- Shuffle
Toggle OnToggle Off
- Alphabetize
Toggle OnToggle Off
- Front First
Toggle OnToggle Off
- Both Sides
Toggle OnToggle Off
Front
How to study your flashcards.
Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key
Up/Down arrow keys: Flip the card between the front and back.down keyup key
H key: Show hint (3rd side).h key
PLAY BUTTON
PLAY BUTTON
261 Cards in this Set
- Front
- Back
|
In the cyanide toxicity kit, Hyroxocobalamin comes in two ___ gram bottles.
|
2.5
|
|
The total dose on hand of hydroxocobalamin in the cyanide toxicity kit is _____.
|
5 g
|
|
Hydroxocobalamin comes in two bottles of a prepared solution and is administered over ______ minutes per bottle (over ______ minutes total) IV.
|
7.5
15 |
|
The adult dose of hydroxocobalamin is _____ grams, or two bottles containing _____ grams each.
|
5
2.5 |
|
The pediatric dose of hydroxocobalamin is _____ bottle(s) for Infants/Toddles (0-2 years), _____ bottle(s) for Preschoolers (3-5 years), and ____ bottle(s) for Grade Schoolers (6-13 years).
|
1/4
1/2 1 |
|
In the cyanide toxicity kit, sodium thiosulfate is prepared by adding ___ grams in ____cc to a ____cc bag of D5W, for a total ____cc prepared solution.
|
12.5 g
50 100 150 |
|
The adult dose of sodium thiosulfate is ____ (____cc of a ____% solution) into ____cc of D5W (150cc total), administered over ____ minutes.
|
12.5 g
50 cc 25% 100 cc 10 mins. |
|
Hydroxocobalamin is delivered over ____ minutes while sodium thiosulfate is delivered over ____ minutes IV.
|
15
10 |
|
Etomidate for intubation is delivered at 0.3 mg/kg IVB over ______ seconds, maximum ____ mg.
|
30-60 secs
20 mg |
|
After successful Intubation following Etomidate, consider Diazepam _____ IVB or Lorazepam _____ IVB or IM for continued sedation.
|
5 mg
2 mg |
|
Diazepam following Etomidate is delivered by what route(s)?
|
IVB
|
|
Lorazepam following Etomidate is delivered by what route(s).
|
IVB or IM
|
|
How many repeat doses of Lorazepam or Diazepam may be give for continued sedation following Etomidate.
|
The prehospital sedation protocols only specify a one-time dose.
|
|
How often is epi given during adult cardiac arrest?
|
every 3-5 minutes
|
|
The initial dose of Amio in V-fib is _____ mg diluted in up to a total of _____ ml of _____.
|
300 mg
20 ml D5W |
|
The repeat dose of Amio in V-fib is _____ mg diluted in up to a total of _____ ml of _____.
|
150 mg
10 ml D5W |
|
How often is Sodium Bicarb repeated during an arrest?
|
every 10 minutes
|
|
In cardiac arrest, Magnesium Sulfate is given as ____ diluted in ____ ml of saline, IVB over ____ minutes.
|
2 g
10 ml 2 mins |
|
In cardiac arrest, Calcium Chloride is given *______* as ____ IVB followed by ______.
|
SLOWLY
1 g normal saline flush |
|
What is Calcium Chloride followed by?
|
normal saline flush
|
|
Calcium Chloride is pushed _____.
(quickly/slowly) |
SLOWLY
|
|
Atropine, when repeated, is given every ______.
|
3-5 minutes
|
|
Sublingual Nitro, whether in tablet or spray form, is repeated every _____ minutes for a total of _____ doses.
|
5 minutes
3 doses |
|
Before each dose of Nitro, check _____ and _____.
|
pulse
BP |
|
In patients with myocardial ischemia, administer two (2) chewable aspirin tablets, ____ mg.
|
162 mg
|
|
In the Myocardial Ischemia protocol, Morphine is administered at _____ mg/kg IVB, not to exceed _____ mg, with a maximum total dosage of ______ mg.
|
0.1
5 15 |
|
In the medical control options of myocardial ischemia, nitro tab or spray may be administered every _____ minutes for a total of how many doses.
|
The medical control options simply say every five minutes without specifying a maximum number of doses, although the maximum for the standing orders is 3 doses.
