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2025
n/a
97
Other
Professional
12/22/2011

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Term
adult allergic reaction dose for benadryl
Definition
50mg IV/IM
Term
pediatric allergic reaction or dystonic reaction dose, routes, and max
Definition
1mg/kg IV/IM max of 50mg
Term
adult allergic reaction dose for albuterol....what must be present
Definition
5mg/6ml repeat as needed for wheezes
Term
adult anaphylaxis without shock doses. to be used only if?
Definition
only if severe respiratory distress is present epi 1:1000 0.5mg IM if under 40 and if over 40 0.3mg IM then obtain IV access and administer benadryl 50mg IV/IM may repeat x1 in 10 min
Term
cardiac arrest, always perform ______ for at least_______before attaching aed
Definition
cpr for at least 5 cycles
Term
vf/vt prior to base adult protocol
Definition
defibrillate every 2 minutes, IV or IO access, epi 1:10,000 1mg/10ml IV every 3-5 minutes, Amiodarone 300 mg IV/IO if rhythm persists, 150mg IV/IO in 3-5 minutes. consider ALS ariway management if BLS measure are inadequate
Term
CFP for VF/VT TCA and Torsades
Definition
TCA ask for sodium bicarb 1 meq/kg IV/IO, repeat 0.5 meq/kg every 5 minutes. for Torsades, contact for magnesium sulfate 2gm IV/IOover 2 min may repeat x1 in 5 min
Term
if you achieve sustained ROSC greater than 30 seconds....
Definition
perform 12 lead, transport to stemi receiving center (cmh,robles, st john oxnard)
Term
if hypothermic you will do what for med administration and what defib amount prio to base contact. remember that field determination of death is______
Definition
push only one round of medications and defib for a max of 6 times. DOD is discouraged
Term
pediatric vf/vt defib specifics
Definition
initial defib at 2 joules/kg, if vf/vt persists than 4 joules/kg repeat every 2 minutes as indicated.
Term
pediatric VF/VT first thing you do after defib
Definition
get IV or IO access
Term
peds VF/VT after IV/IO access you then....
Definition
epi 1:10,000 0.01mg/kg (0.1ml/kg) IV/IO every 3-5 minutes. then amiodarone 5mg/kg repeat 2.5mg/kg if rhythm persists 3-5 minutes later
Term
pediatric VF/VT remember after you have defibrillated, gien epi and amio, you should think about....
Definition
airway! manage with ALS airway if BLS is unacceptable
Term
if VF/VT stops and then recurs what should you do
Definition
defibrillate at the last successful energy setting
Term
peds VF/VT cfp....for what specific situation. what med would you ask for and how would you give it?
Definition
if strong suspicion of TCA overdose you would ask for sodium bicarbonate give at 1mEq/kg IV/IO and repeated 0.5mEq/kg ever 5 minutes
Term
chest pain ALS prior to base up to and including aspirin
Definition
12 lead if ***AMI*** transport to stemi, nitroglycerin sl or lingual spray - 0.4mg every 5 min for continued pain....no max, maintain sbp greater than 100 or greater than 90 if normal sbp is less than 100, aspirin 324mg PO
Term
chest pain after you have given aspirin 324mg po.....
Definition
obtain IV access (max 3 attempts), if pain persists morphine per policy and maintain sbp greater than 100mmhg. If patient presents or becomes hypotensive, elevate legs and normal saline bolus of 250ml unless chf is present.
Term
chest pain cfp
Definition
add an additional IV attempt to 4 total and if hypotensive and signs of chf are present or no response to fluid therapy....dopamine 10mcg/kg/min
Term
ED physician order only for chest pain expect what med for what situations?
Definition
for ventricular ectopy pvcs greater than 10/min, multifocal pvcs, or unsustained v-tach,AMIO 150mg IVPB
Term
3 indications for ondansetron (zofran)
Definition
moderate to severe nausea or vomiting. potential for airway compromise secondary to suspected/actual head injury when cervical immobilization is used. patient has a history of nausea/vomiting post narcotic administration, and MS is indicated
Term
ondansetron tx order for adult. whats the difference for peds?
Definition
IV access, Ondansetron 4mg PO ODT may repeat x1 in 10 min, or IV/IM 4mg may repeat x1 in 10 min. peds difference is no repeat x1 and must be at least 4 years old or contraindicated.
Term
prior to best contact sustained Vtach tx protocol patient is stable. what defines stable? and tx.
Definition
stable is defined as mild to moderate chest pain/SOB. give AMIO 150mg IVPB or 10 min
Term
prior to base sustained vtach unstable patient. what defines unstable and your tx?
Definition
unstable is ALOC, signs of shock of CHF. TX goes Sedate and cardiovert. Midazolam IV 2mg make sure your diluted solution is 1MG to 1ML final concentration of 5mg/5ml. Synchronize cardiovert at set energy settings. Amiodarone IVPB 150mg over 10 mins.
Term
sustained vtach base hospital orders only.
Definition
for torsades, magnesium sulfate IVPB - 2gm in 50mL D5W infused over 5 minuts may repeat x1 if torsades continues or recurs.
Term
unstable polymorphic vtach you?
Definition
defibrillate
Term
physician order only for any conversion after defib
Definition
if has not been given already, amio 150mg IVPB over 10 minutes.
Term
adult altered neuro function prior to base
Definition
*iv access
*if bs less than 60 d50 iv-25ml
*or glucagon if no access, IM 1mg
recheck in 5 min after d50 or 10min after glucagon...if bs still less than 60 administer another 25ml of d50
Term
when dealing with altered neuro function what should you consider?
Definition
aeioutips....check pupils and chance for stroke and bs
Term
pediatric altered neuro function if bs less than 60 and age less than 2 what interventions must take place? and doses
Definition
if less than 2 d25 IV-2mL/kg

