Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
36 Cards in this Set
- Front
- Back
"Patients with symptoms, after exposure to smoke in an _________ where cyanide exposure is suspected, should be administered hydroxocobalamin and sodium thiosulfate." |
enclosed space
|
|
"Patients with the following symptoms, after exposure to smoke in an enclosed space or exposure to cyanide, should be administered the medications listed in Table 1, if available."
|
"HACSA"
Hypotension (not from other causes) AMS Coma Seizures Arrest (respiratory or cardiac) |
|
Prior to administration of Hydroxocobalamin...
|
obtain three blood samples using the tubes provided in the cyanide toxicity kit.
|
|
Whenever Hydroxocobalamin is administered, follow with...
|
a 20 ml flush of saline prior to the administration of any other medication.
|
|
In 500AB, how many separate age groups are listed for pediatrics?
|
three
|
|
500AB
Infant/Toddler (___-___ years) _____ bottle(s) hydroxocobalamin |
0-2 years |
|
500AB
Preschool (___-___ years) _____ bottle(s) hydroxocobalamin |
3-5 years |
|
500AB
Grade School (___-___ years) _____ bottle(s) hydroxocobalamin |
6-14 years 1/2 bottle |
|
500AB
Adult (___ and over) _____ bottle(s) hydroxocobalamin |
15 years + |
|
All peds (0-14 years)
Sodium Thiosulfate Dosage |
250 mg/kg IV |
|
Adults (15 and over)
Sodium Thiosulfate Dosage |
12.5 gm IV
(150 ml) over 10 mins |
|
Hydroxocobalamin may be mixed with...
|
D5W
Saline Ringers (essentially any fluid) |
|
Hydroxocobalamin vented macrodrip tubing should be used wide open to ensure correct administration time of _____ mins. |
15 mins |
|
Sodium Thiosulfate should be prepared by adding _____ grams (_____ ml) to a _____ cc bag of D5W.
|
12.5 g
50 ml 100 cc |
|
What solution is Sodium Thiosulfate mixed with?
|
D5W
|
|
Sodium Thiosulfate comes in a _____ cc vial and is mixed with _____ cc of D5W for a total of _____ cc.
|
50
100 150 |
|
Sodium Thiosulfate is administered over ____ minutes.
|
10
|
|
Standing order Dopamine dosage in 500AB protocol. |
5-20 ug/kg/min |
|
In patients who meet the criteria set forth in protocols 500AB, begin how many IV lines?
|
2 |
|
In the event that only one IV is established, administer ______ first before ______.
|
hydroxocobalamin
sodium thiosulfate |
|
In 500AB, Dopamine or Norepinephrine are indicated in the event of continued hypotension below _____. |
90 systolic |
|
A general order given by an OMA Medical Director to perform an intervention at a location for a specific time, generally at disasters. |
Class Order |
|
The vented macro drip tubing that accompanies the Cyanokit should be used, ______, to ensure correct administration time of approximately 15 minutes for the kit. |
wide open |
|
There are ____ blood tubes included in the Cyanokit, each with a ____ ml capacity. |
3 (blood tubes)
2 (ml capacity) |
|
Name the three types of blood tubes included in the Cyanokit. |
(1) Fluoride Oxalate Whole Blood (2) K2 EDTA (3) Lithium Heparin |
|
For a One Bottle Kit, _____ ml of NS/RL/D5W should be added to the bottle. |
200 ml |
|
The smoke inhalation protocol should be utilized ONLY for the managements of symptomatic patients after exposure to _____ in an _____ and _____ is suspected. |
smoke enclosed space cyanide exposure |
|
For the Cyanide Exposure protocol, when the total patient count is _____, a Class Order is required to utilize this protocol. |
"greater than five"
(This rhetoric conflicts with criteria elsewhere in the protocols, where "five" qualifies as an MCI.) |
|
For the Cyanide Exposure protocol, when the total patient count is _____, a Class Order is NOT required to utilize this protocol. |
"five or less"
(This rhetoric conflicts with criteria elsewhere in the protocols, where "five" qualifies as an MCI.) |
|
Treatment in the hot or warm zones may be performed only by appropriately trained personnel wearing appropriate ____ as determined by the ____. |
Chemical Protective Clothing (CPC)
FDNY Incident Commander |
|
For pediatric patients, add 50ml (12.5g) of Sodium Thiosulfate to 100ml of D5W, and administer ____ ml per kilogram of the prepared solution. |
3 ml/kg
|
|
A One Bottle Kit contains _____ grams of Hydroxocobalamin in a single bottle. |
5 grams |
|
The adult dose of Hydroxocobalamin is ____ grams. |
5 grams |
|
List the three ways in which the Cyanide Exposure protocol differs from the Smoke Inhalation protocol. |
Cyanide Protocol: (1) No SpCO monitoring/CO concerns (2) Class Order for over 5 patients (3) Hot/Warm Zone; Leave the area
(otherwise essentially identical) |
|
Norepinephrine must be administered via _____ or larger IV I/O, using an IV drip chamber or other suitable metering device.
|
18 gauge |
|
What is the dosage range of norepinephrine?
|
2-20 ug/min |