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Questions and Answers
According to the protocol, what is the initial step after assessing the level of consciousness in an adult coma of unknown origin?
According to the protocol, what is the initial step after assessing the level of consciousness in an adult coma of unknown origin?
- Administering oral glucose PO.
- Considering spinal immobilization.
- Obtaining a blood glucose reading. (correct)
- Administering naloxone 2mg IV/IO/IM/IN.
For an adult patient in a coma of unknown origin, the protocol advises considering glucagon 1mg IN if oral glucose cannot be administered. Under what other condition should glucagon be considered?
For an adult patient in a coma of unknown origin, the protocol advises considering glucagon 1mg IN if oral glucose cannot be administered. Under what other condition should glucagon be considered?
- If the patient is hypotensive.
- If the patient has a history of diabetes.
- If dextrose is unavailable. (correct)
- If the patient's respiratory rate is below 12.
If an adult patient in a coma of unknown origin has a blood sugar level less than 60 and is awake and able to tolerate PO intake, what intervention is indicated?
If an adult patient in a coma of unknown origin has a blood sugar level less than 60 and is awake and able to tolerate PO intake, what intervention is indicated?
- Administer 50% dextrose 50ml IV/IO.
- Administer naloxone 2mg IV/IO/IM/IN.
- Administer glucagon 1mg IM/IN.
- Administer small amounts of oral glucose PO. (correct)
According to the protocol for adult coma of unknown origin, when is naloxone (Narcan) 2mg IN considered?
According to the protocol for adult coma of unknown origin, when is naloxone (Narcan) 2mg IN considered?
An adult patient in a coma of unknown origin has received an initial dose of naloxone. According to the protocol, how often can this dose be repeated, if necessary?
An adult patient in a coma of unknown origin has received an initial dose of naloxone. According to the protocol, how often can this dose be repeated, if necessary?
In the adult coma protocol, what should be done concurrently with monitoring the patient’s neuro status and vital signs?
In the adult coma protocol, what should be done concurrently with monitoring the patient’s neuro status and vital signs?
When administering Naloxone to a patient, what consideration is specifically mentioned in the protocol?
When administering Naloxone to a patient, what consideration is specifically mentioned in the protocol?
According to the protocol, what is the next step after initial medical care for a pediatric patient with an altered level of consciousness?
According to the protocol, what is the next step after initial medical care for a pediatric patient with an altered level of consciousness?
A paramedic is called to the scene of an adult found unresponsive. There is no history of trauma. After assessing the patient's level of consciousness, what is the paramedic's next action according to this protocol?
A paramedic is called to the scene of an adult found unresponsive. There is no history of trauma. After assessing the patient's level of consciousness, what is the paramedic's next action according to this protocol?
What is the first step in managing an adult patient in a coma of unknown origin?
What is the first step in managing an adult patient in a coma of unknown origin?
Flashcards
Glasgow Coma Scale
Glasgow Coma Scale
A scale used to assess a patients level of consciousness based on eye opening, verbal response, and motor response.
Low blood sugar treatment
Low blood sugar treatment
If blood sugar is less than 60 mg/dL, administer oral glucose (if the patient can tolerate PO intake), glucagon, or 50% dextrose.
Respiratory rate <12
Respiratory rate <12
If respiratory rate is less than 12, consider naloxone.
Ongoing Monitoring
Ongoing Monitoring
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Naloxone (Narcan)
Naloxone (Narcan)
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Study Notes
- Protocol 43 addresses adult patients experiencing a coma of unknown origin, with no history of trauma.
- The protocol is for Basic, Intermediate and Paramedic levels.
Initial Medical Care
- Assess the patient's level of consciousness using the Glasgow Coma Scale.
- Obtain a blood glucose reading. If the blood sugar level is less than 60, proceed with interventions.
- If the patient is awake and can tolerate PO intake, administer small amounts of oral glucose PO.
- If unable to take orally glucagon can be considered at 1mg IN
- If IV access is available, administer 50% dextrose 50 ml IV/IO.
- If IV access cannot be established, administer glucagon 1 mg IM/IN.
- If respiratory rate is less than 12, consider naloxone (Narcan) 2 mg IN.
- Administer naloxone (Narcan) 2 mg IV/IO/IM/IN, considering restraints prior to administration.
- Naloxone may be repeated every 5 minutes as necessary, up to 6 mg.
- Monitor neuro status and vital signs. Consider spinal immobilization, if indicated, and protect the airway.
- Transport the patient.
- For pediatric patients, refer to the Pediatric Altered Level of Consciousness/BRUE Protocol #71.
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