glucagon IM if no access 0.1mg/kg max of 1 mg
Term
pediatric altered neuro if over 2 what are your interventions?
Definition
check bs....if under 60 and over age 2, d50 IV-1mL/kg or use glucagon IM 0.1mg/kg
Term
when do we recheck bs?
Definition
in 5 minutes if you use d50 10min if using glucagon.
Term
behavioral emergency time! adult doses for midazolam. all of it is prior to base
Definition
IV 2mg repeat 1mg every 2 min as need until max of 5mg

or

IM 0.1mg/kg max of 5mg
Term
pediatric iv midazolam dose
Definition
ahaha trick question....no iv dose for midazolam on peds.
Term
pediatric midazolam for behavioral emergencies
Definition
IM 0.1mg/kg max of 5mg same as adult
Term
tx for snake bites
Definition
iv access and monitor for allergic reactions
Term
what marine animal sting do you not use heat for?
Definition
jellyfish, per protocol....all others can have heat applied
Term
als prior to base for adults
Definition
IV access
Morphine per policy
if burns greater than 10% tbsa then IV bolus 1 liter
Term
pediatric burn iv/io bolus
Definition
20ml/kg
Term
if given orders during cardiac arrest for adult suspected calcium channel blocker overdose what are the meds and doses
Definition
calcium chloride IV/IO - 1gm repeat x1 in 10 min

glucagon IV/IO 2mg...may give up to 10mg if available
Term
adult cardiac arrest vf/vt dose for torsades
Definition
IV/IO 2gm over 2 min...may repeat x 1 in 5min
Term
adult and peds dose for cardiac arrest beta blocker overdose related
Definition
base hospital orders only*
*adult glucagon 2 mg IV/IO may give up to 10mg if available

*peds glucagon 0.1mg/kg may give up to 10mg
Term
peds cardiac arrest calcium channel blocker overdose
Definition
calcium chloride IV/IO 20mg/kg repeat x1 in 10min

glucagon IV/IO 0.1mg/kg may give up to 10 mg if avail.
Term
cardiac arrest adult and peds tx for tca overdose
Definition
sodium bicarb 1mEq/kg repeat 0.5 mEq/kg every 5 min
Term
adult and pediatric crush injury/syndrome als prior to base shit
Definition
*IV access
*maintain body heat
*release compression
*monitor for cardiac dysrhythmias
Term
adult cfp for actual crush syndrom
Definition
*initiated 2nd IV access
*1 liter IV bolus of normal saline
*sodium bicarb - IV mix 1mEq/kg added to 1st liter of saline
*albuterol via nebulizer 5mg/6ml repeat x2
*morphine per policy 705
*if dysrhythmias give calcium chloride over 1 min
Term
adult and pediatric hospital orders for ongoing extended entrapment and no response to fluid therapy
Definition
*dopamine 10mcg/kg/min
Term
pediatric crush syndrome cfp. doses for calcium chloride and albuterol
Definition
calcium chloride IV/IO 20mg/kg

albuterol if less than 2 nebulized tx of 2.5mg/3ml
if over 2, adult dose
all of albuterol doses is repeat x2
Term
pediatric opiated overdose with respirations less than 12/min
Definition
narcan IV/IM/IO 0.1mg/kg initial max of 2mg. may repeat as need to maintain resp greater than 12/min
Term
adult and pediatric activated charcoal doses
Definition
1gm/kg for both with a max of 50grams for adults and 25grams for peds
Term
adult opiate overdose with resp less than 12 a min
Definition
IM 2mg, IV 0.4mg every minute with max of 2mg
*may repeat as needed to maintain respirations greater 12/min
Term
adult pain control policy. recheck vitals when?
Definition
IV 2-4mg over 1-2min. repeat every 3 min as needed for pain relief. max 10mg.

