Midterm Flashcards
Bronchoconstriction (Indications)
- Respiratory distress
- Suspected bronchoconstriction
Bronchoconstriction Meds
Salbutamol
Epinephrine
Dexamethasone
Bronchoconstriction salbutamol (conditions)
None
Bronchoconstriction epi (conditions)
RR: BVM required
HX. of asthma
Bronchoconstriction Dexamethasone (conditions)
Hx. of asthma
COPD
20 pack - year history of smoking
Bronchoconstriction (contraindications)
1. Salbutamol
2. Epi
3. Dexamethasone
- allergy or sensitivity
- allergy or sensitivity
- allergy or sensitivity, Currently on PO or parenteral steroids
Bronchoconstriction salbutamol MDI (Treatment)
Weight: <25kg
Up to 600 mcg
max of 600 mcg
Interval: 5-15min PRN
Max # of doses: 3
Weight: >/= 25kg
Up to 800 mcg
Max of 800mcg
Interval: 5-15min
Max # of doses: 3
Bronchoconstriction salbutamol NEB (Treatment)
Weight: <25kg
Dose 2.5mg
Max dose 2.5mg
Interval 5-15 min
Max # of doses 3
Weight: >/= 25kg
Dose 5mg
Max dose 5mg
Interval 5-15min
Max # of doses 3
Bronchoconstriction Epi (Treatment)
Route: IM
Concentration: 1mg/ML = 1:1000
Dose: 0.01mg/kg
Max single dose: 0.5mg
Max # of doses: 1
Bronchoconstriction Dexamethasone (Treatment)
Route: PO/IM/IV
Dose: 0.5mg/kg
Max: 8mg
Max # doses 1
Moderate to severe allergic reaction (Indications)
Exposure to a probable allergen
Signs and/ or symptoms of a moderate to severe allergic reaction (including anaphylaxis)
Moderate to severe allergic reaction (Meds/ Conditions)
Epi: for anaphylaxis only
Diphenhydramine (Benadryl): > 25kg
Moderate to severe allergic reaction (Contraindications)
Epi: allergy or sensitivity
Diphenhydramine: allergy or sensitivity
Moderate to severe allergic reaction Epi (Treatment)
Route: IM
Concentration: 1mg/ mL = 1:1000
Dose: 0.01mg/ kg
Max single dose: 0.5mg
Dosing interval: minimum of 5 min
Max. # of doses: 2
Moderate to severe allergic reaction Diphenhydramine (Treatment)
Weight: >/= 25kg to 50kg
Route: IV/IM
Dose: 25 mg
Max single dose: 25mg
Dosing interval: None
Max # of doses: 1
Weight: >/= 50kg
Route: IV/IM
Dose: 50mg
Max single dose: 50mg
Dosing interval: N/A
Max # of doses: 1
Hypoglycemia (Indications)
Suspected hypoglycemia
Hypoglycemia (Meds/ Conditions)
Dextrose
Age: >/= 2 yrs
LOA: altered
Other: hypoglycemia
Glucagon
LOA: altered
Other: hypoglycemia
Hypoglycemia (Contraindications)
Dextrose: allergy or sensitivity
Glucagon: allergy or sensitivity, pheochromocytoma
Hypoglycemia (Treatment) Dextrose
Age: >/= 2 yrs
Concentration: 10%
Route: IV
Dose: 0.2g/kg (2mL/kg)
Max single dose: 25g (250ml)
Dosing interval: 10 min
Max # of doses: 2
Concentration: 50%
Route: IV
Dose: 0.5g/kg (1mL/kg)
Max single dose: 25g (50mL)
Dosing interval: 10 min
Max # of doses: 2
Hypoglycemia (Treatment) Glucagon
Weight: <25 kg
Route: IM
Dose: 0.5mg
Max single dose: 0.5 mg
Dosing interval: 20 min
Max # of doses: 2
Weight: >/= 25kg
Route: IM
Dose: 1mg
Max single dose: 1mg
Dosing interval: 20 min
Max # of doses: 2
Opioid Toxicity and Withdrawal (Indications)
Suspected opioid toxicity
Opioid Toxicity and Withdrawal (Meds/ Conditions)
Naloxone
Age: >/= 24 hrs
LOA: altered
RR: <10 breaths/ min
Other: inability to adequately ventilate OR persistent need to assist ventilations
Opioid Toxicity and Withdrawal (Contraindications) naloxone
Allergy or sensitivity
Opioid Toxicity and Withdrawal (Treatment) naloxone
Route: IV
Dose: up to 0.4mg (titrate to restore resps)
Max single dose: 0.4 mg
Dosing interval: 5 min
Max # of doses: 3
Route: IM
Dose: 0.4mg
Max single dose: 0.4 mg
Dosing interval: 5 min
Max # of doses: 3
Route: IN
Dose: 2-4 mg
Max dose: 2-4 mg
Dosing interval: 5 min
Max # of doses: 3
Route: SC
Dose: 0.8mg
Max single dose: 0.8 mg
Dosing interval: 5 min
Max # of doses: 3
