuterol (Proventil)

Dose ✔✔Both adults and pediatrics:

2.5 mg and 3 mL SVN, repeat until improved

Albuterol (Proventil)

Route ✔✔Inhalation by oxygen nebulization

Albuterol (Proventil)

Contraindications ✔✔Hypersensitivity to the drug

Albuterol (Proventil)

Adverse reactions ✔✔Tachycardia

palpitations

anxiousness

headache

Bronchodilator metered dose inhaler

Class ✔✔Sympathomimetic

Bronchodilator metered dose inhaler

Action ✔✔Bronchodilator

Bronchodilator metered dose inhaler

Dose ✔✔Both Adult and Pediatric:

Assisted patient in administering his or her own bronchodilator metered dose inhaler exactly as prescribed

Bronchodilator metered dose inhaler

Route ✔✔Inhalation

Bronchodilator metered dose inhaler

Contraindications ✔✔Hypersensitivity to the drug

Bronchodilator metered dose inhaler

1 mg/kg IM/IV

Maximum 50 mg

Diphenhydramine hydrochloride (Benadryl)

Route ✔✔IV or deep IM

Diphenhydramine hydrochloride (Benadryl)

Contraindications ✔✔Hypersensitivity to the drug

Diphenhydramine hydrochloride (Benadryl)

Adverse reactions ✔✔Sedation

palpations

decreased blood pressure headache

dries (thickens) bronchial secretions

blurred vision

Epinephrine

Class ✔✔Sympathomimetic

Epinephrine

Action ✔✔Bronchodilation

positive chronotrope

positive initrope

Epinephrine

Dose ✔✔Adult:

1:1000, 0.5 mg IM; may repeat q 15 min. Up to max 1.5 mg

pediatric:

0.01 mg/kg IM; max single dose 0.3 mg; may repeat q 15 min. Up to max 0.9 mg

Epinephrine

Route ✔✔IM

IV

ETT

SVN

positive initrope

Epinephrine Auto-injector

Dose ✔✔Both adult and pediatrics:

Assist patient with his or her own epinephrine auto-injector

Epinephrine Auto-injector

Route ✔✔IM

Epinephrine Auto-injector

Contraindications ✔✔Underlining cardiovascular disease/angina;

hypertension;

pregnancy;

patient over 40 years of age; hyperthyroidism

Epinephrine Auto-injector

Adverse reactions ✔✔Palpations due to tachycardia or ectopic beats may produce arrhythmia if cardiac disease present;

elevation of blood pressure; headache;

anxiousness

Glucagon

Class ✔✔Insulin antagonist

Glucagon

Action ✔✔Reverses the effects of hypoglycemia

Glucagon

Dose ✔✔Adult:

1 mg IM for no IV access

Pediatric:

.5 mg IM for no IV access

Glucagon

Route ✔✔IV

Pediatric:

Up to 25 gm glucose between the gum and Cheek if gag reflex is presence and as tolerated

Glucose

D50 dose ✔✔Adult:

25 gm slow IVP

Pediatric:

See specific protocol for dosing based on weight, age, and concentration

Glucose

D10 (10% dextrose in 250 ml NS) dose ✔✔Both Adult and Pediatrics:

1ml/kg max dose 250ml

Glucose

D10 (10% dextrose in 250 ml NS) route ✔✔Slow IVP

IV drip

PO

Glucose

Contraindications ✔✔None

Glucose

Adverse reactions ✔✔None

Naloxone hydrochloride ✔✔Narcan

Naloxone hydrochloride (narcan)

Class ✔✔Narcotic antagonist

Naloxone hydrochloride (narcan)

Action ✔✔Reverses effects of narcotics

Naloxone hydrochloride (narcan)

Adult Dose ✔✔0.4 - 2.0 mg

IM

IV

Naloxone hydrochloride (narcan)

Contraindications ✔✔Patient with a history of hypersensitivity to the drug; intubated patients;

the newly born during initial resuscitation

Naloxone hydrochloride (narcan)

Adverse reactions ✔✔Rapid administration causes projectile vomiting

Nitroglycerin

Class ✔✔Vasodilator

Nitroglycerin

Action ✔✔Dilated systemic arteries and veins;

reduces both preload and afterload

Nitroglycerin

Dose ✔✔Adults:

Assist patient with own nitro as prescribed; may repeat 3 times.

pediatrics:

See specific protocol

Nitroglycerin

Route ✔✔Sublingual

Spray or tablet

Nitroglycerin

Contraindications ✔✔Hypotension, systolic pressure below 100 MMHG unless ordered by physician;

Bradycardia;

Tachycardia, heart rate greater than 100 BPM;

use of Viagra (sildenafil) or similar medication within the past 24 hours;

Pediatrics, age for a destination ✔✔Less than 18 years old

Pediatrics, age for protocols ✔✔12 years old or less

Profound altered mental status ✔✔Defined as:

A deficit that includes disorientation, bewilderment, and difficulty following commands.

Implement with all respiratory distress ✔✔Pulse ox and capnography

Status epilepticus ✔✔Two or more seizures successfully without a lucid period, or a seizure lasting over five minutes

Grand mall seizures ✔✔(Generalized) are associated with loss of consciousness, incontinence, and oral trauma

Focal seizures ✔✔Affect only part of the body and are not usually associated with loss of consciousness

Hypotension defined as ✔✔BP less than 90 systolic, not always reliable, and should be interpreted in context and patients typical BP

Hypovolemic shock ✔✔Hemorrhage,

trauma,

G.I. bleeding,

ruptured aortic aneurysm,

or pregnancy related bleeding

Cardiogenic shock ✔✔Heart failure,

MI,

cardiomyopathy,

myocardial contusion,

toxins

Distributive shock ✔✔Sepsis,

anaphylaxis,