LOC Directives

Question 1

Dextrose Conditions

Answer 1

Altered
Hypoglycemia

Question 2

Glucagon Conditions

Answer 2

Altered
Hypoglycemia

Question 3

Dextrose Contraindications

Answer 3

Allergy

Question 4

Glucagon Contraindications

Answer 4

Allergy
Pheochromocytoma

Question 5

D10 Dose

Answer 5

0.2g/kg (2mL/kg)

Question 6

D10 Max dose <2

Answer 6

5g (50mL)

Question 7

D10 Max Dose >2

Answer 7

25g (250mL)

Question 8

Dextrose dosing interval

Answer 8

10 min

Question 9

Dextrose max # doses

Answer 9

2

Question 10

D50 Dose

Answer 10

0.5g/kg (1mL/kg)

Question 11

D50 Max dose

Answer 11

25g (50mL)

Question 12

Glucagon <25kg Dose

Answer 12

0.5mg

Question 13

Glucagon >25kg dose

Answer 13

1mg

Question 14

Glucagon dosing interval

Answer 14

20 min

Question 15

Max # glucagon doses

Answer 15

2

Question 16

Seizure indications

Answer 16

Active generalized motor seizure

Question 17

Midazolam Conditions Seizure

Answer 17

Unresponsive

Question 18

Contrainidications Midazolam Seizure

Answer 18

Allergy

Question 19

Midazolam IV/IO Dose Seizure

Answer 19

0.1mg/kg

Question 20

Max Midazolam IV/IO dose seizure

Answer 20

5mg

Question 21

IM/IN/Buccal Midazolam Seizure dose

Answer 21

0.2mg/kg

Question 22

IM/IN/Buccal Midazolam Seizure max dose

Answer 22

10mg

Question 23

Opioid toxicity indications

Answer 23

Altered LOC
Respiratory depression
Inability to adequately ventilate/persistent need to ventilate
Suspected opioid overdose

Question 24

Naloxone Conditions

Answer 24

> /=24hrs
Altered
<10 breaths/min

Question 25

Contraindications naloxone

Answer 25

Allergy

Question 26

IV/IO Naloxone treatment

Answer 26

up to 0.4mg q 5 min x 3

Question 27

IM Naloxone

Answer 27

0.4mg q 5 x 3

Question 28

IN Naloxone

Answer 28

2-4mg q 5 x 3

Question 29

SC Naloxone

Answer 29

0.8mg q 5 x 3

Question 30

Suspected Adrenal Crisis Indications

Answer 30

Primary adrenal failure experiencing clinical signs of adrenal crisis

Question 31

Hydrocortisone Conditions

Answer 31

Paramedics present with vial for pt Age related hypoglycaemia, GI symptoms, Syncope, Temp >38 or suspected/history of fever, altered LOA, age related tachycardia, age related hypotension

Question 32

Hydrocortisone contraindications

Answer 32

Allergy

Question 33

Hydrocortisone Treatment

Answer 33

2mg/kg up to 100mg x1 Round to nearest 10mg