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ALS directives Flashcards

1
Q

conditions of salbutamol for Bronchoconstriction

A

age, weight, LOA, HR, RR, SBP, other: all N/A

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2
Q

what is the first choice drug for Bronchoconstriction

A

Salbutamol

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3
Q

contraindications of salbutamol for Bronchoconstriction

A

allergy or sensitivity to Salbutamol

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4
Q

what weight categories is Salbutamol for Bronchoconstriction split into

A

<25kg and >25kg

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5
Q

what is the preferred route of administration of salbutamol for Bronchoconstriction

A

MDI (metered dose inhaler)

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6
Q

what is the secondary route of administration available for salbutamol for Bronchoconstriction

A

NEB (nebulizer)

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7
Q

what is the dose for MDI salbutamol for bronchoconstriction for a patient who is <25kg

A

600 mcg (6 puffs)

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8
Q

what is the dose for MDI salbutamol for bronchoconstriction for a patient who is >25kg

A

800 mcg (8 puffs)

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9
Q

what is the dose for NEB salbutamol for bronchoconstriction for a patient who is <25kg

A

2.5 mg

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10
Q

what is the dose for NEB salbutamol for bronchoconstriction for a patient who is >25kg

A

5 mg

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11
Q

what is the dosing intervals for salbutamol for bronchoconstriction

A

5-15 min PRN (as needed)

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12
Q

what is the concentration of epinephrine

A

1mg/ml = 1:1000

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12
Q

what is the max number of doses of salbutamol for bronchoconstriction

A

3

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12
Q

what is the second choice of drug for bronchoconstriction

A

epinephrine

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13
Q

what are the conditions of epinephrine for Bronchoconstriction

A

Age, weight, LOA, HR, SBP: N/A
RR- BVM ventilation required
Other- history of asthma

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13
Q

what is the route of administration for epinephrine for bronchoconstriction

A

IM (intramuscular)

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14
Q

contraindications of epinephrine for bronchconstriction

A

allergy or sensitivity to epinephrine

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15
Q

what is the dose of epinephrine for bronchoconstriction

A

0.01 mg/km

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16
Q

what is the max single dose of epinephrine for Bronchoconstriction

A

0.5 mg

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16
Q

what is the dosing interval of epinephrine for Bronchoconstriction

A

N/A

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17
Q

what is the maximum number of doses of epinephrine for bronchoconstriction

A

1

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18
Q

what is the first choice drug for moderate/severe allergic reaction

A

epinephrine

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18
Q

what are the conditions of epinephrine for moderate/ severe allergic reaction

A

age, weight, LOA, HR, RR, SBP: N/A
other: only for anaphylaxis

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18
Q

what are the contraindications of epinephrine for moderate/ severe allergic reactions

