Kern County Protocols (Updated 2024) Questions With Complete Solutions

For hypotensive pts after standard treatments fail to improve blood pressure. {Ans: Use push dose epinephrine: ➢Begin with an empty 10mL syringe and apply a medication label to indicate push dose epinephrine. ➢ Withdraw 1 mL of 0.1 mg/mL preparation (cardiac epinephrine 1:10,000) ➢ Withdraw 9 mL of normal saline. Shake well. ➢ Mixture now provides 10 mL of epinephrine at a 10 mcg/mL concentration. ➢ Push Dose: 0.5 mL (5 mcg) IV/IO, every 1-5 minutes.}Hyperventilation {Ans: -lowers intracranial pressure (ICP) by the induction of cerebral vasoconstriction with a subsequent decrease in cerebral blood volume. -The downside of hyperventilation, however, is that cerebral vasoconstriction may decrease cerebral blood flow to ischemic levels.}BRUE usually occurs in {Ans: Infants less than 12months Any child under the age of 2 with the described symptoms may be considered a BRUE}Serious signs and symptoms for brady pt: {Ans: •Chest pain • Shortness of breath • Decreased LOC • Fatigue • Weak, dizzy, lightheaded • Syncope • Hypotension • CHF • Ventricular escape rhythms}Brief Resolved Unexplained Event (BRUE) {Ans: -Vitals -Primary and secondary assessment -Complete HX of the event(duration, severity, pt awake, asleep what resuscitative measures where done.) -Past med HX: