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Adult Dosages (CPFR Drugs, Shorthand) Flashcards

1
Q

Adult Dose: Rocuronium

A
  1. 1 mg/kg IV;

- Pierce Co. EMS Procedures and PCPs, January 2017

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2
Q

Adult Dose: Albuterol - RAD

A
  1. 2.5 mg INH via SVN; May repeat continuously;

Note: Ipratropium bromide 0.5 mg INH via SVN may be delivered concurrently with albuterol for RAD; May repeat x1;

- Pierce Co. EMS Procedures and PCPs, January 2017

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3
Q

Adult Dose: Epinephrine - Anaphylactic Shock

A
  1. 0.3-0.5 mg 1:1k IM; May repeat;
  2. 0.5 mg 1:10k IV; May repeat;
  3. 2-2.5 mg 1:1k (in 10 mL NS) ET; May repeat;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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4
Q

Adult Dose: Etomidate - Cardioversion

A
  1. 0.1 mg/kg IV;

- Pierce Co. EMS Procedures and PCPs, January 2017

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5
Q

Adult Dose: Midazolam - Seizure

A

Advisory: Use 1/2 doses if patient > 60 y/o;

  1. 10 mg IM (> 40 kg);
    * Designated “1st choice” medication / route for seizures;
  2. 0.2 mg/kg IN;
    * Designated “2nd choice” medication / route for seizures;
  3. 2 mg IV; May repeat q 1+ min (max total 0.1 mg/kg up to 10 mg);
    * Designated “3rd choice” medication / route for seizures;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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6
Q

Adult Dose: Nitroglycerine - CHF, Mild

A
  1. 0.4 mg SL; May repeat q 3+ min (max total 2 mg);

- Pierce Co. EMS Procedures and PCPs, January 2017

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7
Q

Adult Dose: Glucagon - Beta Blocker Overdose

A
  1. 3-10 mg IV over 3+ min;

- Pierce Co. EMS Procedures and PCPs, January 2017

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8
Q

Adult Dose: Diazepam - Anxiety and Psychological Emergencies

  1. General Anxiety
  2. Burns
  3. CPAP Anxiety
  4. Violent Patient
  5. ExDs
A
  1. 0.2 mg/kg IV (max dose 10 mg) (O-29);
  2. “2-10 mg IV” (p. 63);
  3. “5-10 mg IV” (p. 79);
  4. “5-10 mg IM/IV” (p. 105);
  5. “5-10 mg IM/IV” (p. 109);
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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9
Q

Adult Dose: Morphine - Pain, non-ACS

A
  1. 0.1 mg/kg IM/IV; May repeat q 5+ min (max total 20 mg);

- Pierce Co. EMS Procedures and PCPs, January 2017

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10
Q

Adult Dose: Acetaminophen

A
  1. 500-1k mg PO;

- Pierce Co. EMS Procedures and PCPs, January 2017

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11
Q

Adult Dose: Fentanyl - Pain, non-ACS

A
  1. 25-100 mcg IM/IN/IV; May repeat q 5+ min (max total 300 mcg);

- Pierce Co. EMS Procedures and PCPs, January 2017

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12
Q

Adult Dose: Albuterol - CHF

A
  1. 2.5 mg INH (via SVN); May repeat x1;

- Pierce Co. EMS Procedures and PCPs, January 2017

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13
Q

Adult Dose: Sodium Bicarbonate 8.4% - CIS

A
  1. 100 mEq (in 1 L NS) IV Drip Infusion over 40 min (i.e., at a rate of 1,500 mL/hr);

- Pierce Co. EMS Procedures and PCPs, January 2017

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14
Q

Adult Dose: Morphine - Pain, ACS

A
  1. STEMI - 2-4 mg IV; May repeat with 2-8 mg q 5+ min (max total 10 mg);
  2. NSTEMI - 1-5 mg IV; May repeat (max total 10 mg);
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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15
Q

Adult Dose: Glucagon - Hypoglycemia

A
  1. 1 mg IM;

