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294 Cards in this Set
- Front
- Back
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In the cyanide toxicity kit, Hyroxocobalamin comes in one ___ gram bottle to be constituted with ___ ml of RL/NS/D5W. |
5g
200ml |
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The total dose on hand of hydroxocobalamin in the cyanide toxicity kit is _____.
|
5 g |
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Hydroxocobalamin comes in prepared solution and is administered over ______ minutes for the kit. |
|
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The adult dose of hydroxocobalamin is _____ grams. |
5G (one bottle) |
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The pediatric dose of hydroxocobalamin is _____ bottle for Infants/Toddlers (0-2 years), _____ bottle for Preschoolers (3-5 years), and ____ bottle for Grade Schoolers (6-14 years). |
1/4 1/4 1/2 |
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In the cyanide toxicity kit, sodium thiosulfate is prepared by adding ___ grams (____ml) to a ____cc bag of D5W, for a total ____cc prepared solution. |
12.5 g |
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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. |
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Hydroxocobalamin is delivered over ____ minutes while sodium thiosulfate is delivered over ____ minutes. |
15 |
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Etomidate for intubation is delivered at ____ mg/kg IV bolus, maximum total dose ____ mg. |
0.3 |
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After successful Intubation following Etomidate, administer Diazepam _____ IV bolus or Lorazepam _____ IV or IM for continued sedation. |
5 mg |
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Diazepam following Etomidate is delivered by what route(s)?
|
IV bolus |
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Lorazepam following Etomidate is delivered by what route(s).
|
IV or IM |
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How many repeat doses of Lorazepam or Diazepam may be give for continued sedation following Etomidate.
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The prehospital sedation protocols only specify a one-time dose.
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How often is epi given during adult cardiac arrest?
|
every 3-5 minutes
|
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The initial dose of Amio in V-fib is _____ mg. |
300 mg (undiluted) |
|
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The repeat dose of Amio in V-fib is _____ mg. |
150 mg PPMC (undiluted) |
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|
How often is Sodium Bicarb repeated during an arrest?
|
every 10 minutes |
|
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In cardiac arrest, Magnesium Sulfate is given as ____ diluted in ____ ml of saline, IV/IO over ____ minutes. |
2 g 10 ml 2 mins |
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In cardiac arrest, Calcium Chloride is given *______* as ____ IV/IO bolus followed by ______. |
SLOWLY |
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What is Calcium Chloride followed by?
|
normal saline flush
|
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Calcium Chloride is pushed _____.
(quickly/slowly) |
SLOWLY
|
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In cardiac arrest, Atropine is given every ______. |
never (atropine is no longer in the arrest protocol) |
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|
Dextrose is administered under which cardiac arrest protocol? |
PEA/Asystole |
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|
Post arrest Dopamine dose range and target BP. |
None. 503C Hypothermia and Post Resuscitation Therapy Protocol has been discontinued. |
|
|
What medication (dose/route) can be administered on standing orders post-arrest for shivering or agitation? |
None. 503C Hypothermia and Post Resuscitation Therapy Protocol has been discontinued. |
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Sublingual Nitro, whether in tablet or spray form, is repeated every _____ minutes for a total of _____ doses. |
5 minutes |
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Before each dose of Nitro, check _____ and _____.
|
pulse |
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In patients with myocardial ischemia, administer two (2) chewable aspirin tablets, ____ mg.
|
162 mg
|
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In the Myocardial Ischemia protocol, Morphine is administered at what dose? |
Morphine is no longer in the Myocardial Ischemia protocol. |
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For fluid therapy in cardiogenic shock, administer ______ ml IVB of normal saline. Repeat ______ for a maximum of ______ ml. |
250 ml
once 500 ml |
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|
What is the maximum volume of fluid given to a cardiogenic shock patient? |
500 ml |
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Dopamine is given at ______ IV drip for a maximum of ______ in all protocols except Bradydysrhythmia/Complete Heart Block. |
5ug/kg/min |
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|
Administer Adenosine at 6mg or 12mg, ______, followed by ______. |
rapidly |
|
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Adenosine is administered ______.
(rapidly/slowly) |
rapidly
|
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After the initial 6mg dose of Adenocard, observe EKG monitor for ______ minutes for evidence of cardioversion.
