Fundamentals - Adult Flashcards
Understand indications, contraindications, dosages, and timings for all ACP drugs (98 cards)
1
Q
Describe dosages and timings for all uses of midazolam
A
- 2-5 mg IV/IO in increments to effect
- 5-10 mg IM
- May repeat as required in small increments
- No specific timing is listed, but peak effect is 10-15 minutes, so wait at least 10 minutes between doses
- Maximum dose from all sources is 30 mg
2
Q
List indication(s) for diphenhydramine administration (1)
A
Adjunct treatment of hypersensitivity reaction
3
Q
List contraindications for administration of midazolam (5)
A
- Hypersensitivity to MIDAZOLam or other benzodiazepines
- Acute narrow-angle glaucoma
- Shock
- Decreased level of consciousness
- Hypotension
4
Q
List contraindication(s) for administration of phenylephrine (4)
A
- Known hypersensitivity or allergy to phenyLEPHRine
- Hypersensitivity to sulfites (contained in the product preparation)
- Severe hypertension or ventricular tachycardia
- Pheochromocytoma
5
Q
List all dosages and timings for epinephrine administration (7)
A
- Anaphylaxis: 0.5 mg IM every 5 minutes; may repeat up to 3 times
- Severe bronchospasm with impending respiratory arrest: 0.5 mg IM every 5-20 minutes
- Pre-arrest anaphylaxis or bronchospasm: 50-100 mcg IV/IO; may repeat as necessary
- Croup: 5mg via nebulizer mask
- Cardiac arrest: 1 mg IV/IO every 3-5 minutes; suggested maximum dose 3-4 mg
- Peri-arrest hypotension: 10 mcg IV/IO slow push every 2-3 minutes as required
- Significant bradycardia: 2-10 mcg/minute IV/IO infusion
6
Q
List contraindications for ketamine administration (4)
A
- Hypersensitivity to ketAMINE
- Unable to manage the adverse effects of ketAMINE (ex: hypersalivation, larygospasm, transient apnea)
- Conditions where elevated blood pressure may be harmful (ex: Intracranial bleeding, MI or acute heart failure)
- Age < 6 months
7
Q
What is the typical duration of action of IV fentanyl?
A
30-60 minutes
8
Q
List all indications for epinephrine administration (6)
A
- Anaphylaxis
- Severe bronchospasm
- Severe croup
- Cardiac arrest
- Peri-arrest hypotension
- Significant bradycardia
9
Q
describe a pharmaceutical dosing and timing strategy for hemodynamically unstable bradycardia
A
- Atropine: 0.6mg IV q.4m to a maximum of 3.0mg
- Epinephrine: 10mcg q.2-3m if peri-arrest hypotension is present
- Epinephrine: 2-10mcg/m infusion
10
Q
List contraindications for administration of magnesium sulfate (2)
A
- Hypersensitivity to magnesium sulfate
- Second or third-degree AV block
11
Q
List contraindication(s) to gravol administration (1)
A
Known sensitivity to dimenhydrinate, diphenhydramine, or caffeine derivatives
12
Q
List contraindications for amiodarone administration (4)
A
- Hypersensitivity
- Cardiogenic shock
- Marked symptomatic sinus bradycardia
- Second or third-degree atrioventricular node block
13
Q
List indication(s) for administration of entonox (1)
A
Relief from moderate to severe pain
14
Q
Describe dosages and timings for all uses of salbutamol
A
Bronchospasm
* 5 mg nebulized; repeat doses back to back as necessary
* 4 x 100 mcg via metered dose inhaler; repeat as required
Adjunctive management of hyperkalemia
* 10-20 mg via nebulizer; may require multiple doses back-to-back to reach total dose
* 4 x 100 mcg via metered dose inhaler; repeat as required
onset is 5-15 minutes, be cautious not to provide too many repeat doses initially, allow a chance for the medication to take effect
15
Q
For which medications is pheochromocytoma a contraindication?
