Restraint and Chemical Restraint Quiz

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Questions and Answers

What is the purpose of using chemical restraint in addition to physical restraint?

To increase the patient's energy levels

To provide pain relief to the patient

To calm down agitated patients (correct)

To induce sleep in the patient

When is the use of ketamine recommended for special population patients?

Patients over 65 years old or with head trauma (correct)

Patients with respiratory diseases

Patients who have not taken any other medication

Patients under 65 years old

In which situation should law enforcement first gain physical control of the patient according to the information provided?

When the patient is violent and agitated (correct)

When the patient has not taken any sedatives

When the patient is experiencing delirium

When the patient is over 65 years old

What are the contraindications for using ketamine?

Pregnant patients, penetrating eye injury, non-traumatic chest pain (A) Signup and view all the answers

What precautions should be taken when administering ketamine?

High flow O2, rapid IV administration, advanced airway management (B) Signup and view all the answers

What is the recommended maximum dose of ketamine for IM/IN administration?

800mg (D) Signup and view all the answers

What is the recommended intervention for laryngospasm (stridor) reaction to ketamine administration?

High flow O2 (D) Signup and view all the answers

What is the recommended intervention for hypersalivation reaction to ketamine administration?

IV/IO administration of atropine (B) Signup and view all the answers

What is the contraindication for using atropine in reaction to ketamine administration?

Bradycardia in the presence of an MI (C) Signup and view all the answers

What is the first consideration prior to using chemical restraint for a pediatric patient in a behavioral emergency?

Applying soft restraints (D) Signup and view all the answers

What signs must a pediatric patient show before considering the administration of ketamine?

Signs of puberty (D) Signup and view all the answers

What is the maximum total dose of versed recommended for intranasal administration in pediatric patients?

10 mg (A) Signup and view all the answers

What is the purpose of verifying any medication dosage intended for chemical sedation with another crew member before administration?

To prevent medication errors and enhance patient safety (A) Signup and view all the answers

What should be included in a comprehensive ALS assessment after achieving sedation according to the text?

Blood pressure monitoring (A) Signup and view all the answers

Why is it important to secure a patient to the stretcher after sedation according to the text?

To maintain patient safety and facilitate care (D) Signup and view all the answers

What is the primary consideration before resorting to chemical sedation?

Verbal de-escalation techniques (A) Signup and view all the answers

Which item is NOT considered part of the Advanced Life Support (ALS) equipment that must be prepared for use?

Cardiac defibrillator (D) Signup and view all the answers

How should the patient's weight be estimated before chemical sedation?

Using the weight listed on the patient's driver's license (D) Signup and view all the answers

What should be readily available for use when considering chemical sedation?

Blood pressure cuff and stethoscope (C) Signup and view all the answers

Study Notes

Chemical Restraint

Chemical restraint is used in addition to physical restraint to sedate patients who are aggressive or violent.

Ketamine Administration

Ketamine is recommended for special population patients, such as pediatric and geriatric patients.
Contraindications for using ketamine include:
- Age < 3 years
- Glaucoma
- Thyrotoxicosis
- Pregnancy ( Category C)
- Known hypersensitivity
Precautions when administering ketamine:
- Monitor vital signs
- Ensure oxygen and suction equipment available
- Have reversal agents available
Maximum recommended dose of ketamine for IM/IN administration: 4-5 mg/kg
Intervention for laryngospasm (stridor) reaction to ketamine administration: Manage airway and oxygenate
Intervention for hypersalivation reaction to ketamine administration: Administer atropine (contraindicated in glaucoma)

Pediatric Considerations

First consideration prior to using chemical restraint for a pediatric patient in a behavioral emergency: Verify weight and calculate dose accordingly
Pediatric patients must show:
- Severe agitation
- Aggression
- Endangering themselves or others before considering administration of ketamine
Maximum total dose of versed recommended for intranasal administration in pediatric patients: 0.5 mg/kg

Pre-Sedation Preparation

Verify medication dosage with another crew member before administration to ensure accurate dosing
Items to have readily available for use when considering chemical sedation:
- Oxygen and suction equipment
- Reversal agents
- Advanced Life Support (ALS) equipment

Post-Sedation Care

Include in a comprehensive ALS assessment after achieving sedation:
- Continuous monitoring of vital signs
- Assessment of sedation level
- Repeated assessment of airway, breathing, and circulation
Secure the patient to the stretcher after sedation to:
- Prevent injury
- Maintain patient safety

General Considerations

Primary consideration before resorting to chemical sedation: De-escalation techniques
Item NOT considered part of the Advanced Life Support (ALS) equipment that must be prepared for use: Food and water
Estimate patient's weight before chemical sedation using:
- Broccoli formula (for pediatric patients)
- Ideal body weight calculation (for adult patients)

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Description

Test your knowledge on the use of physical and chemical restraints in medical scenarios. Learn about the conditions in which chemical restraint can be used in addition to physical restraint, and the risks associated with different patient behaviors.