|
|
For fluid therapy in cardiogenic shock, administer ______ ml IVB of normal saline. Repeat ______ for a maximum of ______ ml.
|
250 ml
once 500 ml |
|
What is the maximum volume of fluid given to a cardiogenic shock patient?
|
500 ml
|
|
Dopamine is given at ______ IV drip for a maximum of ______ in all protocols except Bradydysrhythmia/Complete Heart Block.
|
5ug/kg/min
20ug/kg/min |
|
Administer Adenosine at 6mg or 12mg, ______, followed by ______.
|
rapidly
normal saline flush |
|
Adenosine is administered ______.
(rapidly/slowly) |
rapidly
|
|
After the initial 6mg dose of Adenocard, observe EKG monitor for ______ minutes for evidence of cardioversion.
|
1-2
|
|
Adenosine is administered at doses of ____mg, ____mg and ____mg.
|
6
12 12 |
|
Administer Diltiazem if BP is _____ or _____ and complex width is _____.
|
normal
elevated narrow |
|
Describe how Diltiazem is administered.
|
give SLOWLY over two minutes
monitor BP continuously |
|
In cases of SVT where complex width is _____ and BP is low, do this.
|
narrow
cardioversion |
|
For tachyarrhythmias, Amiodarone is administered at _____ diluted in _____ ml D5W over ____ minutes.
|
150 mg
100 ml 10 |
|
True or False:
Amiodarone is given in ten times as much D5W volume for tachyarrhythmias as it is for repeat doses in cardiac arrest. |
True
tachyarrhythmias = 150mg/100ml cardiac arrest = 150mg/10ml (initial/arrest = 300mg/20ml) |
|
Whenever Midazolam is used for intubation or cardioversion sedation, it is given by what route?
|
IV or IN
|
|
What are the four protocols in which Midazolam may be given IM?
|
(1) Adult Seizure
(2) Adult Head Injury (3) EDP (restraint) (4) Pediatric Seizures |
|
What is the only pediatric protocol that allows for sedation?
|
Pediatric seizures
|
|
Can Midazolam be given IM for intubation or cardioversion sedation?
|
No.
|
|
What is the IM dose of Midazolam for adult seizures, and how many times can it be given on standing orders?
|
10 mg IM
once (call medical control to repeat) |
|
What is the IM dose for Midazolam in EDP cases?
|
10 mg
|
|
What is the IM dose for Midazolam in pediatric seizures without IV access?
|
0.1 mg/kg IM
(maximum dose 5 mg) |
|
What is the intubation/cardioversion dose and route of Midazolam?
|
1-2 mg IVB/IN, repeat PRN
(maximum total dose 5 mg) |
|
For Intubation sedation, what is the ONLY sedative that can be administered IM, and at what dose?
|
Following Etomidate for continued sedation, Lorazepam can be administered at 2 mg IM or IV for continued sedation.
|
|
What four sedatives are typically used for intubation?
|
"DMEL"
Diazepam Midazolam Etomidate (+DL) |
|
What three sedatives are typically used for cardioversion?
|
"DME"
Diazepam Midazolam Etomidate (1/2 intubation dosage) |
|
True or False.
Etomidate is given for pacing. |
False.
|
|
Which sedative is used for intubation (full dose) and cardioversion (half dose) but never for pacing?
|
Etomidate
(followed by Diazepam or Lorazepam in intubation only) |
|
True or False, Lorazepam can be given IN for post-Etomidate intubation sedation.
|
False. Lorazepam can be given IV/IM/IN for head injuries, EDPs and seizures. It is given IV/IM only for continued intubation sedation.
|
|
Following Etomidate, what is the dose for IV Lorazepam versus IM Lorazepam?
|
both the same
2 mg |
|
In the chemical restraint procedure (EDP), what is the dose for IV Lorazepam versus IM/IN Lorazepam?
|
2-4 mg IVB
or 4 mg IM/IN |
|
What is the IM/IN dose for Lorazepam for chemical restraint?
|
4 mg
|
|
What is the IM dose for Lorazepam following Etomidate for continued sedation?
|
2 mg
|
|
What is the IV dose for Lorazepam following Etomidate for continued sedation?
|
2 mg
|
|
In the chemical restraint procedure, what is the dose difference between IM/IN and IV Midazolam?
|
IV 1-2 mg
IM/IN 10 mg |
|
In the chemical restraint procedure, what is the dose difference between IM and IV Diazepam?
|
Diazepam is not given IM.
