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249 Cards in this Set
- Front
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Acetaminophen (Tylenol)
Protocol ? and Protocol ? |
Pain Control
Fever |
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Acetaminophen(Tylenol)
Adult dose: Ped Dose: |
Pain Control and Fever
Adult Dose: 1000 mg PO Ped Dose: 10 mg/kg PO |
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Tylenol
Precautions? |
Avoid this pain/fever control drug for patients with severe liver disease
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Adenosine(Adenocard)
Name the two protocols: |
Drug used for adult and peds SVT, specifically for Tx or diagnosis of SVT
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Adenosine (Adenocard)
Adult: Initial dose? |
6 mg IV push over 1-3 seconds
with rapid 20 ml NS flush after dose |
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Adenosine (Adenocard)
Adult: Second dose |
If after dose 1 with no effect, then
12 mg IV push over 1-3 seconds with rapid 20 ml NS flush |
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Adenosine (Adenocard)
Adult: Third dose |
If after dose 2 with no effect, 12 mg IV push over 1-3 seconds and rapid 20 ml NS flush.
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Adenosine (Adenocard)
Ped Dose: |
No PED dose
Generic for Adenocard |
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Describe Afrin(Otrivin):
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Afrin is a vasoconstrictor used with Nasal intubation and epitaxis
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Albuterol is specified for three protocols. Name them.
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Drowning
Adult Resp Distress Peds Resp Distress |
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If Albuterol is the generic name what it's trade name?
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Ventolin
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What is Albuterol?
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Albuterol is a B-Agonist nebulized Tx for use in respiratory distress with bronchospasm
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What is the adult dose for Albuterol?
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Adult dose for Albuterol is 2.5-5.0 mg (3 ml) in nebulizer continuously x 3 doses
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What are the Albuterol precautions for adults?
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Cardiac disease and heart rate 150 or greater
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What is the PEDs dose for Albuterol?
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2.5-5.0 mg (3 ml ) in nebulizer continuously x 3 doses
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What are PEDs Contras for Albuterol?
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Cardiac disease or Heart Rate >199
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What is the AMIODARONE initial dose for an adult with VFIB or VTAC w/o a pulse?
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300 mg IV push is the initial dose for VFIB and pulseless VTAC
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What is the AMIODARONE repeat dose for an adult with VFIB or VTAC w/o pulse?
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150 mg IV push is the repeat dose for VFIB and pulseless VTAC
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What is the AMIODARONE dose for VTAC with a pulse?
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150 mg in 100 ml in D5W over 10 minutes.....max= 2.2 g/24 hours
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Aspirin (ASA) is used in the ____ ____ protocol.
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ASA is used in the Cx Painand STEMI Protocol
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The adult dose for ASA in the Cx Painand STEMI Protocol is ______
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81 mg chewable baby aspirin
x 4 =324 mg is the ASA dose for Cx Pain and STEMI Protocol |
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ASA is an ___________ drug used in the Cx pain and STEMI protocol.
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ASA is an antiplatelet drug for use in Cardiac Cx Pain and STEMI Tx
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ASA should be given to PEDs in a dose of 81 mg. True or False.
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False, ASA is not given to PEDs
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What type of drug is Atropine?
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Atropine is an Anticholinergic drug used in bradycardia or asystole
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What is the adult Atropine dose for asystole in cardiac arrest?
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1 mg IV. Repeat in 3-5 minutes up to 3 mg unless down the ET then the dose is doubled and max. is 6 mg
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For Atropine, what is the adult max. dose for asystole or bradycardia
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The max. Atropine dose is 3 mg
for asystole or bradycardia. 6 mg if admin via ET |
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Name five protocols that list Atropine?
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Asystole
Adult and Ped Bradycardia Overdose/ Toxic Ingestion PEA WMD Nerve Agent |
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In Organophosphate toxicity, large Atropine dose may be required (>10mg. True or False)
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True, Organophosphate toxicity may require large doses of Atropine.
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What is the drug of choice for adult bradycardia and the dosing information?
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Atropine
0.5-1.0 mg IV every 3-5 minutes up to 3 mg...6 mg if ET is the med route |
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What is the Organophosphate Atropine adult dose?
