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Flashcards in Pedi Decreased Sensorium Deck (16):
0

Suspected Hypoglycemia -

Support hypoglycemia with 1)_____________(Pedi GCS < ____) or 2) __________________

1) decreased responsiveness <14
2) decreased responsiveness with a history of diabetes

1

Suspected Hypoglycemia -

Initiate __________access with NS: titrate to a minimal Systolic Blood pressure ___________

IV
For pt age

2

Suspected Hypoglycemia -

_____% Dextrose:

_______ IV ____, to a maximum of _____, if blood sugar <___

25%
0.5gm/kg IV push
25gm
<60mg/dl

3

Suspected Hypoglycemia

Glucagon:

_______ IM if blood sugar _______

0.5mg
<60mg/dl

4

Suspected Hypoglycemia

Oral Glucose: ________ sweetened with sugar, regular _____ drinks, candy, oral glucose _____, or _____ dextrose. Only if the pt has a ____ reflex, first have the pt ______ a test dose of water, if tolerated, EMT may give oral glucose

orange juice
soft
paste
50%
gag
swallow

5

Suspected Narcotic Overdose

Clinical findings may include _______, ________, ________, __________, ________, or ________

pinpoint pupils, decreased sensorium, respiratory depression, respiratory insufficiency, bradycardia, or hypotension

6

Suspected Narcotic OD -

Initiate IV access with NS . Titrate to _____________

Perform ______________

a minimal SBP for pt age

Blood sugar determination

7

Suspected Narcotic OD - Naloxone

________ __,__,__ push (__ if unable to establish ___) titrate to _______ _______ status, or a maximum of ______. If no improvement, consider repeat doses _____ times ( total of _____ doses ) reassess after each dose

0.1mg/kg
IV/IM/IN
IM , IV
adequate respiratory status
2 mg
2x
3

8

Pedi Seizure - Active _____ ______, _______ seizing with ______ ______ or recurrent ______ without ______ interval

Generalized seizing
focal seizing
respiratory compromise
seizures without lucid interval

9

Pedi Seizure - ALS

Perform _______ ________ determination , if blood sugar < _______ go to suspected hypoglycemia protocol

blood sugar
<60mg/dl

10

Pedi Seizure - ALS

If seizure activity has stopped and the level of consciousness is ____ or remaining constant, ______ transport

improving
continue

11

Pedi Seizure - ALS

If seizures are continuing, ______ ___ _______, titrate to a _____________.

initiate IV access

Titrate to a minimal SBP for pt age.

12

Pedi Seizure - Continuous Seizures

Midazolam:

IV ________ ( Max dose _____) ____ IV push in ______ increments, titrate to ___________.
-OR-

IM- _______ (max dose _____) IM

IN- _______(Max dose ______)

IV 0.1mg/kg - max 4mg . Slow IV push 1-2mg increments

IM - 0.1mg/kg - max 4mg

IN - 0.2mg/kg (max dose 6mg)

13

Pedi Seizure - quick ALS

Airway Adjunct
BGL
Seizure stopped tx
Seizure continue IV
Versed - continuous seizure
ECG

14

The majority of seizures are self limited with resolution before medication administration. Administration of Midazolam should only be used for continuous seizure and :::
A)
B)
C)

A) Hx of non-febrile seizures, or
B) Respiratory compromise, or
C) Emesis

15

Pedi Seizure - Base Hospital Order

Any other indication of seizure activity requiring medication administration.