Clinical Procedures and Protocols Flashcards

When performing bag-valve-mask (BVM) ventilation for a patient in respiratory arrest, what tidal volume is recommended?

Answer: 400–600 mL

Delivering 400–600 mL (6–7 mL/kg) provides adequate ventilation while minimizing risk of gastric insufflation.

A healthcare provider must calculate a drug infusion rate. The order is for dopamine 5 mcg/kg/min for a 70 kg patient using a 400 mg/250 mL solution. What is the infusion rate in mL/hr?

Answer: 13.1 mL/hr

Dose = 5 × 70 = 350 mcg/min = 21,000 mcg/hr; concentration = 400,000 mcg/250 mL = 1,600 mcg/mL; rate = 21,000 ÷ 1,600 ≈ 13.1 mL/hr.

Which hand washing technique is recommended by the WHO as the minimum standard before a clean clinical procedure?

Answer: Alcohol-based hand rub for 20–30 seconds covering all hand surfaces

The WHO 6-step alcohol-based hand rub technique (20–30 seconds) is the standard for routine hand hygiene before non-surgical clinical procedures.

After inserting a urinary catheter in a female patient, the catheter drains clear urine. At what volume should the balloon typically be inflated to secure the Foley catheter?

Answer: 5–10 mL sterile water

Standard Foley catheter balloons are inflated with 5–10 mL sterile water (as marked on the catheter) to anchor the catheter in the bladder.

When performing external cardiac defibrillation, where are the two paddle/pad positions placed for standard defibrillation?

Answer: Right infraclavicular and left lateral chest (apex)

Pads are placed at the right infraclavicular region and the left lateral chest (apex/5th intercostal space mid-axillary) to maximize current through the myocardium.

A patient requires an intradermal injection for a tuberculin skin test (Mantoux). What angle should the needle be inserted at?

Answer: 10–15°

Intradermal injections are given at a 10–15° angle, bevel up, to deposit medication within the dermis, creating a visible wheal.

During OSCE, you are asked to consent a patient for a procedure. Which element is NOT required for valid informed consent?

Answer: The patient's agreement to waive the right to refuse in the future

Patients cannot waive their ongoing right to refuse treatment; valid consent requires information, voluntariness, and capacity — not a pre-emptive waiver.