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288 Cards in this Set

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In the cyanide toxicity kit, Hyroxocobalamin comes in either two ___ gram bottles containing ___ ml or one ___ gram bottle containing ___ ml.

2.5g


100ml



5g


200ml

The total dose on hand of hydroxocobalamin in the cyanide toxicity kit is _____.

5 g

Hydroxocobalamin comes in prepared solution and is administered over ______ minutes for the kit.


15

The adult dose of hydroxocobalamin is _____ grams.

5
2.5

The pediatric dose of hydroxocobalamin is _____ bottle(s) for Infants/Toddles (0-2 years), _____ bottle(s) for Preschoolers (3-5 years), and ____ bottle(s) for Grade Schoolers (6-13 years).

One Bottle Kit - Two Bottle Kit


1/4 - 1/4
1/4 - 1/2


1/2 - 1

In the cyanide toxicity kit, sodium thiosulfate is prepared by adding ___ grams in ____cc to a ____cc bag of D5W, for a total ____cc prepared solution.

12.5 g
50
100
150

The adult dose of sodium thiosulfate is ____ (____cc of a ____% solution) into ____cc of D5W (150cc total), administered over ____ minutes.
12.5 g
50 cc
25%
100 cc
10 mins.

Hydroxocobalamin is delivered over ____ minutes while sodium thiosulfate is delivered over ____ minutes.

15
10

Etomidate for intubation is delivered at 0.3 mg/kg IV/SL bolus over ______ seconds, maximum ____ mg.

30-60 secs
40 mg

After successful Intubation following Etomidate, administer Diazepam _____ IV/SL bolus or Lorazepam _____ IV/SL bolus or IM for continued sedation.

5 mg
2 mg

Diazepam following Etomidate is delivered by what route(s)?

IV/SL bolus

Lorazepam following Etomidate is delivered by what route(s).

IV/SL bolus or IM

How many repeat doses of Lorazepam or Diazepam may be give for continued sedation following Etomidate.
The prehospital sedation protocols only specify a one-time dose.
How often is epi given during adult cardiac arrest?
every 3-5 minutes

The initial dose of Amio in V-fib is _____ mg.

300 mg


(undiluted)

The repeat dose of Amio in V-fib is _____ mg.

150 mg PPMC


(undiluted)

How often is Sodium Bicarb repeated during an arrest?

every 10 minutes

In cardiac arrest, Magnesium Sulfate is given as ____ diluted in ____ ml of saline, IV/IO/SL bolus over ____ minutes.

2 g
10 ml
2 mins

In cardiac arrest, Calcium Chloride is given *______* as ____ IV/IO/SL bolus followed by ______.

SLOWLY
1 g
normal saline flush

What is Calcium Chloride followed by?
normal saline flush
Calcium Chloride is pushed _____.

(quickly/slowly)
SLOWLY

In cardiac arrest, Atropine is given every ______.

never


(atropine is no longer in the arrest protocol)

Dextrose is administered under which cardiac arrest protocol?

PEA/Asystole

In the Hypothermia Project cardiac arrest protocol, at what point is ice-cold NS infusion initiated?

Immediately after IV access, before ACLS drugs

What is the temperature of cold saline?

4 degrees Celsius

What is the prescribed volume per kilogram of ice-cold saline? The max?

30cc/kg



max 2 liters

Ice cold saline in delivered using a _____ mmHg pressure infusion sleeve.

300

True or False


You may BEGIN cold saline infusion after ROSC.

True

Post arrest Dopamine dose range and target BP.

5-20 mcg/kg/min


to mainain a systolic BP of 90 mmHg

What medication (dose/route) can be administered on standing orders post-arrest for shivering or agitation?

Midazolam 0.1 mg/kg IV (max 2 mg)

What medication (dose/route) can be administered PPMC post-arrest for shivering or agitation?

Fentanyl 1 mcg/kg IV (max 100 mcg)

Sublingual Nitro, whether in tablet or spray form, is repeated every _____ minutes for a total of _____ doses.

