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
Q

what is the route of administration of epinephrine for moderate/ severe allergic reaction

A

IM

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19
Q

what is the dose of epinephrine for moderate/ severe allergic reactions

A

0.01 mg/kg

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20
Q

what is the max single dose of epinephrine for moderate/ severe allergic reactions

A

0.5 mg

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21
Q

what is the dosing interval of epinephrine for moderate/ severe allergic reactions

A

minimum 5 minutes

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22
Q

what is the max number of doses of epinephrine for moderate/ severe allergic reactions

A

2

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23
Q

what is the first choice of drug for croup

A

epinephrine

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24
Q

what are the conditions of epinephrine for croup

A

age: >6 months- <8 years
LOA, RR, SBP: N/A
HR: <200 bpm
other: stridor at rest

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25
Q

contraindications of epinephrine for croup

A

allergy or sensitivity to epinephrine

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26
Q

what weight categories is for epinephrine for croup split into

A

<10 kg and >10 kg

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27
Q

what is the route of administration for epinephrine for croup

A

NEB

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28
Q

what is the dose of epinephrine for croup for a patient who is <10 kg

A

2.5 mg

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28
Q

what is the dose of epinephrine for croup for a patient who is >10 kg

A

5 mg

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29
Q

what is the maximum dose of epinephrine for croup for a patient who is <10 kg

A

2.5 mg

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30
Q

what is the maximum dose of epinephrine for croup for a patient who is >10 kg

A

5 mg

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31
Q

what is the dosing interval for epinephrine for croup

A

N/A

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32
Q

what is the maximum number of doses of epinephrine for croup

A

1

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33
Q

what is the first choice drug for medical cardiac arrest (fourth best option)

A

epinephrine

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34
Q

what are the conditions for epinephrine for medical cardiac arrest

A

age: >24 hours
LOA: altered
HR, RR, SBP: N/A
other: anaphylaxis suspected as causative event

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35
Q

what are the contraindications of epinephrine for medical cardiac arrest

A

allergy or sensitivity to epinephrine

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36
Q

what is the route of administration of epinephrine for medical cardiac arrest

A

IM

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37
Q

what is the dose of epinephrine for medical cardiac arrest

A

0.01mg/kg

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38
Q

what is the maximum single dose of epinephrine for medical cardiac arrest

A

0.5 mg

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38
Q

what is the dosing interval for epinephrine for medical cardiac arrest

A

N/A

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38
Q

what is the maximum number of doses of epinephrine for medical cardiac arrest

A

1

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39
Q

what is the third choice drug for bronchoconstriction

A

dexamethasone

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40
Q

what are the conditions of dexamethasone for bronchoconstriction

A

Age, LOA, HR, RR, SBP: N/A
Other: history of asthma, COPD, 20 pack a year smoking history

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41
Q

contraindications of dexmethasone for bronchoconstriction

A

allergy or sensitivity to steroids, currently on PO/ parenteral steroids

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42
Q

what is the route of administration of dexamethasone for bronchoconstriction

A

PO, IM, IV

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43
Q

what is the dose of dexamethasone for bronchoconstriction

A

0.5 mg/kg

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44
Q

what is the maximum single dose of dexamethasone for bronchoconstriction

A

8 mg

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45
Q

what is the dosing interval of dexamethasone for bronchoconstriction

A

N/A

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46
Q

what is the second best medication for croup

A

dexamethasone

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46
Q

what is the maximum number of doses of dexamethasone for bronchoconstriction

A

1

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47
Q

what are the conditions of dexamethasone for croup

A

Age: >6 months- <8 years
LOA: unaltered
HR, RR, SBP: N/A
other: mild/ moderate/ severe croup

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48
Q

contraindications of dexamethasone for croup

A

allergy or sensitivity to steroids, steroids received within the last 48 hours, unable to tolerate oral medications

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49
Q

what is the route of administration of dexamethasone for croup

A

PO

50
Q

what is the max single dose of dexamethasone for croup

A

8 mg

51
Q

what is the dose of dexamethasone for croup

A

0.5 mg

52
Q

what is the dosing interval of dexmethasone for croup

A

N/A

53
Q

what is the max number of doses of dexamethasone for croup

A

1

54
Q

what are the conditions of diphenhydramine for moderate/severe allergic reactions

A

Age, LOA, HR, RR, SBP, other: N/A
weight: >25 kg

55
Q

what is the second best medication for moderate to severe allergic reactions

A

diphenhydramine

56
Q

contraindications of diphenhydramine for moderate/ severe allergic reactions

A

allergy or sensitivity to diphenhydramine

57
Q

what is the route of administration for diphenhydramine for moderate/ severe allergic reactions

