ALS directives Flashcards
conditions of salbutamol for Bronchoconstriction
age, weight, LOA, HR, RR, SBP, other: all N/A
what is the first choice drug for Bronchoconstriction
Salbutamol
contraindications of salbutamol for Bronchoconstriction
allergy or sensitivity to Salbutamol
what weight categories is Salbutamol for Bronchoconstriction split into
<25kg and >25kg
what is the preferred route of administration of salbutamol for Bronchoconstriction
MDI (metered dose inhaler)
what is the secondary route of administration available for salbutamol for Bronchoconstriction
NEB (nebulizer)
what is the dose for MDI salbutamol for bronchoconstriction for a patient who is <25kg
600 mcg (6 puffs)
what is the dose for MDI salbutamol for bronchoconstriction for a patient who is >25kg
800 mcg (8 puffs)
what is the dose for NEB salbutamol for bronchoconstriction for a patient who is <25kg
2.5 mg
what is the dose for NEB salbutamol for bronchoconstriction for a patient who is >25kg
5 mg
what is the dosing intervals for salbutamol for bronchoconstriction
5-15 min PRN (as needed)
what is the concentration of epinephrine
1mg/ml = 1:1000
what is the max number of doses of salbutamol for bronchoconstriction
3
what is the second choice of drug for bronchoconstriction
epinephrine
what are the conditions of epinephrine for Bronchoconstriction
Age, weight, LOA, HR, SBP: N/A
RR- BVM ventilation required
Other- history of asthma
what is the route of administration for epinephrine for bronchoconstriction
IM (intramuscular)
contraindications of epinephrine for bronchconstriction
allergy or sensitivity to epinephrine
what is the dose of epinephrine for bronchoconstriction
0.01 mg/km
what is the max single dose of epinephrine for Bronchoconstriction
0.5 mg
what is the dosing interval of epinephrine for Bronchoconstriction
N/A
what is the maximum number of doses of epinephrine for bronchoconstriction
1
what is the first choice drug for moderate/severe allergic reaction
epinephrine
what are the conditions of epinephrine for moderate/ severe allergic reaction
age, weight, LOA, HR, RR, SBP: N/A
other: only for anaphylaxis
what are the contraindications of epinephrine for moderate/ severe allergic reactions
allergy or sensitivity to epinephrine
what is the route of administration of epinephrine for moderate/ severe allergic reaction
IM
what is the dose of epinephrine for moderate/ severe allergic reactions
0.01 mg/kg
what is the max single dose of epinephrine for moderate/ severe allergic reactions
0.5 mg
what is the dosing interval of epinephrine for moderate/ severe allergic reactions
minimum 5 minutes
what is the max number of doses of epinephrine for moderate/ severe allergic reactions
2
what is the first choice of drug for croup
epinephrine
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
contraindications of epinephrine for croup
allergy or sensitivity to epinephrine
what weight categories is for epinephrine for croup split into
<10 kg and >10 kg
what is the route of administration for epinephrine for croup
NEB
what is the dose of epinephrine for croup for a patient who is <10 kg
2.5 mg
what is the dose of epinephrine for croup for a patient who is >10 kg
5 mg
what is the maximum dose of epinephrine for croup for a patient who is <10 kg
2.5 mg
what is the maximum dose of epinephrine for croup for a patient who is >10 kg
5 mg
what is the dosing interval for epinephrine for croup
N/A
what is the maximum number of doses of epinephrine for croup
1
what is the first choice drug for medical cardiac arrest (fourth best option)
epinephrine
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
what are the contraindications of epinephrine for medical cardiac arrest
allergy or sensitivity to epinephrine
what is the route of administration of epinephrine for medical cardiac arrest
IM
what is the dose of epinephrine for medical cardiac arrest
0.01mg/kg
what is the maximum single dose of epinephrine for medical cardiac arrest
0.5 mg
what is the dosing interval for epinephrine for medical cardiac arrest
N/A
what is the maximum number of doses of epinephrine for medical cardiac arrest
1
what is the third choice drug for bronchoconstriction
dexamethasone
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
contraindications of dexmethasone for bronchoconstriction
allergy or sensitivity to steroids, currently on PO/ parenteral steroids
what is the route of administration of dexamethasone for bronchoconstriction
PO, IM, IV
what is the dose of dexamethasone for bronchoconstriction
0.5 mg/kg
what is the maximum single dose of dexamethasone for bronchoconstriction
8 mg
what is the dosing interval of dexamethasone for bronchoconstriction
N/A
what is the second best medication for croup
dexamethasone
what is the maximum number of doses of dexamethasone for bronchoconstriction
1
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
contraindications of dexamethasone for croup
allergy or sensitivity to steroids, steroids received within the last 48 hours, unable to tolerate oral medications