5 minutes
unlimited (max not specified)

Before each dose of Nitro, check _____ and _____.

pulse
BP

In patients with myocardial ischemia, administer two (2) chewable aspirin tablets, ____ mg.
162 mg

In the Myocardial Ischemia protocol, Morphine is administered at what dose?

Morphine is not longer in the Myocardial Ischemia protocol.

In the medical control options of myocardial ischemia, nitro tab or spray may be administered every _____ minutes for a total of how many doses.
The medical control options simply say every five minutes without specifying a maximum number of doses, although the maximum for the standing orders is 3 doses.

For fluid therapy in cardiogenic shock, administer ______ ml IVB of normal saline. Repeat ______ for a maximum of ______ ml.

250 ml
once
500 ml

What is the maximum volume of fluid given to a cardiogenic shock patient?

500 ml

Dopamine is given at ______ IV drip for a maximum of ______ in all protocols except Bradydysrhythmia/Complete Heart Block.

5ug/kg/min
20ug/kg/min

Administer Adenosine at 6mg or 12mg, ______, followed by ______.

rapidly
normal saline flush

Adenosine is administered ______.

(rapidly/slowly)
rapidly
After the initial 6mg dose of Adenocard, observe EKG monitor for ______ minutes for evidence of cardioversion.
1-2
Adenosine is administered at doses of ____mg, ____mg and ____mg.
6
12
12
Administer Diltiazem if BP is _____ or _____ and complex width is _____.
normal
elevated
narrow
Describe how Diltiazem is administered.
give SLOWLY over two minutes
monitor BP continuously
In cases of SVT where complex width is _____ and BP is low, do this.
narrow

cardioversion
For tachyarrhythmias, Amiodarone is administered at _____ diluted in _____ ml D5W over ____ minutes.
150 mg
100 ml
10
Whenever Midazolam is used for intubation or cardioversion sedation, it is given by what route?

IV/IN/SL bolus



(notice IN, but not IM)

What are the four protocols in which Midazolam may be given IM?

(1) Adult Seizure
(2) Adult Head Injury
(3) EDP (restraint)
(4) Pediatric Seizures

What is the only pediatric protocol that allows for standing order sedation?

Pediatric seizures

What is the only pediatric protocol that references Prehospital Sedation for Advanced Airway Management as an option?

BURNS

True or False


Pain Management for isolated extremity injuries and burns is permitted under standing orders for pediatric patients.

true

Ondansetron is for patients with _____ or _____.

persisent vomiting



severe nausea

True or False


Ondansetron only appears in the adult protocols.

False.



Ondansetron is for adult and pediatric patients with persistent vomiting or severe nausea.

Can Midazolam be given IM for intubation or cardioversion sedation?
No.

What is the IM/IN dose of Midazolam for adult seizures, and how many times can it be given on standing orders?

10 mg IM/IN
once

(call medical control for one repeat)

What is the IM/IN dose for Midazolam in EDP cases?

10 mg

How many PPMC repeats of 10mg IM/IN Midazolam are permitted under Medical Control Options for the Emotionally Disturbed Patient?

no repeats specified

How many PPMC repeats of 10mg IM/IN Midazolam are permitted under Medical Control Options for adult Seizures?

one repeat

What is the IM/IN dose for standing orders Midazolam in pediatric seizures without IV access?

0.2 mg/kg IM/IN
(maximum dose 5 mg)

____ is the preferred route of Midazolam administration in Pediatric Seizures.

IN

What is the intubation/cardioversion/pacing dose and route of Midazolam?

1-2 mg IV/IN/SL bolus, repeat 1 mg PRN
(maximum total dose 5 mg)

For Intubation sedation, what is the ONLY sedative that can be administered IM, and at what dose?

Following Etomidate for continued sedation, Lorazepam can be administered at 2 mg IM or IV/SL bolus for continued sedation.

What four sedatives are typically used for intubation?

"DMEL"

Diazepam
Midazolam
Etomidate (+DL)


Lorazepam

What three sedatives are typically used for cardioversion?

"DME"
Diazepam
Midazolam
Etomidate (1/2 intubation dosage)
True or False.
Etomidate is given for pacing.
False.

Which sedative is used for intubation (full dose) and cardioversion (half dose) but never for pacing?