- Pierce Co. EMS Procedures and PCPs, January 2017

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16
Q
  1. Adult Dose: Ondansetron
A
  1. Ondansetron:
  • L 8 mg (via ODT);
  • IM 4 mg;
  • IO/IV (slowly) 4 mg;

Pierce County EMS Procedures and PCPs, Medication / IV Guide, p. O-46, June 2019​​

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17
Q

Adult Dose: Etomidate - RSI

A
  1. 0.3 mg/kg IV over 30+ sec;

- Pierce Co. EMS Procedures and PCPs, January 2017

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18
Q

Adult Dose: Diazepam - Muscle Spasm

A
  1. “2-10 mg IV” (p. 99);

- Pierce Co. EMS Procedures and PCPs, January 2017

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19
Q

Adult Dose: Diazepam - Seizure

A
  1. 0.2 mg/kg IV (max dose 10 mg); May repeat after 1+ min x1 (p. 57, 88);

- Pierce Co. EMS Procedures and PCPs, January 2017

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20
Q
  1. Adult Dose: Glucose, Oral
A
  1. Glucose: BUC/PO 15 g; May titrate and repeat;

Pierce County EMS Procedures and PCPs, Medical Emergencies, p. 38, June 2019​​

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21
Q

Adult Dose: Epi - Asthma

A
  1. 0.3 mg 1:1k IM; May repeat after 20 min x1;

- Pierce Co. EMS Procedures and PCPs, January 2017

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22
Q

Adult Dose: Magnesium Sulfate - Pulseless TdP

A
  1. 1-2 g (in 10 mL NS) IV;

- Pierce Co. EMS Procedures and PCPs, January 2017

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23
Q

Adult Dose: Magnesium Sulfate - Pulsatile TdP

A
  1. 1-2 g (in 50-100 mL NS) IV Drip Infusion over 15 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

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24
Q

Adult Dose: Albuterol - CIS / Hyperkalemia / Anaphylaxis

A
  1. 2.5 mg SVN; May repeat continuously;

Note: The PCPs’ Medication / IV Guide states that a paramedic “can repeat [albuterol] continuously” for each of its given indications. More specifically, p. 30 of the Traumatic Emergencies section states, “give… [albuterol] continuously” for CIS, and p. 40 of the Medical Emergencies section states the same with regard to Hyperkalemia.

- Pierce Co. EMS Procedures and PCPs, January 2017

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25
Q

Adult Dose: Glucagon - Epi-Refractory Anaphylaxis 2° to Beta Blockade

A
  1. 1-3 mg IV;

- Pierce Co. EMS Procedures and PCPs, January 2017

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26
Q

Adult Dose: Atropine - Bradycardia

A
  1. 0.5 mg IV; May repeat q 3+ min (max total 0.04 mg/kg up to 3 mg);
  2. 1 mg (in 10 mL NS) ET;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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27
Q

Adult Dose: Lidocaine - Stable Wide-Complex Tachycardia

A
  1. 1 mg/kg IV; May repeat q 5+ min with 0.5 mg/kg (max total 3 mg/kg);

- Pierce Co. EMS Procedures and PCPs, January 2017

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28
Q

Adult Dose: Ketamine - Excited Delirium

A
  1. 4 mg/kg IM;
  2. 2 mg/kg IV;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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29
Q

Adult Dose: Naloxone

A
  1. 0.4-2 mg ET/IM/IN/IV; May repeat q 2+ min (max total 10 mg); Contact Base Station for additional doses;

- Pierce Co. EMS Procedures and PCPs, January 2017

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30
Q

Adult Dose: Aspirin

A
  1. 324 mg PO (162 mg if already taking aspirin);

- Pierce Co. EMS Procedures and PCPs, January 2017

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31
Q

Adult Dose: Succinylcholine

A
  1. 3 mg/kg IM;
  2. 1.5 mg/kg IV;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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32
Q

