ALS PCP core directives Flashcards
conditions for a supraglottic airway
Age, LOA, HR, RR, SBP: N/A
other: absent gag reflex
contraindications of a supraglottic airway
airway obstruction by foreign object, known esophageal disease (varices), trauma to oropharynx, caustic ingestion
what is the maximum number of attempts of a supraglottic airway
2
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 second choice of drug for bronchoconstriction
epinephrine
what is the concentration of epinephrine
1mg/ml = 1:1000
what is the max number of doses of salbutamol for bronchoconstriction
3
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 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 maximum number of doses of dexamethasone 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 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 second best medication for croup
dexamethasone
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
what is the route of administration of dexamethasone for croup
PO
what is the max single dose of dexamethasone for croup
8 mg
what is the dose of dexamethasone for croup
0.5 mg
what is the dosing interval of dexmethasone for croup
N/A
what is the max number of doses of dexamethasone 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 first choice drug for a ROSC
0.9% fluid bolus
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
contraindications of a 0.9% NaCl fluid bolus for a ROSC
fluid overload
what age category are for the 0.9% NaCl fluid bolus split into for a ROSC
> 2 years to <12 years and >12 years
what is the route of administration for a 0.9% NaCl fluid bolus for a ROSC
IV
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
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
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
what is the transfusion interval for a patient who is >12 years old for a 0.9% NaCl fluid bolus for a ROSC
immediate
what is the maximum volume of a 0.9% NaCl fluid bolus for a ROSC
1000 ml
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
when do you reassess a patients 0.9% NaCl fluid bolus who is >12 years old for a ROSC
250 ml
what is the first drug of choice for cardiac schema
ASA
conditions of ASA for cardiac ischemia
Age: >18 years
LOA: unaltered
HR, RR, SBP: N/A
Other: able to chew and swallow
contraindications of ASA for cardiac ischemia
allergy or sensitivity to NSAIDS, if asthmatic no prior use of ASA, current active bleeding, CVA/TBI in the previous 24 hours
what is the route of administration of ASA for cardiac ischemia
PO
what is the dose of ASA for cardiac ischemia
160-162 mg
what is the maximum single dose of ASA for cardiac ischemia
162 mg
what is the dosing interval of ASA for cardiac ischemia
N/A
what is the maximum number of doses of ASA for cardiac ischemia
1
what is the second best drug for cardiac ischemia
nitroglycerin