Etomidate
(followed by Diazepam or Lorazepam in intubation only)

True or False, Lorazepam can be given IN for post-Etomidate intubation sedation.

False. Lorazepam can be given IN for head injuries, EDPs and seizures. It is given IV or IM for continued intubation sedation.

True or False


Lorazepam can be given IM for pediatric seizures?

False.



Lorazepam can be given IM for adult seizures, but it is only given IV/IO/IN for pediatric seizures.

Following Etomidate, what is the dose for IV Lorazepam versus IM Lorazepam?
both the same
2 mg
In the chemical restraint procedure (EDP), what is the dose for IV Lorazepam versus IM/IN Lorazepam?

2-4 mg IV/SL bolus
or
4 mg IM/IN

What is the IM/IN dose for Lorazepam for chemical restraint?

4 mg

What is the IM dose for Lorazepam following Etomidate for continued sedation?
2 mg
What is the IV dose for Lorazepam following Etomidate for continued sedation?
2 mg
In the chemical restraint procedure, what is the dose difference between IM/IN and IV Midazolam?
IV 1-2 mg
IM/IN 10 mg
In the chemical restraint procedure, what is the dose difference between IM and IV Diazepam?
Diazepam is not given IM.
The IV dose is 5-10 mg (once).
What is the IV dose for Midazolam in the chemical restraint of an EDP?

1-2 mg

What is the repeat and max total dose for Midazolam in the EDP protocol?

there is no repeat or max specific


(PPMC one-time: 1-2mgIV or 10mgIMIN)

What is the IN dose for Midazolam in the chemical restraint of an EDP?
10 mg
How is Diazepam given on standing orders for adult seizures?

5 mg IV/SL bolus
with a single repeat dose
rate not to exceed 5mg/min

How is Diazepam given under medical control options for adult seizures?

5 mg IV/SL bolus
rate of administration
not to exceed 5mg/min

How is Lorazepam given for adult seizures?

2 mg IVB/IM/IN


single PRN repeat after 5 min

How is Midazolam given for adult seizures?
10 mg IM/IN
(only when no IV)
True or False:
Midazolam (Versed) is given IVB on standing orders for seizures.
False.
It is given IM/IN only for
adult seizures when there
is no IV access.

True or False.


Sedation may be given to an adult seizure patient via IO if IV cannot be established.

False.



IO is only used in adults who are in cardiac arrest or decompensated shock.

How is Diazepam given to control seizures in Head Injury patients?

5 mg IV/SL bolus
Single repeat.
Not to exceed 5 mg/min.

How is Lorazepam given to control seizures in Head Injury patients?

2 mg IVB/IM/IN
Single repeat after 5 mins.
One additional repeat PPMC.

What is the difference between the dosages for Lorazepam in controlling adult seizures and Lorazepam for controlling seizures secondary to head injuries?
Both are the same.
2 mg

True or False:
The seizure control sedatives in the head injury protocol can be up to double the dosage of the same drugs in the adult seizure protocol.

False. They are exactly the same.
What sedatives are used for controlling seizures in the Seizure protocol?
"LDM"
Lorazepam
Diazepam
Midazolam
What sedatives are used for controlling seizures in the Head Injury protocol?
"LDM"
Lorazepam
Diazepam
Midazolam
True or False:
Lorazepam can be given IM/IN in both the seizure and head injury protocols to control seizure activity, provided there is no IV access.
True.

What is the one and only time Lorazepam cannot be given IM?

Pediatric Seizures.
It can be given IN/IO/IV only.

True or False:
Lorazepam can be given IM to adults in all of the protocols in which it appears.
True.

Can Diazepam ever be given IM or IN in any of these protocols?

No.

What is the one and only time Diazepam can be given by a route other than IV or IO?

Pediatric Seizures.
(rectally)

What is the pediatric dose and route for Lorazepam for seizures?
0.05 mg/kg IN/IV/IO/ Bolus
SLOWLY over two minutes.
Repeat if seizures persist.

*no IM Lorazepam in Peds Seizures*
What is the pediatric dose for IV Diazepam for seizures?