Adult Dose: Epinephrine - Cardiac Arrest

A
  1. 1 mg 1:10k IV (flushed with 20 mL NS [“elevate arm for 10-20 seconds” per p. O-17]); May repeat q 3+ min;
  2. 2-2.5 mg 1:1k (in 10 mL NS) ET; May repeat q 3+ min;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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33
Q

Adult Dose: Calcium Chloride 10%

A
  1. 1 g IV over 5 min; May repeat after 20 min x1;

- Pierce Co. EMS Procedures and PCPs, January 2017

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34
Q

Adult Dose: Nitrous Oxide

A
  1. INH (self-administered by patient PRN);

- Pierce Co. EMS Procedures and PCPs, January 2017

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35
Q

Adult Dose: Nitroglycerine - ACS

A
  1. 0.4 mg SL; May repeat q 5 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

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36
Q

Adult Dose: Epinephrine - Bradycardia / Hypotension

A
  1. 2-10 mcg/min IV Infusion;
  2. 0.5-2 mL Push-Dose Epi; May repeat q 2+ min;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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37
Q

Adult Dose: Ketamine - RSI-Induction

A
  1. 4 mg/kg IM;
  2. 2 mg/kg IV;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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38
Q

How can Push Dose Epi be created?

A
  1. Replace 1 mL of a 10 mL NS preload with 1 mL Epi 1:10k (= 10 mcg/mL);

- Pierce Co. EMS Procedures and PCPs, January 2017

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39
Q

Adult Dose: Diphenhydramine

A
  1. 25-50 mg deep IM / slow IV; May repeat (max total 100 mg);

- Pierce Co. EMS Procedures and PCPs, January 2017

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40
Q

Adult Dose: Fentanyl - ACS Pain

A
  1. 25-50 mcg IV; May repeat q 5+ min (max total 100 mcg);
  2. 50 mcg IN; May repeat after 5 min x1;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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41
Q

Adult Dose: Dextrose 1. D50W 2. D10W

A
  1. 25 g D50W Slow IV; Titrate (and repeat if necessary) until BGL > 80 mg/dL;
  2. 25 g D10W IV Drip Bolus/Infusion; Titrate (and repeat if necessary) until BGL > 80 mg/dL;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
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42
Q

Adult Dose: Epinephrine - Upper Airway Obstruction 2° to Angioedema / Epiglottitis

A
  1. 0.3 mg 1:1k IM;
  2. 0.3 mg 1:10k IV;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
43
Q

Adult Dose: Lidocaine - IO Anesthesia

A
  1. 20-50 mg IO;

- Pierce Co. EMS Procedures and PCPs, January 2017

44
Q

Adult Dose: Sodium Bicarbonate 8.4% - Non-CIS

A
  1. 1 mEq/kg IV;

- Pierce Co. EMS Procedures and PCPs, January 2017

45
Q

What is the Parkland Formula?

A
  1. 4 mL x Patient’s bodyweight in kg x (% of body surface area affected by 2nd & 3rd degree burns, as expressed by a whole number) = Amount in mL of NS to be infused over 24 hours (1/2 of which is to be infused over the first 8 hours);

- Pierce Co. EMS Procedures and PCPs, January 2017

46
Q

Adult Dose: Ketamine - Refractory Pain

A
  1. 0.2 mg/kg IM/IN/IV; May repeat q 10 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

47
Q

Adult Dose: Oxygen - CO Poisoning

A
  1. INH at High Flow with 100% O2 (p. O-50);

- Pierce Co. EMS Procedures and PCPs, April 2019

48
Q

Adult Dose: Lidocaine - Cardiac Arrest

A
  1. 1-1.5 mg/kg IV; May repeat q 5+ min x3 w/ 0.5-0.75 mg/kg (max total 3 mg/kg);
  2. 2-3 mg/kg (in 10 mL NS) ET;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
49
Q

Adult Dose: Midazolam - Anxiety & Procedural Sedation

A

Use 1/2 doses if patient > 60 y/o;

  1. 5 mg IM; May repeat after 10 min x1;
  2. 0.2 mg/kg IN;
  3. 2 mg IV; May repeat q 1+ min (max total 0.1 mg/kg up to 10 mg);
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
50
Q

How can a D10W be mixed for IV drip infusion from a D50W preload?