The IV dose is 5-10 mg (once). |
|
What is the IV dose for Midazolam in the chemical restraint of an EDP?
|
1-2 mg
|
|
What is the IN dose for Midazolam in the chemical restraint of an EDP?
|
10 mg
|
|
How is Diazepam given on standing orders for adult seizures?
|
5 mg IVB
with a single repeat dose rate not to exceed 5mg/min |
|
How is Diazepam given under medical control options for adult seizures?
|
5 mg IVB
rate of administration not to exceed 5mg/min |
|
How is Lorazepam given for adult seizures?
|
2 mg IVB/IM/IN
|
|
How is Midazolam given for adult seizures?
|
10 mg IM/IN
(only when no IV) |
|
True or False:
Midazolam (Versed) is given IVB on standing orders for seizures. |
False.
It is given IM/IN only for adult seizures when there is no IV access. |
|
How is Diazepam given to control seizures in Head Injury patients?
|
5 mg IVB
Single repeat. Not to exceed 5 mg/min. |
|
How is Lorazepam given to control seizures in Head Injury patients?
|
2 mg IVB/IM/IN
Single repeat after 5 mins. One additional repeat PPMC. |
|
What is the difference between the dosages for Lorazepam in controlling adult seizures and Lorazepam for controlling seizures secondary to head injuries?
|
Both are the same.
2 mg |
|
True or False:
The seizure control sedatives in the head injury protocol can be up to double the dosage of the same drugs in the adult seizure protocol. |
False. They are exactly the same.
|
|
What sedatives are used for controlling seizures in the Seizure protocol?
|
"LDM"
Lorazepam Diazepam Midazolam |
|
What sedatives are used for controlling seizures in the Head Injury protocol?
|
"LDM"
Lorazepam Diazepam Midazolam |
|
True or False:
Lorazepam can be given IM/IN in both the seizure and head injury protocols to control seizure activity, provided there is no IV access. |
True.
|
|
True or False:
Lorazepam can be given IM to adults in all of the protocols in which it appears. |
True.
|
|
What is the one and only time Lorazepam cannot be given IM?
|
Pediatric Seizures.
It can be given IN/IO/IV only. This is the only time it appears in the pediatric protocols. |
|
Can Diazepam ever be given IM in any of these protocols?
|
No.
|
|
What is the one and only time Diazepam can be given by a route other than IV or IO?
|
Pediatric Seizures.
(rectally) |
|
What is the pediatric dose and route for Lorazepam for seizures?
|
0.05 mg/kg IN/IV/IO/ Bolus
SLOWLY over two minutes. Repeat if seizures persist. *no IM Lorazepam in Peds Seizures* |
|
What is the pediatric dose for IV Diazepam for seizures?
|
0.1 mg/kg, IV/IO Bolus
SLOWLY over two minutes. Repeat if seizures persist. |
|
What is the pediatric dose and route for Midazolam for seizures?
|
0.1 mg/kg IM/IN
max. 5 mg |
|
What is the pediatric dose for rectal Diazepam for seizures?
|
0.5 mg/kg via rectum
|
|
What are the two drugs that can be administered to pediatric seizure patients if an IV/IO has been established?
|
(1) Lorazepam
(2) Diazepam |
|
What are the three drugs that can be administered to pediatric seizure patients if an IV/IO has NOT been established?
|
All three (LDM)
(1) Lorazepam IN (3) Diazepam via rectum (2) Midazolam IM/IN |
|
What are the drugs used to control seizures in childen?
|
"LDM"
Lorazepam Diazepam Midazolam |
|
Explain how Atropine is given for PEA/Asystole.
|
1 mg IVB rapid push.