0.1 mg/kg, IV/IO Bolus
SLOWLY over two minutes.
Repeat if seizures persist.

What is the pediatric dose and route for Midazolam for seizures?

Standing:


0.2 mg/kg IM/IN
max. 5 mg



PPMC:


Repeat if no IV/IO

What two drugs are given under standing orders to pediatric patients with ongoing or recurring seizures before initiating transport and attempting to establish IV/IO access?

Glucagon IM


(if BGL <=120)



Midazolam IM/IN



What is the pediatric dose for rectal Diazepam for seizures?

0.5 mg/kg via rectum

What are the three drugs that can be administered to pediatric seizure patients if an IV/IO has been established?

(1) Dextrose


(1) Lorazepam
(2) Diazepam

What are the three drugs that can be administered to pediatric seizure patients if an IV/IO has NOT been established?

standing


(1) Midazolam IM/IN



ppmc


(2) Lorazepam IN
(3) Diazepam via rectum

What are the drugs used to control seizures in childen?


Midazolam


Lorazepam
Diazepam

PPMC NOTE Pediatric Seizures: Do not administer Lorazepam, Diazepam, or Midazolam if...

...the seizures have stopped.

Explain how Atropine is given for PEA/Asystole.

It is no longer given.

Dosage for Sodium Bicarb.

44-88 mEq IV/IO/SL bolus
repeat 44mEq every 10 mins

Up to ______ of ______ may be given as a "fluid challenge" under medical control options for PEA/Asystole.

3 liters
normal saline

STANDING ORDERS
Administer a Nitro Tablet ______ gr. or Spray ______ mg, sublingually, every ____ mins.

1/150
0.4 mg
5 mins

If, after Morphine, hypoventilation developes, administer Naloxone...

...up to 2 mg IV/SL bolus.

Morphine Dosage for APE

PPMC


0.1 mg/kg IV/SL bolus (not to exceed 5 mg)
repeat as needed max. 15 mg

Name the drugs that can "technically" be administered via the ET tube, although it is no longer practiced in the adult patient.

LEAN
(1) Lidocaine
(2) Epinephrine
(3) Atropine
(4) Naloxone

Morphine dosage for pain management and burns.

0.1 mg/kg (not to exceed 5mg)
repeat dose after 5 mins PRN


(max 10 mg)

Morphine is administered to patients with a systolic BP of greater than _____, as per protocol.

110 mmHg

IO access via the ______ is considered to be unacceptable in the NYC region.
sternum
Appropriate adult dosage of Naloxone.
IVB 0.4 mg increments up to max 2 mg

IM/IN 0.8 mg increments up to max 2 mg

Repeat under medical control

The administration of narcotic analgesics is contraindicated in patients with burns involving...

...the face and/or airway.

What are the three REMAC drugs that are administered by IV piggyback drip?
(1) Amiodarone
(2) Dopamine
(3) Mag Sulfate
At what joule settings is all REMAC adult synchronized cardioversion performed?

100
200
300
360



(use equivalent energies if device max <360;


further repeats at device's max setting)

At what joule setting is adult defibrillation performed?

maximum joule setting possible

At what joule setting is pediatric defibrillation performed?

4 j/kg
10 j/kg
10 j/kg
(or lowest available setting)

At what joule setting is pediatric synchronized cardioversion performed?

attempt 1: 0.5-1 j/kg
attempt 2: 1-2 j/kg

Adenosine for SVT with low cardiac output if defibrillator cannot deliver a calculated dose

Pediatric Adenosine dosage
0.1 mg/kg
(max initial dose 6mg)
0.2 mg/kg
0.2 mg/kg
(max subsequent doses 12mg)

administer rapidly
follow each with 2-3ml NS
Diltiazem dosage and method of administration.
0.25 mg/kg
slowly over 2 minutes
monitor BP continuously
Diltiazem is only given for control of tachyarrhythias if...
(1) the QRS is narrow
(2) BP is normal or high
True or False:
Diltiazem may be used to treat ventricular tachycardia.
False.
(SVT/A-fib/A-flutter only)
What two protocols contain Diltiazem (Cardizem)?
(1) SVT
(2) A-fib/A-flutter
If ______ and ______, administer Diltiazem.
complex width is narrow

BP is normal or elevated
What solution is Amiodarone diluted in?
D5W

Magnesium sulfate DRIP is given in which protocols?