A

allergy or sensitivity to epinephrine

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19
what is the route of administration of epinephrine for moderate/ severe allergic reaction
IM
19
what is the dose of epinephrine for moderate/ severe allergic reactions
0.01 mg/kg
20
what is the max single dose of epinephrine for moderate/ severe allergic reactions
0.5 mg
21
what is the dosing interval of epinephrine for moderate/ severe allergic reactions
minimum 5 minutes
22
what is the max number of doses of epinephrine for moderate/ severe allergic reactions
2
23
what is the first choice of drug for croup
epinephrine
24
what are the conditions of epinephrine for croup
age: >6 months- <8 years LOA, RR, SBP: N/A HR: <200 bpm other: stridor at rest
25
contraindications of epinephrine for croup
allergy or sensitivity to epinephrine
26
what weight categories is for epinephrine for croup split into
<10 kg and >10 kg
27
what is the route of administration for epinephrine for croup
NEB
28
what is the dose of epinephrine for croup for a patient who is <10 kg
2.5 mg
28
what is the dose of epinephrine for croup for a patient who is >10 kg
5 mg
29
what is the maximum dose of epinephrine for croup for a patient who is <10 kg
2.5 mg
30
what is the maximum dose of epinephrine for croup for a patient who is >10 kg
5 mg
31
what is the dosing interval for epinephrine for croup
N/A
32
what is the maximum number of doses of epinephrine for croup
1
33
what is the first choice drug for medical cardiac arrest (fourth best option)
epinephrine
34
what are the conditions for epinephrine for medical cardiac arrest
age: >24 hours LOA: altered HR, RR, SBP: N/A other: anaphylaxis suspected as causative event
35
what are the contraindications of epinephrine for medical cardiac arrest
allergy or sensitivity to epinephrine
36
what is the route of administration of epinephrine for medical cardiac arrest
IM
37
what is the dose of epinephrine for medical cardiac arrest
0.01mg/kg
38
what is the maximum single dose of epinephrine for medical cardiac arrest
0.5 mg
38
what is the dosing interval for epinephrine for medical cardiac arrest
N/A
38
what is the maximum number of doses of epinephrine for medical cardiac arrest
1
39
what is the third choice drug for bronchoconstriction
dexamethasone
40
what are the conditions of dexamethasone for bronchoconstriction
Age, LOA, HR, RR, SBP: N/A Other: history of asthma, COPD, 20 pack a year smoking history
41
contraindications of dexmethasone for bronchoconstriction
allergy or sensitivity to steroids, currently on PO/ parenteral steroids
42
what is the route of administration of dexamethasone for bronchoconstriction
PO, IM, IV
43
what is the dose of dexamethasone for bronchoconstriction
0.5 mg/kg
44
what is the maximum single dose of dexamethasone for bronchoconstriction
8 mg
45
what is the dosing interval of dexamethasone for bronchoconstriction
N/A
46
what is the second best medication for croup
dexamethasone
46
what is the maximum number of doses of dexamethasone for bronchoconstriction
1
47
what are the conditions of dexamethasone for croup
Age: >6 months- <8 years LOA: unaltered HR, RR, SBP: N/A other: mild/ moderate/ severe croup
48
contraindications of dexamethasone for croup
allergy or sensitivity to steroids, steroids received within the last 48 hours, unable to tolerate oral medications
49
what is the route of administration of dexamethasone for croup
PO
50
what is the max single dose of dexamethasone for croup
8 mg
51
what is the dose of dexamethasone for croup
0.5 mg
52
what is the dosing interval of dexmethasone for croup
N/A
53
what is the max number of doses of dexamethasone for croup
1
54
what are the conditions of diphenhydramine for moderate/severe allergic reactions
Age, LOA, HR, RR, SBP, other: N/A weight: >25 kg
55
what is the second best medication for moderate to severe allergic reactions
diphenhydramine
56
contraindications of diphenhydramine for moderate/ severe allergic reactions
allergy or sensitivity to diphenhydramine
57
what is the route of administration for diphenhydramine for moderate/ severe allergic reactions
IV/ IM
58
what weight classes is diphenhydramine split into for moderate/ severe allergic reactions
>25kg to <50 kg and >50 kg
59
what is the dose of diphenhydramine for a patient who is >25 kg and <50 kg
25 mg
60
what is the maximum single dose of diphenhydramine for a patient who is >25 kg and <50 kg
25 mg
60
what is the dose of diphenhydramine for a patient who is >50 kg
50 mg
61
what is the maximum single dose of diphenhydramine for a patient who is >50 kg
50 mg
62
what is the dosing interval for diphenhydramine for moderate/ severe allergic reactions
N/A
63
what is the maximum number of doses of diphenhydramine for moderate/ severe allergic reactions
1
64
what is the first choice drug for minor allergic reactions
diphenhydramine
65
what are the conditions of diphenhydramine for minor allergic reactions
age: >18 years LOA: unaltered HR, RR, other: N/A SBP: normotension
66
what are the contraindications of diphenhydramine for minor allergic reactions
allergy or sensitivity to diphenhydramine, antihistamine or sedative use in previous 4 hours, S&S of moderate/ severe allergic reaction, S&S of intoxication, wheezing
67
what is the maximum dose of diphenhydramine for a minor allergic reaction
50 mg
67
what is the route of administration of diphenhydramine for minor allergic reactions
PO
68
what is the dose of diphenhydramine for minor allergic reactions
50 mg
69
what is the dosing interval of diphenhydramine for a minor allergic reaction
N/A
70
what is the maximum number of doses of diphenhydramine for a minor allergic reaction
1
71
what is the first choice drug for a ROSC
0.9% fluid bolus
72
conditions of a 0.9% NaCl fluid bolus for a ROSC
age: >2 years LOA, HR, RR: N/A SBP: hypotension other: chest auscultation is clear
73
contraindications of a 0.9% NaCl fluid bolus for a ROSC
fluid overload
74
what weight classes is the 0.9% NaCl fluid bolus split into for a ROSC
>2 years to <12 years and >12 years
75
what is the route of administration for a 0.9% NaCl fluid bolus for a ROSC
IV
76
what is the infusion rate for a patient who is >2 years old and <12 years for a 0.9% NaCl fluid bolus for a ROSC
10 ml/kg
77
what is the infusion rate for a patient who is >12 years old for a 0.9% NaCl fluid bolus for a ROSC
10 ml/kg
78
what is the transfusion interval for a patient who is >2 years old and <12 years for a 0.9% NaCl fluid bolus for a ROSC
immediate
79
what is the transfusion interval for a patient who is >12 years old for a 0.9% NaCl fluid bolus for a ROSC
immediate
80
what is the maximum volume of a 0.9% NaCl fluid bolus for a ROSC
1000 ml
81
when do you reassess a patients 0.9% NaCl fluid bolus who is >2 years old and <12 years old for a ROSC
every 100ml
82
when do you reassess a patients 0.9% NaCl fluid bolus who is >12 years old for a ROSC
250 ml
83
what is the first choice of drug for cardiogenic shock
0.9% fluid bolus
84
what are the conditions of a 0.9% NaCl fluid bolus for cardiogenic shock
age: >18 years LOA, HR, RR: N/A SBP: hypotension other: chest auscultation clear
85
contraindications of a 0.9% NaCl fluid blue for cardiogenic shock
fluid overload, SBP >90 mmHg
86
what is the route of administration of a 0.9% NaCl fluid bolus for cardiogenic shock
IV
87
what is the infusion rate of a 0.9% NaCl fluid bolus for cardiogenic shock
10 ml/kg
88
what is the infusion interval for a 0.9% NaCl fluid bolus for cardiogenic shock
N/A
89
when do you reassess the patient who has a 0.9% NaCl fluid bolus
250 ml
90
what is the maximum volume of 0.9% NaCl fluid bolus for a cardiogenic shock
1000 ml
91
conditions for a 0.9% NaCl fluid bolus for IV and fluid therapy
age: >2 years LOA, HR, RR, other: N/A SBP: hypotension
92
what is the second best drug for IV and fluid therapy
0.9% NaCl fluid bolus
93
contraindications of 0.9%. NaCl fluid bolus for IV and fluid therapy
fluid overload
94
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legal (6 decks)

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