A
  1. Replace 50 mL of a 250 mL NS bag with 25g D50W (full 50 mL preload);

- Math!

51
Q

Adult Dose: Fentanyl - Post-RSI

A
  1. 1 mcg/kg IV; May repeat q 10 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

52
Q

Adult Dose: Sodium Chloride 0.9% - Uncontrolled Internal Hemorrhage

A
  1. IV Drip Infusion Titrated to Maintain Systolic BP 80-90 mm Hg;

- Pierce Co. EMS Procedures and PCPs, January 2017

53
Q

Adult Dose: Epinephrine - Allergic Reaction

A
  1. 0.3-0.5 mg 1:1k IM; May repeat after 5+ min x1 with 0.3 mg if airway involved and no improvement, or after 15+ min if other signs such as urticaria persist;

- Pierce Co. EMS Procedures and PCPs, January 2017

54
Q

Adult Dose: Midazolam - Excited Delerium

A

Use 1/2 doses if patient > 60 y/o;

  1. 10 mg IM/IN/IV;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
55
Q

Adult Dose: Ketamine - Post-RSI

A
  1. 0.5 mg/kg IV; May repeat q 10 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

56
Q

Adult Dose: Adenosine

A
  1. 6 mg Rapid IV Push (flushed rapidly with 20 mL NS, then elevate extremity); May repeat after 1+ min x1 with 12 mg;

- Pierce Co. EMS Procedures and PCPs, January 2017

57
Q

Adult Dose: Methylprednisolone

A
  1. 125 mg IV;

- Pierce Co. EMS Procedures and PCPs, January 2017

58
Q

Adult Dose: Hydroxycobalamin (Cyanokit)

A
  1. 5 g IV Drip Infusion over 15 min; May repeat x1;

- Pierce Co. EMS Procedures and PCPs, January 2017

59
Q

Adult Dose: Ipratropium Bromide

A
  1. 0.5 mg (together with 2.5 mg albuterol) INH via SVN; May repeat x1;

- Pierce Co. EMS Procedures and PCPs, January 2017

60
Q

Adult Dose: Amiodarone - Polymorphic VT / Wide Tachycardia

A
  1. 150 mg (in 100 mL D5W) IV Drip Infusion over 10 min; May repeat q 10 min; Contact Base after 2nd dose;

- Pierce Co. EMS Procedures and PCPs, January 2017

61
Q

Adult Dose: Oxymetazoline (Afrin)

A
  1. 2-3 sprays in each nostril;

- Pierce Co. EMS Procedures and PCPs, January 2017

62
Q

Adult Dose: Midazolam - Post-RSI

A

Use 1/2 doses if patient > 60 y/o;

  1. 2 mg IV; May repeat q 10 min;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
63
Q

Adult Dose: Magnesium Sulfate - Eclampsia

A
  1. 4 g IV over 5 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

64
Q

Adult Dose: Dopamine - General Range

A
  1. 2-20 mcg/kg/min Continuous IV Drip Infusion;

- Pierce Co. EMS Procedures and PCPs, January 2017

65
Q

Adult Dose: Atropine - Poisoning

A
  1. 1 mg IV (full preload); May repeat q 1 min (max total 10 mg);

- Pierce Co. EMS Procedures and PCPs, January 2017

66
Q

Adult Dose: Magnesium Sulfate - Asthma

A
  1. 2 g (in 10 mL NS) IV over 15 min;

- Pierce Co. EMS Procedures and PCPs, January 2017

67
Q

Adult Dose: Lidocaine - Maintenance Infusion

A

Use 1/2 doses for liver disease or severe CHF;

  1. 1-4 mg/min Continuous IV Drip Infusion;
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
68
Q