Repeat every 3-5 min if no change. (Maximum: 3 times/total 3 mg) |
|
Atropine is given if the patient has a PEA heart rate of less than _____ beats per minute.
|
60
|
|
Dosage for Sodium Bicarb.
|
44-88 mEq IVB
repeat 44mEq every 10 mins |
|
Up to ______ of ______ may be given as a "fluid challenge" under medical control options for PEA.
|
3 liters
normal saline |
|
STANDING ORDERS
Administer a Nitro Tablet ______ gr. or Spray ______ mg, sublingually, every ____ mins, for a total of ____ doses. |
1/150
0.4 mg 5 mins 3 |
|
MEDICAL CONTROL OPTION
Repeat Nitro Tablet ______ gr. or Spray ______ mg, sublingually, every ____ mins (if transport is delayed or extended). |
1/150
0.4 mg 5 mins |
|
If, after Morphine, hypoventilation developes, administer Naloxone _____ IVB.
|
up to 2 mg
|
|
Morphine Dosage for Cardiac Cases
|
0.1 mg/kg IVB (not to exceed 5 mg)
repeat as needed max. 15 mg |
|
Name the REMAC drugs that can be administered via the ET tube if no IV is established.
|
LEAN
(1) Lidocaine (2) Epinephrine (3) Atropine (4) Naloxone |
|
Morphine dosage for pain management and burns.
|
0.1 mg/kg (not to exceed 5mg)
repeat as needed (max 10 mg) |
|
IO access via the ______ is considered to be unacceptable in the NYC region.
|
sternum
|
|
Appropriate adult dosage of Naloxone.
|
IVB 0.4 mg increments up to max 2 mg
IM/IN 0.8 mg increments up to max 2 mg Repeat under medical control |
|
What are the three REMAC drugs that are administered by IV piggyback drip?
|
(1) Amiodarone
(2) Dopamine (3) Mag Sulfate |
|
At what joule settings is all REMAC adult synchronized cardioversion performed?
|
100
200 300 360 (or 100 then max if defib doesn't go to 360) |
|
At what joule setting is adult defibrillation performed?
|
maximum joule setting possible
|
|
At what joule setting is pediatric defibrillation performed?
|
2 j/kg
4 j/kg 4 j/kg (or lowest available setting) |
|
At what joule setting is pediatric synchronized cardioversion performed?
|
attempt 1: 0.5-1 j/kg
attempt 2: 1-2 j/kg Adenosine for SVT with low cardiac output if defibrillator cannot deliver a calculated dose |
|
Pediatric Adenosine dosage
|
0.1 mg/kg
(max initial dose 6mg) 0.2 mg/kg 0.2 mg/kg (max subsequent doses 12mg) administer rapidly follow each with 2-3ml NS |
|
Diltiazem dosage and method of administration.
|
0.25 mg/kg
slowly over 2 minutes monitor BP continuously |
|
Diltiazem is only given for control of tachyarrhythias if...
|
(1) the QRS is narrow
(2) BP is normal or high |
|
True or False:
Diltiazem may be used to treat ventricular tachycardia. |
False.
(SVT/A-fib/A-flutter only) |
|
What two protocols contain Diltiazem (Cardizem)?
|
(1) SVT
(2) A-fib/A-flutter |
|
If ______ and ______, administer Diltiazem.
|
complex width is narrow
BP is normal or elevated |
|
What solution is Amiodarone diluted in?
|
D5W
|
|
Lidocaine in cardiac arrest and ventricular arrhythmias has been largely replaced with ______.
|
amiodarone
|
|
Magnesium sulfate drip is given in which protocols?
|
Obstetric complications
(severe pre-eclampsia) Adult Asthma (severe respiratory distress) |
|
This drug is an effective pre-eclamptic anti convulsant, a poweful bronchodilator, and a ventricular antiarrhythmic.
|
Magnesium Sulfate
|
|
This drug stabilizes arrhythmic hyperkalemia/hypocalcemia, counteracts calcium channel blocker ODs, and increases inotropy.
|
Calcium Chloride
|
|
Vasopressin dosage
|
40 units
(single dose) |
|
For V-fib/V-tach, ____ Magnesium Sulfate is diluted in _____ ml of _____, delivered over ____ minutes.
|
2 g
10 ml normal saline 2 minutes |
|
For Asthma, in patients with SEVERE RESPIRATORY DISTRESS, ____ Magnesium Sulfate is diluted in _____ ml of _____, delivered over ____ minutes.