Obstetric complications
(severe pre-eclampsia)

Adult Asthma
(severe respiratory distress)

Magnesium sulfate BOLUS is given in which protocols?

VF/Pulseless VT



Wide Complex with Pulse



Pediatric Non-traumatic Arrest


(for torsades)



This drug is an effective pre-eclamptic anti convulsant, a poweful bronchodilator, and a ventricular antiarrhythmic.
Magnesium Sulfate
This drug stabilizes arrhythmic hyperkalemia/hypocalcemia, counteracts calcium channel blocker ODs, and increases inotropy.
Calcium Chloride
Vasopressin dosage
40 units
(single dose)
For V-fib/V-tach, ____ Magnesium Sulfate is diluted in _____ ml of _____, delivered over ____ minutes.
2 g
10 ml
normal saline
2 minutes
For Asthma, in patients with SEVERE RESPIRATORY DISTRESS, ____ Magnesium Sulfate is diluted in _____ ml of _____, delivered over ____ minutes.
2 g
50-100 ml
normal saline
10-20 minutes
For pre-eclampsia, ____ Magnesium Sulfate is diluted in _____ ml of _____, delivered over ____ minutes IV drip. Repeat, diluting in _____ ml for the second round.
2 g
50-100 ml
normal saline
10-20 minutes

100 ml
What solution is Magnesium sulfate diluted in?
normal saline
For pediatrics, if ______ is present, administer _____ of magnesium sulfate by IV/IO.
torsades de pointes

25-50 mg/kg
Pediatric dosage of Magnesium Sulfate.
25-50 mg/kg
(for torsades)

This inotropic, ventricular antiarrhythmic is used for both tachycardic and bradycardic ventricular arrhythmias.

Calcium Chloride
What is the dose and method of Calcium Chloride administration?
1 g IVB SLOWLY
follow with saline flush
When is calcium chloride given to pediatrics?
never
Three times Methylprednisolone may be considered.
(1) Adult Asthma
(2) Adult Anaphylaxis
(3) COPD
methylprednisolone (solu-medrol) dosage

125 mg

True or False:
Methylprednisolone may be given IM.

True.
In Asthma or COPD, it may be given IM.
For Anaphylaxis, it must be given IV.

True or False:
Methylprednisolone (Solu-medrol) may be given IM in adult anaphylaxis.
False.
It is given IV only for anaphylaxis, but it may be given IM in cases of adult asthma or COPD.
Three times Dexamethasone may be considered.
(1) Adult Asthma
(2) Adult Anaphylaxis
(3) COPD
True or False:
Dexamethasone may be given IM.
True.
In Asthma or COPD, it may be given IM.
For Anaphylaxis, it must be given IV.
True or False:
Dexamethasone may be given IM in adult anaphylaxis.
False.
It is given IV only for anaphylaxis, but it may be given IM in cases of adult asthma or COPD.
dexamethasone (decadron) dosage

12 mg

When in the REMAC protocols is it permissible to administer methylprednisolone and dexamethasone to pediatrics?

never

Name the two corticosteroids in the REMAC protocols.

(1) methylprednisolone (solu-medrol)
(2) dexamethasone (decadron)

Abuterol percentage
0.083%
Albuterol volume
3 ml
Albuterol/Ipratropium is given at a flow rate that will deliver the solution over ______ minutes.
5-15
Diphenhydramine adult dose
50 mg
Diphenhydramine pediatric dose
not given to pediatrics
in any REMAC protocols
Etomidate intubation dosage

0.3 mg/kg IVB max 40
(over 30-60 seconds)

Edomidate cardioversion dosage

0.15 mg/kg max 10

For adults, dextrose is administered ____ g (____ of a ____ solution), IVB
25 g
50 ml
50%
If an OD is strongly expected, administer ______ prior to ______.
naloxone

dextrose
Dextrose adult dosage
25 g
Dextrose solution adult volume
50 ml
percentage of dextrose in adult dextrose solution
50%
For adults, dextrose is administered ____ g (____ of a ____ solution), IVB
25 g
50 ml
50%
If an OD is strongly expected, administer ______ prior to ______.
naloxone

dextrose
Use ____ Dextrose in patients less than or equal to one month of age.

