IV access, fluid selection, drip calculations and commonly used paramedic medications with doses.
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- In IV catheter sizing, what does a larger gauge number mean for the needle diameter?
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A smaller diameter (higher gauge number = thinner needle)
- Which catheter gauge range is preferred for trauma or rapid fluid resuscitation?
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14-16 gauge
- Which catheter gauge range is typically used for fragile or pediatric veins?
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22-24 gauge
- What is a common drop factor for standard macrodrip IV tubing?
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10, 15, or 20 gtts/mL
- What is the drop factor for microdrip IV tubing?
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60 gtts/mL
- What is the composition of normal saline used in EMS IV therapy?
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0.9% sodium chloride in water
- Which common IV fluid contains potassium and should be used cautiously in renal failure?
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Lactated Ringer's
- What is D5W (5% dextrose in water) primarily used for in prehospital care?
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As a vehicle for IV medications, not for volume resuscitation
- Why is D5W a poor choice for volume resuscitation in hypovolemic shock?
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The free water quickly redistributes out of the vascular space instead of staying intravascular
- What are the preferred IV access sites in an adult patient?
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The antecubital fossa, forearm, or dorsal hand veins
- When is intraosseous (IO) access indicated in the field?
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When peripheral IV access cannot be quickly obtained in an emergency, such as cardiac arrest
- What are common insertion sites for intraosseous (IO) access?
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Proximal tibia, distal tibia, or proximal humerus
- What is the purpose of applying a tourniquet before starting a peripheral IV?
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To engorge the vein and make it more visible and palpable
- What are signs of IV infiltration?
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Swelling, coolness, and pain at the IV site with no blood return
- What are signs of phlebitis at an IV site?
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Redness, warmth, and tenderness along the vein