Broncho. + Allergic

Question 1

What are the indications for the use of the BRONCHOCONSTRICTION medical directive? (broncho. m.d.)

Answer 1

Respiratory distress
AND
Suspected bronchoconstriction

Question 2

What are the conditions for the use of SALBUTAMOL?(broncho. m.d.)

Answer 2

N/A

Question 3

What are the conditions for the use of EPINEPHRINE (under the bronchoconstriction medical directive)

Answer 3

BVM ventilation required.
Hx of asthma.

Question 4

What are the conditions for the use of DEXAMETHASONE (under the bronchoconstriction medical directive)

Answer 4

Hx of asthma.
OR
COPD.
OR
20 pack-year history of smoking.

Question 5

What are the contraindications to the use of DEXAMETHASONE (under the bronchoconstriction medical directive)

Answer 5

Allergy or sensitivity to steroids.
Currently on PO or parenteral steroids.

Question 6

Under the BRONCHOCONTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, MDI for a pt <25 kg

Answer 6

Dose; Up to 600 mcg (6 puffs)
Max. single dose; 600 mcg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 7

Under the BRONCHOCONTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, NEB for a pt <25 kg

Answer 7

Dose; 2.5 mg
Max. single dose; 2.5 mg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 8

Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, MDI for a pt ≥25 kg

Answer 8

Dose; Up to 800 mcg (8 puffs)
Max. single dose; 800 mcg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 9

Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, NEB for a pt ≥25 kg

Answer 9

Dose; 5 mg
Max. single dose; 5 mg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 10

Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max single dose, interval, max #) of EPINEPHrine, IM

Answer 10

Dose; 0.01 mg/kg
Max single dose; 0.5 mg
Dosing interval; N/A
Max # of doses’ 1

Question 11

Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max single dose, interval, max #) of DEXAMETHASONE

Answer 11

Route: PO/IM/IV
Dose; 0.5 mg/kg
Max. single dose; 8 mg
Dosing interval; N/A
Max # of doses; 1

Question 12

What are the indications for the moderate to severe allergic reaction medical directive

Answer 12

Exposure to a probable allergen.
AND
S/S of a moderate to severe allergic reaction

Question 13

What are the two drugs that can be given under the allergic reaction m.d.

Answer 13

Epinephrine and diphenhydramine

Question 14

What are the conditions for the use of EPINEPHRINE ?(allergic m.d.)

Answer 14

For anaphylaxis only

Question 15

What are the conditions for the use of DIPHENHYDRAMINE? (allergic m.d.)

Answer 15

patient ≥25 kg

Question 16

Under the allergic reaction m.d. what is the dose, max single dose, dosing interval, and max # of doses of EPINEPHRINE IM?

Answer 16

Dose; 0.01mg/kg
Max single dose; 0.5 mg
Dosing interval; Minimum 5 min
Max # of doses; 2

Question 17

Under the allergic reaction m.d. what’s the DIPHENHYDRAMINE treatment for a patient ≥25 kg to < 50 kg

Answer 17

Route: IM/IV
Dose; 25mg
Max single dose; 25 mg
Dosing interval; N/A
Max # of doses; 1

Question 18

Under the allergic reaction m.d. whats the DIPEHNHYDRAMINE treatment for a patient ≥ 50 kg

Answer 18

Dose; 50 mg
Max single dose; 50 mg
Dosing intervals; N/A
Max # of doses; 1

Question 19

What kind of receptors does SALBUTAMOL affect

Answer 19

Selective beta2 adrenergic receptors agonist

Question 20

What kind of receptors does EPINEPHRINE affect

Answer 20

Alpha and beta adrenergic agonist

Question 21

What kind of receptors does DEXAMETHASONE affect

Answer 21

glucocorticoid receptors

Question 22

How do you calculate 20 pack-year history smoking

Answer 22

Amount of packs a day x years

Question 23

What are the 5 rights

Answer 23

Patient, drug, dose, route, time

Question 24

Whats the EPINEPHRINE concentration (Broncho. m.d.)

Answer 24

1:1000 = 1mg/ml

Question 25

What are the routes for SALBUTAMOL

Answer 25

MDI and NEB

Question 26

At what rate should you give SALBUTAMOL via MDI

Answer 26

100 mcg q 4 breaths

Question 27

What situation would you not give medication via Nebulizer

Answer 27

febrile

Question 28

What type of receptor does DIPHENHYDRAMINE affect

Answer 28

H1 receptors

Question 29

what routes can u administrate EPINEPHRINE (allergic reaction m.d)

Answer 29

IM