Use ___ Dextrose in patients greater than one month of age and less than 14 years of age.
10%

25%
Dextrose pediatric dosage
0.5 g/kg
Dextrose solution percentage for one month olds and younger.
10%
Dextrose solution percentage for pediatrics older than 1 month.
25%
Dextrose solution percentage for ages 14 and older.
50%
Glucagon dose/route
1 mg IM
True or False:
Thiamine can be given IM.
False.
It is never given IM in the REMAC protocols -- always IVB after Dextrose IVB.
Naloxone dosage for adults
up to 2 mg
Naloxone AMS dosage for peds
0.4 IV/IO or 0.8 IM/IN up to 2 mg
Naloxone arrest dosage for peds
2 and older: 2mg IV/IO/ET
under 2: 1 mg IV/IO/ET
What is the max dose of Naloxone standing orders in adult AMS.
2 mg
What is the max Naloxone dose under AMS medical control options?
Medical Control options say only "repeat standing orders"
How many doses of 25 g Dextrose can be given under adult AMS standing orders?
2
How many doses of 25 g Dextrose can be given under adult AMS medical control options?
Medical Control options say only "repeat"

If the glucometer reading is above 120 mg/dl...

...Dextrose and Glucagon should be withheld.

True or False:
Naloxone can be given IN.
True.
True or False:
Naloxone can be given ET.
True.
Only in peds.
In pediatric anaphylaxis, ET epinephrine is ______ the IV dose.

(ten times / the same as)

the same as (1:10,000)

Initial fluid administration in pediatrics should not exceed ______.

20 ml/kg

True or False:
In REMAC protocols, NG/OG tube are only passed in pediatric patients.
True.
It may be necessary to pass an NG/OG tube in the ______, ______, or ______ in order to successfully perform resuscitation.
neonate
infant
child
Proparacaine HCl
solution percentage
0.5%
Tetracaine HCl
solution percentage
0.5%
Proparacaine/Tetracaine dose
1-2 gtts

Name the three protocols that employ Morphine.


(1) Acute Pulmonary Edema
(2) Burns
(3) Pain Management

Furosemide dosage

20-80 mg IVB

Maximum combined total dosage of Furosemide
80 mg
How many times may an Albutero/Ipratropium treatment be repeated on standing orders for adult asthma?

may be repeated twice
(total of three doses),



then continue repeats of


Albuterol alone


until patient improves

How many times may an Albuterol treatment be given under standing orders for adult asthma?

repeat until patient improves


(no max specified)

How many times may Epi IM be given to an adult asthmatic on standing orders?
once
What is the generally the initial Bicarb dosage?
44-88 mEq
What is the repeat Bicarb dosage?
44 mEq
(every 10 minutes)
Dopamine drip initial dosage for Bradydysrhythmia/Complete Heart block.
2 ug/kg/min
Dopamine drip maximum dosage for Bradydysrhythmia/Complete Heart block.
10 ug/kg/min
How many doses of Dextrose are given to an adult seizure patient?
one
How many times may Lorazepam be given on standing orders for adult seizures?
Twice.
A single repeat dose may be given after five minutes if seizures persist.
How many times (in additional to standing orders) may Lorazepam be given under medical control options for adult seizures?

a single repeat dose may be given

How many times may Lorazepam be repeated under medical control options for head injuries?

