ALS PCS

Question 1

What is pedatric normotension?

Answer 1

≥ 90mmHg + (2 x age in years)

Question 2

What is pediatric hypotension?

Answer 2

< 70mmHg + (2 x age in years)

Question 3

Indications for supraglottic airway?

Answer 3

Need for ventilatory assistance or airway control
AND
Other airway management is ineffective

Question 4

Conditions for supraglottic airway?

Answer 4

Absent gag reflex

Question 5

Contraindications for supraglottic airway?

Answer 5

• Airway obstructed by a foreign object
• Known esophageal disease (varices)
• Trauma to oropharynx
• Caustic ingestion

Question 6

What is the maximum number of attempts to insert a supraglottic airway?

Answer 6

2!!!!

Question 7

What is the primary method to confirm supraglottic airway?

Answer 7

ETCO2 (waveform capnography)

Question 8

What are the secondary methods to confirm supraglottic airway?

Answer 8

• ETCO2 (waveform capnography)
• Auscultation
• Chest rise and fall

Question 9

Indications for broncoconstriction?

Answer 9

Respiratory distress
AND
Suspected bronchoconstriction

Question 10

Conditions for salbutamol? (bronchoconstriction)

Answer 10

N/A

Question 11

Conditions for Epi? (bronchoconstriction)

Answer 11

• BVM ventilations
• Hx of asthma

Question 12

Conditions for dexamethasone? (bronchoconstriction)

Answer 12

Hx of asthma OR
COPD OR
20 pack year history of smoking

Question 13

Contraindications for salbutamol? (bronchoconstriction)

Answer 13

Allergy or sensitivity to salbutamol

Question 14

Contraindications for Epi? (bronchoconstriction)

Answer 14

Allergy or sensitivity to epinepherine

Question 15

Contraindications for dexamethasone? (bronchoconstriction)

Answer 15

• Allergy or sensitivity to steroids
• Currently on PO or parental steroids

Question 16

Treatment for salbutamol MDI? (bronchoconstriction)

Answer 16

<25 kg
- Up to 600 mcg (6 puffs)
- 3 doses
- 5-15 min PRN

≥25 kg
- Up to 800 mcg (8 puffs)
- 3 doses
- 5-15 min PRN

Question 17

Treatment for salbutamol NEB? (bronchoconstriction)

Answer 17

<25 kg
- 2.5mg
- 3 doses
- 5-15 min PRN

≥25 kg
- 5mg
- 3 doses
- 5-15 min PRN

Question 18

Treatment for Epi? (bronchoconstriction)

Answer 18

• IM
• 0.01mg/kg
• Max 0.5mg
• 1 dose max

Question 19

Treatment for dexamethasone? (bronchoconstriction)

Answer 19

• PO/IM/IV
• 0.5mg/kg
• Max 8mg
• 1 dose max

Question 20

When is NEB contraindicated in bronchoconstriction?

Answer 20

pt’s with a known or suspected fever or in the setting of a declared febrile respiratory illness outbreak

Question 21

How many mcg per breath for MDI administration?

Answer 21

100 mcg per 4 breaths