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1-2 mg IM or IV ..otherwise per med control
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Specify the Peds dose for Atropine in the Asystole settting.
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Peds Dose for Atropine in Asystole setting:
0.02 mg/kg IV, IO Min:0.1 mg per dose Max: 0.5 mg per dose Repeat: 3-5 minutes |
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Peds Atropine asystole dosing = Peds
Bradycardia dosing T or F |
True, Atropine asystole dosing = Peds bradycardia dosing
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How do you determine Atropine dosing for a Peds pt with organophosphate toxicity?
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Call med control for PEDS Atropine dosing in Organophosphate toxicity.
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What is the adult dose for Calcium Chloride in the PEA or VFIB setting?
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One amp (10ml) or 1 gm IV
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In the PEA setting for a PEDs pt, what is the Calcium Chloride dosing?
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20 mg/kg IV or IO slowly
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In the setting of VFIB for PEDs, what is the Calcium Chloride dosing?
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20 mg/kg IV or IO slowly
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What is a precaution for Calcium Chloride?
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Avoid use if pt is taking Digoxin
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What 2 protocols use Calcium Chloride?
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PEA
VFIB |
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What is Calcium Chloride indicated for?
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Severe hyperkalemia
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What is the Catapres dosing for PEDs?
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Zero
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The Clonidine dose for an adult pt is?
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0.1 mg po q 10-15 minutes
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Clonidine (Catapres) is used as a med in what protocol?
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HTN
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What is Catapres?
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Catapres is the trade name for a med used to control HTN
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The generic name for Catapres is _________.
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Clonidine
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What is the adult dose for Charcoal?
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50 gms po or NG tube
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What is the Peds dose for Charcoal?
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1 gm/kg PO
Max= 25 gms |
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What should Tagament be used to treat?
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Used to control stomach ac in severe and to assist in severe allergic reactions
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What is the Peds dose for Tagament?
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Zero
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What is the Tagament dose for an adult?
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300 mg IV/IM/PO
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Tagament is also known as
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Climetidine
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What combines with charcoal to promote motility?
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Sorbitol
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What is the adult dose for Dextrose 50%?
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1 amp or 25 gm IV bolus
Repeat: based on BGL |
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Dextrose 50% is used in four protocols. what are they?
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AMS, CVA, Sz, and Syncope
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Describe when Dextrose 10% is used:
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Dextrose 10% is used for neonates and Peds in unconscious or hypoglycemic states
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What is the Peds dose for Dextrose 10%?
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5 ml/kg IV or IO
Repeat: based on BGL |
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What is the adult dose for Dextrose 10%?
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zero
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Dextrose 10%
name 3 of the 6 protocols |
Neonatal
Peds: Bradycardia Head Trauma Hypotension Pulseless Arrest Sz |
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What is PEDs dose for Valium Sz pt Dia-Stat?
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0.5 mg/kg rectally (Dia-Stat)
Max:18 mg rectally |
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What is PEDs valium dose for Sz pt IV/IO?
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0.1 -0.3 mg/kg IV/IO
Max: 4 mg IV or IO |
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What is the adult dosing for Valium for Sz pt?
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Initial: 4 mg IV
Repeat: 2 mg q 3-5 min. Max: 10 mg w/o Med Control IM: double dose and max to 20 mg |
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Name the two protocols that specify Valium.
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Adult Sz
PEDs Sz |
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What is the trade name for Diazepam?
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Valium
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What is the PEDs dosing for Cardizem?
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Zero
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What 2 protocols use Diltiazem?
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SVT
AFIB |
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What is the dose for Cardizem?
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0.25 mg/kg IV over 2 minutes
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What is the trade name for Diltiazem?
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Cardizem
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What is Diltiazem?
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Diltiazem is a calcium channel blocker used to Tx narrow complex SVT.
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Can Valium be used for mild sedation?
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Yes
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Diphenhydramine is my generic name what is my trade name?
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Benadryl
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What is the routes and dosing for Benadryl in the allergic reaction setting for an adult?
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Adult Benadryl dosing is 50 mg
IV/IM/PO |
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What is Diphenhydramine?
