Term
| contraindications to treatment for croup |
|
Definition
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Term
| treatment for croup for a 6 mth old less than 5 kg |
|
Definition
Nebulized EPi 1:1`000
0.5 mg (0.5 ml) in 2 ml NS |
|
|
Term
| treatment for croup for a 10 mth old heavier than 5 kg |
|
Definition
Nebulized EPi 1:1`000
2.5 mg (2.5 ml) |
|
|
Term
| treatment for croup for a 2 yr old |
|
Definition
Nebulized EPi 1:1`000
5.0 mg (5.0 ml) |
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|
Term
Contraindications
For nebulization of Ventolin |
|
Definition
fever of 38 c
declared SRI outbreak |
|
|
Term
| dose of ventolin for patients >30 kg |
|
Definition
| total of 9 puffs (= 1 dose) |
|
|
Term
| dose of ventolin for patients <30 kg |
|
Definition
| total of 6 puffs (= 1 dose) |
|
|
Term
| dose of nebulized ventolin for patients <30 kg |
|
Definition
|
|
Term
| how much Morphine can you give for ischemic chest pain |
|
Definition
| 2 mg Q5 mins to a max of 10 mg |
|
|
Term
| what are the contraindications to morphine |
|
Definition
allergy to Mophine
or
SBP <100 mmhg |
|
|
Term
| How much NTG could you give for APE |
|
Definition
IV established; SBP >140 mmHg 0.8 mg
IV not established; SBP >140 mmHg 0.4 mg
IV established; SBP >100 mmHg - 139 mmHg 0.4 mg
IV not established; SBP <140 mmHg None |
|
|
Term
what is dosage for administration of
epinephrine for anaphylaxis |
|
Definition
0.01 mg/kg SC/IM (rounded to nearest 0.05 mg) to a maximum dose of 0.3 mg SC/IM.
may repeat in 10 mins |
|
|
Term
| what is dosage for administration of diphenhydramine( benadryl) |
|
Definition
25 kg – 49 kg, admin 25 mg IV push or IM
50 kg, admin. 50 mg slow IV push or IM
Only once |
|
|
Term
| what are the conditions for Tx of Hypoglycemia |
|
Definition
| <2yrs with a bgl < 3.0 mmols >2yrs with a bgl < 4.0 mmols |
|
|
Term
| What are the contraindications to admin. of Glucgon |
|
Definition
Pheochromocytoma or
Allergy to Glucagon |
|
|
Term
| How much D50w could you give to an adult or pead pt who is hypoglycemic |
|
Definition
| if >12 yrs 50 ml of D50W • If 2-11 y/o, 1 ml/kg D50W • If <2 y/o (ACP only):2 ml/kg D25W • If <28 days (ACP only):2 ml/kg D10W |
|
|
Term
| Do paediatric pts fall under the TOR |
|
Definition
NO
Patient must be ≥ 16 years old to consider TOR |
|
|
Term
| How many shocks for a pt VSA due to significant blunt trauma. |
|
Definition
|
|
Term
| How many shocks for a pt VSA due to penetrating trauma. |
|
Definition
|
|
Term
| DO you attach Defib pads to a pt who is VSA due to penetrating trauma |
|
Definition
No>>
Do not attach AED/defibrillation pads. Attach monitor chest leads. |
|
|
Term
IF pt is VSA d/t penetrating trauma and monitor heart rate is 0,no pupil response and no spontaneous
movement, |
|
Definition
| Contact BHP for A TOR if pt is>16 yrs old |
|
|
Term
| IF pt is VSA d/t penetrating trauma and monitor heart rate >0,no pupil response and no spontaneous movement,and ED is >20 mins away |
|
Definition
| Contact BHP for A TOR if pt is>16 yrs old |
|
|
Term
| IF pt is VSA d/t penetrating trauma If monitor heart rate >0, and nearest ED < 20 minutes |
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What if pts BGL is > 25mmols |
|
Definition
| patch to BHP for fluid for dehydration |
|
|
Term
