Term
705-ALTERED
ADULT- blood glucose <60, what are the drugs, and dose. |
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Definition
D50-IV 25ml
Glucagon(if not IV access) IM-1mg |
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Term
705-ALTERED(adult and ped)
if stroke suspected, what should be performed? |
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Definition
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Term
705-ALTERED
705-ALTERED(adult and ped)
after orginal administration for hypoglycemia, when should you recheck blood sugar? |
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Definition
5 min for D50
10 min for Glucagon |
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Term
705-ALTERED(adult and Ped)
What is the Oral Glucose dosage? |
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Definition
|
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Term
705-ALTERED (pediatric)
Blood glucose <60
less than 2 years old |
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Definition
D25- IV 2mL/kg
Glucagon(if no IV) IM 0.1 mg/kg
Max 1 mg |
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Term
705-ALTERED (pediatric)
blood glucose <60
2 years old and greater |
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Definition
D50- 1mL/kg
Glucagon(if no iv access)
im-0.1 mg/kg
MAX 1 mg |
|
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Term
705-Allergic/adverse reaction (Adult and ped)
Allergic or dystonic reaction
benadryl dose |
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Definition
Adult
Benadryl IV/IM – 50 mg
Pediatric
Benadryl IV/IM – 1 mg/kg
Max 50 mg |
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Term
705 allergic reaction(adult and ped)
albuterol dosage
Peds, 2 y/o greater
Peds, <2 years old |
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Definition
Adult
Nebulizer – 5 mg/6 mL
Repeat as needed
PED-
Albuterol
Less than 2 years old
Nebulizer – 2.5 mg/3 mL
Repeat as needed
2 years old and greater
Nebulizer – 5 mg/6 mL
Repeat as needed |
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Term
705 Allergic reaction
ALS prior to base:
Anaphylaxis WITHOUT SHOCK
drug and dose
< 40 years old
>40 years old |
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Definition
Epinephrine 1:1,000
IM –
•Less than 40 years old – 0.5 mg
•40 years old and greater – 0.3 mg
oOnly if severe respiratory distress is present
•IV access
•Benadryl
oIV/IM – 50 mg
•May repeat x 1 in 10 min |
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Term
705 Allergic reaction(pediatric)
If wheezing is present
Drug and dose |
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Definition
Albuterol
Less than 2 years old
•Nebulizer – 2.5 mg/3 mL
oRepeat as needed
o2 years old and greater
•Nebulizer – 5 mg/6 mL
oRepeat as needed |
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Term
705 allergic reaction
Anaphylaxis WITH SHOCK |
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Definition
Treatment SAME AS Anaphylaxis without Shock
•Initiate 2nd IV
Normal Saline
oIV bolus – 1 Liter |
|
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Term
705 ALLERGIC REACTION -(Adult)
For Profound shock
drug and dose |
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Definition
Epinephrine 1:10,000
oSlow IVP – 0.1 mg (1 mL) increments
•Max 0.3 mg (3 mL) over 1-2 min |
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Term
704 allergic reaction(pediatric)
for profound shock |
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Definition
Epinephrine 1:10,000
oSlow IVP – 0.01 mg/kg (0.1 mL/kg) increments
•Max 0.3 mg (3 mL) over 1-2 min |
|
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Term
705-allergic reaction(adult)
Communication failure
Anaphylaxis without shock |
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Definition
Repeat Epinephrine 1:1,000
oIM – 0.3 mg q 5 min x 2 as needed |
|
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Term
705-allergic reaction(adult)
Communication failure
Anaphylaxis WITH shock |
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Definition
Repeat Normal Saline
•IV bolus – 1 Liter
o
Repeat Epinephrine 1:1,000
•IM – 0.3 mg q 5 min x 2 as needed |
|
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Term
705-allergic reaction(peds)
Communication failure
Anaphylaxis WITHOUT SHOCK |
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Definition
Repeat Epinephrine 1:1,000
IM – 0.01 mg/kg q 5 min x 2 as needed |
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Term
705 Allergic Reaction(peds)
Communication Failure
For continued shock |
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Definition
For continued shock
Repeat Normal Saline
•IV/IO bolus – 20 mL/kg
o
Repeat Epinephrine 1:1,000
•IM – 0.01 mg/kg q 5 min x 2 as needed |
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Term
705-Bites and stings
Animal/insect bites |
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Definition
•Flush site with sterile water
•Control bleeding
•Apply bandage |
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Term
705-Bites and stings
SNAKE BITES/ENVENOMATIONS |
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Definition
•
Remove rings and constrictions
•
Immobilize the affected part in dependent position
•
Avoid excessive activity |
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Term
705-BITES AND STINGS
BEE STINGS |
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Definition
•If present, remove stinger
•Apply ice pack |
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Term
705-BITES AND STINGS
JELLYFISH STINGS |
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Definition
•Rinse thoroughly with normal saline
DO NOT:
•Rinse with fresh water
•Rub with wet sand
•Apply heat |
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Term
705- BITES AND STINGS
ALL OTHER MARINE ANIMAL STINGS |
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Definition
•If present, remove barb
•Immerse in hot water if available |
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Term
705 BITES AND STINGS
When should Oxygen be administered?