|
2 g
50-100 ml normal saline 10-20 minutes |
|
For pre-eclampsia, ____ Magnesium Sulfate is diluted in _____ ml of _____, delivered over ____ minutes IV drip. Repeat, diluting in _____ ml for the second round.
|
2 g
50-100 ml normal saline 10-20 minutes 100 ml |
|
What solution is Magnesium sulfate diluted in?
|
normal saline
|
|
For pediatrics, if ______ is present, administer _____ of magnesium sulfate by IV/IO.
|
torsades de pointes
25-50 mg/kg |
|
Pediatric dosage of Magnesium Sulfate.
|
25-50 mg/kg
(for torsades) |
|
This intotropic, ventricular antiarrhythmic is used for both tachycardic and bradycardic ventricular arrhythmias.
|
Calcium Chloride
|
|
What is the dose and method of Calcium Chloride administration?
|
1 g IVB SLOWLY
follow with saline flush |
|
When is calcium chloride given to pediatrics?
|
never
|
|
Three times Methylprednisolone may be considered.
|
(1) Adult Asthma
(2) Adult Anaphylaxis (3) COPD |
|
methylprednisolone (solu-medrol) dosage
|
125 mg IVB or IM
|
|
True or False:
Methylprednisolone may be given IM. |
True.
In Asthma or COPD, it may be given IM. For Anaphylaxis, it must be given IV. |
|
True or False:
Methylprednisolone (Solu-medrol) may be given IM in adult anaphylaxis. |
False.
It is given IV only for anaphylaxis, but it may be given IM in cases of adult asthma or COPD. |
|
Three times Dexamethasone may be considered.
|
(1) Adult Asthma
(2) Adult Anaphylaxis (3) COPD |
|
True or False:
Dexamethasone may be given IM. |
True.
In Asthma or COPD, it may be given IM. For Anaphylaxis, it must be given IV. |
|
True or False:
Dexamethasone may be given IM in adult anaphylaxis. |
False.
It is given IV only for anaphylaxis, but it may be given IM in cases of adult asthma or COPD. |
|
dexamethasone (decadron) dosage
|
12 mg IVB or IM
|
|
When in the REMAC protocols is it permissible to administer methylprednisolone and dexamethasone to pediatrics?
|
never
|
|
Name the two corticosteroids in the REMAC protocols.
|
(1) methylprednisolone (solu-medrol)
(2) dexamethasone (decadron) |
|
Abuterol percentage
|
0.083%
|
|
Albuterol volume
|
3 ml
|
|
Albuterol/Ipratropium is given at a flow rate that will deliver the solution over ______ minutes.
|
5-15
|
|
Diphenhydramine adult dose
|
50 mg
|
|
Diphenhydramine pediatric dose
|
not given to pediatrics
in any REMAC protocols |
|
Etomidate intubation dosage
|
0.3 mg/kg IVB max 20
(over 30-60 seconds) |
|
Edomidate cardioversion dosage
|
0.15 mg/kg max 10
|
|
For adults, dextrose is administered ____ g (____ of a ____ solution), IVB
|
25 g
50 ml 50% |
|
If an OD is strongly expected, administer ______ prior to ______.
|
naloxone
dextrose |
|
Dextrose adult dosage
|
25 g
|
|
Dextrose solution adult volume
|
50 ml
|
|
percentage of dextrose in adult dextrose solution
|
50%
|
|
For adults, dextrose is administered ____ g (____ of a ____ solution), IVB
|
25 g
50 ml 50% |
|
If an OD is strongly expected, administer ______ prior to ______.
|
naloxone
dextrose |
|
Use ____ Dextrose in patients less than or equal to one month of age.
Use ___ Dextrose in patients greater than one month of age and less than 14 years of age. |
10%
25% |
|
Dextrose pediatric dosage
|
0.5 g/kg
|
|
Dextrose solution percentage for one month olds and younger.
|
10%
|
|
Dextrose solution percentage for pediatrics older than 1 month.
|
25%
|
|
Dextrose solution percentage for ages 14 and older.
|
50%
|
|
Glucagon dose/route
|
1 mg IM
|
|
True or False:
Thiamine can be given IM. |
False.
