Meds

Question 1

Significant Burns Morph

Answer 1

2-5mg slow IVP/10mg IM 20mg MAX
Peds.
1mg/kg IV/IM Max single is 5mg to a 10mg max

Question 2

Extremities/Hips/Crush/Snake Morph

Answer 2

2-5mg slow IVP/10mg IM to a 10mg MAX
Peds
.1mg/kg IV/IM 5mg MAX

Question 3

Cardiac Chest Pain/Back Pain/ IO Fluid Administration/PACE

Answer 3

2-5mg slow IVP(MAX)/10mg IM(MAX) NO IM for CP
Peds
.1mg IV/IM to a 5mg MAX

Question 4

Reasons to make base for MORPH

Answer 4

AWAIT HHO
abdominal pain, women in labor/pregers, abdominal trauma, increased dosages, thoracic traums, headache (w/o focal sypmtoms), Head Trauma (superficial), OTHER

Question 5

Versed with Morph

Answer 5

1-2.5mg IV/IO or 2.5-5mg IM MAX
Peds
.1mg/kg IV/IO/ .2mg/kg IM MAX of 3mg IV/IO/IM
Watch for respiratory depression and hypotension and hypoxia

Question 6

Relative Contraindications To Morph/Versed

Answer 6

CIA HAD
Closed head injury, Inadequate Perfusion, Altered Mental Status
Hypoxia, Acute Headache, Decreased Respirations

Question 7

Significant Burns Morph PEDS

Answer 7

.1mg/kg IV/IM Max single is 5mg to a 10mg max

Question 8

Extremities/Hips/Crush/Snake Morph PEDS

Answer 8

.1mg/kg IV/IM 5mg MAX

Question 9

Cardiac Chest Pain/Back Pain/ IO Fluid Administration/PACE PEDS

Answer 9

.1mg/kg IV/IM to a 5mg MAX

Question 10

Organophosphate Poisoning

Answer 10

Atropine 2mg prn(as needed) every 5 minutes Treat seizures Versed .1mg/kg IV/IO/IN 5mg MAX, .2mg/kg 10mg MAX BG CHEM
Peds-.05mg/kg Never less than .1mg due to paradoxical bradycardia effect Seizure .1mg kg

Question 11

Organophosphate PEDS

Answer 11

Atropine .05mg/kg never less than .1mg due to paradoxical bradycardia effect
Versed .1mg/kg IV/IO/IN 3mg max .2mg/kg IM 3mg MAX
BG CHEM

Question 12

Cyclic Antidepressants OD

Answer 12

Sodium Bicarb 1meq/kg IVP/IO for
SHIT HW (no I)
Seizure, Heart Block, Tachycardia, Hypotension, Wide QRS

Question 13

Cyclic Antidepressants OD PEDS

Answer 13

1 meq/kg IV/IO ONLY for widening QRS, hypotension, seizure, tachycardia, heart block

Question 14

Dystonic Reaction

Answer 14

Benadryl 1mg/kg IM/IVP/IO 50 mg MAX

Question 15

Dystonic Reaction PEDS

Answer 15

Benadryl 1mg/kg IM/IVP/IO 50 mg MAX

Question 16

Beta Blocker OD

Answer 16

BAG
Atropine 1mg IVP/IO Repeat ONCE if no reaction.
If no reaction to Atropine give Glucagon 1 Unit(1 mg) IVP/IM/IO If no response repeat once in 5 minutes

Question 17

Beta Blocker OD PEDS

Answer 17

Symptomatic Hypotension or Sinus arrest? NS 20ml/kg BOLUS
No response?
Glucagon +20kg= 1 unit IV/IM/IO
-20kg .5 unit IV/IM/IO
UNDER 1 YEAR OF AGE? Glucagon is not used MAKE BASE

