Trauma Quiz 1

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Questions and Answers

95Kg equals how manypounds?

209 (correct)

220

190

You are to give a patient 1.6 mg of narcan, your narcan on hand is 2 mg per 2ml. How many mL will you give?

1.6 (correct)

1.5

You are going to give a patient Ketorolac 25mg, it is supplied in 30mg per 1 ml how many mL are you going to give?

0.5

0.7

0.6

0.8 (correct)

What is the first step in drug dosage calculations for IV administration?

Determine the correct drug dose Signup and view all the answers

When converting a dose to match a new concentration, what should be done if the drug vial contains 8 mg/mL and the desired final concentration is 4 mg/mL?

Multiply the dose by 2 Signup and view all the answers

For heparin administration, what is used as the unit of measurement for dosing?

U/kg Signup and view all the answers

How would you calculate the initial dose of heparin for a 60 kg patient if the dose is 4500 U/kg?

27,000 U Signup and view all the answers

When administering heparin, what factor should be taken into account for dosage adjustments?

Patient's renal function Signup and view all the answers

In IV drug administration calculations, why is it important to round the calculated volume to the nearest whole milliliter?

For accuracy and patient safety Signup and view all the answers

What is the primary purpose of IV administration?

To deliver liquid medication directly into the bloodstream Signup and view all the answers

In IV drip rate calculation, why is it important to choose an IV set with a suitable drip chamber volume?

To ensure the patient receives the correct medication Signup and view all the answers

What is the drip rate unit typically used when expressing IV drip rates?

Drops per minute (DPM) Signup and view all the answers

Why is precision and accuracy in IV dosing crucial for patient care?

To avoid side effects and ensure effective treatment Signup and view all the answers

What is a critical consideration when administering heparin intravenously?

Maintaining strict aseptic technique Signup and view all the answers

What is one of the key ethical dilemmas that paramedics face in emergency care, as mentioned in the text?

Balancing patient safety with confidentiality Signup and view all the answers

Which of the following is an example of effective communication described in the text?

Providing updated information to healthcare teams Signup and view all the answers

Why is continual learning and development important for paramedics?

To stay current with best practices Signup and view all the answers

When faced with a patient expressing suicidal ideation, paramedics must prioritize:

Respecting the patient's privacy Signup and view all the answers

Which of the following statements best describes the role of communication in paramedicine?

It helps establish trust and provide accurate information. Signup and view all the answers

How do ethical dilemmas in emergency care impact paramedics' decision-making process?

They must carefully balance competing obligations. Signup and view all the answers

What is the primary reason paramedics need to develop a wide-ranging differential diagnosis skill set?

To quickly identify and manage a variety of medical conditions Signup and view all the answers

Why is it important for paramedics to consider a broad spectrum of conditions in their initial differential diagnosis process?

To prioritize interventions based on the most likely causes Signup and view all the answers

In an emergency situation, why should paramedics refine their differential diagnosis based on information like medical history and physical examination findings?

To ensure they are right in their initial diagnosis Signup and view all the answers

Why do paramedics need to continually communicate with patients and team members during emergency care?

To ensure the best possible outcomes for patients Signup and view all the answers

What role do ethical dilemmas play in the work of paramedics?

They guide paramedics in making decisions that are morally sound Signup and view all the answers

How can a paramedic's ability to navigate ethical dilemmas positively impact patient care?

By ensuring decisions are made with the patient's best interest in mind Signup and view all the answers

Study Notes

IV Administration and Dosage Calculations

IV administration is a critical medical technique that delivers liquid medication, hydration, or nutrients directly into the bloodstream.
Precise IV dosing is crucial for effective treatment, avoiding side effects, and preventing harm to the patient.

IV Drip Rate Calculation

IV drip rate refers to the flow of a solution from an IV bag into the patient's vein.
Drip rate is typically expressed in drops per minute (DPM) or milliliters per hour (mL/h).
To calculate the drip rate, follow these steps:
Determine the desired rate: Decide on the desired volume of fluid per hour the patient needs.
Select a compatible IV set: Choose an IV set with a suitable drip chamber volume that divides evenly into the desired rate.
Calculate the drip rate: Divide the total volume of the drip chamber by the time it takes to empty.

Dosage Calculations

Accurate IV dosage calculations are essential for maintaining patient safety and efficacy.
Drug dosage calculations primarily involve four steps:
Determine the correct drug dose: Consult the appropriate medical literature or drug reference guide to find the correct dose for the patient's condition and weight.
Convert the dose to the desired concentration: If the drug comes in a vial with a different concentration than the desired final concentration in the IV bag, convert the dose to match the new concentration.
Calculate the volume: Multiply the converted dose by the volume of fluid in the IV bag.
Round the volume: Round the calculated volume to the nearest whole milliliter and add a small volume buffer, usually 1-2 mL, to account for any errors or residual drug in the syringe or IV set.

Heparin Administration

Heparin is an anticoagulant that belongs to a class of medications called anticoagulants (blood thinners).
Heparin dosages are typically calculated as a unit per kilogram (U/kg) of body weight, with adjustments necessary for various patient factors.
Calculate the initial dose: Multiply the patient's weight in kilograms by the appropriate dose per kilogram.
Calculate the continuous infusion rate: Divide the initial dose by the desired duration of the heparin infusion.
Adjust the dose: Regularly monitor the patient's activated partial thromboplastin time (aPTT) and adjust the heparin dosage as needed.

Paramedicine

Paramedicine is a critical field that combines emergency medical care with rapid transportation to advanced healthcare facilities.

Differential Diagnosis

Paramedics must develop a wide-ranging differential diagnosis skill set to ensure they accurately identify and manage a variety of medical conditions.
Differential diagnosis involves considering multiple potential causes for a patient's symptoms, starting with the most common and moving towards the rarest.

Ethical Dilemmas in Emergency Care

Paramedics face numerous ethical dilemmas in emergency care, from patient confidentiality to scope of practice.

Communication with Patients and Healthcare Team

Effective communication is vital for paramedics to deliver high-quality care.
Paramedics must accurately capture the patient's medical history, symptoms, and vital signs, which they then communicate to receiving healthcare teams and other colleagues.

Continual Learning and Development

Paramedics must continually update their knowledge and skills to remain current with best practices and emerging trends in the field.

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Description

Learn about the critical medical technique of IV administration, including IV drip rate calculation, dosage calculations, and considerations for administering heparin. Enhance your knowledge on delivering liquid medication directly into the bloodstream.