88 Bronchoconstriction Flashcards

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1
Q

What are the INDICATIONS for the BRONCHOCONSTRICTION medical directive?

A

Respiratory distress
Suspected Bronchoconstriction

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2
Q

What are the CONTRAINDICATIONS for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

Allergy to Epinepheine

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3
Q

What are the CONDITIONS for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

BVM ventilations required
Hx of asthma

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4
Q

What is the MAX dose for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

0.5

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5
Q

What is the DOSE for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

0.01mg/kg to a max of 0.5mg

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6
Q

What it the dosing INTERVAL for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

N/A

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7
Q

How MANY doses can you give for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

1

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8
Q

What is the ROUTE of administration for EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

IM

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9
Q

What are the CONTRAINDICATIONS for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

Allergy to Salbutamol

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10
Q

What are the CONDITIONS for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

N/A

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11
Q

What is the dose INTERVAL for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

5-15 minutes PRN

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12
Q

How MANY doses can you give for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

3

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13
Q

What is the ROUTES of administration for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

MDI, NEB

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14
Q

What is the DOSE for under 25kg NEB SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

2.5mg

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15
Q

What is the DOSE for over 25kg Neb SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

5mg

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16
Q

What is the DOSE for under 25kg MDI SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

600mcg

17
Q

What is the DOSE for over 25kg MDI SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

800mg

18
Q

What is the DRUG CLASS of Salbutamol

A

Sympathomimetic
Bronchodilator

19
Q

How does Salbutamol work for bronchoconstriction?

A

Agonizes the BETA 2 receptor on the smooth muscle of the bronchi

20
Q

What does Salbutamol do to potassium?

A

Shifts Potassium Intracellularly

21
Q

What are the Beta 1 affects of the heart?

A

Inotrophy
Chronotrophy
Dromotrophy

22
Q

What are signs of bronchoconstriction?

A

Wheezing
Coughing
Dyspnea
Decreased air entry
Silent chest

23
Q

What is the DRUG class of EPINEPHRINE?

A

Sympathomimetic
Adrenergic Agonist

24
Q

How does EPINEPHRINE work in allergic reactions?

A

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

25
Q

What are the CONTRAINDICATIONS for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

Allergy to steroids
PO/Parental Steroids

26
Q

What are the CONDITIONS for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

Asthma
COPD
20 pack-year history of smoking

27
Q

What is the MAX dose for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

8mg

28
Q

What is the DOSE for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

0.5mg/kg up to 8mg

29
Q

What is the dosing INTERVAL for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

N/A

30
Q

How MANY doses can you give for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

1

31
Q

What is the ROUTE of administration for DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

PO/IM/IV

32
Q

What medications are part of the BRONCHOCONSTRICTION MEDICAL DIRECTIVE?

A

Salbutamol, Epinephrine, Dexamethasone

33
Q

What is the divisional WEIGHT for SALBUTAMOL in the BRONCHOCONSTRICTION medical directive

A

25kg

34
Q

At what WEIGHT can someone receive the MAX DOSE of DEXAMETHASONE in the BRONCHOCONSTRICTION medical directive

A

16kg

35
Q

At what WEIGHT can someone receive the MAX DOSE of EPINEPHRINE in the BRONCHOCONSTRICTION medical directive

A

50kg