A
- Glucagon
- Phenylephrine
16
Q
List medications for which a RAPID IV push is particularly important (i.e. a slow push would lead to adverse outcomes)
A
- Adenosine
- Atropine
17
Q
List indication(s) for administration of nitroglycerin (2)
A
- Relief from chest pain suggestive of acute coronary syndrome
- Reduction of preload in acute cardiogenic pulmonary edema
18
Q
List indications for administration of midazolam (3)
A
- Sedation of agitated patients
- Control of seizures
- Maintenance of anesthesia in intubated patients
19
Q
List contraindication(s) for administration of acetaminophen (4)
A
- Hypersensitivity to acetaminophen or any component of the formulation
- Severe alcoholic hepatitis or liver dysfunction with active alcohol consumption
- Acute liver injury
- Acetaminophen-induced liver disease
20
Q
List contraindication(s) for administration of morphine (1)
A
Known hypersensitivity to mORPHine or other opioid analgesics
21
Q
Describe preparation of an epinephrine infusion for management of shock
A
- add 1mg epinephrine to a 250mL bag
- use a 60gtt/mL drip set
- 1gtt/s = 4mcg/min. Adjust accordingly
22
Q
List contraindication(s) for administration of nitroglycerin (7 + 1)
A
- Known allergy or hypersensitivity to nitroglycerin
- Use of Viagra (sildenafil) or Levitra (vardenafil) within the previous 24 hours
- Use of Cialis (tadalafil) within the previous 48 hours
- Severe anemia
- Restrictive pericarditis or pericardial tamponade
- Documented right sided acute myocardial infarction
- Hypotension or uncorrected hypovolemia
- Systolic blood pressure < 110 mmHg - for EMRs and PCPs
23
Q
may gravol be given prophylactically for anticipated nausea from motion sickness or narcotic administration?
A
Yes!
24
Q
List indication(s) for adenosine administration (1)
A
Conversion and termination of supraventricular tachycardias
25
List indication(s) for ipratropium administration (1)
Severe bronchospasm in asthma and chronic obstructive pulmonary disease
26
List contraindication(s) for administration of salbutamol (2)
* Known hypersensitivity to salbutamol
* Hemodynamically significant tachycardia
27
Summarize schedules for ongoing maintenance of IV analgesia, sedation, and anasthesia
Analgesia:
* Fentanyl: may repeat loading dose q5mins. 50mcg q10minutes recommended for long transport
* Ketamine: may repeat 1/2 loading dose q5mins. to a maximum of 2x loading dose total per 45 minutes.
* In general: repeat both at 5 minute intervals to effect, then every 10-15 minutes
Sedation:
* No specific guidance given. Repeat PSA dose as needed?
Anesthesia:
* Ketamine: 1/2 the induction dose every 10-15 minutes
* Midazolam: 2-5mg PRN
28
List the 6 "rights" of medication administration and how they apply to paramedic practice
1. Right patient: does the patient meet the indications for the medication based on current clinical practice guidelines?
1. Right medication: is the correct medication being prepared and has the identity of the medication been checked at each step of the preparation process and prior to administration?
1. Right dose: have dosage calculations been verified and confirmed?
1. Right time: is this the correct time to administer the medication based on the treatment plan that has been developed?
1. Right route: is the proposed route of administration correct for both the medication and the clinical indication?
1. Right documentation: has the administration of the medication been entered into the ePCR?
29
Describe dosing of glucagon, magnesium sulfate, and atropine in non-standard applications (i.e. CCB OD, eclampsia, organophosphate poisoning)
* Glucagon: 5mg IV SLOW push for BB/CCB OD
* Magnesium sulfate: 4-6mg over 20 minutes IV infusion. 4mg repeat if not successful in terminating seizure. 1-2mg/hr maintenance. 5mg IM if IV nto available
* Atropine: 1-2mg IV bolus, repeat every 5-60 minutes
30
Briefly summarize dosages and timings for all drugs used in cardiac arrest management
* Epinephrine: 1mg IV/IO q3-5min. Max total of 3-4mg
* Amiodarone: 300mg IV/IO followed by 150mg IV/IO at 10min
* Lidocaine: 1.0-1.5mg/kg IV/IO, followed by 0.5-1.0mg/kg (timing not specified)
* Magnesium sulfate: 4 g IV push (no repeats)
* Calcium chloride: 1-2g IV over 3 minutes. May repeat at 10 minutes
* Sodium Bicarbonate: 1mEq/kg IV/IO slow push. May repeat 0.5 mEq/kg IV/IO slow push every 10-15 minutes as required
31
List indications for lidocaine administration (3)
* Control of ventricular arrhythmias (including ectopy, brief or sustained ventricular tachycardia, and ventricular fibrillation)
* Local anesthesia during intraosseous cannulation
* Local anesthesia during awake intubation
32
Summarize preparation and dosing of all common ACP bolus infusions
* Amiodarone: 150mg over 10 minutes (1gtt/s)
* Magnesium sulfate (bronchospasm): 2g over 20 minutes (1gtt/2s)
* Magnesium sulfate (TdP): 2g over 15 minutes (2gtt/3s)
* Magnesium sulfate (eclampsia): 4-6g over 20 minutes (1gtt/2s)
* TXA: 1g over 10 minutes (1gtt/s)
* In all cases: add medication to a 50mL bag with 10gtt/mL extension set. 1gtt/s = 10minute infusion time.