recheck vitals before and after each administration hold if bp less than 100
Term
pediatric allergic reaction - anaphylaxis without shock treatments
Definition
*epi 1:1000 IM .01mg/kg max of 0.3mg
*IVaccess
*benadryl IV/IM 1mg/kg max of 50mg may repeat x1 in 10 min
Term
pediatric anaphylaxis with shock
Definition
*treatments as above then initiate 2nd IV if possible or establish IO
*IV bolus 20ml/kg
IF profound shock...epi 1:10,000 IV/IO 0.01mg/kg increments to a max of 0.3mg/kg over 1-2 min slow ivp
Term
CFP pediatric allergic reaction, anaphylaxis without shock
Definition
repeat epinephrine 1:1000 IM 0.01mg/kg every 5 min x2 as needed
Term
CFP pediatric allergic reaction - anaphylaxis with shock
Definition
*for continued shock repeat bolus of saline 20ml/kg IV/IO
*epi 1:1,000 IM 0.01mg/kg every 5min x2 as needed
Term
adult prior to base for profound shock of allergic reaction.
Definition
*make sure you have your second IV started, performed the previous interventions and given a liter bolus.
*then epi 1:10,000 slow IVP 0.1mg (1ml) increments max of 0.3mg over 1-2 min
Term
CFP for adult allergic reaction - anaphylaxis without shock
Definition
repeat epi 1:1,000 IM 0.3mg every 5 min x2 as needed
Term
Adult CFP for allergic reaction - anaphylaxis with shock...
Definition
*repeat normal saline IV bolus 1 liter
*repeat epinephrine IM 0.3mg every 5min x2 as needed
Term
adult hypovolemic shock prior to base. use caution with? continue to evaluate? if vitals return to normal limits?
Definition
IV bolus 1 liter
use caution with cardiac or renal history
continue to evaluate lung sounds. if signs of chf, decrease iv to tko
if vitals reutrn to normal limits decrease iv to tko.
Term
adult prior to base hypovolemic shock from traumatic injury
Definition
*dont delay transport for first iv attempt
*attempt second IV while enroute to ED
*consider blood tubing
Term
adult cfp for hypovolemic shock
Definition
repeat normal saline IV bolus of 1 liter if shock persists
Term
pediatric hypovolemic shock prior to base. caution with? continue to evaluate what? if vitals return to normal limits?
Definition
*IV/IO access
*saline bolus of 20ml/kg
*caution with cardiac and or renal history
*continue to evaluate lung sounds. if signs of chf, decrease iv to tko
*if vital signs return to within normal limits, decrease iv to tko
Term
peds prior to base for hypovolemic shock and traumatic injury
Definition
*do not delay transport for first iv attempt
*attempt second iv while enroute to ED
*consider blood tubing
Term
peds cfp for persistant hypovolemic shock
Definition
repeat salin bolus of 20ml/kg IV/IO
Term
newborn resuscitation IV bolus dose
Definition
10ml/kg
Term
pediatric morphine is given for?
Definition
burns and isolated extremity injuries only
Term
pediatric morphine give IV
Definition
0.1mg/kg over 1-2 min may repeat x1 after 3 min as needed for pain relief. max of 0.2mg/kg or 10mg
Term
pediatric IM morphine dose
Definition
0.2mg/kg max of 10mg
Term
peds cfp morphine IV
Definition
0.1mg/kg over 1-2 min may repeat x1 after 3 min as needed for pain relief. max repeat dose of 10mg. max total dose of 20mg or 0.4mg/kg
Term
peds CFP morphine IM
Definition
0.2mg/kg max repeat dose of 10mg
Term
adult CFP for morphine being given IV
Definition
2-4mg over 1-2min max repeat dose of 10mg. max total dose of 20mg
Term
adult CFP for morphine given IM
Definition
0.1mg/kg max repeat dose of 10mg
Term
3rd trimester pregnancy seizure with no known history of seizures.
Definition
mag sulfate 2gm IVPB in 50ml of D5W infused over 5 min...MUST repeat x1.
Term
prior to base for adult persistant seizures.
Definition
midazolam IV 2mg repeat 1mg every 2 minutes as needed to a max of 5mg