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1-2
|
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Adenosine is administered at doses of ____mg, ____mg and ____mg.
|
6
12 12 |
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Administer Diltiazem if BP is _____ or _____ and complex width is _____.
|
normal
elevated narrow |
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Describe how Diltiazem is administered.
|
give SLOWLY over two minutes
monitor BP continuously |
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In cases of SVT where complex width is _____ and BP is low, do this. |
narrow
cardioversion |
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For tachyarrhythmias, Amiodarone is administered at _____ diluted in _____ ml D5W over ____ minutes.
|
150 mg
100 ml 10 |
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Whenever Midazolam is used for intubation or cardioversion sedation, it is given by what route?
|
IV/IN bolus
(notice IN, but not IM) |
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What are the four protocols in which Midazolam may be given IM?
|
(1) Adult Seizure |
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What is the only pediatric protocol that allows for standing order sedation? |
Pediatric seizures |
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|
What is the only pediatric inclusive protocol that references Prehospital Sedation for Advanced Airway Management as an option? |
BURNS (Protocol is for adults and pediatrics) |
|
|
True or False Pain Management for isolated extremity injuries and burns is permitted under standing orders for pediatric patients. |
true |
|
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Ondansetron is for patients with _____ or _____. |
persisent vomiting
severe nausea |
|
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True or False Ondansetron only appears in the adult protocols. |
False.
Ondansetron is for adult and pediatric patients with persistent vomiting or severe nausea. |
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Can Midazolam be given IM for intubation or cardioversion sedation?
|
No.
|
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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 |
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What is the IM/IN dose for Midazolam in EDP cases? |
10 mg IM/IN standing 10 mg IM PPMC 5 mg IN PPMC |
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How many PPMC repeats of 10mg IM/IN Midazolam are permitted under Medical Control Options for the Excited Delirium? |
One 10mg IM repeat -or- One 5mg IN repeat |
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How many PPMC repeats of IM/IN Midazolam are permitted under Medical Control Options for adult Seizures? |
one repeat |
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What is the IM/IN dose for standing orders Midazolam in pediatric seizures without IV access? |
0.2 mg/kg IM/IN |
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____ is the preferred route of Midazolam administration in Pediatric Seizures. |
IN |
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What is the intubation/cardioversion/pacing dose and route of Midazolam? |
1-2 mg IV/IN bolus, repeat 1 mg PRN |
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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. |
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What four sedatives are typically used for intubation?
|
"DMEL" Lorazepam |
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|
What three sedatives are typically used for cardioversion? |
"DME"
Diazepam Midazolam Etomidate (1/2 intubation dosage) |
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True or False.
Etomidate is given for pacing. |
False.
|
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Which sedative is used for intubation (full dose) and cardioversion (half dose) but never for pacing? |
Etomidate |
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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. |
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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. |
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Following Etomidate, what is the dose for IV Lorazepam versus IM Lorazepam?
|
both the same
2 mg |
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In excited delirium medical control options, what is the dose for IV/IN Lorazepam versus IM Lorazepam?
|
2 mg IV/IN |
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What is the PPMC IM dose for Lorazepam for excited delirium?
|
4 mg |
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What is the IM dose for Lorazepam following Etomidate for continued sedation?
|
2 mg
|
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What is the IV dose for Lorazepam following Etomidate for continued sedation?
|
2 mg
|
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In excited delirium, what is the dose difference between IV/IN and IM Midazolam?
|
IM 10 mg
IN 5 mg No IV Midazolam in Protocol |
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In excited delirium, what is the dose difference between IM and IV Diazepam?
|
Diazepam is not given IM.
The IV dose is 5-10 mg (once ppmc). |
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What is the IV dose for Midazolam in the chemical restraint of an EDP?
|
IV Midazolam not an option |
|
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What is the IN dose for Midazolam in the chemical restraint of an EDP? |
10 MG standing 5 mg PPMC |
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|
How is Diazepam given on standing orders for adult seizures?
|
5 mg IV bolus |
|
|
How is Diazepam given under medical control options for adult seizures?
|
5 mg IV bolus |
|
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How is Lorazepam given for adult seizures? |
2 mg IV/IM/IN single PRN repeat after 5 min |
|
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How is Midazolam given for adult seizures?
|
10 mg IM/IN
(only when no IV) |
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|
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. |
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|
How is Diazepam given to control seizures in Head Injury patients? |
5 mg IV bolus |
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How is Lorazepam given to control seizures in Head Injury patients?
|
2 mg IVB/IM/IN |
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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 |
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What sedatives are used for controlling seizures in the Seizure protocol?
|
"LDM"
Lorazepam Diazepam Midazolam |
|
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What sedatives are used for controlling seizures in the Head Injury protocol?
|
"LDM"
Lorazepam Diazepam Midazolam |
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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.
|
|
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Name the two protocols in which Lorazepam is not given IM? |
APE Pediatric Seizures |
|
|
True or False: Lorazepam can be given IM to adults in all of the protocols in which it appears. |
False.
