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87 Cards in this Set
- Front
- Back
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What is the IV dose for epinephrine 1:10,000 in a medical cardiac arrest? |
1mg |
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What is the minimum single IV dose of epinephrine 1:10,000? |
1mg |
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What is the dosing interval of epinephrine 1:10,000 in a medical cardiac arrest? |
4 minutes |
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When would you want to give your first dose of epinephrine 1:10,000? |
During your 2nd cycle of CPR |
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What is the preferred route for epinephrine 1:10,000? |
IV |
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What is the secondary route for epinephrine 1:10,000? |
ETT |
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What is the dose for epinephrine 1:10,000 ETT? |
2mg |
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What is the pediatric IV dose of epinephrine 1:10,000? |
0.01mg/kg |
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What is the age range for pediatric dosing? |
age >=30 days to 12 years old |
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If your patient was 10 lbs. what would your pediatric dose be? |
roughly 4.5 kg so 0.045mg dose, rounded to 0.05mg dose. |
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What is the minimum single dose for epinephrine? |
0.1mg |
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What would a patient have to weigh in order to receive the minimum single dose of epinephrine? |
10kg |
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if your patient was exactly 12 years old what dose would they qualify for? |
the adult dose (>= 12 years). |
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What is the adult dose for epinephrine 1:10,000? |
1mg |
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What is the concentration of epinephrine for pediatric medical arrest, administered ETT? |
0.1mg/kg to a max of 2mg |
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What is the minimum single dose epinephrine administered ETT? |
1mg |
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What is the dosing interval of epinephrine for pediatrics administered ETT? |
4 minutes |
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If your patient was 30 days old, would they qualify for the pediatric dose of epinephrine for cardiac medical arrest? |
Yes (>=30) |
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If your patient was 1 year old what would be the IV dose of epinephrine that you would administer? |
0.01mg/kg * (age x 2 + 10)kg = 0.12 mg |
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If your patient was 6 years old, what would be the ETT dose of epinephrine that you would administer? |
0.1mg/kg * (age x 2 +10)kg = 2.2mg, however maximum is 2mg, so 2mg. |
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What is the concentration of epinephrine given ETT? |
1:1,000 |
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What are the routes that epinephrine may be given for medical arrests >=30 days, <12 years? |
IV, IO, ETT |
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What are the routes that epinephrine may be given for medical arrests >=12 years? |
IV,IO,CVAD, ETT |
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What is the maximum amount of doses of epinephrine that may be administered in a medical cardiac arrest? |
There is no maximum, continue administering until the arrest is called. |
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After 3 rounds of epinephrine, what do you need to do? |
Patch to the Base Hospital physician |
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After your 3rd round of epinephrine, you have patched to your base hospital physician, what do you want to communicate? |
Communicate the status of your arrest, treatments given, intentions of transport, and if there are any recommendations he might have. |
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When do you want to transport? |
After the 4th epinephrine administration |
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When else would you patch to the base hospital? |
After the 3rd analysis |
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When else do you want to consider transporting? |
After the 4th analysis (if no IV/IO/ETT access) |
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If anaphylaxis is suspected as the causative event of the cardiac arrest what would the order of treatment be? |
CPR, Supraglottic airway insertion, Defibrillation, Epinephrine IM (0.01mg/kg, 1:1,000 to a maximum of 0.5mg prior to obtaining an IV) |
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When would you consider a supraglottic airway? |
When more than an NPA / OPA and BVM is required. |
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Will you interrupt CPR to insert a supraglottic airway? |
No. |
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What are the lower age limits for Manual Defibrillation? |
>=30 days to <8 years |
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What is the upper age limit for Manual Defibrillation? |
>=8 years old |
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What is the first dose in pediatric (less than 8 years old) manual defibrillation? |
2j/kg |
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What is the subsequent dose in pediatric (less than 8 years old) manual defibrillation? |
4j/kg |
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What is the dosing interval for manual defibrillation? |
2 minutes |
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When will you administer your first shock? |
Immediately after your defibrillation pads have been placed on. |
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What do the epinephrine 1:10,000 preloads come in? |
1mg/10mL |
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If you had a 10 year old pediatric medical cardiac arrest what would your ETT dose of epinephrine be? |
0.1mg/kg * (age x 2 + 10)kg = 2.2mg. |
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What dose does the epinephrine vial come in? |
1mg/mL |
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How many vials would you need for this ETT dose? |
3 vials (1mg + 1mg + 0.2mg) |
