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89 Cards in this Set
- Front
- Back
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Vent rate of <5 day old w/ no c02 |
1 to 1.5 seconds (40-60/min) |
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CPAP ( Adult LMP and cmH20) |
15-25, 5-10 cm H20 |
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Pedi Intubation only acceptable for.... |
Merconium asperation |
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Mild Asthma/COPD |
<35 c02, >96%, adequate tidal, wheezing 35-45 , 90-96, diminished, wheezing >45, <90, diminished, wheezing/diminished |
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Treatment Asthma/COPD? |
02 10-20 ml/kg IV Saline bolus up to 7.5 Albuteral (repeat PRN) CPAP Ipatroprium Bromide (0.5mg) repeat PRN Methylpredisolone IV/IO 125MG over 1 min Mag sulfate 2g in 100ml over 10 min Pedi: 50mg/kg in 100ml NS over 10 min Epi 0.3mg IM, pedi 0.15 mg (<30kg) |
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Treatment refractory to Asthma / COPD? |
2MG in 100ml NS at 5mcg/min , titrate to adequate respiratory status Pedi (<10kg) 2 mg in 100 ml NS at 0.5 mcg/kg/min TIP: 2 mg in 100 ml yields 20 mcg/ml, infuse at 15 gtts/min using a micro set for adult dose. |
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RSI for pedi patients |
NC @6 + BVM/NRB at max flow Ketamine 2mg/kg for pedi NC to 15LPM Rocuronium 1mg/kg pedi |
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Elevate head how much during DSI |
HOB > 15 deg |
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Adult Ketamine dose for DSI |
2mg/ KG |
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1kg = LBS? |
2.2 |
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Reach what % DSI for 3 minutes? |
93% |
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Paralysis drug and dose once % is at 93 during DSI? |
Rocuronium IV/IO 1mg/kg |
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How long is cooldown on Rocuronium? |
90 seconds? |
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Sedation post intubation drugs |
2mg/kg Ketamine q 30 min |
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Adult / Pedi Pad sizes/weights? |
Adult > 55 LBS Pedi <55 LBS |
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Compression rate? When to rotate? |
100-120 / min Every 100 compressions |
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Pedi dose for epi CPR |
.01 mg/kg (0.1ml/kg) 1:10,000 q 3-5 min |
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Pedi does EPI for CPR when prefilled syringe not available |
2mcg/kg/min |
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PEA narrow CPR |
Pericardio centesis, Bilateral Needle thoracostomy |
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PEA wide |
Calcium chloride IV/IO pedi 20mg/kg slow push FLUSH Sodium bicarb 1meq/kg slow push Pedi: Same(4.2 % if under 2) |
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VFIB / Pulseless V TACH |
Defib Amiodarone IV/IO 300 MG (may repeat once in 3-5 min at 150MG) Pedi : 5mg/kg (q once in 3-5 min at same dose) |
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Tosades de pointes or suspected hypomagnesemia |
2 g in 100 ML over 10 min, repeateonce PRN Pedi : 50 mg/ kg in 100 ML ns over 10 min, repeat once PRN |
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BGL < ___ to treat hypoglycemia? |
60 |
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Treatment for Hypoglycemia? |
Dextrose 50% 25G adult, Pedi : Use D10 @ 5ml/kg wide open |
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When to Pericardiocentesis in Trauma? |
Credentialed provider had pulses AND Thoraciic trauma present AND perform procedure within 5 minutes of last pules |
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Beta Blocker OD? |
Glucagon 3mg Pedi : 0.3 mg/kg |
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Calcium Channel Blocker OD CPR? |
1GM push slow 20mg/kg slow push |
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Hyperkalemia w/ Acidosis |
^ same + Sodium bicarb 1mEq/kg slow push Albuterol 10 mg !! |
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Tricylcic antidepressant toxicity |
Bicarb 1 mEq/kg slow push |
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ROSC |
Bilateral Ivs + IO Chilled NS infusion (medical arrest) 1-2 L Pedi (>10 yr old 10-20ml/kg) |
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Monitor ROSC for how long before moving to ambulane? |
5 min |
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ROSC Meds |