IM - 0.1mg/kg max 5mg
Term
prior to base shortness of breath - pulmonary edema
Definition
*nitro 0.4mg spray every min x3 then repeat every 2 min no max dose
*cpap
*12 lead
*iv access
*if wheezes use albuterol 5mg/6ml
Term
cfp for shortness of breath due to pulmonary edema
Definition
*lasix iv 40mg only if currently prescribed lasix or bumex.
*if patient becomes or presents with hypotension...dopamine IVPB 10mcg/kg/min
Term
there are 7 things to determine for a childbirth assessment
Definition
*number of pregnancies (GRAVIDA)
*number of deliveries (para)
*due date (weeks of gestation)
*onset/duration/frequency/intesity of contractions
*if a rupture of membranes has occurred (including color/date/time)
*if any expected complications during pregnancy are present
*presence of crowning or any abnormal presenting part at perineum
Term
pediatric dopamine dose
Definition
10mcg/kg/min
Term
adult nerve agent poisoning base hospital orders only. medications and doses for hot/warm zones
Definition
atropine IM 2mg every 5 min until symptoms are relieved.
pralidoxime im 600mg if available, single dose only
Term
cold zone treatment for nerve agent poisoning.
Definition
*first obtain iv access
*atropine IV 2mg every 1min. repeat until symptoms are relieved.
*atropine IM 2mg every 5 min until symptoms are relieved
*pralidoxime (2-pam) IM 600mg if available, single dose only.
Term
after you have treated with atropine and pralidoxime if what begins treated it with what and how much dose? adult only
Definition
midazolam IV 2mg repeat 1mg every 2 minutes as needed. max 5mg.
IM 0.1mg/kg max 5mg
Term
adult and pediatric doses for diazepam
Definition
adult: 5mg IV/IM every 10min titrated to effect max of 30mg
pediatric: 0.1mg/kg IV/IM/IO (max inital dose of 5mg)over 2-3 minutes every 10minutes titrated to effect. max total dose 10mg
Term
pediatric nerve agent poisoning hot/warm zone
Definition
IM 0.05mg/kg every 5 minutes. minimum dose of 0.1mg repeat until symptoms are relieved
Term
pediatric nerve agent poisoning cold zone treatments
Definition
atropine IV 0.05mg/kg minimum of 0.1mg every minute until symptoms are relieved.

atropine IM 0.05mg/kg minimum of 0.1mg every 5 mins until symptoms are relieved
Term
pediatric dose for seizure IV and IM
Definition
IV is a trick question only IM 0.1mg/kg max of 5 mg
Term
peds and adult dose for tca overdose
Definition
sodium bicarbonate 1mEq/ml base order only
Term
adult dose for organophosphate poisoning
Definition
atropine IV 2mg every 1 minute until symptoms are relieved
Term
pediatric tx for organophosphate poisoning
Definition
atropine IV/IO 0.02mg/kg every 1 min until symptoms are relieved. minimum dose of 0.1mg
Term
tca overdose and charcoal?
Definition
dont give!
Term
adult prior to base for shortness of breath - wheezes/other hint what is policy 715 for first consideration.
Definition
*perform needle thoracostomy if indicated per policy 715.
*albuterol 5mg/6ml repeat as needed for wheezes.
*if severe distress use tx for moderate distress then use epi 1:1000 IM 0.3mg if under 40.
*cpap for either moderate or severe distress
*IV access
Term
adult cfp for shortness of breath with wheezes/other
Definition
*for severe distress.
*epi 1:1000 IM 0.3mg if under 40. if no change is apparent 10 minutes after first epi administration
*40 year old and greater. epi 1:1000 0.3mg. only if apparent asthma. only if age less than 60 years old. only if no improvement with initial therapies
Term
pediatric prior to base for shortness of breath wheezes/other up to epi.
Definition
*needle T if indicated
*albuterol, under 2.. 2.5mg/3ml...over 2 5mg/ml. repeat as needed.
*for severe distress epi 1:1000 IM 0.01mg/kg max of 0.3mg
Term
pediatric prior to base for suspected croup.
Definition
normal saline nebulizer/aerosolized mask 5ml
Term
always consider cpap for sob make sure pt is at least....?
Definition
8 years old
Term
cfp for pediatric sob wheezes/other
Definition
for severe distress
*if no change is apparent 10minutes after first epinephrine administration. repeat epinephrine 1:1000 IM 0.01mg/kg max of 0.3mg
Term
base orders for pediatric shortness of breath. used if?
Definition
suspected croup.
*no improvement with normal saline nebulizer. if less than 2, epi 1:1000 2.5ml via nebulizer. if over 2 epi 1:1000 5ml via nebulizer
Term
chest pain - acute coronary syndrome. administer oxygen if....
Definition
dyspnea, signs of heart failure or shock, or SA02 less than 94%
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