Adult Dose: Ibuprofen

A
  1. 400-800 mg PO with 8 oz water;

- Pierce Co. EMS Procedures and PCPs, January 2017

69
Q

Adult Dose: Diltiazem

A
  1. 15-20 mg IV over 2 minutes; May repeat after 15 min x1 with 20-25 mg;

- Pierce Co. EMS Procedures and PCPs, January 2017

70
Q

Adult Dose: Amiodarone - Cardiac Arrest

A
  1. 300 mg IV; May repeat after 3+ min x1 with 150 mg;

- Pierce Co. EMS Procedures and PCPs, January 2017

71
Q

Adult Dose: Sodium Bicarbonate 8.4% - ExDs

A
  1. 50 mEq IV for each liter of (cooled) NS bolused (max total 100 mEq);

- Pierce Co. EMS Procedures and PCPs, January 2017

72
Q

How can a syringe of D10W be created from a syringe of D50W?

A
  1. Waste 40 mL from the D50W preload and replace with 40 mL NS;

- Math!

73
Q

Adult Dose: Nitroglycerine - CHF, Moderate/Severe

A
  1. 0.4 mg SL; May repeat q 3+ min with 1 tablet or 1-2 sprays (max total 2 mg);

- Pierce Co. EMS Procedures and PCPs, January 2017

74
Q

How may Sodium Bicarbonate 8.4% be prepared for administration to treat CIS in an adult?

A
  1. Add 100 mEq (two full preloads: 100 mL) Sodium Bicarbonate 8.4% to 1 L NS, attach a 10-drop admin set and deliver at a rate of 250 gtt/min over 44 minutes (achieving the prescribed delivery rate of 1,500 mL/hr);

    • Pierce Co. EMS Procedures and PCPs, January 2017*
    • Math!*
75
Q

Adult Dose: Xylocaine 2% Jelly

A
  1. Apply moderate amount to external surfaces of endotracheal / nasogastric tubes prior to placement;

- Pierce Co. EMS Procedures and PCPs, January 2017

76
Q

Per the PCPs, for what patient presentations may diazepam be administered IM?

A
  1. Violent Patients (PPP p. 46);
  2. ExDs (PPP p. 48);
    * - Pierce Co. EMS Procedures and PCPs, April 2019*
77
Q

How may magnesium sulfate be prepared for IV drip infusion, and at what rate should it be delivered?

A
  1. Add 2 g magnesium sulfate to 50 mL NS in a Buret Set (60-drop admin set);
  2. 216 gtt/min (to achieve the prescribed 15 minute infusion);
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
78
Q

How may epinephrine be prepared for IV drip infusion, and at what rate should it be delivered?

A
  1. Add 1 mg epinephrine 1:1k to 250 mL NS and attach a 60-drop admin set;
  2. 30-150 gtt/min (2-10 mcg/min; 15 gtt/min = 1 mcg/min);
    * - Pierce Co. EMS Procedures and PCPs, January 2017*
79
Q

What is the procedure recommended by TeleFlex for IO anesthesia using lidocaine?

A
  1. Flush a loose IO extension set with NS and attach it to the IO port;
  2. Pull up 60 mg lidocaine (3 mL) in a 3 mL syringe;
  3. Inject 20 mg (1 mL) into the IO extension set (this fills the extension set);
  4. Push an additional 20 mg (1 mL) lidocaine over 60 seconds;
  5. Connect a 10 mL NS preload to the extension set and push 1 mL over 60 seconds (thereby pushing in the 20 mg licocaine remaining in the extension set), then flush the rest of the NS preload rapidly;
  6. Reconnect the lidocaine syringe to the extension set and fill it with the remaining 20 mg (1 mL);
  7. Attach a NS flush to extension set and push 1 mL over 60 seconds (thereby pushin in the last 20 mg lidocaine remaining in the extension set);

Note: For pediatrics, use 0.5 mg/kg (max dose 60 mg), divide into three parts, and use a similar delivery technique;