It is never given IM in the REMAC protocols -- always IVB after Dextrose IVB. |
|
Naloxone dosage for adults
|
up to 2 mg
|
|
Naloxone AMS dosage for peds
|
0.4 IV/IO or 0.8 IM/IN up to 2 mg
|
|
Naloxone arrest dosage for peds
|
2 and older: 2mg IV/IO/ET
under 2: 1 mg IV/IO/ET |
|
What is the max dose of Naloxone standing orders in adult AMS.
|
2 mg
|
|
What is the max Naloxone dose under AMS medical control options?
|
Medical Control options say only "repeat standing orders"
|
|
How many doses of 25 g Dextrose can be given under adult AMS standing orders?
|
2
|
|
How many doses of 25 g Dextrose can be given under adult AMS medical control options?
|
Medical Control options say only "repeat"
|
|
True or False:
Naloxone can be given IVB. |
True.
|
|
True or False:
Naloxone can be given IM. |
True
|
|
True or False:
Naloxone can be given IN. |
True.
|
|
True or False:
Naloxone can be given ET. |
True.
Only in peds. |
|
In pediatric anaphylaxis, ET epinephrine is ______ the IV dose.
(ten times / the same as) |
the same as (1:10,000)
In all other pediatric protocols, ET epi is ten times the IV dose. (1:1,000) |
|
Initial fluid administration in pediatrics should not exceed ______.
|
20 ml/kg
|
|
True or False:
In REMAC protocols, NG/OG tube are only passed in pediatric patients. |
True.
|
|
It may be necessary to pass an NG/OG tube in the ______, ______, or ______ in order to successfully perform resuscitation.
|
neonate
infant child |
|
Proparacaine HCl
solution percentage |
0.5%
|
|
Tetracaine HCl
solution percentage |
0.5%
|
|
Proparacaine/Tetracaine dose
|
1-2 gtts
|
|
Which is the only protocol that still specifics "hypotension and stupor" in addition to hypoventilation as a reason to withhold morphine, elevate legs, and give narcan?
|
Burns
|
|
True or False:
All Morphine protocols except for "Burns" indicate that "hypoventillation" is the only reason to administer naloxone. |
True
|
|
Name the four protocols that employ Morphine.
|
(1) Myocardial Ischemia
(2) Acute Pulmonary Edema (3) Burns (4) Pain Management |
|
Name the two protocols in which Morphine is given for pain.
|
(1) Burns
(2) Pain Management |
|
Name the two protocols in which Morphine is given to reduce preload/afterload.
|
(1) Myocardial Ischemia
(2) Acute Pulmonary Edema |
|
Furosemide dosage
|
20-80 mg IVB
|
|
Maximum combined total dosage of Furosemide
|
80 mg
|
|
How many times may an Albutero/Ipratropium treatment be repeated on standing orders for adult asthma?
|
may be repeated twice
(total of three doses) |
|
How many times may an Albuterol treatment be given under medical control options for adult asthma?
|
just once
(without Ipratropium) |
|
How many times may Epi IM be given to an adult asthmatic on standing orders?
|
once
|
|
What is the generally the initial Bicarb dosage?
|
44-88 mEq
|
|
What is the repeat Bicarb dosage?
|
44 mEq
(every 10 minutes) |
|
Dopamine drip initial dosage for Bradydysrhythmia/Complete Heart block.
|
2 ug/kg/min
|
|
Dopamine drip maximum dosage for Bradydysrhythmia/Complete Heart block.
|
10 ug/kg/min
|
|
How many doses of Dextrose are given to an adult seizure patient?
|
one
|
|
How many times may Lorazepam be given on standing orders for adult seizures?
|
Twice.
A single repeat dose may be given after five minutes if seizures persist. |
|
How many times (in additional to standing orders) may Lorazepam be given under medical control options for adult seizures?
|
just one more time
(says to "repeat Lorazepam") |
|
How many times may Lorazepam be given under medical control options for head injuries?
|
once
|
|
How many times may Lorazepam be given after Etomidate?
|
once.
|
|
How many times may Lorazepam be given for chemical restraint?
|
once.
|
|
What is the pediatric dosage for Lorazepam?
|
0.05 mg/kg
|
|
How is Lorazepam administered for pediatric seizures?
|
0.05 mg/kg, IVB/IO/IN
slowly over 2 minutes repeat doses may be given if seizures persist |
|
How many repeat doses of Lorazepam can be given to pediatric seizure patients?
|
Not specified.