A

IV/ IM

58
Q

what weight classes is diphenhydramine split into for moderate/ severe allergic reactions

A

> 25kg to <50 kg and >50 kg

59
Q

what is the dose of diphenhydramine for a patient who is >25 kg and <50 kg

A

25 mg

60
Q

what is the maximum single dose of diphenhydramine for a patient who is >25 kg and <50 kg

A

25 mg

60
Q

what is the dose of diphenhydramine for a patient who is >50 kg

A

50 mg

61
Q

what is the maximum single dose of diphenhydramine for a patient who is >50 kg

A

50 mg

62
Q

what is the dosing interval for diphenhydramine for moderate/ severe allergic reactions

A

N/A

63
Q

what is the maximum number of doses of diphenhydramine for moderate/ severe allergic reactions

A

1

64
Q

what is the first choice drug for minor allergic reactions

A

diphenhydramine

65
Q

what are the conditions of diphenhydramine for minor allergic reactions

A

age: >18 years
LOA: unaltered
HR, RR, other: N/A
SBP: normotension

66
Q

what are the contraindications of diphenhydramine for minor allergic reactions

A

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
Q

what is the maximum dose of diphenhydramine for a minor allergic reaction

A

50 mg

67
Q

what is the route of administration of diphenhydramine for minor allergic reactions

A

PO

68
Q

what is the dose of diphenhydramine for minor allergic reactions

A

50 mg

69
Q

what is the dosing interval of diphenhydramine for a minor allergic reaction

A

N/A

70
Q

what is the maximum number of doses of diphenhydramine for a minor allergic reaction

A

1

71
Q

what is the first choice drug for a ROSC

A

0.9% fluid bolus

72
Q

conditions of a 0.9% NaCl fluid bolus for a ROSC

A

age: >2 years
LOA, HR, RR: N/A
SBP: hypotension
other: chest auscultation is clear

73
Q

contraindications of a 0.9% NaCl fluid bolus for a ROSC

A

fluid overload

74
Q

what weight classes is the 0.9% NaCl fluid bolus split into for a ROSC

A

> 2 years to <12 years and >12 years

75
Q

what is the route of administration for a 0.9% NaCl fluid bolus for a ROSC

A

IV

76
Q

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

A

10 ml/kg

77
Q

what is the infusion rate for a patient who is >12 years old for a 0.9% NaCl fluid bolus for a ROSC

A

10 ml/kg

78
Q

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

A

immediate

79
Q

what is the transfusion interval for a patient who is >12 years old for a 0.9% NaCl fluid bolus for a ROSC

A

immediate

80
Q

what is the maximum volume of a 0.9% NaCl fluid bolus for a ROSC

A

1000 ml

81
Q

when do you reassess a patients 0.9% NaCl fluid bolus who is >2 years old and <12 years old for a ROSC

A

every 100ml

82
Q

when do you reassess a patients 0.9% NaCl fluid bolus who is >12 years old for a ROSC

A

250 ml

83
Q

what is the first choice of drug for cardiogenic shock

A

0.9% fluid bolus

84
Q

what are the conditions of a 0.9% NaCl fluid bolus for cardiogenic shock

A

age: >18 years
LOA, HR, RR: N/A
SBP: hypotension
other: chest auscultation clear

85
Q

contraindications of a 0.9% NaCl fluid blue for cardiogenic shock

A

fluid overload, SBP >90 mmHg

86
Q

what is the route of administration of a 0.9% NaCl fluid bolus for cardiogenic shock

A

IV

87
Q

what is the infusion rate of a 0.9% NaCl fluid bolus for cardiogenic shock

A

10 ml/kg

88
Q

what is the infusion interval for a 0.9% NaCl fluid bolus for cardiogenic shock

A

N/A

89
Q

when do you reassess the patient who has a 0.9% NaCl fluid bolus

A

250 ml

90
Q

what is the maximum volume of 0.9% NaCl fluid bolus for a cardiogenic shock

A

1000 ml

91
Q

conditions for a 0.9% NaCl fluid bolus for IV and fluid therapy

A

age: >2 years
LOA, HR, RR, other: N/A
SBP: hypotension

92
Q

what is the second best drug for IV and fluid therapy

A

0.9% NaCl fluid bolus

93
Q

contraindications of 0.9%. NaCl fluid bolus for IV and fluid therapy

A

fluid overload

94
Q

what

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