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What is the upper age limit of Manual Defibrillation? |
>= 8 years old |
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If your patient was 8 years old, what defibrillation doses would they qualify for? |
upper age limit doses (200J, 300J, 360J, 360J....) |
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What is the maximum number of defibrillation doses for Manual Defibrillation? |
No limit. |
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What is the maximum number of epinephrine doses? |
No limit. |
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What is the maximum number of amiodarone doses? |
2 |
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What is the lower age range for amiodarone? |
>=30 days to <12 years old. |
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What is the upper age range for amiodarone? |
>= 12 years old. |
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If your patient is 12 years old, which dosage range will he fall under, lower or upper? |
Upper (>= 12 years old) |
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What is the first pediatric dose of amiodarone? |
5mg/kg to a maximum of 300mg |
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What is the repeat dose of amiodarone? |
5mg/kg to a maximum of 150mg |
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What is the dosing interval for amiodarone? |
4 minutes |
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What is the maximum # of doses for amiodarone? |
2 |
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What dose of epinephrine IV will a 25 year old patient in cardiac arrest receive? |
1mg |
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What of epinephrine ETT will a 12 pound patient in cardiac arrest receive? |
0.1mg/kg * (5kg) = 0.5 mg |
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What dose of amiodarone will a 6 year old patient receive (second dose)? |
5mg/kg * (age x 2 + 10)kg = 110mg |
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What is the maximum dose for the second dose of amiodarone in a 6 year old patient? |
150mg |
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What is the maximum number of doses of amiodarone in both pediatric and adult medical arrests? |
300mg / 150mg |
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What drug will you consider administering if you do not have amiodarone? |
Lidocaine |
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What is the lower age limit for lidocaine administration in a medical cardiac arrest? |
>= 30 days to <12 years |
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What is else do you want to consider for the lower limit of lidocaine administration? |
Weight limit (<40 kg) |
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What is the upper age limit of lidocaine administration? |
>= 12 years old |
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What is the IV/IO dose of lidocaine for the lower age limit in medical cardiac arrest? |
1mg / kg |
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What is the dosing interval of lidocaine during medical cardiac arrest? |
4 minutes
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What is the maximum # of doses of lidocaine during medical cardiac arrest? |
2 doses only |
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How does this contrast with epinephrine? |
Epinephrine has unlimited doses, while lidocaine (and amiodarone) are limited to two doses. |
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During what cycle would you administer lidocaine? |
3rd cycle (1st cycle - IV/IO/airway, 2nd cycle - epinephrine, 3rd cycle - lidocaine) |
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What is the ETT dose of lidocaine in the lower age limit during medical cardiac arrest? |
2mg / kg |
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What is the maximum number of doses of lidocaine? |
2 |
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What is the IV/IO/CVAD dose of lidocaine for the upper age limit in medical cardiac arrest? |
1.5mg / kg |
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What is dosing interval for lidocaine administration during medical cardiac arrest? |
4 minutes |
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What is the ETT dose of lidocaine during medical cardiac arrest? |
3mg/kg |
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What is the maximum number of doses of lidocaine in medical cardiac arrest? |
2 doses. |
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What type of drug is lidocaine considered? |
Class 1B antiarrhytmic |
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What specifically is the action of lidocaine? |
suppresses the SA node, abnormal automaticity. |
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What are your two final considerations in a medical cardiac arrest? |
0.9%NaCl fluid bolus, Intubation. |
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What is the lower age limit for IV fluid bolus in medical cardiac arrest? |
>= 30 days to < 12 years old. |
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What is the upper age limit for IV fluid bolus in medical cardiac arrest? |
Age >= 12 years old |
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What route can an fluid bolus be given in the lower age limit? |
IV/IO |
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What route can a fluid bolus be given in the upper age limit? |
IV/IO/CVAD |
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What is the bolus infusion rate for the lower age limit in medical cardiac arrest? |
20mL/kg |
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What is the bolus infusion rate for the upper age limit in medical cardiac arrest? |
20mL/kg |
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What point to you reassess the infusion in the lower age limit in medical cardiac arrest? |
100mL |
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What point do you reassess the infusion in the upper age limit in medical cardiac arrest? |
250mL |
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What is the maximum volume of fluid that you can infuse in the lower age limit of the medical cardiac arrest? |
20mL / kg, to a maximum of 2000mL |
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What is the maximum volume of fluid that you can infuse in the lower age limit of the medical cardiac arrest? |
2000mL |