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Benadryl ...an antihistamine for control of allergic reactions
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State the contra for Benadryl for 3 month old
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Do not give Benadryl to PEDs less than 3 months old
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What is the PEDs dose for Benadryl for pt 3 months or older?
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1 mg/kg IV/IO/IM
Max: 50 mg |
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What is the trade name for Dobutamine?
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Dobutrex
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Describe Dobutamine
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Dobutamine is a vasopressor agent used to maximize cardiac output.
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What is the adult dosage for Dobutamine?
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2-20 mcg/kg/min, titrate to SBP 90 mmHg...ACLS indicated for SBP 70-100 w/o shock symptoms Rx CHF
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What is the PEDs dose for Dobutamine?
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2-20 mcg/kg/min, titrate to age appropriate systolic BP
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Is Dobutamine used to treat CHF?
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Yes, Dobutamine has positive inotropic efects with minimal changes in chronotropic or systemic vascular resistance,
which makes it useful for CHF when an increase in heart rate is not desired |
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What is a trade name for Dopamine?
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Intropin
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Can Dobutamine be given in the same line with sodium bicarbonate or Lasix?
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No, separate lines are required
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Name three of five protocols where Dopamine may be appropriate?
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Bradycardia
PEA Post Resuscitation Adult & Ped Hypotension |
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Describe Dopamine:
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Dopamine is a vasopressor used in shock or hypotensive states ACLS..for SBP 70-100 with shock syptoms
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What is the adult Dopamine dose?
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2-20 mcg/kg/min, titrate to systolic BP of 90 mmHg
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What is PEDs Dopamine dose?
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2-20 mcg/kg/min IV or IO, titrate to age appropriate systolic BP
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Epinephrine (Adrenalin) 1:1000 is appropriate for: List protocols
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Allergic Reaction
Adult Resp Distress PEDs Resp Distress |
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Describe EPI:
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Vasopressor that increases HR
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What is the adult dose for EPI 1:1,000?
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0.3 mg SQ if age <50
0.15 mg SQ if age > 50 |
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What is the PEDs dose for EPI 1:1000?
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0.01 mg/kg SQ
Max:0.3 mg |
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EPI 1:10,000
List the protocols |
Asytole
PEA VFIB Allergic Reaction Peds Bradycardia Peds Pulseless Arrest |
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EPI 1:10,000
What is the adult dose? |
EPI 1:10,000
Adult Dose: 1.0 mg IV Repeat: q 3-5 minutes ETT: double dose |
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EPI 1:10,000
What is the PEDS Dose? |
EPI 1:10,000
Peds Dose: 0.01 mg/kg IV/IO Max:0.5 mg Repeat q 3-5 minutes ETT: x 10 the IV dose |
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Etomidate(Amidate)
Describe: |
Etomidate is a hypnotic used in the RSI protocol
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What is the Peds dose for Etomidate?
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Zero, no Etomidate for PEDs
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What is the adult dose for Etomidate?
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0.3 mg/kg IV
Usual adult dose is 20 mg |
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Is Hydromorphone applicable for PEDs?
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No ..zero
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What is a precaution related to Fentanyl?
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avoid if SBP < 100 mmHg
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What is the PEDs dose for Fentanyl?
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Zero
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What is the adult dose for Fentanyl?
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0.5-1mg/kg dose
Repeat: May repeat after 30-60 min. |
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What protocols spec Fentanyl:
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Pain Control
Cx Pain |
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Describe Hydromorphone:
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Hydromorphone(Dilaudid) is a narcotic analgesic for Pain Control and Cx pain
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Avoid Hydromorphone (Dilaudid) if ?
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SBP < 90 mmHg
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What is the adult dose for Hydromorphone?
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1-2 mg q 2 hours
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Describe Fentanyl Citrate (Sublimaze):
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Fentanyl is narcotic analgesic
used for pain control, cx pain, and anti-anxiety for intubated pts. |
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What Med reverses benzodiazepine sedation?
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Flumazenil(Romazicon)
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Furosemide (Lasix)
What protocol? |
Pulmonary Edema
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What is the adult dose for Lasix?
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20 mg IV or dose = nl single home dose
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What is Lasix?
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Trade name for Furosemide a diuretic for Pulmonary Edema or CHF
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What is the PEDs dose for Lasix?