once

How many times may Lorazepam be given after Etomidate?
once.
How many times may Lorazepam be given for chemical restraint?
once.
What is the pediatric dosage for Lorazepam?
0.05 mg/kg
How is Lorazepam administered for pediatric seizures?
0.05 mg/kg, IVB/IO/IN
slowly over 2 minutes

repeat doses may be given
if seizures persist
How many repeat doses of Lorazepam can be given to pediatric seizure patients?
Not specified.
The protocol simply states, "Repeat doses may be given if seizures persist."
What is the IV/IO dosage of Diazepam in the pediatric seizure protocol?
0.1 mg/kg
How is IV/IO Diazepam administered in the pediatric seizure protocol?
0.1mg/kg IVB or IO
slowly over 2 minutes

repeat doses may be given
if seizures persist
How many repeat doses of IV/IO Diazepam may be given in the pediatric seizure protocol?
Not specified.
The protocol simply states, "Repeat doses may be given if seizures persist."
What is the rectal dosage of Diazepam in the pediatric seizure protocol?
0.5 mg/kg
(five times the IV/IO dose)
How many times may you give rectal Diazepam in the pediatric seizure protocol?
once
What is the universal dosage for Glucagon in all protocols?
1 mg
Which four pediatric protocols employ one drug only, and name the drug.
"DRAN"
(1) Decomp. Shock - Adenosine
(2) Resp Arrest - Naloxone
(3) Anaphylaxis - Epi
(4) Neonate Arrest - Epi
Acronym for the four pediatric protocols that use only one drug.
DRAN

List the medical control options in Neonate Resuscitation.

There are none.


(standing orders only)

What is the standing order Morphine Sulfate initial dose for Ped/Adult Pain Management of Isolated Extremity Injuries?

0.1 mg/kg IVB
(max 5 mg)
What is the standing order Morphine Sulfate repeat dose for Pain Management of Isolated Extremity Injuries?

0.1 mg/kg IVB
(max 5 mg)

What is the maximum total dose of Morphine for Pain Management (including both the first and second doses).

10 mg

How many times may Morphine be repeated under standing orders for Pain Management?

once for continued pain
(total 2 doses)

How many repeat doses of Albuterol/Ipratropium may be given on standing orders to pediatric asthma?

repeat twice
(total 3)

How many repeat doses of Albuterol may be given under medical control options to pediatric asthma?

one more
(total 4 with standing orders)

"___________ shall be considered a pediatric patient."
Any patient under 14 years of age
Midazolam (Versed) dose for prehospital sedation.
1-2 mg IV/IN
repeat 1mg PRN
max total 5 mg
What is the repeat dosage for Midazolam in prehospital sedation?
1 mg IVB
How many repeat doses of Midazolam may be given in prehospital sedation?
As many as it takes to
reach the max dose of 5 mg.
IV route chemical restraint dose for Midazolam.
1-2 mg IVB
once
IM/IN route chemical restraint dose for Midazolam.
10 mg IM/IN
once
IV route chemical restraint dose for Diazepam.
5-10 mg IVB
once
How many times can you repeat chemical restraint doses under the medical control options?
No repeat doses specified, but IV access is suggested after IM sedation "in the event additional sedation is necessary."

Magnesium Sulfate dosage for severe pre-eclampsia or eclampsia?

2 grams
How much fluid can be administered to a post-partum hemorrhage under obstetric complications medical control options?

fluid is no longer mentioned in the protocol



In fact, there is no ALS treatment whatsoever for post-partum hemorrhage in the protocol, despite the fact that it is described as a protocol for "post-partum hemorrage"

Fluid infusion volume for neonates if transport is delayed or extended.

10 ml/kg
Amiodarone dosage for pediatric cardiac arrest.

5 mg/kg IV/IO

What is the one and only pediatric protocol that calls for amiodarone?
pediatric cardiac arrest
How many times can Amiodarone be given in pediatric cardiac arrest?
once

What is the medical control dose in pediatric arrest for magnesium sulfate?

25-50 mg/kg IV/IO

How many times can magnesium sulfate be given in a pediatric cardiac arrest?

once

What is the initial fluid infusion volume for pediatrics?
20 ml/kg
What is a large bore IV catheter for pediatrics?
18-22 gauge
What is a large bore IV catheter for adults?
14-16 gauge
What is the total standing order fluid infusion volume for pediatrics in decompensated shock or traumatic arrest?
40 ml/kg
What is the maximum fluid infusion volume for pediatrics in decompensated shock or traumatic arrest after exhausting medical control options?
60 ml/kg
What is the specified fluid challenge volume for PEA/Asystole?
up to 3 liters med/ctrl

What is the specified fluid infusion volume for adult anaphylaxis?

up to 3 liters

What is the specified fluid infusion volume for adult non-cardiogenic shock?

up to 3 liters

What is the specified fluid infusion volume for adult traumatic arrest?

up to 3 liters

What is the specified fluid infusion volume for adult/ped burns?

up to 2 liters

An anticholinergic drug for inhalation that inhibits bronchocontriction and mucus secretions, aka Atrovent.