The protocol simply states, "Repeat doses may be given if seizures persist." |
|
What is the IV/IO dosage of Diazepam in the pediatric seizure protocol?
|
0.1 mg/kg
|
|
How is IV/IO Diazepam administered in the pediatric seizure protocol?
|
0.1mg/kg IVB or IO
slowly over 2 minutes repeat doses may be given if seizures persist |
|
How many repeat doses of IV/IO Diazepam may be given in the pediatric seizure protocol?
|
Not specified.
The protocol simply states, "Repeat doses may be given if seizures persist." |
|
What is the rectal dosage of Diazepam in the pediatric seizure protocol?
|
0.5 mg/kg
(five times the IV/IO dose) |
|
How many times may you give rectal Diazepam in the pediatric seizure protocol?
|
once
|
|
What is the universal dosage for Glucagon in all protocols?
|
1 mg
|
|
Which four pediatric protocols employ one drug only, and name the drug.
|
"DRAN"
(1) Decomp. Shock - Adenosine (2) Resp Arrest - Naloxone (3) Anaphylaxis - Epi (4) Neonate Arrest - Epi |
|
Acronym for the four pediatric protocols that use only one drug.
|
DRAN
|
|
What is the standing order Morphine Sulfate initial dose for Pain Management of Isolated Extremity Injuries?
|
0.1 mg/kg IVB
(max 5 mg) |
|
What is the standing order Morphine Sulfate repeat dose for Pain Management of Isolated Extremity Injuries?
|
0.1 mg/kg IVB
(max 5 mg) |
|
What is the maximum total dose of Morphine for Pain Management (including both the first as second doses).
|
10 mg
|
|
How many times may Morphine be repeated under standing orders for Pain Management?
|
once for continued pain
(total 2 doses) |
|
How many repeat doses of Albuterol/Ipratropium may be given on standing orders to pediatric asthma?
|
repeat twice
(total 3) |
|
How many repeat doses of Albuterol may be given under medical control options to pediatric asthma?
|
one more
(total 4 with standing orders) |
|
"___________ shall be considered a pediatric patient."
|
Any patient under 14 years of age
|
|
Midazolam (Versed) dose for prehospital sedation.
|
1-2 mg IV/IN
repeat 1mg PRN max total 5 mg |
|
What is the repeat dosage for Midazolam in prehospital sedation?
|
1 mg IVB
|
|
How many repeat doses of Midazolam may be given in prehospital sedation?
|
As many as it takes to
reach the max dose of 5 mg. |
|
IV route chemical restraint dose for Midazolam.
|
1-2 mg IVB
once |
|
IM/IN route chemical restraint dose for Midazolam.
|
10 mg IM/IN
once |
|
IV route chemical restraint dose for Diazepam.
|
5-10 mg IVB
once |
|
How many times can you repeat chemical restraint doses under the medical control options?
|
No repeat doses specified, but IV access is suggested after IM sedation "in the event additional sedation is necessary."
|
|
Magnesium Sulfate dosage for severe pre-eclampsia?
|
2 grams
|
|
How much fluid can be administered to a post-partum hemorrhage under obstetric complications medical control options?
|
fluid is no longer mentioned in the protocol
|
|
Fluid infusion volume for neonates if transport is delayed or extended.
|
10 ml/kg
|
|
Amiodarone dosage for pediatric cardiac arrest.
|
5 mg/kg IV/IO
|
|
What is the one and only pediatric protocol that calls for amiodarone?
|
pediatric cardiac arrest
|
|
How many times can Amiodarone be given in pediatric cardiac arrest?
|
once
|
|
What is the medical control dose in pediatric arrest for magnesium sulfate?
|
25-50 mg/kg IV/IO
|
|
How many times can magnesium sulfate be given in a pediatric cardiac arrest?
|
once
|
|
What is the initial fluid infusion volume for pediatrics?
|
20 ml/kg
|
|
What is a large bore IV catheter for pediatrics?
|
18-22 gauge
|
|
What is a large bore IV catheter for adults?
|
14-16 gauge
|
|
What is the total standing order fluid infusion volume for pediatrics in decompensated shock or traumatic arrest?