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Zero
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Glucagon is indicated by 8 protocols, Please name four:
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AMS,CVA, Sz, Syncope
Peds: Head trauma, hypotension, pulseless arrest, Sz |
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Glucagon is used in pt w/o IV access. What is the Adult dose?
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1-2 mg IM
Repeat: q 15 min if BGL < 60 |
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What is the PEDs dose for Glucagon?
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0.5 mg IM
Repeat: q 15 min if BGL < 60 |
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How does Glucagon act within the body?
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Glucagon acts to release glucose into the blood stream by glycogen breakdown
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Haloperidol (Haldol) is used for what Protocol?
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Behavorial
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What is the adult dose for Haldol?
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5-10 mg IM/IV
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What is Haldol?
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Med to assist wth sedation of agitated pts
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What is the PEDs dose for Motrin?
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10 mg/kg
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What is the adult dose for Motrin?
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400-800 mg po
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What are the Ibuprofen precautions?
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No for pt with GI bleed or renal insufficiency.
No if allergic to ASA or NSAID Avoid in pt on anticoagulants such as coumadin |
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Describe Ibuprofen(Motrin):
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Ibuprofen is a non-steroidal anti-inflammatory used for fever or pain control
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What is the PEDs dose for Haldol?
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Zero
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Describe Heparin:
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Heparin is an anticoagulant used in the setting of suspected myocardial ischemia and pulmonary embolism
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What is the adult dose for Heparin?
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Bolus and infusion rate per medical control
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What is the PEDs dose for Atrovent?
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Zero
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What is the adult dose for Atrovent?
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2 puffs per dose of MDI (28mcg/spray) or
500 mcg per neb tx |
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What protocols spec Atrovent?
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Asthma
Resp Distress |
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Describe Ipatropium (Atrovent):
|
Atrovent is a med used in addition to Albuterol to assist pt with asthma and COPD
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Describe Lorazepam (Ativan):
|
Ativan is a benzodiazpene used to control Sz
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What is the primary precaution for Ativan?
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Respiratory Depression
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What is the adult dose for Ativan?
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2-4 mg IV/IM
Repeat: q 5-10 minutes if Sz persist |
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What is the PEDs dose for Ativan?
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0.05 -0.1 mg/kg IV/IM
Max: 2 mg/dose Repeat: q 5-10 minutes if Sz persist |
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Describe Magnesium Sulfate and state applicable protocols:
|
Mag Sulfate is an electrolyte listed in OB/GYN, VFIB, VTAC protocols
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What is the adult dose for Mag Sulfate?
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2 g slow IV push
Repeat: may be repeated once |
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What is the PEDs Mag Sulfate dose?
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Zero
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Describe Mannitol:
|
Mannitol is an osmotic diuretic med to control ICP.
Used for head injury suspected increased ICP |
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What is the adult dose for Mannitol?
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1 g/kg IV over 30-60 minutes
100 grams is a typical dose |
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What is the PEDs dose for Mannitol?
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Zero
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Describe Methylprednisolone (Solu-Medrol):
|
Solu-Medrol is a steroid used to reduce inflammation
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What protocols spec Solu-Medrol?
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Allergic Reaction
Respiratory Distress |
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What is the adult dose for Solu-Medrol?
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125 mg IV
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What is the PEDS dose for Solu-Medrol?
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2 mg/kg per Med Control only
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What is the PEDs dose for Lopressor?
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Zero
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What is the adult dosing for Lopressor?
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5 mg IV over 1 minute.
Repeat: 5 min. Max: 15 MG. |
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What med is appropriate for acute MI?
|
Lopressor
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What is Metoprolol?
|
Metoprolol (Lopressor) is med for rate control in AFIB setting with rapid ventricular response or the setting of presumed myocardial ischemia
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Describe Midazolam (Versed):
|
Quick acting benzodiazepine that is preferred over Valium for IM use
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What are 2 Versed precautions ?
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1. Use with caution if systolic BP < 110
2. Monitor for respiratory despression, and decreased BP and HR |
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What is the adult Versed dosing?
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0.5-2 mg IV slowly over 2-3 minutes.