Nor Epi 2mg in 100 ML NS at 5 mcg/min, titrate to mantain SBP 90 TIP: 2mg/100ML yields 20 mcg/ml, begin at 15Gtts/min (Micro set) for 5mcg/min Midazolam for shivvering Adult: Up to 5 mg q 10 min PRN Pedi: 0.1 to 0.2 mg/kg , q 10 min PRN |
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Start CPR on newborn with HR < than? |
60 . CPR at 120 / min |
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Normal NB BGL? |
>40 mg/dl Treat <40 with 5ml/kg 10% dext |
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Bradycardia symptomatic |
.5 mg Atropine, q 3 min PRN pedi .02 mg/kg q r min PRN (min .1mg, max .5mg, max total 1 mg) Pacing , rate 80 @ ma 80 |
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Persistant? Hypotension Bradycardia? |
<10kg 2mg in 100 ML NS at 0.5 mcg/kg/min >10 mg '' '' @ 5 mcg/kg/min |
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A FIB/ Flutter with RVR |
HR > 120 sustained 10MG diltiazem IV/IO over 2 min pedi : OLMC |
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Diltiazem Contraindicated? |
Wide WRS tach WPW IV beta blocker within past hour SBP <100 |
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Antidote for Diltiazem OD/Diltiazem hypotension? |
Calcium chloride 10% IV / IO 1GM in 100 Ml NS over 10 min |
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Diltiazem contraindicated in a sustained >150 BPM atrial fib/flutter? |
OLMC for amiodarone infusion 150 mg in 100 ml NS over 10 min |
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SVT |
vagal maneuvers adensosine (>150BPM, child 180, infant 220) 12 mg, reepate once PRN Pedi 0.2 mg/kg repeate once PRN FLUsh 10-20 ML NS bolus |
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Adensone reduced 50% on what medications? |
Tegretol, (carbamazepine), or persantine (dipyridamole) |
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Adenosine ^ 50% on... |
Methylxanthine such as theophylline or aminophylline |
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VTACH Stable , symptomatic |
150 MG in 100 ml NS over 10 min , repeate once PRN
Pedi, 5mg/kg in 100 ml NS over 20-30 min, repeate once PRN |
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Cardioversion for all unstable tachs |
100J, repeat at 150J PRN Pedi : 1j/kg, repeat at 2j/kg Torsades : Vendor recommendation, 2J/kg |
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Dose for ASA? ASA w/ Hx of Upper GI bleed? |
324 MG 1/2 = 162 MG |
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v1 and v2 alone used to diagnose Stemi? |
NO |
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Call inferior MI with a LBBB? |
Yes |
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Nitro Dose |
0.4 MG SL, repeat q 5 min with BP >100 |
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Give Nitro paste in conjunction w/ SL? |
Yes, |
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Tx for Hyperkalemia ? |
1 GM in 100 ml over 10 min Calcium CHloride Albuterol 10 mg |
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Anxiety Management? |
Midazolam IV IO IM IN Pedi 0.1 to 0.2 mg/kg , repeat q 10 min PRN |
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Combative patient (moderate) |
5 MG , repeat q 10 min PRN to control |
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Violent Patient |
Ketamine 5mg/kg repeat q 10 PRN Fully restrain PT!!!!! |
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Excited delerium |
Chilld saline , 10-20ml/kg Midazolam up to 5mg Bicarb for hperkalemia 1mEq/kg in 1,000 ML NS wide open |
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BP To maintain for uncontrolled bleeding? |
70-80 mmHg |
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BP to maintain for medical ? |
90 Drug? Norepinephrine 2mg in a 100 ML NS at 5 mcg/min titrate to maintain 90 (15 drops a min in a micro set) |
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Can you use a PICC line in an emergency? |
Yes. |
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Lidocaine IO dose |
40 mg slowly through IO 60-90 seconds prior to bolus Pedi 0.5 mg/kg |
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Pedi Dose Ondansetron? |
0.1 mg/kg to a max of 4mg IV IO IM, or 4mg ODT may repeat once |
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Nausea med? |
Metoclopramide 20 mg in 100 ml of NS wide open |
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Diarrhea |
Loperamide PO 4mg, repeate 2mg after each loose bowel movement (no more than 16 day) |
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Vertigo |
Diphenhydramine 25-50 mg OLMC for pedi 1mg/kg |
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Fentanly Dose |
1-2 mcg/kg q 10 min PRN |
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Procedural Sedation |