| If the cardiac arrest is NOT witnessed by the paramedic |
|
Definition
| continue CPR for 2 full mins |
|
|
Term
| What are the Joule settings for pts up to age 8 |
|
Definition
|
|
Term
If you lose a pulse after transport is initiated you pull over once, only
True or False |
|
Definition
|
|
Term
| What is the IV bolus max,, for a pt in PEA? |
|
Definition
|
|
Term
| what is the EPI dose for an adult in Asystole? |
|
Definition
| 1 mg 1:10 000 IV or 2mg 1:10000 ETT max 3 doses then patch BHP |
|
|
Term
| what is the Atropine dose for an adult in Asystole? |
|
Definition
| 1mg IV/ 2 mg ETT max 3 doses |
|
|
Term
| what is the Atropine dose for an adult in PEA? |
|
Definition
| 1 mg IV /. 2mg ETT if PEA is < 60bpm |
|
|
Term
| what is the lidocaine dose for an adult in pulsless VT? |
|
Definition
| 1.5 mg/kg and subsequent 1.5mg/kg max 3.0mg |
|
|
Term
| Pediatric VSA epi dosage IV |
|
Definition
| Epinephrine (1:10,000): 0.01 mg/kg = 0.1 ml/kg IV/IO, minimum dose = 0.1 mg (1 ml) |
|
|
Term
| Pediatric VSA epi dosage ETT |
|
Definition
| (1:1,000): 0.1 mg/kg = 0.1 ml/kg ETT, minimum dose = 1 mg (1 ml) |
|
|
Term
| Peadiatric Lidocaine dosage |
|
Definition
| 1.0 mg/kg or 2mg/kg ETT...max 2 doses |
|
|
Term
| During a neonate recuss,,,describe the proper sequence of clearing the airway |
|
Definition
| suctioning the mouth prior to suctioning the nose |
|
|
Term
| If the neonatal pt is apenic or Heart rate is < 100 bpm |
|
Definition
| Provide positive - pressure ventilation during neonatal recuss. |
|
|
Term
| During a neonatal ressuc..check the umbilical cord for heart rate... |
|
Definition
| If HR is <60 begin chest compressions |
|
|
Term
| What is the neonatal EPI dosage? |
|
Definition
0.1 ml/kg 1(10000),IV or
1ml/kg 1(10000) ETT |
|
|
Term
| Dopamine is contraindicated in the following: |
|
Definition
Tachydysrhythmias (excluding sinus tachycardia): Contact BHP
Mechanical shock states (tension pneumothorax, cardiac tamponade): contact BHP
Hypovolemia
Pheochromocytoma: contact BHP |
|
|
Term
| Following fluid Bolus,initiate dopamine infusion if systolic BP is..... |
|
Definition
|
|
Term
| Dosage for Dopamine infusion would be?? |
|
Definition
| Begin at 5 mcg/kg/min and increase by 5 mcg/kg/min every 3- 5 minutes, |
|
|
Term
| You would stop dopamine infusion if? |
|
Definition
a systolic BP of 90 mmHg (or SBP >[2 x patient age + 70] in patient <40 kg), or a
maximum of 20 mcg/kg/min. |
|
|
Term
| Lidocaine is contraindicated in patients with... |
|
Definition
evidence of 2nd or 3rd degree heart block or
idioventricular rhythm. |
|
|
Term
| When is nasal intubation is contraindicated ? |
|
Definition
basal Skull #,
<8 yrs old
Respiratory arrest |
|
|
Term
| Dose of lidocaine spray for topical anesthesia |
|
Definition
| 5 mg/kg (5 sprays per 10 kg). Do not exceed 20 sprays total. |
|
|
Term
| What are the indications for treatment of symptomatic bradycardia? |
|
Definition
| HR <50..clinically unstable and SBP <100 mmhg |
|
|
Term
| Administer atropine 0.5 mg IV. to bradycardic pts if pt is in which rhythms |
|
Definition
| Su=nius Brady, a_fib <<1st degree or 2nd degree type I heart block |
|
|
Term
| dosaage for pre intubation lidocane IV |
|
Definition
| 1.0 mg/kg over one min,,3 mins prior to intubation |
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