Repeat: May slowly titrate dose up to 5 mg total if needed. Usual total dose is 2.5- 5 mg IM dose is 5 mg |
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What is the PEDs dose for Versed?
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0.05-0.2 mg/kg IV per med control only
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What protocols list Versed?
|
Behavorial
SVT VTAC Sz |
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Describe Morphine Sulfate:
|
Morphine is a narcotic analgesic spec for Pain Control, Cx Pain and Pulmonary Edema
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What is the adult dose for Morphine?
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Morphine Adult: 4 mg IV bolus then 2 mg IV/IM every 3-5 minutes until 10 mg or improvement
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What is the PEDs dose for Morphine?
|
0.1 mg/kg IV/IO
Single bolus only |
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Avoid Morphine use when________
|
SBP <110 mmHg
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Describe Naloxone (Narcan):
|
Narcan is a narcotic antagonist
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Narcan is listed for 6 protocols name 3:
|
AMS Overdose Neonatal
PEDS: Bradycardia Head Trauma Pulseless Arrest |
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What is the adult dose for Narcan?
|
0.5-2 mg IV bolus titrated to respiratory response
IM if no IV access |
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What is the PEDs dose for Narcan?
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0.1 mg/kg IV/IO
Repeat: q 5 minutes if no effect |
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Any Narcan precautions?
|
Yes relative contra in significant HTN
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Describe Nitroglycerin:
|
Nitroglycerin is a vasodilator used in anginal syndromes, CHF, and HTN
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Name the protocols for Nitroglycerin:
|
Cx pain
Pulmonary Edema Hypertension |
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What is the adult Nitro dose for Cx pain?
|
SL: 1 spray or 1 tablet q 5 minutes until pain free or 3 doses
Topical: 1" paste after pain free or 3 doses |
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What is the PEDs dose for Nitro:
|
Zero
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What is the adult dose for Nitro in the Pulmonary Edema setting:
|
If SBP > 110 then 1 spray/tablet every 1-2 minutes
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What is the adult dose for Nitro in the HTN setting?
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SL: 1 spray/tablet q 1-2 minute until DBP< 110
0.3-0.4 mg sl max 3 doses |
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Describe Nitroprusside Sodium:
|
Nitroprusside Sodium is a med used to Tx severe HTN
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What is the Nitroprusside Sodium adult dose?
|
.3-10 mcg/kg/min IV, titrate to desired BP
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Is Nitroprusside appropriate for PEDs?
|
No...zero
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Describe Ketorolac (Toradol):
|
Toradol is an Non-steroidal Anti-inflammatory for pain control and fever
|
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What is the adult dose for Toradol?
|
30 mg IV or IM
|
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Name the Toradol precautions:
|
1. No, if GI bleed
2. No, if renal insufficiency 3. No if allergic to ASA or NSAID 4. Avoid if taking anticoagulants |
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What is the PEDs does for Toradol:
|
Zero
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Describe Norepinephrine(Levophed):
|
NorEpi is a med used to increase BP in setting of non-hemorrhagic shock
|
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What is the adult dose for NorEpi ?
|
2-12 mcg/kg/min, titrate to desired BP
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What is the PEDs NS bolus for volume?
|
20 ml/kg.... for may be repeated x 3
|
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What is the NS bolus for burns or electrical injuries?
|
1000 ml
|
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What is the NS bolus for volume?
|
500 to 1000 ml
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What is the NS bolus for Cardiac?
|
250 ml
|
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Normal Saline is a _____ solution.
|
Crystalloid, it is also classified as an isotonic solution.
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What is the PEDs dose for Levophed?
|
Zero
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Describe Oridansetron (Zofran):
|
Zofran is an anti-nausea and anti-emetic
|
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What is the adult dose for Zofran?
|
4 mg IVP
Repeat: x 1 if needed |
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What is the Peds dose for Zofran?
|
Zofran PEDs: 2-12 yr:0.1 mg/kg (<40 kg
>40 kg then 4 mg > 30 seconds |
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Describe Oxytocin(Pitocin):
|
Oxytocin is a med used to induce labor and control postpartum bleeding
|
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P____________ is an Antiemetic med
|
Phenegran is an antiemetic med used for abdominal pain or Vomiting or Diarrhea
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Your patient has vomiting and diarrhea and is 60 years old.