Question 18

Calcium Chloride OD

Answer 18

Symptomatic Hypotension or sinus arrest? NS IV as Needed

No response to fluid? Glucagon 1mg IV/IM/IO repeat once in 5 minutes

Question 19

Calcium Channel Blocker OD PEDS

Answer 19

Symptomatic Hypotension or Sinus arrest? NS 20ml/kg BOLUS
No response?
Glucagon +20kg= 1 unit IV/IM/IO
-20kg .5 unit IV/IM/IO
UNDER 1 YEAR OF AGE? Glucagon is not used MAKE BASE

Question 20

Zophran adults

Answer 20

4mg IV/IO/IM Repeat 5 minutes 16mg MAX
LAHMP
Long QT, Amiodarone, haldol, methadone, procainamide
Blocks vagus Nerve Activity, or people allergic to 5ht3 agonist

Question 21

Zophran Peds

Answer 21

.1mg/kg IV/IO/IM to a MAX of 4mg ages 2+
Or ODT
2-3 years old 2mg ODT
4+ 4mg ODT

Question 22

Versed Excited Delirium

Answer 22

5-10mg IM
Larger dose MAKE BASE
PUHA- monitor/spo2/capnography(if possible) at a minimum
Watch out for pt struggling against restraints cardiac arrest and apnea is big possibility

Question 23

ALOC Opiates

Answer 23

BG Chem-d10 250ml or Glucagon 1mg
Narcan .5mgIVP/IN or 1mg IM prn 3-5 minutes MAX of 2mg
Repeat BG CHEM
Low Normal BG CHEM (70-80) give D10

Question 24

ALOC Peds

Answer 24

BG Chem - D10 5ml/kg 250ml MAX
Glucagon -20kg =.5mg  + 20kg= 1mg
Narcan- .01mg/kg IN/IV/IM w/a .1mg MINIMUM to MAX of .5mg single dose.   2mg MAX 
Repeat BG Chem
Low Normal BG CHEM (70-80) give D10

Question 25

Seizures Versed

Answer 25

.1mg/kg IV/IO/IN Max of 5mg 1CC PER NARE(5MG) .2mg/kg IM max of 10mg Status Epilepticus is true EMERGENCY one seizure lasting 5minutes or more or back to back seizures w/o return of conciousness EKG &BP monitoring mando with VERSED

Question 26

Seizures Versed PEDS

Answer 26

``` BG CHEM D10 5mg/kg MAX of 250 mL Continues? Veresed .1mg/kg IN/IV/IO MAX OF 3mg .2mg/kg IM MAX of 3mg Status Epilepticus is true EMERGENCY one seizure lasting 5minutes or more or back to back seizures w/o return of conciousness EKG &BP monitoring mando with VERSED ```

Question 27

Pictocin

Answer 27

500ml of blood give pictocin 20units in 100ccNS wide open or 10 units IM

Question 28

``` Nitro Cardiac (CHF) 5 ```

Answer 28

``` .4mg sub lingual WATCH FOR ED DRUGS(revatio, tadalafil) 1" nitro paste Flying V-Positioning CPAP Consider DOPE 5-10mikes/kg to 20 ```

Question 29

Nebulized Saline

Answer 29

Respiratory distress w/o wheezes Seal Bark like cough or croupy cough or STRIDOR BLOW BY SALINE Consider CPAP if 8+

Question 30

1st degree heart block

Answer 30

Pr interval is greater that one big block

Question 31

2nd degree type 1

Answer 31

Regular rhythm but QRS drops

Question 32

2nd degree type 2

Answer 32

P wave walks away until a QRS is dropped

Question 33

3rd degree heart block

Answer 33

All the p waves line up and all the QRS waves Line up?march out but the there is no association between the two Atria and ventricle are firing independently of each other

Question 34

Atropine Bradycardia

Answer 34

Pulse less than 60 and symptomatic hypotension. While waiting for pacing. .5mg IV/IO to a 3mg max repeat 3-5 minutes till HR is 60 You can skip straight to pacing. Consider positioning and 250ml bolus. Continued hypotension dope 5-10mcg/kg max of 20