33
List indications for dimenhydrinate administration (3)
* Prevention or control of nausea caused by motion sickness
* Relief of moderate to severe nausea and vomiting
* Prevention or control of nausea caused by narcotic administration
34
Describe dosages and timings for all uses of nitroglycerin
Relief from chest pain suggestive of acute coronary syndrome:
* 0.4 mg SL every 3-5 minutes; systolic blood pressure must be ≥ 110 mmHg and heart rate must be between 50 and 150 beats/minute
Reduction of preload in acute cardiogenic pulmonary edema:
* 0.4 mg SL every 3-5 minutes
35
List indications for ibuprofen administration (2)
* mild to moderate pain
* pyrexia
36
Describe dosage and timing for IM/IV/IO or IN Fentanyl for management of moderate to severe pain
* Loading dose: 0.5-1.0 mcg/kg IM/IV/IO; maximum single dose 100 mcg; may repeat every 5 minutes to a total dose of 300 mcg
* Loading dose: 1.5-2.0 mcg/kg IN; maximum single dose 100 mcg; may repeat every 5 minutes to a total dose of 300 mcg
* Consider reducing doses by half in patients > 65 years of age
37
Describe dosages and timing for ipratropium administration
160 mcg via metered-dose inhaler (8 x 20 mcg sprays)
Spacer use recommended, but not required
Duration is 6 hours, so may be repeated if patient has not used their prescirbed ipratropium in >6hrs
38
List indication(s) for administration of morphine (1)
Symptom relief in palliative or end-of-life patients with pain or shortness of breath
39
What kind of administration set should be used for ALL bolus IV medication infusions?
* 10gtt/mL SECONDARY administration set
* Using a primary admin set will reliably lead to underdosing of patients due to the large priming volume
* All bolus infusions should use a secondary set "piggy-backed" off of a primary line
40
Describe dosages and timings for all uses of magnesium sulfate
Control of ventricular arrhythmias (including Torsades de Pointes):
* For perfusing rhythms: 2 g IV over 15 minutes
* In cardiac arrest: 4 g IV push
Bronchospasm refractory to bronchodilation
* 2 g IV over 20 minutes
Management of seizures in pregnancy associated with hypertension
* Cardiac monitoring is required with magnesium administration
* 4-6 g intravenously over 20 minutes as a loading dose followed by 1-2 g per hour; otherwise, 5 g can be given intramuscularly (use bilateral buttocks) followed by 5 g IM every four hours
* If seizures persist following the loading dose of magnesium, up to 4 g IV can be given over five minutes
41
List contraindication(s) for administration of entonox (7)
* Traumatic or spontaneous pneumothorax
* Air embolism or decompression sickness following a recent SCUBA dive
* Bullous emphysema
* Gross abdominal distension
* Altered mental status or an inability to comply with instructions
* Inhalation injury (i.e., smoke or chemicals)
* Nitroglycerin use within five minutes prior to administration of nitrous oxide
TABGAIN
42
Describe dosages and timings for all uses of morphine
* 0.1 mg/kg SC OR
* 2.5-5 mg SC
* May repeat every 10-30 minutes as required based on blood pressure (> 100 mmHg) or as per CliniCall/palliative care team plan
* May be given as a breakthrough dose at 10% of previous TDD
43
List contraindication(s) for administration of sodium bicarbonate (2)
* Suspected metabolic alkalosis
* History of excessive vomiting (i.e., evidence of chloride loss)
44
Describe dosages and timings for all uses of phenylephrine
* 100 mcg IV slow push every 2-5 minutes to maximum of 500 mcg
* Administer dose over 20-30 seconds
45
List medications for which a SLOW IV push is particularly important (i.e. a rapid administration would lead to adverse outcomes). Include suggested timing of the push.