|
40 ml/kg
|
|
What is the maximum fluid infusion volume for pediatrics in decompensated shock or traumatic arrest after exhausting medical control options?
|
60 ml/kg
|
|
What is the specified fluid challenge volume for PEA/Asystole?
|
up to 3 liters med/ctrl
|
|
What is the specified fluid infusion volume for adult anaphylaxis?
|
up to 3 liters standing
|
|
What is the specified fluid infusion volume for adult non-cardiogenic shock?
|
up to 3 liters standing
up to 3 liters med/ctrl for a TOTAL of 6 liters |
|
What is the specified fluid infusion volume for adult traumatic arrest?
|
up to 3 liters standing
up to 3 liters med/ctrl for a TOTAL of 6 liters |
|
What is the specified fluid infusion volume for adult burns?
|
up to 2 liters standing
|
|
An anticholinergic drug for inhalation that inhibits bronchocontriction and mucus secretions, aka Atrovent.
|
Ipratropium Bromide
|
|
What is the delineating age between the two pediatric doses of ipratropium bromide.
|
age 6
(6 and older/under 6) |
|
Solution percentage of Ipratropium Bromide.
|
0.02%
|
|
What is the Ipratropium dosage for pediatrics 6 and older?
|
one unit dose vial
(0.5 ml of a 0.02% solution) |
|
What is the Ipratropium dosage for pediatrics under age 6?
|
one half of a unit dose vial
(half of a 0.5 ml vial of 0.02% solution) |
|
True or False:
Chidren under 6 get half the dose of ipratropium that childen 6 and older would get. |
True.
|
|
When should the repeat dose of epi be administered under medical control options in pediatric asthma?
|
20 minutes after the initial dose
|
|
How many minutes after the initial dose of epi should IM epi be repeated under medical control options in the adult asthma protocol?
|
The adult asthma protocol does not specify a wait time between epi injections.
|
|
How is Naloxone be given on standing orders for pediatric AMS?
|
0.4 mg iv/io
0.8 mg im/in Titrate to max of 2 mg. |
|
If there is no IV/IO access, how is Naloxone given IM/IN on standing orders for pediatric AMS?
|
0.8 mg, titrate to 2 mg
|
|
What dose of Glucagon is given to pediatric AMS and seizure patients?
|
1 mg
|
|
How many times is Dextrose administered IV/IO to a pediatric seizure?
|
once
|
|
How many times is Dextrose administered IV/IO to a pediatric AMS?
|
Once.
(But all standing orders may be repeated under medical control.) |
|
Adult under 40 kg
Amiodarone dosage |
5 mg/kg
|
|
Adult under 40 kg
Atropine dosage |
0.02 mg/kg
|
|
Adult under 40 kg
Epinephrine dosage |
0.01 mg/kg/dose
|
|
Sodium Bicarbonate
dose for adults under 40 kg |
1 mEq/kg/dose
|
|
What is 2-pam?
|
pralidoxime chloride
(nerve agent antidote) (pra-luh-DOX-eem) |
|
How is the nerve agent kit dosage determined?
|
triage tag color
|
|
RED TAG
SEVERE RESP.DISTRESS/SLUDGEM nerve agent antidote dosage |
Atropine: 3 Auto-injectors (6 mg)
Monitor every five minutes 2-Pam: 3 Auto-injectors (1.8 g) |
|
YELLOW TAG
RESP.DISTRESS/SLUDGEM nerve agent antidote dosage |
Atropine: 2 Auto-injectors (4 mg)
Monitor every 10 minutes. 2-Pam: 1 Auto-injector (600 mg) |
|
GREEN TAG
NO SYMPTOMS nerve agent antidote dosage |
None... monitor every 15 mins.
|
|
Do not give more than ___ 2-Pam (gray top) auto-injectors to any patient. The maximum total dose of 2-pam is ______.
|
3
1.8 grams |
|
Each 2-pam auto injector containts _____ mg pralidoxine chloride.
|
600 mg
|
|
Each atropine auto-injector contains _____ mg atropine.
|
2 mg
(double the cardiac arrest dose) |
|
Nerve agent victims tagged red may be treated ______ decontamination and yellow and green ______ decontamination.
|
during
after |