Teleflex EZ-IO Cadaver Lab

80
Q

Adult Dose: Oxygen - Routine Care

A
  1. INH titrated to > 94% SpO2 (p. O-50);

- Pierce Co. EMS Procedures and PCPs, April 2019

81
Q

Adult Dose: Oxygen - COPD

A
  1. INH titrated to 92-94% SpO2 (p. O-50; Note that PPP p. 36 states “90-94%”);

- Pierce Co. EMS Procedures and PCPs, April 2019

82
Q

Adult Dose: Oxygen - ROSC

A
  1. INH titrated to 94% SpO2 (acceptable range 94-99%; p. O-50);

- Pierce Co. EMS Procedures and PCPs, January 2017

83
Q

Adult Dose: Oxygen - CNS and Facial Trauma

A
  1. INH titrated to ≥ 95% SpO2 (PPP p. 25);

- Pierce Co. EMS Procedures and PCPs, April 2019

84
Q

For what procedures is Midazolam overtly prescribed in the PCPs for use as a sedative (i.e., procedural sedation)?

A
  1. CPAP (PPP p. 35);
  2. Synchronized Cardioversion (p. O-40);
  3. Post RSI (p. O-41)
    * - Pierce Co. EMS Procedures and PCPs, April 2019*
85
Q

For what conditions is midazolam overtly prescribed for anxiolysis in the PCPs (i.e. acute anxiety states)?

A
  1. CPAP (PPP p. 35);
  2. Burns (PPP p. 28);
  3. CIS (PPP p. 30);
  4. Violent patients (PPP p. 46);
  5. ExDs (PPP p. 48);
    * - Pierce Co. EMS Procedures and PCPs, April 2019*
86
Q

Adult Dose: Sodium Chloride 0.9% - General Medical Emergencies

A
  1. IV Drip Infusion titrated to BP > 90/S (PPP p. 38);

- Pierce Co. EMS Procedures and PCPs, April 2019

87
Q

Adult Dose: Sodium Chloride 0.9% - ROSC

A
  1. 1-2 L IV Bolus;

- AHA ECC Handbook, 2015 Ed., Adult Immediate Post-Cardiac Arrest Care Algorithm

88
Q

Adult Dose: Sodium Chloride 0.9% - Burns

A
  1. IV Drip Infusion over 24 hours using Parkland Formula (1/2 over first 8 hours, 1/2 over remaining 16 hours; PPP p. 29);

- Pierce Co. EMS Procedures and PCPs, April 2019

89
Q

Adult Dose: Sodium Chloride 0.9% - Shock (Anaphylactic / Vasogenic / Neurogenic)

A
  1. 250-500 mL IV Bolus if BP < 90/S; May repeat;

- Pierce Co. EMS Procedures and PCPs, April 2019

90
Q

Adult Dose: Sodium Chloride 0.9% - HoTN of Unknown Etiology

A
  1. 250-500 mL IV Bolus if BP < 90/S; May repeat;

- Pierce Co. EMS Procedures and PCPs, April 2019

91
Q

Adult Dose: Sodium Chloride 0.9% - TBI

A
  1. IV Infusion titrated to > 90/S;

- Pierce Co. EMS Procedures and PCPs, January 2017

92
Q

How should hydroxocobalamin be prepared and delivered to an adult patient?

A
  1. Reconstitute w/ 200 mL NS and use the included 20-drop admin set to administer the solution at 5 gtt/sec (delivering the entire solution over 15 minutes);

- Cyanokit Instructions

93
Q

How may amiodarone be prepared and delivered for administration to an adult patient suffering from polymorphic ventricular tachycardia / wide tachycardia?

