Als Directives Flashcards
SGA indications
Need for ventilatory support or airway control and other airway management is ineffective
SGA conditions
Absent gag reflect
SGA contraindications
Airway obstruction by a foreign object
Known esophageal varies
Trauma to oropharynx
Caustic ingestion
Bronchocinstrcition indications
Resp distress and suspected Bronchoconstrcition
Broncho conditions
Salbutamol…
All N/A
Epi..
RR- BVM ventilations required
Hx of asthma
Dex…
Hx of asthma or COPD or 20 pack-year smoker
Broncho contraindications
salbutamol- allergy
Epi- allergy
Dex- allergy, currently on PO or parenteral steroids
Broncho TX
Salbutamol…
<25kg >25kg
MDI. MDI
Up to 600mcg Up to 800mcg
5-15mins 5-15 mins
Max 3x. Max 3x
Epi…
0.01mg/kg
Max of 0.5mg
Max 1x
Dex…
0.5mg/kg
Max 8mg
1x
Hypoglycemia indications
Suspected hypoglycemia
Hypoglycemia conditions
Dextrose…
>2
Unaltered
Hypoglycemia
Glucagon…
Unaltered
Hypoglycemia
Hypoglycemia contraindications
Dextrose- allergy
Glucagon- allergy, pheocromocytoma
Hypoglycemia Tx
Dextrose (D10)
IV
0.2g/kg (2ml/kg)
Max of 25g (250ml)
10 mins
2x
Glucagon <25kg
IM
0.5mg
20 mins
2x
Glucagon >25kg
IM
1mg
20 mins
2x
Opioid indications
Suspected opioid toxicity
Opioid conditions
Naloxone
>24hrs
Altered
<10 breaths/min
Inability to adequately ventilate or persistent need to assist ventilations
Opioid contraindications
Naloxone- allergy
Naloxone Tx
IV
Up to 0.4
Max of 0.4
5 mins
3x
IM
0.4
5 mins
3x
IN
2-4
Max of 2-4
5 mins
3x
SC
0.8
5 mins
3x