Ipratropium Bromide
What is the delineating age between the two pediatric doses of ipratropium bromide.

age 6
(6 and older/under 6)

Solution percentage of Ipratropium Bromide.
0.02%
What is the Ipratropium dosage for pediatrics 6 and older?
one unit dose vial
(0.5 ml of a 0.02% solution)
What is the Ipratropium dosage for pediatrics under age 6?
one half of a unit dose vial
(half of a 0.5 ml vial of 0.02% solution)
True or False:
Chidren under 6 get half the dose of ipratropium that childen 6 and older would get.
True.

When should the repeat dose of epi be administered under medical control options in pediatric asthma?

20 minutes after the initial dose

How many minutes after the initial dose of epi should IM epi be repeated under medical control options in the adult asthma protocol?

The adult asthma protocol does not specify a wait time between epi injections.

How is Naloxone to be given on standing orders for pediatric AMS?

0.4 mg iv/io OR
0.8 mg im/in

Titrate to max of 2 mg.

If there is no IV/IO access, how is Naloxone given IM/IN on standing orders for pediatric AMS?
0.8 mg, titrate to 2 mg
What dose of Glucagon is given to pediatric AMS and seizure patients?
1 mg
How many times is Dextrose administered IV/IO to a pediatric seizure?
once

How many times is Dextrose administered IV/IO to a pediatric AMS?

Once.
(But all standing orders may
be repeated under medical control.)

Total standing order fluid administration volume for Septic Shock.

up to 2 liters

Medical control options for Septic Shock allow for ___ additional liter(s) of fluid in addition to the two already given on standing orders.

1 additional liter

Total Fluid administration in Septic Shock when standing orders and medical control options have been exhausted.

3 liters

Name the three protocols in which Fentanyl appears.

(1) Burns


(2) Pain Managment


(3) Post-Resuscitation Management

What is the dose/kg and max for Fentanyl?

1 mcg/kg, max 100 mcg

Name the two protocols in which Fentanyl may be administered IV/IN.

(1) Burns


(2) Pain Management

Name the protocol in which Fentanyl may be administered IV only.

Post-resuscitation managment

True or False.


Fentanyl may be given to pediatric patients.

True.



Pain Management and Burns

Dose(s) and route(s) of standing order Ondansetron.

0.1 mg/kg IV/SL bolus


slowly, over 1-2 minutes


(not to exceed 4 mg)



one repeat

Ondansetron is administered _______ over ______ min(s).

slowly



1-2 minutes

Maximum total dose of Ondansetron.

8 mg

Lorazepam dosage for APE.

1-2 mg, IV/IN


(PPMC, once)

True or False


Lorazepam can be given IM for APE.

False.



IV/IN only

True or False


Lorazepam can be given IN for APE.

True.

Midazolam dosage for APE.

1-2 mg IV/IN


(PPMC, once)

True or False


Midazolam and Lorazepam dose and route in APE are exactly the same.

True.



1-2 mg IV/IN


(PPMC, once)

True or False.


Midazolam can be given IM for APE.

False.



IV/IN only

True or False.


Midazolam can be given IN for APE.

True.

Max total dose of Morphine in APE.

15 mg

Initial IO dose of Lidocaine for pain relief.

0.5 mg/kg


max 50 mg

Repeat IO dose of Lidocaine for pain relief.

0.25 mg/kg


max 25 mg

Initial IO dose of Lidocaine is delivered over...

...2-3 mins.

Repeat IO dose of Lidocaine is delivered over...

...30 seconds.

Lidocaine for pain relief is a ____% solution.

2%