APE gets IV/IN only. |
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Can Diazepam ever be given IM or IN in any of these protocols? |
No. |
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What is the pediatric dose and route for Lorazepam for seizures?
|
0.1 mg/kg IN/IV/IO/ Bolus
SLOWLY over two minutes. Repeat if seizures persist. *no IM Lorazepam in Peds Seizures* |
|
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What is the pediatric dose for IV Diazepam for seizures?
|
0.2 mg/kg, IV/IO Bolus |
|
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What is the pediatric dose and route for Midazolam for seizures? |
Standing: 0.2 mg/kg IM/IN
PPMC: Repeat if no IV/IO |
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|
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 <=60)
Midazolam IM/IN
|
|
|
What is the pediatric dose for rectal Diazepam for seizures?
|
Rectal diazepam is no longer in the protocol. |
|
|
What are the three drugs that can be administered to pediatric seizure patients if an IV/IO has been established? |
(1) Dextrose (1) Lorazepam |
|
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What are the three drugs that can be administered to pediatric seizure patients if an IV/IO has NOT been established?
|
(1) Midazolam IM/IN (2) Lorazepam IN |
|
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What are the drugs used to control seizures in childen?
|
Midazolam Lorazepam |
|
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PPMC NOTE Pediatric Seizures: Do not administer Lorazepam, Diazepam, or Midazolam if... |
...the seizures have stopped. |
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Explain how Atropine is given for PEA/Asystole. |
It is no longer given. |
|
|
Dosage for Sodium Bicarb.
|
44-88 mEq IV/IO/SL bolus |
|
|
Up to ______ of ______ may be given as a "fluid challenge" under medical control options for PEA/Asystole. |
3 liters |
|
|
STANDING ORDERS |
1/150 |
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If, after Morphine, hypoventilation developes, administer Naloxone... |
...titrate in increments of 0.5 mg up to response, up to 4 mg, IV/IO/IN/IM. |
|
|
Morphine Dosage for APE |
No longer in protocol. |
|
|
Name the drugs that can "technically" be administered via the ET tube, although it is no longer practiced in the adult patient. |
LEAN |
|
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Morphine dosage for adult and pediatric pain management and burns. |
0.1 mg/kg (not to exceed 5mg) (max 10 mg) |
|
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Morphine is administered to patients with a systolic BP of greater than _____, as per protocol. |
110 mmHg |
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IO access via the ______ is considered to be unacceptable in the NYC region.
|
sternum
|
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Appropriate adult dosage of Naloxone.
|
Titrate in increments of 0.5 mg up to response, up to 4 mg, IV/IO/IN/IM.
Repeat under medical control |
|
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For patients with burns involving the face and/or airway... |
...consultation with online medical control is required prior to administration of analgesics. |
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What are the four REMAC drugs that are administered by IV drip?
|
(1) Amiodarone
(2) Dopamine (3) Mag Sulfate (4) Norepinephrine |
|
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At what joule settings is all REMAC adult synchronized cardioversion performed?
|
100
further repeats at device's max setting) |
|
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At what joule setting is adult defibrillation performed?
|
maximum joule setting possible |
|
|
At what joule setting is pediatric defibrillation performed? |
4 j/kg |
|
|
At what joule setting is pediatric synchronized cardioversion performed?
|
attempt 1: 0.5-1 j/kg |
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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 |
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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 |
|
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If ______ and ______, administer Diltiazem.
|
complex width is narrow
BP is normal or elevated |
|
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What solution is Amiodarone diluted in?
|
D5W
|
|
|
Magnesium sulfate DRIP is given in which protocols? |
Obstetric complications |
|
|
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
|
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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
|
|
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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. |
|
|
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) |
|
|
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 |
|
|
Edomidate cardioversion dosage
|
0.15 mg/kg max 20 |
|
|
For adults, dextrose is administered ____ g (____ of a ____ solution), IVB
|
25 g
50 ml 50% |
|
|
If an OD is strongly expected, and the patient's respiratory rate is less than 10/minute, 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 15 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 15 and older.
