Southeast Region PCGs

Question 1

Adult RSI

RSI dose for Ketamine? (adult)

Answer 1

1.5mg/kg

Question 2

Adult RSI

RSI Dose for Versed? (adult)

Answer 2

0.05-0.1mg/kg

Question 3

Adult RSI

RSI Dose for Rocuronium? (adult)

Answer 3

1.5mg/kg

Question 4

Adult Crash Airway

Adult Crash Airway (not obtunded)

Answer 4

Ketamine 0.5mg/kg
and
Rocuronium 1.5mg/kg

Question 5

Adult Crash Airway

Adult Crash Airway (obtunded)

Answer 5

Rocuronium 1.5mg/kg

Sedation should be considered after restoration of hemodynamics.

Question 6

Pediatric RSI (Hemodynamically Stable)

Sedation Choices and Doses

Answer 6

Ketamine 1.5mg/kg
Etomidate 0.3mg/kg (max 30mg)
Versed 0.05-0.1mg/kg

Question 7

Pediatric RSI (Hemodynamically Stable)

Paralytic Used and Dose

Answer 7

Rocuronium 1.5mg/kg

Question 8

Pediatric RSI (Hemodynamically Stable)

Medication for Analgesia

Answer 8

Fentanyl 1mcg/kg

Consider if utilizing induction agent besides Ketamine

Question 9

Pediatric Crash Airway

Medications and Dose (not obtunded)

Answer 9

Ketamine 0.5mg/kg
AND
Rocuronium 1.5mg/kg

If Rocuronium is unavailable, Succinylcholine OR Vecuronium may be used as a substitute.

Question 10

Pediatric Crash Airway

Paralytic and Dose (obtunded)

Answer 10

Rocuronium 1.5mg/kg

Sedation should be considered AFTER restoration of hemodynamics.

Question 11

Push Dose Pressor (Pediatric)

PDP Epinephrine
(Pediatric)

Answer 11

1mcg/kg
(max 20mcg single dose)
Repeat q 1 minute prn

Positive Shock Index = Age 4-6 >1.22 / Age 7-12 >1.0 / Age 13-16 >0.9

Question 12

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Pain Control

Answer 12

Fentanyl 1-2mcg/kg
Acetaminophen 10-15mg/kg over 15 minutes then 400mL/hr (1g max)
Morphine 0.05-0.1mg/kg
Ketamine 0.5-1mg/kg

Question 13

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Sedation- Ketamine

Answer 13

1-2mg/kg (bolus over 2 mins)
1mg/kg/hr (infusion)

500mg/250mL=2mg/mL (100kg Pt = 50mL/hr)

Question 14

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Sedation- Versed

Answer 14

0.01-0.1mg/kg
q 5 minutes

Expect hypotension

Question 15

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Paralysis

Answer 15

Rocuronium 0.6-1.2mg/kg (q 20min prn)
Vecuronium 0.1mg/kg (q 1hr prn)

Question 16

Adult Pain Management/Sedation (w/o advanced airway)

Adult Pain Management - Tylenol

Answer 16

10-15mg/kg (over 15 mins)
Then 400mL/hr (1g max)

Question 17

Adult Pain Management/Sedation (w/o advanced airway)

Adult Pain Management - Ketamine

Answer 17

0.1-0.5 mg/kg
Repeat as needed

Question 18

Adult Pain Management/Sedation (w/o advanced airway)

Adult Sedation- Ketamine

Answer 18

0.5-1 mg/kg
Repeat as needed

Question 19

Adult Pain Management/Sedation (w/o advanced airway)

Adult Sedation - Versed

Answer 19

2-5 mg
(q 5 min prn)

Question 20

Adult Pain Management/Sedation (w/o advanced airway)

Adult Sedation - Lorazepam

Answer 20

0.01-0.05mg/kg
(q 15 mins prn)

Question 21

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Analgesia: Fentanyl and Tylenol

Answer 21

Fentanyl 0.5-2mcg/kg
Tylenol 10-15mg/kg (over 15 mins)
400mL/hr (mx 1g)

Question 22

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Analgesia: Morphine and Ketamine

Answer 22

Morphine <6kg 0.05-0.1mg/kg
>6kg 0.1mg/kg
Ketamine 0.5-1mg/kg

Question 23

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Sedation: Ketamine

Answer 23

1-2mg/kg (bolus)
1mg/kg/hr (infusion)

Question 24

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Sedation: Versed

Answer 24

0.05-0.1mg/kg
(q 5 min prn)

Question 25

# **Pediatric**: Post-Intubation Sedation, Pain Control & Paralysis Sedation: Lorazepam

Answer 25

0.05mg/kg (q 15 mins prn)

Question 26

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Analgesia: Fentanyl and Tylenol

Answer 26

Fentanyl 0.5-1mcg/kg (0.5-2 if IN) Tylenol 10-15mg/kg (over 15 mins) 400mL/hr (max 1g)

Question 27

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Analgesia: Morphine

Answer 27

<6kg 0.05-0.1mg/kg >6kg 0.1mg/kg (q 5-10 mins) ## Footnote **Max single dose = 4mg**

Question 28

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Analgesia: Ketamine

Answer 28

0.5mg/kg (q 5-10 mins prn) ## Footnote **Max single dose = 25mg**

Question 29

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Dose for Zofran (pediatric)

Answer 29

0.1mg/kg (may repeat for a total 8mg) ## Footnote **Max** **single dose = 4mg**

Question 30

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Sedation: Ketamine

Answer 30

1-2mg/kg (q 5-10 mins prn)

Question 31

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Sedation: Versed

Answer 31

0.05-0.1mg/kg (q 5 min prn) ## Footnote **Max single dose = 2mg**

Question 32

# **Pediatric**: Pain Management/Sedation (**w/o** **advanced airway**) Sedation: L:orazepam

Answer 32

0.15mg/kg (q 15 mis prn) ## Footnote **Max single dose = 2mg**

Question 33

# Adult Seizure Benzo's

Answer 33

Lorazepam 2-4mg Versed 2-5mg Diazepam 5-10mg | Consider Any One

Question 34

# Adult Seizure If Benzo's Unsuccessful

Answer 34

Ketamine 0.5mg/kg (prn)

Question 35

# Adult Seizure Keppra Dose

Answer 35

50mg/kg (over 15 mins) ## Footnote **Max dose = 2g**