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SNHD Protocols Paramedic 2024: Dosage and Treatment Guidelines, Exams of Nursing

A comprehensive overview of paramedic protocols for various medical emergencies, including allergic reactions, cardiac arrest, and abdominal pain. it details dosages and treatment algorithms for adults and pediatrics, covering medications like adenosine, albuterol, amiodarone, atropine, and more. the protocols are presented in a clear, concise format, making them suitable for both educational and practical use in emergency medical settings. The information is valuable for students and professionals alike.

Typology: Exams

2023/2024

Available from 05/03/2025

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SNHD Protocols Paramedic Latest 2024
Graded A+
Adenosine
Protocols:
Action:
Dose: (Adult & Peds) for (SVT-Unstable/Stable)
Contraindications: ✔✔Protocols:
+ Tachycardia (Stable/Unstable)
Action:
+ Slows conduction through AV node; and can interrupt re-entry pathways
Adult:
+ 6mg or 12mg RIVP
+ (Stable SVT: 6mg, 12mg)
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Download SNHD Protocols Paramedic 2024: Dosage and Treatment Guidelines and more Exams Nursing in PDF only on Docsity!

SNHD Protocols Paramedic Latest 2024

Graded A+

Adenosine

Protocols:

Action:

Dose: (Adult & Peds) for (SVT-Unstable/Stable)

Contraindications: ✔✔Protocols:

  • Tachycardia (Stable/Unstable)

Action:

  • Slows conduction through AV node; and can interrupt re-entry pathways

Adult:

  • 6mg or 12mg RIVP

  • (Stable SVT: 6mg, 12mg)

  • (Unstable SVT: 12mg)

Peds:

  • 0.1-0.2 mg/kg RIVP never to exceed 12mg

  • (Stable SVT: 0.1mg/kg not to exceed 6mg; 0.2mg/kg not to exceed 12mg)

  • (Unstable SVT: 0.2mg/kg not to exceed 12mg)

Contraindications:

  • 2nd or 3rd-degree AV Block or SSS; A-Flutter; A-Fib

Albuterol

Protocols:

Dose: (Adult & Peds) ✔✔Protocols:

  • Allergic Reaction, Hyperkalemia, Respiratory Distress
  • (Cardiac Arrest) 300mg initial; 150mg after 5th shock

  • (Stable/Unstable - Wide Tachycardia) 150mg in 50cc NS over 10 minutes

Pediatric:

  • (Cardiac Arrest) 5mg/kg; may repeat once after 5th shock

  • (Stable/Unstable- Wide Tachycardia) 5mg/kg in 50cc NS over 20 minutes

Contraindications:

  • Cardiogenic shock, High-Grade AV Block

Atropine

Protocols:

Class:

Action:

Dose: ✔✔Protocols

  • Bradycardia, Organophosphate Toxicity

Class

  • Parasympathetic Blocker

Action

  • Cholinergic Blocking Agent; Increases rate of SA node discharge; Increases conduction through AV node

Adult

  • (Bradycardia) 0.5mg IVP; q 3-5 minutes; Max dose 3mg

  • (Organophosphate Toxicity) 2.0mg IV; q 15 minutes as needed

Peds

  • (Bradycardia) 0.02mg/kg; minimum dose 0.1mg; q x1 in 5 minutes

  • (Organophosphate Toxicity) 0.02mg/kg; minimum dose 0.1mg; q as needed

Calcium Chloride

Protocols:

Class:

NS Bolus for Adult Trauma (no palpable pulse) ✔✔1 Liter NS bolus

When should treatment be performed ✔✔Enroute when possible; do not delay transport

NS bolus for pediatric trauma (no palpable pulse) ✔✔NS 20mg/kg bolus

NS Bolus Adult (Abdominal Flank Pain Nausea & Vomiting) ✔✔500 ml NS bolus; may repeat up to 2 liters

Nausea or Vomiting Medications (Adult Abd. Flank/Pain N/V) ✔✔Ondansetron: 4.0mg ODT/IM/IV/IO or

