88 Bronchoconstriction Flashcards
What are the INDICATIONS for the BRONCHOCONSTRICTION medical directive?
Respiratory distress
Suspected Bronchoconstriction
What are the CONTRAINDICATIONS for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
Allergy to Epinepheine
What are the CONDITIONS for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
BVM ventilations required
Hx of asthma
What is the MAX dose for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
0.5
What is the DOSE for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
0.01mg/kg to a max of 0.5mg
What it the dosing INTERVAL for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
N/A
How MANY doses can you give for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
1
What is the ROUTE of administration for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
IM
What are the CONTRAINDICATIONS for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
Allergy to Salbutamol
What are the CONDITIONS for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
N/A
What is the dose INTERVAL for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
5-15 minutes PRN
How MANY doses can you give for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
3
What is the ROUTES of administration for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
MDI, NEB
What is the DOSE for under 25kg NEB SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
2.5mg
What is the DOSE for over 25kg Neb SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
5mg
What is the DOSE for under 25kg MDI SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
600mcg
What is the DOSE for over 25kg MDI SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
800mg
What is the DRUG CLASS of Salbutamol
Sympathomimetic
Bronchodilator
How does Salbutamol work for bronchoconstriction?
Agonizes the BETA 2 receptor on the smooth muscle of the bronchi
What does Salbutamol do to potassium?
Shifts Potassium Intracellularly
What are the Beta 1 affects of the heart?
Inotrophy
Chronotrophy
Dromotrophy
What are signs of bronchoconstriction?
Wheezing
Coughing
Dyspnea
Decreased air entry
Silent chest
What is the DRUG class of EPINEPHRINE?
Sympathomimetic
Adrenergic Agonist
How does EPINEPHRINE work in allergic reactions?
Agonises Alpha 1, Beta 1, and Beta 2 receptors through the body.
A1: systemic vasoconstriction
B1: increased inotropic, dromotropic, and chronotropic effects on the heart
B2: Bronchodilation on the lungs
What are the CONTRAINDICATIONS for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
Allergy to steroids
PO/Parental Steroids
What are the CONDITIONS for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
Asthma
COPD
20 pack-year history of smoking
What is the MAX dose for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
8mg
What is the DOSE for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
0.5mg/kg up to 8mg
What is the dosing INTERVAL for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
N/A
How MANY doses can you give for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
1
What is the ROUTE of administration for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
PO/IM/IV
What medications are part of the BRONCHOCONSTRICTION MEDICAL DIRECTIVE?
Salbutamol, Epinephrine, Dexamethasone
What is the divisional WEIGHT for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive
25kg
At what WEIGHT can someone receive the MAX DOSE of DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive
16kg
At what WEIGHT can someone receive the MAX DOSE of EPINEPHRINE in the BRONCHOCONSTRICTION medical directive
50kg