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Paramedic Protocol 2018-What is the definition of Level I Treatments?***
NO BASE CONTACT NEEDED
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Paramedic Protocol 2018-Level I Treatments pg.2***
- Start IV and Administer fluids***
- Saline lock
- ET airway
- CPAP
- 12 lead ECG
- Cardiac Defib
- Cardioversion
- Pacing
- Valsalva procedure
- Forceps (Foreign Body)
- Administer 14 drugs
- IO
- glucometer, capnography, and capnometry
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Paramedic Protocol 2018-What are the 14 Level I drugs? Pg.2***
- 10% Glucose solution
- Adenosine
- Albuterol (Proventil) Beta-2 Bronchodilator
- Amiodarone
- Aspirin
- Atropine Sulfate
- (Atrovent) Ipratropium Bromide
- Epinephrine
- Fentanyl
- Lidocaine HCL (Xylocaine)
- Morphine Sulfate
- Naloxone (Narcan)
- Nitroglycerin
- Ondansetron (Zofran)
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Paramedic Protocol 2018-Adenosine Adult Dose ***
6 mg IV/IO push, may repeat in 1-2 min. with 12 mg IV/IO push. May repeat 12 mg dose in 1-2 min. for a maximum dose of 30 mg. ***
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Paramedic Protocol 2018-Adenosine Pediatric Dose ***
0.1 mg/kg IV/IO (Max dose 6 mg, may repeat x 2 in 3 min intervals with 0.2 mg/kg (Max dose 12 mg)
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Paramedic Protocol 2018-Amiodarone Adult Dose ***
VF/VT (Pulseless) 300mg IV/IO Push (over 1-2 min) Followed in 5 minutes by 150mg.
VT (with pulses) 150mg in 100ml NS over 10 minutes to max dose 450mg
PVC's 150mg in 100ml NS over 10 minutes, repeat in 5 with 150mg in 100ml NS over 10 minutes to max dose of 450mg
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Paramedic Protocol 2018-Amiodarone Peds Dose ***
Peds 5 mg/kg to 15 mg/kg max
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Paramedic Protocol 2018-Aspirin Adult Dose***
325 mg PO***
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Paramedic Protocol 2018-Atropine Adult Dose
Bradycardia: 0.5mg IV/IO to max dose of 3mg.
Organophosphate: 2mg every 5 minutes until symptoms clear.
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Paramedic Protocol 2018-Atropine Pediatric Dose
Bradycardia: 0.02 mg/kg IV/IO, may repeat in 5 min for a max dose of 1 mg for children and a max dose of 2 mg for adolescents. Minimum dose to be given is 0.1 mg
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Paramedic Protocol 2018-Albuterol (Proventil) Adult Dose
2.5 mg in 3 mL NS via nebulizer
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Paramedic Protocol 2018-Albuterol (Proventil) Pediatric Dose***
2.5 mg in 3 mL NS via nebulizer ***
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Paramedic Protocol 2018-Atrovent Adult Dose (Ipratropium Bromide)
- 500mcg premixed with 2.5mg Albuterol
- Can give every 20 minutes.
- Max dose of 3.
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Paramedic Protocol 2018-Atrovent Pediatric Dose (Ipratropium Bromide)
- 500mcg premixed with 2.5mg Albuterol
- Can give every 20 minutes.
- Max dose of 3.
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Paramedic Protocol 2018-Dextrose 10% Adult and peds Dose
5ml/kg for Adults & Peds
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Paramedic Protocol 2018-Epinephrine 1:1,000 Adult Dose
0.3 mg IM
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Paramedic Protocol 2018-Epinephrine 1:1,000 Pediatric Dose
0.01 mg/kg IM
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Paramedic Protocol 2018-Epinephrine 1: 10,000 Adult Dose
0.5-1 mg IV/IO, may repeat every 3-5 min. for non-perfusing cardiac rhythms
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Paramedic Protocol 2018-Epinephrine 1: 10,000 Pediatric Dose
0.01 mg/kg IV/IO, may repeat every 3-5 min. for non-perfusing cardiac rhythms.
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Paramedic Protocol 2018-Epinephrine Drip Adult Dose
2-8 mcg per minute
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Paramedic Protocol 2018-Epinephrine Drip Pediatric Dose
0.1- 1 mcg/kg/min IV/IO with Base Hospital Order
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Paramedic Protocol 2018-Lidocaine Bolus Adult Dose***
- 1-1.5 mg/kg IV/IO/, see comments for repeat dose.
- Repeat: 0.5-0.75 MG/KG
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Paramedic Protocol 2018-Lidocaine Bolus Pediatric Dose
1 mg/kg IV/IO
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Paramedic Protocol 2018-Lidocaine Bolus Routes & Comments Perfusing rhythms
Perfusing rhythms: Use lower end of dosing range, repeat every 7-10 min. with 0.5 mg/kg, to a max dose of 3 mg/kg.
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Paramedic Protocol 2018-Lidocaine Drip Adult Dose
1-4 mg/min.
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Paramedic Protocol 2018-Lidocaine Drip Pediatric Dose
- Base Hospital Order
- 20-50 mcg/kg/min
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Paramedic Protocol 2018-Naloxone (Narcan) Adult Dose
0.4 mg to 2 mg IV/MADD/IM
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Paramedic Protocol 2018-Naloxone (Narcan) Pediatric Dose Less than 5 yr old or less than 20kg:
0.1mg/kg IV/IO/MADD
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Paramedic Protocol 2018-Naloxone (Narcan) Pediatric Dose Greater than 5 yr old or greater than 20 kg: ***
2mg IV/IO/MADD ***
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Paramedic Protocol 2018-Nitroglycerin Adult Dose***
0.4 mg (gr 1/150) SL, may repeat every 3-5 min. as long as systolic BP remains above 90. ***
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Paramedic Protocol 2018-Nitroglycerin Pediatric Dose
Not used.
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Paramedic Protocol 2018-Nitroglycerin Routes & Comments
- Do not administer if systolic BP <90 or HR <50.
- Do not administer if it is suspected or known that the patient has taken sildenafil (Viagra) or vardenafil (Levitra) within the previous 24 hours.
- Or tadalafil (Cialis) within the previous 48 hours.
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Paramedic Protocol 2018-Ondanestron (Zofran) Adult Dose
- 4 mg PO tablet-Preferred Method
- Slow IV over 1-2 min /IM/IO. May repeat x 2 every 10 minutes to a max dose of 12mg.
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Paramedic Protocol 2018-Ondansetron (Zofran) Pediatric Dose children 4 years or younger.
Not used
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Paramedic Protocol 2018-Ondansetron (Zofran) Pediatric Dose Children over 4 years of age:
- 4 mg PO tablet-Preferred Method
- Slow IV over 1-2 min/IM/IO. Do not repeat dose.
- What are the approved drugs for MADD?
- Narcan
- Versed
- Fentanyl
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What are the contraindications of MS?
- Hypotension
- Head trauma
- Acute asthma
- known hypersensitivity to MS
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What are the precautions of MS administration?
- Elderly patients
- Children
- Debilitated patients
- Have narcan readily available
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