Broncho. + Allergic Flashcards
What are the indications for the use of the BRONCHOCONSTRICTION medical directive? (broncho. m.d.)
Respiratory distress
AND
Suspected bronchoconstriction
What are the conditions for the use of SALBUTAMOL?(broncho. m.d.)
N/A
What are the conditions for the use of EPINEPHRINE (under the bronchoconstriction medical directive)
BVM ventilation required.
Hx of asthma.
What are the conditions for the use of DEXAMETHASONE (under the bronchoconstriction medical directive)
Hx of asthma.
OR
COPD.
OR
20 pack-year history of smoking.
What are the contraindications to the use of DEXAMETHASONE (under the bronchoconstriction medical directive)
Allergy or sensitivity to steroids.
Currently on PO or parenteral steroids.
Under the BRONCHOCONTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, MDI for a pt <25 kg
Dose; Up to 600 mcg (6 puffs)
Max. single dose; 600 mcg
Dosing interval; 5-15 min PRN
Max # of doses; 3
Under the BRONCHOCONTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, NEB for a pt <25 kg
Dose; 2.5 mg
Max. single dose; 2.5 mg
Dosing interval; 5-15 min PRN
Max # of doses; 3
Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, MDI for a pt ≥25 kg
Dose; Up to 800 mcg (8 puffs)
Max. single dose; 800 mcg
Dosing interval; 5-15 min PRN
Max # of doses; 3
Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max. single dose, dosing interval, max # of doses) of SALBUTAMOL, NEB for a pt ≥25 kg
Dose; 5 mg
Max. single dose; 5 mg
Dosing interval; 5-15 min PRN
Max # of doses; 3
What are the routes for SALBUTAMOL
MDI and NEB
Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max single dose, interval, max #) of EPINEPHrine, IM
Dose; 0.01 mg/kg
Max single dose; 0.5 mg
Dosing interval; N/A
Max # of doses’ 1
Whats the EPINEPHRINE concentration (Broncho. m.d.)
1:1000 = 1mg/ml
Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max single dose, interval, max #) of DEXAMETHASONE
Route: PO/IM/IV
Dose; 0.5 mg/kg
Max. single dose; 8 mg
Dosing interval; N/A
Max # of doses; 1
At what rate should you give SALBUTAMOL via MDI
100 mcg q 4 breaths
What situation would you not give medication via Nebulizer
febrile
What are the indications for the moderate to severe allergic reaction medical directive
Exposure to a probable allergen.
AND
S/S of a moderate to severe allergic reaction
What are the two drugs that can be given under the allergic reaction m.d.
Epinephrine and diphenhydramine
What are the conditions for the use of EPINEPHRINE ?(allergic m.d.)
For anaphylaxis only
What are the conditions for the use of DIPHENHYDRAMINE? (allergic m.d.)
patient ≥25 kg
Under the allergic reaction m.d. what is the dose, max single dose, dosing interval, and max # of doses of EPINEPHRINE IM?
Dose; 0.01mg/kg
Max single dose; 0.5 mg
Dosing interval; Minimum 5 min
Max # of doses; 2
Under the allergic reaction m.d. what’s the DIPHENHYDRAMINE treatment for a patient ≥25 kg to < 50 kg
Route: IM/IV
Dose; 25mg
Max single dose; 25 mg
Dosing interval; N/A
Max # of doses; 1
Under the allergic reaction m.d. whats the DIPEHNHYDRAMINE treatment for a patient ≥ 50 kg
Dose; 50 mg
Max single dose; 50 mg
Dosing intervals; N/A
Max # of doses; 1
What kind of receptors does SALBUTAMOL affect
Selective beta2 adrenergic receptors agonist
What kind of receptors does EPINEPHRINE affect
Alpha and beta adrenergic agonist
What kind of receptors does DEXAMETHASONE affect
glucocorticoid receptors
How do you calculate 20 pack-year history smoking
Amount of packs a day x years
What are the 5 rights
Patient, drug, dose, route, time
What type of receptor does DIPHENHYDRAMINE affect
H1 receptors
what routes can u administrate EPINEPHRINE (allergic reaction m.d)
IM
