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7 Cards in this Set

  • Front
  • Back
ALLERGIC REACTION/ANAPHYLAXIS – ADULT
For allergic reaction, consider diphenhydramine 25-50 mg PO, IM or IV. Consider methylprednisolone 125 mg IV. For anaphylaxis, consider epinephrine (1:10,000 strength) 0.1 mg (1 ml) increments IV every 2 minutes. Consider IV epinephrine infusion of 1- 4 micrograms/minute
(pump required).
ALLERGIC REACTION/ANAPHYLAXIS – PEDIATRIC
Consider albuterol 2.5mg in 3 ml of normal saline via nebulizer. May repeat x 2 prn.IV access, obtain blood sample.Consider epinephrine (1:1,000 strength) 0.01 mg/kg (0.01 ml/kg) SQ/IM every 5 minutes to a maximum dose of 0.3mg (0.3 ml).If hypotensive, infuse 0.9% NaCl (normal saline) 20 ml/kg to maintain hemodynamic status.Consider diphenhydramine 1mg/kg IV/IM . Consider diphenhydramine for children greater than 1 year of age, 1.25 mg/kg POFor anaphylaxis, consider epinephrine (1:10,000 strength) 0.01mg/kg (0.1 ml/kg) IV. Consider methylprednisolone 1mg/kg IV.
ASTHMA/COPD/RAD1 – ADULT
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f available, measure peak flow pre-/post-treatmentConsider combining ipratropium 0.5mg in 2.5 ml normal saline with albuterol 2.5mg in 3 ml normal saline as the first nebulizer treatment.Consider repeat albuterol 2.5mg, mixed in 3 ml normal saline, via nebulizer every 5 minutes.Consider levalbuterol 1.25 mg via nebulizer.Consider methylprednisolone 125 mg IV.For patients who do not respond to nebulizer treatments or for impending respiratory failure, consider:Epinephrine (1:1,000) 0.3mg (0.3 ml) SQ or IM Magnesium sulfate 2 grams in 100 ml 0.9% NaCl (normal saline) IV over 10 minutesFor COPD patients, CPAPPAP *, if available and trained to use; maximum 10 cmH2O pressure support Advanced Airway Management as indicated and trained to perform, see
ASTHMA/RAD1 – PEDIATRIC
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f croup suspected, consider nebulized epinephrineLess than 1 year of age: 2.5 mg (2.5 ml of 1:1000) in 3 ml normal saline; may repeat in 15 minutes x 1.Greater than 1 year of age: 5 mg (5 ml of 1:1000) in 3 ml normal saline; may repeat in 15 minutes x 1. IV access, obtain blood sample and administer fluids to maintain hemodynamic status.Consider ipratropium 0.25mg (1.25 ml of 0.02% solution) with albuterol 2.5mg (0.5 ml of 0.5% solution), mixed in 3 ml normal saline, via nebulizer x 1Consider albuterol 2.5mg (0.5 ml of 0.5% solution) in 3 ml normal saline solution via
nebulizer every 5 minutes x 4 total doses.Consider levalbuterol 0.63 mg via nebulizer.Consider epinephrine (1:1,000) 0.01mg/kg SQ (maximum 0.3mg = 0.3 ml) for patients
unable to inhale nebulized albuterol.Consider methylprednisolone 1 mg/kg IV for severe exacerbation or patient who does not respond after first nebulizer treatment.
BEHAVIORAL EMERGENCIES INCLUDING SUICIDE ATTEMPTS AND THREATS – ADULT & PEDIATRIC
Consider
Haloperidol 5 mg IM y repeat every 5 minutes to a maximum dose of 10 mg or any one of the followingLorazepam 1 mg IV or 2 mg IM , may repeat once in 5 minutes, or Midazolam 2.5 mg IV, IM , IN may repeat once in 5 minutes, orDiazepam 2 mg IV or 5 mg deep IM , may repeat once in 5 minutes.
Antidotes
Flumazenil 0.2 mg IV over 30 seconds to reverse the effects of benzodiazepines that were administered by EMS personnelDiphenhydramine 50 mg IV/IM for acute dystonic reaction to haloperidol
DIABETIC EMERGENCIES – ADULT
Definition: Hypoglycemia is glucose level < 80mg/dl with associated altered mental status.
IV access, obtain blood sample and administer fluids to maintain systolic blood pressure >90 mmHg.If glucose level is <80mg/dl with associated signs and symptoms, administer dextrose (D50) 25 gm IV. Re-check glucose 5 minutes after administration of dextrose (D50). Repeat
dextrose (D50) 25 gm IV if glucose level is less than 80mg/dL. If available and indicated, consider assisting family in administration of patient’s glucagon
1 mg IM .In the presence of chronic alcoholism, alcohol intoxication, or malnourishment, administer thiamine 100 mg IV or IM .Consider paramedic intercept.

I
f unable to obtain IV access, administer glucagon 1mg IM or SQ.
DIABETIC EMERGENCIES – PEDIATRIC
I
V access, obtain blood sample and administer fluids to maintain hemodynamic status.Age < 30 Days: administer dextrose 0.25 gm/kg IVP (2.5 ml/kg) of D10 (or D25 diluted 1:1)Age > 30 Days and < 2 Years: administer dextrose (D25) 0.25 gm/kg (1 ml/kg) IVP (dextrose diluted 1:1 for a 25% solution).2 Years or more: administer dextrose (D50) 0.25 gm/kg (0.5 ml/kg) IVP (maximum 25 gms).If unable to obtain IV or IO access: administer glucagon 1mg IM or SQfor > 30 Days