|
50%
|
|
|
Glucagon dose/route
|
1 mg IM
|
|
|
Naloxone dosage for adults
|
0.5 mg increments up to 4 mg
(PPMC repeat) |
|
|
Naloxone AMS dosage for peds
|
Age 2 and over: 0.5 mg up to 2 mg IN/IM
Under age 2: titrate up to 1 mg IN/IM (followed by a contradiction in the language) |
|
|
Naloxone cardiac 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.
|
4 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 60 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 is ______. |
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
(may repeat once, standing) |
|
|
Name the two protocols that employ Morphine. |
|
|
|
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
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.
|
|
|
What is the pediatric dosage for Lorazepam?
|
0.1 mg/kg
|
|
|
How is Lorazepam administered for pediatric seizures?
|
0.1 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?
|
0.2 mg/kg
|
|
|
How is IV/IO Diazepam administered in the pediatric seizure protocol?
|
0.2 mg/kg IVB or IO
slowly over 2 minutes |
|
|
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 universal dosage for Glucagon in all protocols?
|
1 mg
|
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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 |
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Acronym for the four pediatric protocols that use only one drug.
|
DRAN
|
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List the medical control options in Neonate Resuscitation. |
There are none. (standing orders only) |
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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) |
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What is the standing order Morphine Sulfate repeat dose for Pain Management of Isolated Extremity Injuries?
|
0.1 mg/kg IVB |
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What is the maximum total dose of Morphine for Pain Management (including both the first and second doses). |
10 mg
|
|
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How many times may Morphine be repeated under standing orders for Pain Management? |
once for continued pain
(total 2 doses) |
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How many repeat doses of Albuterol/Ipratropium may be given on standing orders to pediatric asthma? |
repeat twice during transport |
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How many repeat doses of Albuterol may be given under medical control options to pediatric asthma? |
one more |
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"___________ shall be considered a pediatric patient."
|
Any patient under 15 years of age
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Midazolam (Versed) dose for prehospital sedation.
|
1-2 mg IV/IN
repeat 1mg PRN max total 5 mg |
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What is the repeat dosage for Midazolam in prehospital sedation?
|
1 mg IVB
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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. |
None.
The IV Midazolam option was removed from the Excited Delirium protocol. |
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|
IM/IN route chemical restraint dose for Midazolam, standing and PPMC.
|
Standing: 10 mg IM/IN
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IV route chemical restraint dose for Diazepam.
|
5-10 mg IVB
(once PPMC) |
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Magnesium Sulfate dosage for severe pre-eclampsia or eclampsia? |
2 grams
|
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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" |
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Fluid infusion volume for neonates if transport is delayed or extended. |
10 ml/kg
|
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Amiodarone dosage for pediatric cardiac arrest.
|
5 mg/kg IV/IO |
|
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What is the one and only pediatric protocol that calls for amiodarone?
|
pediatric cardiac arrest
|
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How many times can Amiodarone be given in pediatric cardiac arrest?
|
once
|
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What is the medical control dose in pediatric arrest for magnesium sulfate? |
25-50 mg/kg IV/IO
|
|
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How many times can magnesium sulfate be given in a pediatric cardiac arrest? |
once |
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What is the initial fluid infusion volume for pediatrics?
|
20 ml/kg
|
|
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What is a large bore IV catheter for pediatrics?
|
18-22 gauge
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|
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What is a large bore IV catheter for adults?
|
14-16 gauge
|
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What is the total standing order fluid infusion volume for pediatrics in decompensated shock or traumatic arrest?
|
40 ml/kg
|
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What is the maximum fluid infusion volume for pediatrics in decompensated shock or traumatic arrest after exhausting medical control options?
|
60 ml/kg
|
|
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What is the specified fluid challenge volume for PEA/Asystole?
|
up to 3 liters med/ctrl
|
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What is the specified fluid infusion volume for adult anaphylaxis? |
up to 3 liters |
|
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What is the specified fluid infusion volume for adult non-cardiogenic shock?
|
up to 3 liters |
|
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What is the specified fluid infusion volume for adult traumatic arrest?
|
up to 3 liters |
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What is the max fluid infusion volume for adult/ped burns? |
First it says up to 2 liters, then it says max 1 liter. |
|
|
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 |
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Solution percentage of Ipratropium Bromide.
|
0.02%
|
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What is the Ipratropium dosage for pediatrics 6 and older?