What meds would you use and what is the dose? |
Phenegran is approved for vomiting and diarrhea at a 12.5 mg dose for patients equal to or greater than sixty.
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What is the Phenegran dose for
a 3 yof with stomach cramps? |
Zero, Phenegran is not given to Peds
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What is the Promethazine (Phenegran) adult dose for 59 YOM with abdominal pain?
|
25 mg IM or IV if adult but less than 60 is the Phenegran dose for abdominal pain
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What is the dose for Oxytocin?
|
0.001-0.02 units/min IV infusion
10 units IM x 1 for postpartum hemorrhage |
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Describe Succinylcholine (Anectine):
|
Succinylcholine is a paralytic med used during drug assisted intubation
|
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Adult dose for Succinylcholine is :
|
1.5 mg/kg IV..if inadequate after 3 minutes may repeat. Consider Atropine to avoid bradycardia
1.5 mg/kg IM onset varies |
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Peds dose for Succinylcholine is:
|
1-2 mg/kg IV, IO
1-2 mg IM: onset varies Use Atropine per Broslow for all Peds due to potential for bradycardia |
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Described Vercuronium:
|
Vercuronium is a paralytic used in RSI
|
|
|
What are the avoids with Succinycholine?
|
Avoids
1.In pts with burns >24 hours old 2.Chronic neuromuscular disease (MS, ESRD or other situation where hyperkalemia is likely |
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What is the adult dose for Vecuronium?
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0.1 mg/kg IV
Repeat: after 5 min if inadequate relaxation |
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What is PEDs dose for Vecuronium?
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0.1 mg/kg IV/IO
Avoid in Broslow pink |
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Describe Procainamide(Pronestyl)
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Procainamide is an Anti-dysrhythmic..monitor for QRS widening and hypotension
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What is the adult Procainamide dose?
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100 mg IV load
Repeat: May repeat after 10 minutes per medical control order 10-20 mg/min IV infusion |
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What is the PEDS dose for Zantac?
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Zero
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What protocols spec Zantac?
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Allergic Reaction
Burn-Heartburn |
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What is the adult dose for Zantac?
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50 mg IV
150 mg PO |
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Describe Ranitadine (Zantac):
|
Zantac is a histamine 2 blocker used to control stomach acid and to assist in severe allergic reactions
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Procainamide may be given to PEDs.
T or F |
False
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Describe Sodium Bicarbonate:
|
Sodium Bicarb ia a buffer used in acidosis to increase pH in Cardiac Arrest or Tricyclic OD
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The adult dose for Sodium Bicarb for cardiac arrest is?
|
Initial:1 amp (50 meq) IV
Then: 1/2 amp q 10 minutes PRN |
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The adult dose for Sodium Bicarb for TCA OD is?
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Initial:1 amp(50meq) IV
Then: 2 amps in 200 ml of NS @ 200 ml/hr |
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The PEDs dose for Sodium Bicarb in the cardiac arrest setting is
|
Initial: 1 meq/kg IV/IO
Then: 1.5 meq/kg q 10 minutes as needed |
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The PEDs dose for sodium bicarb in TCA OD setting is?
|
Per medical protocol
|
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Describe Thrombolytic agents:
|
Meds used to dissolve blood clot associated with stroke or Heart Attack e.g. TN Kase tPA
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Describe Vasopresssin (Pitressin)
|
Med use in place of or in addition to EPI in the setting of VFIB or Pulessless VTAC
|
|
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What is the adult dose for Vasopressin?
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40 units IV x 1
|
|
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What is the name of the Nerve Agent Kit?
|
Atropine and Pralidoxime Auto-Injector
|
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List the appropriate protocols for using Atropine and Pralidoxime Auto-Injector:
|
Overdose/Toxic Ingestion
WMD Nerve Agent |
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What is AKA for Geodon?
|
Ziprasidone
|
|
|
List protocol for Geodon
|
Behavioral
|
|
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Geodon may:
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Precipitate dysrhythmias with prolonged QT intervals
|
|
|
What is the adult dose for Geodon?
|
40 units IV x 1
|
|
|
List tx for Geodon:
|
Schizophrenia, Bipolar Disorder,, and Manic Disorders...tx of Agitation an Agitated Delirium
|
|
|
List protocols for Amiodarone
|
- Adult Tachycardia Wide Complex
- VF Pulseless VT - Ped Tachycardia - Ped VF Pulseless VT - Ped Post Resuscitation |
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|
What are the avoids and contra for Amiodarone?
|
- Avoid in patients with heart blocks or profound bradycardia.
