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261 Cards in this Set

  • Front
  • Back
In the cyanide toxicity kit, Hyroxocobalamin comes in two ___ gram bottles.
2.5
The total dose on hand of hydroxocobalamin in the cyanide toxicity kit is _____.
5 g
Hydroxocobalamin comes in two bottles of a prepared solution and is administered over ______ minutes per bottle (over ______ minutes total) IV.
7.5
15
The adult dose of hydroxocobalamin is _____ grams, or two bottles containing _____ grams each.
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).
1/4
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 IV.
15
10
Etomidate for intubation is delivered at 0.3 mg/kg IVB over ______ seconds, maximum ____ mg.
30-60 secs
20 mg
After successful Intubation following Etomidate, consider Diazepam _____ IVB or Lorazepam _____ IVB or IM for continued sedation.
5 mg
2 mg
Diazepam following Etomidate is delivered by what route(s)?
IVB
Lorazepam following Etomidate is delivered by what route(s).
IVB 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 diluted in up to a total of _____ ml of _____.
300 mg
20 ml
D5W
The repeat dose of Amio in V-fib is _____ mg diluted in up to a total of _____ ml of _____.
150 mg
10 ml
D5W
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, IVB over ____ minutes.
2 g
10 ml
2 mins
In cardiac arrest, Calcium Chloride is given *______* as ____ IVB followed by ______.
SLOWLY
1 g
normal saline flush
What is Calcium Chloride followed by?
normal saline flush
Calcium Chloride is pushed _____.

(quickly/slowly)
SLOWLY
Atropine, when repeated, is given every ______.
3-5 minutes
Sublingual Nitro, whether in tablet or spray form, is repeated every _____ minutes for a total of _____ doses.
5 minutes
3 doses
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 _____ mg/kg IVB, not to exceed _____ mg, with a maximum total dosage of ______ mg.
0.1
5
15
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
True or False:
Amiodarone is given in ten times as much D5W volume for tachyarrhythmias as it is for repeat doses in cardiac arrest.
True

tachyarrhythmias = 150mg/100ml
cardiac arrest = 150mg/10ml

(initial/arrest = 300mg/20ml)
Whenever Midazolam is used for intubation or cardioversion sedation, it is given by what route?
IV or IN
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 sedation?
Pediatric seizures
Can Midazolam be given IM for intubation or cardioversion sedation?
No.
What is the IM dose of Midazolam for adult seizures, and how many times can it be given on standing orders?
10 mg IM
once

(call medical control to repeat)
What is the IM dose for Midazolam in EDP cases?
10 mg
What is the IM dose for Midazolam in pediatric seizures without IV access?
0.1 mg/kg IM
(maximum dose 5 mg)
What is the intubation/cardioversion dose and route of Midazolam?
1-2 mg IVB/IN, repeat 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 for continued sedation.
What four sedatives are typically used for intubation?
"DMEL"

Diazepam
Midazolam
Etomidate (+DL)
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 IV/IM/IN for head injuries, EDPs and seizures. It is given IV/IM only for continued intubation sedation.
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 IVB
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 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 IVB
with a single repeat dose
rate not to exceed 5mg/min
How is Diazepam given under medical control options for adult seizures?
5 mg IVB
rate of administration
not to exceed 5mg/min
How is Lorazepam given for adult seizures?
2 mg IVB/IM/IN
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.
How is Diazepam given to control seizures in Head Injury patients?
5 mg IVB
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.
True or False:
Lorazepam can be given IM to adults in all of the protocols in which it appears.
True.
What is the one and only time Lorazepam cannot be given IM?
Pediatric Seizures.
It can be given IN/IO/IV only.
This is the only time it appears
in the pediatric protocols.
Can Diazepam ever be given IM 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?
0.1 mg/kg IM/IN
max. 5 mg
What is the pediatric dose for rectal Diazepam for seizures?
0.5 mg/kg via rectum
What are the two drugs that can be administered to pediatric seizure patients if an IV/IO has been established?
(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?
All three (LDM)
(1) Lorazepam IN
(3) Diazepam via rectum
(2) Midazolam IM/IN
What are the drugs used to control seizures in childen?
"LDM"
Lorazepam
Diazepam
Midazolam
Explain how Atropine is given for PEA/Asystole.
1 mg IVB rapid push.
Repeat every 3-5 min if no change.
(Maximum: 3 times/total 3 mg)
Atropine is given if the patient has a PEA heart rate of less than _____ beats per minute.
60
Dosage for Sodium Bicarb.
44-88 mEq IVB
repeat 44mEq every 10 mins
Up to ______ of ______ may be given as a "fluid challenge" under medical control options for PEA.
3 liters
normal saline
STANDING ORDERS
Administer a Nitro Tablet ______ gr. or Spray ______ mg, sublingually, every ____ mins, for a total of ____ doses.
1/150
0.4 mg
5 mins
3
MEDICAL CONTROL OPTION
Repeat Nitro Tablet ______ gr. or Spray ______ mg, sublingually, every ____ mins (if transport is delayed or extended).
1/150
0.4 mg
5 mins
If, after Morphine, hypoventilation developes, administer Naloxone _____ IVB.
up to 2 mg
Morphine Dosage for Cardiac Cases
0.1 mg/kg IVB (not to exceed 5 mg)
repeat as needed max. 15 mg
Name the REMAC drugs that can be administered via the ET tube if no IV is established.
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 as needed (max 10 mg)
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
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
(or 100 then max if defib doesn't go to 360)
At what joule setting is adult defibrillation performed?
maximum joule setting possible
At what joule setting is pediatric defibrillation performed?
2 j/kg
4 j/kg
4 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
Lidocaine in cardiac arrest and ventricular arrhythmias has been largely replaced with ______.
amiodarone
Magnesium sulfate drip is given in which protocols?
Obstetric complications
(severe pre-eclampsia)