* Calcium Chloride: 3 minutes
* Phenylephrine: 20-30s
* Dimenhydrinate: 1-2 minutes
* Epinephrine (push dose): no timing listed, but SLOW push specified
* Glucagon for BB or CCB OD: no timing listed, but SLOW push specified
* Ketamine: no timing listed, but SLOW push specified
* Sodium Bicarbonate: no timing listed, but SLOW push specified
* TXA: may be given as a 10 minute SLOW push in unusual situations
46
Describe analgesic dosage and timing of ketamine by all routes
Intranasal:
* 0.75 mg/kg (see intranasal ketamine dosing chart)
* May repeat 0.5 mg/kg after 20 minutes
* Maximum single dose 100 mg
Intravenous/Intraosseous:
* 0.3 mg/kg slow push
* May repeat 0.15 mg/kg after 5 minutes
* Maximum cumulative dose 0.6 mg/kg in 45 minutes
Intramuscular:
* 0.5 mg/kg
* May repeat 0.3 mg/kg after 45 minutes
47
Describe dosage and timing of amiodarone administration in cardiac arrest
300mg IV push, followed by 150mg IV push after 10 minutes if VF/pVT persists
48
List contraindication(s) for administration of TXA (4)
* Hypersensitivity to tranexamic acid
* Gastrointestinal hemorrhage
* Time since injury to administration > 3 hours
* Age < 12 years (PCP) or < 1 year (ACP)
49
List contraindications for atropine administration (6)
* Hypersensitive to atropine or other anticholinergics
* Tachycardia
* Narrow-angle glaucoma
* Thyrotoxicosis
* Prostatic hypertrophy
* Myasthenia gravis
50
List contraindications for lidocaine administration (4)
* Allergy or hypersensitivity to lidocaine
* For systemic (IV/IO) administration, including rhythm control and IO anesthesia:
* Third-degree AV block
* Ventricular escape rhythms
* Wolff-Parkinson-White syndrome
51
List contraindication(s) to diphenhydramine administration (3)
* Hypersensitivity to antihistamines
* Neonates
* Premature infants
52
Describe dosage and timing of ketamine for procedural sedation
* 0.1-0.5 mg/kg slow push every 60 seconds to effect
* Consider starting at 0.5 mg/kg; use subsequent doses of 0.25 mg/kg or less as needed
* Titrate to effect
53
List indication(s) for administration of sodium bicarbonate (4)
* Known or suspected hyperkalemia
* Tricyclic or salicylate overdose
* Suspected or confirmed metabolic acidosis
* Pre-treatment prior to weight release in crush injury
54
Describe dosing and timing of CaCl2 administration for ALL indications
* 1 g IV over 3 minutes
* May repeat once in 10 minutes if indications are still present
* Exception is CCB OD: 1-2g IV over 10 minutes
55
List indication(s) for administration of acetaminophen (2)
* mild to moderate pain
* pyrexia
56
List all ACP drugs for which myasthenia gravis is a contraindication
* atropine
* fentanyl
57
List indication(s) for administration of phenylephrine (1)
Maintenance of blood pressure in acute hypotensive states or shock following adequate fluid volume replacement in airway management
58
Describe dosing and timing of atropine for treatment of symptomatic bradycardia
* 0.6mg rapid IV pushes, repeated to effect. MAX total dose of 0.04mg/kg (3.0mg average)
* No specific timing is listed, but peak effect should be seen in 2-4 minutes, so repeat dosing q.4min is reasonable
59
Describe dosage and timing of Glucagon administration for reversal of hypoglycemia AND for Beta- or Calcium-channel blocker OD
* Hypoglycemia: 1 mg IM/SC
* Suspected beta or calcium channel blocker overdose: 5mg IV slow push
60
List indications for administration of CaCl2 (3)
* Cardiac arrest due to suspected hyperkalemia (e.g., renal failure, diabetic ketoacidosis)
* Suspected hyperkalemia with cardiovascular toxicity (e.g., wide QRS complexes, peaked T waves, or hemodynamic instability)
* Calcium channel blocker overdose with symptomatic bradycardia or hemodynamic instability
61
List contraindications for ASA administration (4)
* Hypersensitivity to ASA or drug components
* Patients who have experienced bronchospasm or other respiratory reaction precipitated by ASA or nonsteroidal anti-inflammatory drugs
* Active or recent bleeding of any kind, including head injury or peptic ulcer disease
* Pediatric patients with signs and symptoms consistent with viral illnesses (due to Reye's Syndrome)
62
Should TXA be given for isolated closed head injury without signs of shock or hypoperfusion?
no!
