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Questions and Answers
According to the protocol, what initial action should be taken for a patient suspected of drug overdose or alcohol-related emergency?
According to the protocol, what initial action should be taken for a patient suspected of drug overdose or alcohol-related emergency?
- Administer Narcan 2mg IV push.
- Consult Poison Control immediately.
- Obtain a blood glucose reading. (correct)
- Prepare for immediate transport.
Under what condition should Naloxone (Narcan) be considered for a patient with suspected drug overdose?
Under what condition should Naloxone (Narcan) be considered for a patient with suspected drug overdose?
- If the patient has a known allergy to opioids.
- If the patient is alert and oriented.
- If the blood glucose level is greater than 100.
- If the respiratory rate is less than 12. (correct)
What is the recommended initial dose and route of administration for Naloxone (Narcan) according to the protocol?
What is the recommended initial dose and route of administration for Naloxone (Narcan) according to the protocol?
- 4mg IV
- 1mg IM
- 2mg IN (correct)
- 8mg IO
A patient with altered mental status has a blood sugar level of 50. According to the protocol, what treatment should be administered?
A patient with altered mental status has a blood sugar level of 50. According to the protocol, what treatment should be administered?
If IV access cannot be established for a patient with low blood sugar, what alternative medication and route should be considered?
If IV access cannot be established for a patient with low blood sugar, what alternative medication and route should be considered?
According to the protocol, under what circumstances should you consider administering oral glucose?
According to the protocol, under what circumstances should you consider administering oral glucose?
A patient is suspected of a narcotic overdose and has already received 6mg of Naloxone with no improvement in respiratory effort. What should be the next course of action?
A patient is suspected of a narcotic overdose and has already received 6mg of Naloxone with no improvement in respiratory effort. What should be the next course of action?
What is an important consideration when administering Naloxone (Narcan) to a patient suspected of narcotic overdose?
What is an important consideration when administering Naloxone (Narcan) to a patient suspected of narcotic overdose?
When should a cardiac monitor 12-lead ECG be obtained for a patient experiencing a drug overdose or alcohol-related emergency?
When should a cardiac monitor 12-lead ECG be obtained for a patient experiencing a drug overdose or alcohol-related emergency?
For a pediatric patient experiencing an altered level of consciousness, which protocol should be followed?
For a pediatric patient experiencing an altered level of consciousness, which protocol should be followed?
Flashcards
Poison Control Number
Poison Control Number
Call this number for poison control: (800) 222-1222
Initial steps for overdose
Initial steps for overdose
Check blood glucose and cardiac monitor to do 12-Lead ECG
Naloxone for overdose
Naloxone for overdose
If respiratory rate is less than 12, consider Naloxone 2mg IN
Administering Naloxone
Administering Naloxone
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Low blood sugar treatment
Low blood sugar treatment
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Treating hypoglycemia
Treating hypoglycemia
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Study Notes
- Medical Protocol 42 covers adult drug overdose, emergencies related to alcohol, and poisoning cases.
- For poison control, the number to call is (800) 222-1222.
- The protocol is for Basic EMT, Intermediate EMT, & Paramedic levels
Initial Medical Care
- Obtain a blood glucose reading.
- If available, use a cardiac monitor for a 12-lead ECG.
Suspected Narcotic Overdose
- If a narcotic or synthetic narcotic overdose is suspected and the respiratory rate is less than 12, consider administering Naloxone (Narcan) 2mg IN.
- Administer Naloxone (Narcan) 2mg IV/IO/IM/IN, considering restraints prior to administration.
- Naloxone may be repeated every 5 minutes as necessary, up to a total of 6mg.
Altered Consciousness or Low Blood Sugar
- If there is an altered level of consciousness and the cause is unknown, OR if blood sugar level is less than 60, take the following steps.
- If the patient is awake and can tolerate PO (oral) intake, administer small amounts of oral glucose.
- Alternatively, consider Glucagon 1mg IN if available.
- If blood sugar level is less than 60, administer 50% Dextrose 50ml IV/IO OR Glucagon 1mg IM/IN if an IV cannot be established.
- Transport the patient after these interventions.
- For pediatric patients, refer to the Pediatric Altered Level of Consciousness/BRUE Protocol #71.
- This protocol was revised on 12/01/21 and became effective on 05/01/98.
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