Ketamine adult 25 MG IV, repeat at 12.5 (1/2) q 10 min PRN 50 MG IM repeat at 25 IV q 10 min PRN Pedi 02.mg/kg IV, repeat half 0.4 MG IM , repeat half |
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Titrate o2 to maintain ? |
>93% sats |
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Chilld saline before or after ROSC? |
AFTER |
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Treat temp > 100.4? for child? |
Acetaminophen Pedi 15 mg/kg up to 1 gm |
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Seizure Dose |
10 mg IM q 10 min PRN Pedi 0.2 mg/kg 5mg IV q 10 min PRN Pedi 0.2 mg/kg |
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Beta blocker overdose (symptomatic) |
3 mg Glucagon Pedi 0.3 mg/kg |
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Calcium channel blocker OD |
1GM in 100 ml over 10 min pedi 20mg/kg in 100ml over 10 min |
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Cyanide TX? |
2 IVs CPAP Hydroxocobalamin IV/IO for hypotension, seizure or altered mental status Adult: 5 gm in 200 mL NS over 15 min Pedi: 70 mg/kg in 200 mL NS over 10 to 15 min |
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Dystonic REACTION |
Diphenhydramine IV/IO/IM Adult: Up to 50mg Pedi: 1 mg/kg |
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Emergence Reaction |
Midazolam up to 5 mg |
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Naloxone dose |
Up to 2 mg , repeate q 2 min PRN |
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Organophosphate |
Atropine 2 to 6 mg repeatq 5 min PRN Pedi: 0.05 mg/kg, repeat q 5 min PRN |
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Tricyclic anti depressant toxicity? |
Sodium bicarb 1 mEq/g in 1000 ML NS wide open |
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Allergic reaction |
Don't forget ipratropium bromide Adult: 0.5 mg (may be combined with Albuterol, repeat PRN, repeat PRNPedi: Same as adult Albuterol for respiratory Adult: Up to 7.5 mg, repeat PRN titrated to symptom improvementPedi: Same as adult Methylprednisolone IV/IOAdult: 125 mgPedi: 2 mg/kg Diphenhydramine IV/IO/IMAdult: 25 to 50 mgPedi: 1 mg/kg |
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Allergic reaction Anaphylaxis |
Epinephrine 1:1,000 IMAdult (>30 kg): 0.3 mg, q 5 minPedi (< 30 kg): 0.15 mg, q 5 min Normal Saline infusion IV/IOAdult: 20 ml/kg, titrated to SBP >90Pedi: 20 ml/kg, titrated to age appropriate SBP Epinephrine 1:1,000 nebulized (for laryngeal edema with stridor) Adult: 2 mg added to 2 mL NS (4ml total) Pedi: Same as adult Epinephrine Infusion IV/IO (for persistent hypotension following IM Epinephrine) Adult: 2 mg in 100 mL NS, begin at 5 mcg/min, titrated to SBP ≥ 90 mmHgPedi (< 10 kg): 2 mg in 100 mL NS at 0.5 mcg/kg/min, titrated to age appropriate SBP
Pedi (≥10 kg): Same as adult Note: 2 mg/100ml yields 20 mcg/ml. Begin infusion at 15 gtts/min using a micro set for adult dose. |
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Migraine |
Acetaminophen PO 650-1000 MG pedi 15 mg/kg Normal Saline Infusion IV/IOAdult: 10-20 ml/kgPedi: Same as adult Metoclopramide IV infusionAdult: 20 mg in 100 ml of NS Pedi: OLMC Diphenhydramine IV, to be given in conjunction with metoclopramide Adult: 25-50 mg Pedi: OLMCOLMC - Fentanyl IV/IM/INAdult: 0.5-1 mcg/kgPedi: OLMC |
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Eclampsia |
Magnesium Sulfate Infusion IV/IO for EclampsiaAdult: 4 gm in 100mL NS over 4 min |
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Glucagon IM dose |
Adult: 1 mg, repeat once after 15 min PRN Pedi: 0.1 mg/kg, repeat once after 15 min PRN, Max 1 mg
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Dextrose 10 dose |
Dextrose 10% IV/IO.Adult: Infuse wide open until symptoms resolve Pedi: 5 ml/kg. Infuse wide open until symptoms resolve |
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nose bleed |
Oxymetazoline IN INAdult: 1-2 activations following voluntary clearing of nares by conscious patient Pedi: Not indicated |
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corneal abrasion |
First Responder Paramedic (FRP)Tetracaine 0.4% SolutionAdult: 1-2 gtts, repeat q 5 min PRNPedi: Same as adult |
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CPR Rhymth is PEA Wide complex |
CaCl 1 gm NahCO3 1mEq/kg |
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CPRRhymth is PEA narrow complex |
2 L fluid bolus |
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EtCO2 @ 20 min is >10... |
3 hole punch for narrow complex PEA Continue CPR 20 min |
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Procedural Sedation for CPAP? |
Ketamine 25mg, repeat at 12.5mg |