Adult Asthma
(severe respiratory distress)
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 intotropic, 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 IVB or IM
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 IVB or IM
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 20
(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"
True or False:
Naloxone can be given IVB.
True.
True or False:
Naloxone can be given IM.
True
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)

In all other pediatric protocols, ET epi is ten times the IV dose.
(1:1,000)
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
Which is the only protocol that still specifics "hypotension and stupor" in addition to hypoventilation as a reason to withhold morphine, elevate legs, and give narcan?
Burns
True or False:
All Morphine protocols except for "Burns" indicate that "hypoventillation" is the only reason to administer naloxone.
True
Name the four protocols that employ Morphine.
(1) Myocardial Ischemia
(2) Acute Pulmonary Edema
(3) Burns
(4) Pain Management
Name the two protocols in which Morphine is given for pain.
(1) Burns
(2) Pain Management
Name the two protocols in which Morphine is given to reduce preload/afterload.
(1) Myocardial Ischemia
(2) Acute Pulmonary Edema
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)
How many times may an Albuterol treatment be given under medical control options for adult asthma?
just once

(without Ipratropium)
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?
just one more time
(says to "repeat Lorazepam")
How many times may Lorazepam be given 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
What is the standing order Morphine Sulfate initial dose for 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 as 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?
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
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 standing
What is the specified fluid infusion volume for adult non-cardiogenic shock?
up to 3 liters standing
up to 3 liters med/ctrl
for a TOTAL of 6 liters
What is the specified fluid infusion volume for adult traumatic arrest?
up to 3 liters standing
up to 3 liters med/ctrl
for a TOTAL of 6 liters
What is the specified fluid infusion volume for adult burns?
up to 2 liters standing
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 be given on standing orders for pediatric AMS?
0.4 mg iv/io
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.)
Adult under 40 kg
Amiodarone dosage
5 mg/kg
Adult under 40 kg
Atropine dosage
0.02 mg/kg
Adult under 40 kg
Epinephrine dosage
0.01 mg/kg/dose
Sodium Bicarbonate
dose for adults under 40 kg
1 mEq/kg/dose
What is 2-pam?
pralidoxime chloride
(nerve agent antidote)

(pra-luh-DOX-eem)
How is the nerve agent kit dosage determined?
triage tag color
RED TAG
SEVERE RESP.DISTRESS/SLUDGEM
nerve agent antidote dosage
Atropine: 3 Auto-injectors (6 mg)
Monitor every five minutes

2-Pam: 3 Auto-injectors (1.8 g)
YELLOW TAG
RESP.DISTRESS/SLUDGEM
nerve agent antidote dosage
Atropine: 2 Auto-injectors (4 mg)
Monitor every 10 minutes.

2-Pam: 1 Auto-injector (600 mg)
GREEN TAG
NO SYMPTOMS
nerve agent antidote dosage
None... monitor every 15 mins.
Do not give more than ___ 2-Pam (gray top) auto-injectors to any patient. The maximum total dose of 2-pam is ______.
3

1.8 grams
Each 2-pam auto injector containts _____ mg pralidoxine chloride.
600 mg
Each atropine auto-injector contains _____ mg atropine.
2 mg
(double the cardiac arrest dose)
Nerve agent victims tagged red may be treated ______ decontamination and yellow and green ______ decontamination.
during

after