Contra: iodine hypersensitivity |
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Specify Amiodarone dosing for Peds in the V-fib/ pulseless V-tach
|
5 mg/kg IV push over 5 minutes...may repeat up to 15 mg/kg IV
|
|
|
Specify Amiodarone dosing for Peds in V-tach with a pulse
|
5 mg/kg IV push over 5 minutes...may repeat up to 15 mg/kg IV......avoid in length tape color PINK
|
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Specify contra for Amiodarone
|
Patients with iodine hypersensitivity
|
|
|
What is adult glucose dose?
|
1 tube
|
|
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What is peds glucose dose?
|
One tube
|
|
|
What is adult dose for Atrovent ?
|
2 puffs per dose MDI or 0.5 mg per neb tx
|
|
|
Another name for Atrovent
|
Ipratropium
|
|
|
Peds Atrovent dose
|
0.5 mg same as adult
|
|
|
Lactated Ringer's Protocols
|
Adult and Peds thermal burns
|
|
|
List the protocols for Lidocaine
|
RSI in head injury setting
VF Pulseless VT PED VF Pulseless VT |
|
|
What is the dosing of Lidocaine for an adult ?
|
1..5 mg/kg IV/IO up to 3 mg/kg max bolus
|
|
|
What is the dosing of Lidocaine for a Ped in pulseless VT?
|
1 mg/kg
Max= 100 mg Repeat 0.5 mg/kg Max= 3 mg/kg total |
|
|
Define Magnesium Sulfate
|
Magnesium Sulfate is an elemental electrolyte used to treat eclampsia during the third trimester of pregnancy and is a smoothmuscle relaxor used in refractory respiratory distress resistent to beta-agonists
|
|
|
What is the dosing for Magnesium Sulfate in obstetrical sz setting ?
|
2 g IV/IO over 2-3 minutes
Dose may be repeated once |
|
|
What is the Magnesium Sulfate dosing for an adult in respiratory distress ?
|
2 g IV/IO over 10 minutes
|
|
|
What is the Magnesium Sulfate dosing for respiratory distress for peds ?
|
40 mg/kg IV/IO over 20 minutes
Max= 2 gms |
|
|
Another name for Toradol
|
Ketorolac
|
|
|
Toradol is specified in two protocols. Name them:
|
Adult Pain Control
Peds Pain Control |
|
|
What are the avoids for Toradol ?
|
- Patients currently taking anticoagulants such as coumadin
- OB or possibiliy pregancy |
|
|
What are the contras for Toradol?
|
- Patients with allergies to ASA or other NSAIDs such as motrin
- GI Bleeds - Renal insufficiency - where patient may need immediate surgery - |
|
|
What is the Toradol dosing for an adult?
|
30 mg IV/IO or 60 mg IM
|
|
|
What is the Toradol dosing for Peds ?
|
0.5 mg/kg IV/IO/IM
Max=30 mg |
|
|
Normal Saline is a __________ solution,
|
Crystalloid
|
|
|
The Peds Dosing for normal saline is
|
20 ml/kg IV/IM
|
|
|
Nitrous Oxide is specified in what protocol?
|
Adult Pain Control
|
|
|
What is another name for Promethazine?
|
Phenegran
|
|
|
Phenegran is classified as an
|
Anti-emetic
|
|
|
When is Rocuronium used?
|
when succinylcholine is contraindicated
|
|
|
What is the dose for Rocuronium ?
|
1 mg/kg IV/IO
onset of action may be up to 3 minutes. Patient will not defasciculate |
|
|
Sodium Bicarbonate is specified in 4 protocols name them:
|
Dialysis Renal Failure
OD Toxic Ingestion Ped OD Toxic Ingestion Crush Syndrome |
