Medical Protocol Important Numbers

Explanation
The correct answer is 1 because when a diabetic patient with AMS (Altered Mental Status) is given oral glucose, it is important to administer it cautiously. Giving too much glucose can cause a rapid increase in blood sugar levels, which can further worsen the patient's AMS. Therefore, it is recommended to administer only one dose of oral glucose to prevent any complications.

Explanation
According to the NYS standing order, the maximum number of times you may administer an Epi-pen auto-injector to a patient who is prescribed one and is suffering from an anaphylactic reaction is 1.

Explanation
Nitroglycerine is a medication used to treat angina, a condition characterized by chest pain due to reduced blood flow to the heart. Nitroglycerine works by dilating the blood vessels, which helps to increase blood flow and relieve chest pain. However, nitroglycerine can cause a drop in blood pressure, so it is contraindicated in patients with low blood pressure. Therefore, the minimum systolic blood pressure a patient must have in order to be assisted with nitroglycerine is 120 mmHg, as this indicates that the patient has a relatively normal blood pressure and can safely tolerate the medication.

Explanation
Nitro is a medication used to treat chest pain or angina by relaxing and widening blood vessels. It can cause a dangerous drop in blood pressure when combined with erectile dysfunction drugs such as Viagra, Levitra, or Cialis. Therefore, as a precautionary measure, patients should not be given nitro if they have taken an erectile dysfunction drug within the past 3 days to avoid potential complications.

Explanation
After administering one dose of nitro, it is recommended to re-check the blood pressure within 2 minutes. This is because nitroglycerin, commonly referred to as nitro, is a medication used to treat angina (chest pain) by relaxing and widening blood vessels, which helps to improve blood flow and reduce blood pressure. By re-checking the blood pressure within 2 minutes, healthcare providers can assess the effectiveness of the medication and make any necessary adjustments to the dosage or treatment plan.

Explanation
The correct dosage for administration of aspirin in the NYS Adult Cardiac-related problem protocol is 324 mg. This dosage is commonly recommended for patients experiencing cardiac issues, as it helps to prevent blood clot formation and reduce the risk of heart attacks. The other options of 4 mg, 81 mg, and 162 mg are not typically used for this purpose and may not provide the desired therapeutic effect.

Explanation
The correct answer is 5 because each dose of nitroglycerine should be given no less than 5 minutes after the previous dose. This is to ensure that the medication has enough time to take effect and that the patient does not experience any adverse reactions or overdose. Following the prescribed time interval helps maintain the effectiveness and safety of the medication.

Explanation
The Nebulized Albuterol special consideration protocol applies to patients who are between the ages of one and 65 years old. This means that patients who are younger than one or older than 65 years old would not fall into this protocol. The protocol is specifically designed for individuals within this age range to ensure appropriate use and effectiveness of Nebulized Albuterol treatment.

Explanation
The correct answer is 0.083%. This means that the dosage of albuterol prepared for aerosolization is 0.083% per unit.

Explanation
The correct answer is 2. This means that there is a specific maximum limit to the total doses of albuterol that can be administered per standing order. The standing order likely provides a specific number of doses that can be given, and the maximum is set at 2. This indicates that there is a limit to the amount of albuterol that can be administered, and it cannot exceed 2 doses.

Explanation
The correct answer is 4-6. This range indicates the flow rate, in liters per minute (LPM), that the nebulizer should be set to in order to administer albuterol. It is important to have the correct flow rate to ensure that the medication is delivered effectively to the patient's airways.

Explanation
When assessing pronator drift in a patient suspected of having a CVA, the patient must hold their arms out for 10 seconds with their eyes closed. This is the appropriate duration to observe any abnormal pronation or drift of the arm, which can indicate a stroke or cerebral vascular accident (CVA). Holding the arms out for a shorter duration may not provide enough time to detect any abnormalities, while holding them out for longer may cause fatigue and affect the accuracy of the assessment.

Explanation
The correct answer is 20,20,20. According to the Chemical Burns protocol, if liquid chemical is spilled onto the skin, it should be flushed for at least 20 minutes. If dry powder is spilled onto the skin, it should also be flushed for at least 20 minutes. If the eye is contaminated, it should be flushed for at least 20 minutes as well.

Explanation
The correct answer is 12-15. This flow rate in liters per minute (LPM) is necessary to provide sufficient oxygen to a patient in respiratory distress. A non-rebreather mask is a device used to deliver high concentrations of oxygen and is commonly used in emergency situations. The flow rate of 12-15 LPM ensures that an adequate amount of oxygen is supplied to the patient, helping to improve their breathing and oxygenation levels.

Explanation
The correct answer is 6. When administering oxygen to a patient using a nasal cannula, the flow rate should be set to 6 liters per minute (LPM). This is the standard flow rate for a nasal cannula and provides a sufficient amount of oxygen for the patient's needs.