Broncho. + Allergic

Question 1

What are the indications for the use of the BRONCHOCONSTRICTION medical directive? (broncho. m.d.)

Answer 1

Respiratory distress
AND
Suspected bronchoconstriction

Question 2

What are the conditions for the use of SALBUTAMOL?(broncho. m.d.)

Answer 2

N/A

Question 3

What are the conditions for the use of EPINEPHRINE (under the bronchoconstriction medical directive)

Answer 3

BVM ventilation required.
Hx of asthma.

Question 4

What are the conditions for the use of DEXAMETHASONE (under the bronchoconstriction medical directive)

Answer 4

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

Question 5

What are the contraindications to the use of DEXAMETHASONE (under the bronchoconstriction medical directive)

Answer 5

Allergy or sensitivity to steroids.
Currently on PO or parenteral steroids.

Question 6

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

Answer 6

Dose; Up to 600 mcg (6 puffs)
Max. single dose; 600 mcg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 7

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

Answer 7

Dose; 2.5 mg
Max. single dose; 2.5 mg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 8

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

Answer 8

Dose; Up to 800 mcg (8 puffs)
Max. single dose; 800 mcg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 9

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

Answer 9

Dose; 5 mg
Max. single dose; 5 mg
Dosing interval; 5-15 min PRN
Max # of doses; 3

Question 10

What are the routes for SALBUTAMOL

Answer 10

MDI and NEB

Question 11

Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max single dose, interval, max #) of EPINEPHrine, IM

Answer 11

Dose; 0.01 mg/kg
Max single dose; 0.5 mg
Dosing interval; N/A
Max # of doses’ 1

Question 12

Whats the EPINEPHRINE concentration (Broncho. m.d.)

Answer 12

1:1000 = 1mg/ml

Question 13

Under the BRONCHOCONSTRICTION m.d. what is the treatment (dose, max single dose, interval, max #) of DEXAMETHASONE

Answer 13

Route: PO/IM/IV
Dose; 0.5 mg/kg
Max. single dose; 8 mg
Dosing interval; N/A
Max # of doses; 1

Question 14

At what rate should you give SALBUTAMOL via MDI

Answer 14

100 mcg q 4 breaths

Question 15

What situation would you not give medication via Nebulizer

Answer 15

febrile

Question 16

What are the indications for the moderate to severe allergic reaction medical directive

Answer 16

Exposure to a probable allergen.
AND
S/S of a moderate to severe allergic reaction

Question 17

What are the two drugs that can be given under the allergic reaction m.d.

Answer 17

Epinephrine and diphenhydramine

Question 18

What are the conditions for the use of EPINEPHRINE ?(allergic m.d.)

Answer 18

For anaphylaxis only

Question 19

What are the conditions for the use of DIPHENHYDRAMINE? (allergic m.d.)

Answer 19

patient ≥25 kg

Question 20

Under the allergic reaction m.d. what is the dose, max single dose, dosing interval, and max # of doses of EPINEPHRINE IM?

Answer 20

Dose; 0.01mg/kg
Max single dose; 0.5 mg
Dosing interval; Minimum 5 min
Max # of doses; 2

Question 21

Under the allergic reaction m.d. what’s the DIPHENHYDRAMINE treatment for a patient ≥25 kg to < 50 kg

Answer 21

Route: IM/IV
Dose; 25mg
Max single dose; 25 mg
Dosing interval; N/A
Max # of doses; 1

Question 22

Under the allergic reaction m.d. whats the DIPEHNHYDRAMINE treatment for a patient ≥ 50 kg

Answer 22

Dose; 50 mg
Max single dose; 50 mg
Dosing intervals; N/A
Max # of doses; 1

Question 23

What kind of receptors does SALBUTAMOL affect

Answer 23

Selective beta2 adrenergic receptors agonist

Question 24

What kind of receptors does EPINEPHRINE affect

Answer 24

Alpha and beta adrenergic agonist

Question 25

What kind of receptors does DEXAMETHASONE affect

Answer 25

glucocorticoid receptors

Question 26

How do you calculate 20 pack-year history smoking

Answer 26

Amount of packs a day x years

Question 27

What are the 5 rights

Answer 27

Patient, drug, dose, route, time

Question 28

What type of receptor does DIPHENHYDRAMINE affect

Answer 28

H1 receptors

Question 29

what routes can u administrate EPINEPHRINE (allergic reaction m.d)

Answer 29

IM