63
List indication(s) for administration of naloxone (1)
Reversal of respiratory depression caused by suspected narcotic intoxication
64
Describe dosages and timings for all uses of naloxone
* provide repeat dosing at 3 minute intervals
* 0.4mg, 0.4mg, 0.8mg, 2.0mg, 4.0mg, 10.0mg
* IM preferred for initial doses, IV preferred for all doses of 2.0mg or greater
65
List indications for ketamine administration (4)
* Analgesia: Moderate to severe pain
* Induction of sedation prior to intubation
* Procedural sedation
* Severe agitation or excited delirium syndrome
66
You are treating a patient with symptomatic bradycardia. They recently received plasmapheresis for "muscle weakness after an infection". What special consideration should be made regarding pharcalogic treatment of this patient?
This patient is likely being treated for myasthenia gravis; atropine is contraindicated
67
List indication(s) for amiodarone administration (4)
* VF
* Pulseless VT
* Unstable VT
* Recurrent VT following cardioversion
68
Describe atropine dosing for treatment of organophosphate toxicity
1-2 mg IM/IV; repeat every 5-60 minutes until symptoms resolve
69
List contraindications for administration of Glucagon (2)
* Hypersensitivity
* Pheochromocytoma
70
Describe dosage and timing for diphenhydramine administration
* 50 mg IM/IV or 1 mg/kg to maximum of 50 mg
* No repeats
71
Describe dosages and timings for all uses of acetaminophen
* 500-1,000 mg PO
* May repeat once after 4 hours
* 24 hour maximum: 4 g
* In patients with suspected or known liver dysfunction (e.g., advanced chronic liver disease or cirrhosis), the 24 hour maximum should be lowered to 1-2 g
72
List contraindications for adenosine administration (2)
* Hypersensitivity
* Second or third-degree AV node block or sick sinus syndrome in patients without an artificial pacemaker
73
List contraindications for CaCl2 administration (2)
* Hypersensitivity to calcium chloride
* Primary or secondary hypercalcemia
74
List contraindications for ibuprofen administration (3)
* Hypersensitivity to ibuprofen or other nonsteroidal anti-inflammatory drugs
* Active GI hemorrhage or ulcers
* Pregnancy (first, second, or third trimesters)
75
List indication(s) for administration of salbutamol (2)
* Bronchospasm
* Adjunctive management of hyperkalemia
76
List contraindications to epinephrine administration
There are no absolute contraindications to EPINEPHrine use in life-threatening situations such as anaphylaxis
77
List indications for administration of Fentanyl (2)
* Moderate to severe pain
* Adjunct for awake intubation
78
List indication(s) for administration of TXA (1)
Signs of shock or hypoperfusion, in association with an injury suggestive of occult or ongoing hemorrhage
79
Describe dosages and timing for ibuprofen administration
300-400 mg PO; may repeat every 4-6 hours; maximum daily dose 1.2 g/day
80
Describe dosages and timings for all uses of sodium bicarbonate
* 1 mEq/kg IV/IO slow push
* May repeat 0.5 mEq/kg IV/IO slow push every 10-15 minutes as required
* Tricyclic overdoses may require doses as high as 2-3 mEq/kg IV/IO
81
List indications for administration of Glucagon (2)
* Suspected or confirmed hypoglycemia where IV access is unavailable
* Suspected beta or calcium channel blocker overdose
82
Give an example of the 6 "rights" of medication for the following: you have intubated an 80kg pt. using a loading dose of 160mg of ketamine (shock index is less than 1). You are now planning to administer a maintenance dose. Provide all relevant doses and timings.
Right patient: the patient requires ongoing maintenance of anesthesia (indication) and does not have contraindications to ketamine (hypersensitivity, conditions intolerant of hypertension, inability to manage adverse effects, pediatric)
Right medication: ketamine is appropriate for maintenance of anesthesia and may be provided undiluted or diluted. Safety checks are performed with partner to confirm the correct medication is given
Right dose: the correct dose is 1/2 of the loading dose, in this case 80mg. Confirm with partner that the correct dose is given
Right time: maintenance doses of ketamine should be provided at 10-15 minute intervals. Confirm that the dose is not given early or late. Set a timer for subsequent doses.
Right route: anasthesia maintenance should be provided via IV or IO. Confirm that the line remains patent.
