2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions)

Page 1 of 6

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 1 preview image

REMS Clinical GuidelinesQuestions2024Student Health Services-713-348-4966Send burns to:-Memorial HermannSend chemical exposures to:-Memorial HermannSend dental emergencies to:-hospital-based emergency departmentSend eye injury/condition to:-hospital-based emergency departmentSend psych to:--Ben Taub-Methodist(inpatient care)Send sexual assault to:--Ben Taub: SANE-TCH or Hermann for pedsPeds pads are used on:-pt less than 8 or under 25 kg5 rights of med administration--patient-route-dose-time-medicationContraindications of IV access--risk of introducing infection-distal to a fracture-underlying cellulitis/abscess-same extremity as AV fistula in ESRD pt-upper extremities of pt w/ axillary node removalWhen to stop attempting IV-after 2 min or 2 triesContraindications to IO--can't locate anatomical landmarks-suspected cellulitis at insertion site

Page 2 of 6

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 2 preview image

Page 3 of 6

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 3 preview image

-suspected acute or non-healed fracture proximal to foot in same leg orproximal to forearm in same arm-suspected total knee arthroplasty/replacement-poor circulation extremityIO: Pink needle-15 mm for 3-39 kgIO: Blue needle-25 mm for 3 kgIO: Yellow needle-45 mm for 40 kgIO Complications--through and through bone penetration-extravasation-fracture of bone-infection-growth plate injury in pedsWhich pts require careful monitoring of the airway?-intoxicated, trauma,or AMSContraindications for O2-SpO2 > or equal to 95Flow rate of nasal cannula-2-6 L/minFlow rate of nebulizer-6-8 L/minFlow rate of NRB-10-15 L/minFlow rate of BVM-15-20 L/minCriteria for Supraglottic Airway--hypoxia and/or hypoventilationrefractory to noninvasive airway/respiratory management-airway protection to reduce aspiration in setting of sustained AMS w/GCS < 8Contraindications for Supraglottic Airway--maintainoxygenation/ventilation by less invasive methods (BVM)-intact gag reflex-known esophageal disease-ingestion of caustic substance or extensive airway burns-tracheotomy or laryngectomy

Page 4 of 6

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 4 preview image

-suspected foreign body airway obstructionGreen king tube--cuff volume: 25-35 mL-height: 35-45 in, 90-115 cmOrange king tube--cuff volume: 30-40 mL-height: 41-51 in, 105-130 cmYellow king tube--cuff volume: 45-60 mL-height: 4-5 ft, 122-155 cm-recalled for peds use, can use in adultsRed king tube--cuff volume: 60-80 mL-height: 5-6 ft, 155-180 cmPurple king tube--cuff volume: 70-90 mL-height: >6 ft, >180 cmLAPSS--Age > 45-no history of seizures and epilepsy-symptoms duration < 24 hr-BGL bn 60 and 400-obvious asymmetry in: facial smile, grip strength, arm strengthRACE--facial palsy-arm motor function-leg motor function-gaze deviation-aphasia-agnosia-score greater than or equal to 5--> LVOGCS eye:-4: spontaneously3: to command2: to pain1: no responseGCS verbal:-5: oriented, conversational4: disoriented, conversational3: inappropriate words2: inappropriate sounds

Page 5 of 6

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 5 preview image

1: no responseGCS motor-6: obeys verbal orders5: localizes to pain4: withdraws to pain3: flexion (decorticate)2: extension (decerebrate)1: no responseAbdominal Pain, N/V, Diarrhea: AEMT response--all EMT skills-consider 12-lead EKG-consider IV access and NS admin-consider Ondansetron (call Med command)Abdominal Pain, N/V, Diarrhea: IV and NS dose-adults--TKO if SBP > 100w/o hypotension symptoms-250 mL if SBP <100 w/ hypotension symptoms and no signs of pulmonaryedemaAbdominal Pain, N/V, Diarrhea: IV and NS dose-peds--TKO if SBP < 70 +2x age w/o hypotension symptoms-20 mL/kg bolus if SBP > 70 + 2x age w/ hypotensive symptoms and nosigns pulmonary edemaOndansetron-adults-4 to 8 mg IVOndansetron-peds-0.1 mg/kg IV (max 4 mg)Allergic Reactions and Anaphylaxis: IV and NS admin-adult--TKO if SBP> 100 w/o hypotension symptoms-250 mL if SBP < 100 w/ hypotension symptoms and no signs of pulmonaryedema (repeat up to 2 L)Allergic Reactions and Anaphylaxis: IV and NS admin-peds--TKO if SBP< 70 + 2x age w/o hypotension symptoms-20 mL/kg bolus if SBP > 70 + 2x age w/ hypotensive symptoms and nosigns pulmonary edema (repeat up to 60 mL/kg)Acute allergic reaction-give diphenhydramine IMDiphenhydramine dose-adults-1 mg/kg (max 50 mg)

Page 6 of 6

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 6 preview image

Diphenhdyramine dose-peds-1 mg/kg (max 50 mg)Anaphylaxis: order of meds for adults-1. Epi IM2. Diphenhydramine IV3. Albuterol4. Methylprednisolone IVEpi dose-adults-if greater than 10 kg:0.01 mg/kg IM (max 0.5 mg)When to consult med command for epi--patient greater than 50 years old-history of heart illness-BP > 140/90-if pt less than 10 kgEpi dose-peds-0.01 mg/kg IM (max 0.3 mg)Albuterol-adults-5 mg/6 mL (2 flasks)Albuterol-peds-2.5/3 mL (1 flask)Methylpredisolone-adults-125 mg IVMethylprednisolone-peds-2 mg/kg IV (max 125 mg)Anaphylaxis: order of meds for peds-1. Epi2. Diphenhydramine3. Methylprednisolone (med command)4. AlbuterolAMS-Differentials--hypoxemia (shock)-head injury-stroke-seizure-infection-medication/alcohol-heat or cold illnessWhat is considered hypoglycemia?-BGL below 60

Preview Mode

This document has 18 pages. Sign in to access the full document!

Report

Learning Tools

Writing Tools

Browse Resources

2024 REMS Clinical Guidelines Practice Exam with Answers (190 Solved Questions) - Page 1

Study Now!

Document Details

Related Documents

PETH 410 Midterm

EPI Notes

Understanding Hemodialysis Patient Guide and Meal

Newborn Assessment Critical Thinking Map

Maternal Health Theory and Applications

Gynecological Exam

Navigating the Difficulties of Addressing Intricat

Cardiovascular 2 Handout

NCLEX Key Concepts

Understanding EKG Rhythms and Pacemaker Care NCLEX

Company

Explore

Study Tools