Droperidol: 1.25mg IM/IV/IO or

Metoclopromide: 10mg slow IV bolus over 1-2 minutes or IM; or

Prochlorperazine: up to 10mg IV/IM/IO

Pain Management (Adult Abd/Flank Pain, N/V) ✔✔Ketamine (Not for CP/Susp. ACS or SEMI Protocols): 0.2mg/kg IM/IN/IV/IO No repeat dose

Morphine: 0.1mg/kg IM/IV/IO; max single dose 10mg. May repeat dose every 10 minutes until pain relieved or respiratory depression occurs

Fentanyl: 1.0 mcg/kg IN/IM/IV/IO; max single dose 100mcg. May repeat dose after 10 minutes.

Hydromorphone: 0.1mg/kg IM/IV/IO; max single dose 1.0mg ; May repeat dose after 10 minutes

Meds for Nausea Vomiting after pain administration (Adult Pain Management) ✔✔Ondansetron: 4.0mg ODT/IM/IV/IO or

Droperidol: 1.25mg IM/IV/IO

Metoclopramide: 10mg slow IV bolus over 1-2 minutes or IM; or

Prochlorperazine: up to 10mg IV/IM/IO

Neuro Disorders or signs of hypoperfusion/shock in the presence of abdominal pain may indicate what? ✔✔aneurysm

Pediatric Hypovolemia or witnessed vomiting NS dose ✔✔20mL/kg ; may repeat up to 60mL/kg

if suspicion of DKA do not exceed 20mL/kg

Adult Allergic Reaction; in Shock (drugs and algorithm) ✔✔Albuterol: 2.5mg SVN as needed

  • IV Access

  • 500mL bolus may repeat up to 2 Liters

Diphenhydramine: 50mg

Push-Dose Epinephrine: 1:100,00 5.0mcg-10.0mcg IV/IO may repeat every 2-5 minutes to maintain SBP >

Consider Dopamine for hypotension refractory to administration of Epinephrine: 5- 20mcg/kg/min titrated to SBP>

Notify Receiving Hospital

Pediatric Allergic Reaction evidence of airway involvement/breathing difficulties (treatment algorithm) ✔✔Epinephrine 1:1,000 0.01mg/kg IM; max single dose 0.5 mg may repeat every 5 minutes up to max of 1.5mg

Albuterol 2.5mg SVN repeat as needed

  • ventilation management; cardiac monitor, IV access

  • 20mL/kg NS bolus may repeat up to 60mL/kg

Diphenhydramine 1.0mg/kg IM/IV; max 50mg. PO: <6yo: 12.5mg; 6-12yo: 25mg; >12yo 50mg

Adult Altered Mental Status/Syncope (BGL >60) NS Bolus ✔✔Consider 500mL IV; may repeat up to 2 Liters

Adult Altered Mental Status/Syncope (BGL <60) D10 dose ✔✔25g (250mL of 10% solution) may repeat x1 in 5 minutes

Adult Altered Mental Status/Syncope (BGL <60) Glucagon Dose ✔✔1.0mg IM for no IV access

Adult Behavioral Emergency (Possible Causes) 1-5 ✔✔Hypoxia

Intoxication/Overdose

Hypoglycemia/Electrolytes

Head Injury

Post-ictal State

Adult Behavioral Emergency (Suspected Excited Delirium) ✔✔Ketamine: 2.0mg/kg IV/IO or 2- 4mg/kg IM

Adult Behavioral Emergency (Threat to others persistent risk) ✔✔Midazolam: 0.1mg/kg IN/IM/IV/IO may repeat every 5 minutes at 0.05mg/kg; or

Diazepam: 5.0mg IV/IO may repeat every 5 minutes; or

Droperidol: 1.25mg IM/IV/IO followed by saline flush or bolus; may repeat dose every 5 minutes

Dystonic Reaction Typically an adverse reaction to ✔✔Haloperidol

Dystonic Reaction Diphenhydramine dose ✔✔50mg IM/IV/IO