A
  1. Add 150 mg (one vial) to 100 mL D5W, and with a 10-drop admin set administer at 103 gtt/min (delivering the entire solution over 10 min);

    • Pierce Co. EMS Procedures and PCPs, January 2017*
    • Math!*
94
Q

Adult Dose: Dopamine - CHF

A
  1. 10 mcg/kg/min; Titrate from 2-20 mcg/kg/min to maintain BP > 90/S;

- Pierce Co. EMS Procedures and PCPs, January 2017

95
Q

Adult Dose: Dopamine - HoTN of Unknown Etiology

A
  1. 10 mcg/kg/min; Titrate from 2-20 mcg/kg/min to maintain BP > 90/S;

- Pierce Co. EMS Procedures and PCPs, January 2017

96
Q

Adult Dose: Dopamine - Shock (Anaphylactic / Neurogenic / Vasogenic)

A
  1. 10 mcg/kg/min; Titrate from 2-20 mcg/kg/min to maintain BP > 90/S;

- Pierce Co. EMS Procedures and PCPs, January 2017

97
Q

How should dopamine be prepared and delivered to an adult patient?

A
  1. Use a pre-mixed bag (1,600 mcg/mL) with a 60-drop admin set; It is acceptable to use the Duggan Formula (set the drip rate to [Patient’s bodyweight in pounds with the last digit removed]) to achieve 5-6 mcg/kg/min; For best accuracy set the drip rate using the formula:

60 gtt/mL x kg x desired mcg/min

1,600 mcg/mL

    • Pierce Co. EMS Procedures and PCPs, January 2017*
    • Math!*
98
Q

How may magnesium sulfate be prepared and delivered to a patient suffering from asthma?

A
  1. Add 2 g magnesium sulfate to 50 mL NS in a Buret Set [60-drop admin set] and deliver at 216 gtt/min (delivering the entire solution over 15 min);

    • Pierce Co. EMS Procedures and PCPs, January 2017*
    • Personal Solution;*
99
Q

How may lidocaine be prepared and delivered as a continuous IV drip infusion for an adult patient requiring a “mainenance infusion”?

A
  1. Add 100 mg lidocaine [one full preload] to a 250 mL NS bag and connect a 10-drop admin set; 26 gtt/min = 1 mg/min, so titrate the drip rate between 26-104 gtt/min (13-52 gtt/min for patients suffering from liver disease or severe CHF);

    • Pierce Co. EMS Procedures and PCPs, January 2017*
    • Personal Solution*
100
Q

How many medications are currently available for use by paramedics at CPFR?

A
  1. 37;

- Pierce Co. EMS Procedures and PCPs, April 2019

101
Q

What is the difference between the adult dosing of Diazepam for violent patients and the dosing for patients experiencing ExDs?

A
  1. There is no difference, as both conditions conditions permit dosing at 5-10 mg IM / IV;

Pierce Co. EMS Procedures and PCPs, June 2019, p. O-46, 48

102
Q

What is the difference between the adult dosing of Ketamine for violent patients and the dosing for patients experiencing ExDs?

A
  1. There is no difference, as both conditions conditions permit dosing at4 mg/kg IM or 2 mg/kg IV/IO;

Pierce Co. EMS Procedures and PCPs, June 2019, p. O-46, 48

103
Q

What is the difference between the adult dosing of Midazolam for violent patients and the dosing for patients experiencing ExDs, as expressed in the Behavioral Emergencies section of the PCPs?

A
  1. The dosing of Midazolam for violent patients is as follows:

A. Give 0.2 mg/kg of a 5 mg/mL concentration IN, or 2 mg increments to a maximum dose of 0.1 mg/kg or 10 mg (whichever is less) IM/IV;

B. Wait 1-2 minutes between IN/IV doses to evaluate response;

C. Give half doses if patient is > 60 years old;

  1. The dosing of Midazolam for ExDs is as follows:

A. Midazolam 10 mg IN/IM/IV;

Pierce Co. EMS Procedures and PCPs, June 2019, p. O-46, 48

104
Q

Oxygen

A. Adult Dose: Chest Pain / ACS when SPO2 is < 94% and / or respiratory distress

A
  1. 4 lpm INH via NC, titrated to raise and maintain SPO2 to 94-99%;

Pierce County EMS Procedures and PCPs, April 2020, p. 31

Medications (31 decks)

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