All bites other than what, can be treated as a BLS call? |
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Definition
*Administer oxygen as indicated
*All bites other than SNAKE BITES may be treated as a BLS call |
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Term
705-BITES AND STINGS
ALS PRIOR TO BASE HOSPITAL CONTACT
What is the treatment? |
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Definition
*IV access for snake bites
*Monitor for allergic reaction or anaphylaxis
*Morphine – per Policy 705 - Pain Control |
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Term
705-Burns
What are the BLS procedures? |
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Definition
•Remove rings, constrictive clothing and garments made of synthetic material
•Assess for chemical, thermal, electrical, or radiation burns and treat accordingly
•If < 10% Total Body Surface Area (TBSA) is burned, cool with saline dressings and elevate burned extremities if possible
•Once area is cooled, remove saline dressings and cover with dry, sterile burn sheets
•Maintain body heat at all times
•Administer oxygen as indicated |
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Term
705-Burns
ALS Prior to Base Hospital Contact? |
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Definition
Adult-IV access
Pediatrics-IV/IO access
Morphine – per Policy 705 - Pain Control
If TBSA > 10% or hypotension is present:
•Normal Saline
oIV bolus – 1 Liter |
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Term
Cardiac Arrest – Asystole/Pulseless Electrical Activity (PEA)
BLS procedures (peds and adult) |
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Definition
If collapse before dispatch, complete 5 cycles (2 minutes) of
CPR, then attach AED
If witnessed, immediately attach AED
Airway management per VCEMS policy |
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Term
705- Cardiac Arrest – Asystole/Pulseless Electrical Activity (PEA) *** ADULT***
ALS prior to Base contact |
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Definition
Assess/treat causes
IV/IO access
Epinephrine
•IV/IO – 1:10,000: 1 mg (10 mL) q 3-5 min
If suspected hypovolemia:
•Normal Saline
IV/IO bolus – 1 Liter
ALS Airway Management
•If unable to ventilate by BLS measures, initiate appropriate advanced airway procedures |
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Term
705- Cardiac Arrest – Asystole/Pulseless Electrical Activity (PEA) **** peds****
ALS prior to BASE |
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Definition
Assess/treat causes
IV/IO access
Epinephrine 1:10,000
•IV/IO – 0.01mg/kg (0.1 mL/kg) q 3-5 min
If suspected hypovolemia:
•Normal Saline
oIV/IO bolus – 20 mL/kg
•Repeat x 2
ALS Airway Management
•If unable to ventilate by BLS measures, initiate appropriate advanced airway procedures
Make early Base Hospital contact for all pediatric cardiac
arrests |
|
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Term
705- Cardiac Arrest Asystole/PEA
Tricyclic antidepressent overdose
ADULT and Peds is the SAME |
|
Definition
Sodium Bicarbonate
oIV/IO – 1 mEq/kg
•Repeat 0.5 mEq/kg q 5 min |
|
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Term
705 CARDIAC ARREST/PEA
BETA BLOCK OVERDOSE
ADULT AND PED DIFFERENT |
|
Definition
**ADULT**
Glucagon
oIV/IO – 2 mg
•May give up to 10mg if available
**PED**
Glucagon
oIV/IO – 0.1 mg/kg
•May give up to 10mg if available |
|
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Term
705 CARDIAC ARREST/PEA
Calcium Channel Blocker Overdose
ADULT AND PED DIFFERENT |
|
Definition
**ADULT**
Calcium Chloride
oIV/IO – 1 gm
•Repeat x 1 in 10 min
&
Glucagon
oIV/IO – 2 mg
•May give up to 10mg if available
**PED**
Calcium Chloride
oIV/IO – 20 mg/kg
•Repeat x 1 in 10 min
&
Glucagon
oIV/IO – 0.1 mg/kg
•May give up to 10mg if available |
|
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Term
705 CARDIAC ARREST/PEA
HISTORY OF RENAL FAILURE/DIALYSIS
**ADULT** |
|
Definition
•Sodium Bicarbonate
oIV/IO – 1 mEq/kg
•Repeat 0.5 mEq/kg q 5 min
•
Calcium Chloride
oIV/IO – 1 gm
•Repeat x 1 in 10 min |
|
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Term
705-CARDIAC ARREST/PEA
HISTORY OF RENAL FAILURE/DIALYSIS
***PEDIATRICS*** |
|
Definition
Sodium Bicarbonate
oIV/IO – 1 mEq/kg
•Repeat 0.5 mEq/kg q 5 min
•
Calcium Chloride
oIV/IO – 20 mg/kg
Repeat x 1 in 10 min |
|
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Term
705- CARDIAC ARREST-VF-VT
DEFIBRILLATE |
|
Definition
• Use the biphasic energy settings that have been approved by service provider medical director
• Repeat every 2 minutes as indicated |
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