|
one unit dose vial
(2.5 ml of a 0.02% solution) |
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What is the Ipratropium dosage for pediatrics under age 6?
|
one half of a unit dose vial
(half of a 2.5 ml vial of 0.02% solution) |
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|
True or False:
Chidren under 6 get half the dose of ipratropium that childen 6 and older would get. |
True.
|
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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? |
Age 2 and over: 0.5 mg up to 2 mg IN/IM Under age 2: titrate up to 1 mg IN/IM (followed by a contradiction in the language) |
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|
If there is no IV/IO access, how is Naloxone given IM/IN on standing orders for pediatric AMS?
|
0.5 mg, titrate to 2 mg
(contradictory language) |
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|
What dose of Glucagon is given to pediatric AMS and seizure patients?
|
1 mg
|
|
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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. |
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|
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 |
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|
Total Fluid administration in Septic Shock when standing orders and medical control options have been exhausted. |
3 liters |
|
|
Name the two protocols in which Fentanyl appears. |
(1) Burns (2) Pain Managment |
|
|
What is the dose/kg and max for Fentanyl? |
1 mcg/kg, max 100 mcg |
|
|
Fentanyl may be administered by these routes. |
IV/IO/IN/IM |
|
|
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 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. |
Morphine is no longer in the APE protocol. |
|
|
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% |
|
|
In which five protocols does Norepinephrine appear? |
(1) Smoke Inhalation (2) Cyanide Exposure (3) Cardiogenic Shock (4) Allergic/Anaphylactic Reaction (5) Severe Sepsis/Septic Shock |
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|
True or False Norepi dosage is the same in all protocols in which it appears. |
True. |
|
|
What is the initial dosing of Norepinephrine in all protocols. |
2 mcg/min IV/IO |
|
|
What is the maximum dosage of Norepinephrine in all protocols? |
20 mcg/min IV/IO |
|
|
What is the dose range of Norepi? |
2-20 mcg/min |
|
|
Describe how Norepinephrine is administered. |
Initial: 2 mcg/min IV/IO
Increased to desired therapeutic effects Max: 20 mcg/min IV/IO |
|
|
Name the protocol(s) that include Ketamine. |
Excited Delirium |
|
|
By what route(s) is ketamine administered? |
IM, IN |
|
|
What is the IV dose for ketamine?
|
Ketamine is not administered IV.
|
|
|
What is the IM dose for ketamine?
|
2-4 mg/kg |
|
|
What is the IN dose for ketamine?
|
1-2 mg/kg |
|
|
Name the five adult protocols that are subtitled for adult & pediatric patients. |
(1) Hyperglycemia (2) Chemical Eye Injuries (3) Burns (4) Pain Management (5) Nausea/Vomiting
|
|
|
Name the protocol that is parenthetically subtitled for (adult patients only).
|
Excited Delirium |
|
|
Under the hyperglycemia protocol, you would treat patients with blood glucose levels above _____ who have AMS, tachypnea, or signs of dehydration. |
300 mg/dl |
|
|
Under the hyperglycemia protocol, you would treat patients with blood glucose levels above 300 mg/dl who have _____, _____, or _____. |
AMS tachypnea dehydration |
|
|
Under the hyperglycemia protocol, you would treat ANY patient with a blood glucose level above _____ or a glucometer reading of _____.
|
500 mg/dl HIGH |
|
|
In the hyperglycemia protocol, under standing orders for adult patients, begin a rapid IV infusion of NS or RL, up to a maximum of _____.
|
1 Liter |
|
|
In the hyperglycemia protocol, under standing orders for pediatric patients, begin a rapid IV infusion of NS or RL, up to ___ml/kg (maximum of _____).
|
20 1 liter |
|
|
In the hyperglycemia protocol, under medical control options for adult patients, administer _____ additional liter(s) of NS for RL.
|
One |
|
|
In the hyperglycemia protocol, under medical control options for pediatric patients, administer an additional bolus of _____ ml/kg (max _____) of NS for RL.
|
10 1 liter |
|
|
What IV fluid is administered in the hyperglycemia protocol? |
NS or RL |
|
|
What IV fluid is administered in the excited delirium protocol?
|
NS or RL |
|
|
How much NS/RL is infused after adequate sedation of the excited delirium patient?
|
up to 1 liter |
|
|
Septic shock inclusion criteria acronym.
|
BRUTAL |