Right documentation: at a bare minimum, event the administration on the monitor. Enter full details, including dose and time, into the ePCR ASAP
83
Describe amiodarone administration for unstable or refractory VT following cardioversion
* 150mg IV bolus over 10 minutes
* Add to 50mL bag and use a secondary 10gtt/s drip set at 1gtt/s
* alternatively, add to a 250mL bag with extension set and run at 5gtt/s (wide open)
84
List contraindications for administration of Fentanyl (5)
* Known hypersensitivity to opioids (including morphine)
* Myasthenia gravis
* Pre-existing respiratory depression
* Acute asthma
* Upper airway obstruction
85
Describe an analgesic dosing strategy for an 80kg patient during a long transport using IV ketamine
* loading dose: 24mg (0.3mg/kg)
* Maintenance doses: 12mg (0.15mg/kg) every 5 minutes to a MAX total dose of 48mg (0.6mg/kg) in 45 minutes
86
Describe dosages and timing for all uses of lidocaine
* Ventricular rhythm control: 1.0-1.5 mg/kg IV bolus. May repeat at 0.5-1.0 mg/kg; total maximum dose 3 mg/kg
* Local anesthesia during intraosseous cannulation (in conscious patients): Administer lidocaine, 40 mg. Instill the lidocaine slowly, over 120 seconds, making sure to flush the appropriate amount of lidocaine through the extension; allow it to dwell in the bone marrow cavity for 60 seconds
* Local anesthesia for awake intubation: There is no consensus on a maximum permissible dose; avoid exceeding 5 mg/kg topically where possible
87
Describe dosage and timing for dimenhydrinate administration for nausea
* 25-50 mg IV/IM
* 12.5 mg IV/IM in elderly or frail patients
* May repeat dose once after 4-6 hours if required
* Give IM dose as direct injection; IV dose should be diluted with saline; administer medication at rate of 25 mg/min
88
Describe adult and pediatric dosing of adenosine for conversion of SVT
* Adult: 6mg followed by 12mg
* Pediatric: 0.1mg/kg followed by 0.2mg/kg to a MAX of 6mg/12mg
89
Summarize intramuscular dosages and timings for analgesia using fentanyl and ketamine
* Fentanyl: 0.5-1.0mcg/kg q.5min. Max single dose = 100mcg, Max total dose = 300mcg (1hr)
* Ketamine: 0.5mg/kg. May repeat at 0.3mg/kg after 45 minutes
90
Summarize intranasal dosages and timings for analgesia using fentanyl and ketamine
* Fentanyl: 1.5-2.0mcg/kg q5min. Max single dose of 100mcg, Max total dose of 300mcg
* Ketamine: 0.75mg/kg. Repeat at 0.5mg/kg after 20 minutes. Max single dose of 100mg
91
List contraindication(s) for ipratropium administration (1)
Known hypersensitivity to ipratropium or any formulation components
92
List indications for atropine administration (5)
* Restoration of heart rate in bradydysrhythmias
* Sinus bradycardia (rate < 50/minute) with hemodynamic compromise
* Bradycardia secondary to atrioventricular nodal blocks
* Treatment of organophosphate poisoning
* Control of secretions in palliative care (requires additional endorsement)
93
Describe dosage and timing of ketamine for management of extreme agitation or excited delirium syndrome. Include maximum volumes of administration by site for IM injections.
* 4-5 mg/kg bolus
* Maximum single/cumulative dose 500 mg
* Maximum volume of administration:
* Deltoid: 2 mL
* Lateral thigh: 4-5 mL
* Gluteal: 5 mL
* No guidance given on repeat dosing
94
Describe dosage and timing of ketamine for induction and maintenance of anesthesia
* 2 mg/kg if shock index < 1
* 1 mg/kg if shock index ≥ 1
* Half of required induction dose every 10-15 minutes as required
95
List contraindication(s) for administration of naloxone (2)
* Allergy or known hypersensitivity to naloxone
* Neonates
96
Describe atropine dosing for secretion control in palliative care
0.6mg (IM), no repeat dosing is indicated
97
List indications for administration of magnesium sulfate (5)
* Treatment of ventricular fibrillation and ventricular tachycardia refractory to first-line antiarrhythmics
* Recurrent, intermittent episodes of wide-complex tachycardia
* Treatment of Torsades de Pointes
* Bronchospasm refractory to bronchodilation in acute asthma
* Management of seizures in pregnancy associated with hypertension
98
Describe dosages and timings for all uses of TXA
* 1 g IV over 10 minutes (via infusion)
* Add 1g to 50mL bag. Attach 10gtt/mL secondary admin set. Administer at 1gtt/s
