Chapter2 - Trauma

Question 1

Benzocaine Spray Trade Name

Answer 1

Hurricane

Question 2

Benzocaine Spray (Hurricane) Indications

Answer 2

Used as a lubricant and topical anesthetic to facilitate passage of diagnostic and treatment devices. Suppresses the pharyngeal and tracheal gag reflex.

Question 3

Benzocaine Spray (Hurricane) Contraindications

Answer 3

Patients with a known hypersensitivity to benzocaine.

Question 4

Benzocaine Spray (Hurricane) Dosage

Answer 4

Adult: 0.5 - 1.0 second spray
Pediatric: 0.25 - 0.5 second spray
Repeat as needed

Question 5

Dexamethasone Sodium Phosphate Trade Names

Answer 5

Decadron, Hexadrol

Question 6

Dexamethasone Sodium Phosphate (Decadron, Hexadrol) Indications

Answer 6

Anaphylaxis, Asthma, Croup

Question 7

Dexamethasone Sodium Phosphate (Decadron, Hexadrol) Contraindications

Answer 7

Hypersensitivity
Systemic Sepsis
Bacterial Infection

Question 8

Dexamethasone Sodium Phosphate (Decadron, Hexadrol) Dose

Answer 8

Adult: 10-100 mg IV (1 mg / kg slow IV Bolus)
Pediatric: 0.25 - 1.0 mg/kg/dose IV/IO/IM

Question 9

Diazepam Trade Name

Answer 9

Valium

Question 10

Diazepam (Valium) Indications

Answer 10

Acute Anxiety States
Acute Alcohol Withdrawal (Delerium Tremens)
Muscle Relaxant
Seizure Activity
Agitation
Analgesia for Medical Procedures (Fracture Reduction, Cardioversion)

Question 11

Diazepam (Valium) Contraindications

Answer 11

Glaucoma
Coma
Shock
Substance Abuse
Head Injury

Question 12

Diazepam (Valium) Dose

Answer 12

Seizure Activity:
Adult: 5 - 10 mg IV every 10 - 15 min as needed (5 mg over 5 min)
Pediatric: 0.2 - 0.5 mg slowly every 2 - 5 min up to 5 mg (max dose 10 mg/kg)

Rectal:
0.5 mg / kg & flush with 2 - 3 ml air

Cardioversion:
5 - 15 mg IV over 5 - 10 min

Question 13

Flumazenil Trade Name

Answer 13

Romazicon

Question 14

Flumazenil (Romazicon) Indications

Answer 14

Reversal of respiratory depression and sedative effects from pure benzodiazepine overdose

Question 15

Flumazenil (Romazicon) Contraindications

Answer 15

Tricyclic Antidepressant Overdose
Seizure-Prone Patients
Coma of Unknown Etiology

Question 16

Flumazenil (Romazicon) Dose

Answer 16

Adult:
First Dose: 0.2 mg IV/IO over 15 sec
Second Dose: 0.3 mg IV/IO over 30 sec
If no response, give third dose:
0.5 mg IV/IO over 30 sec

 If no response, repeat once every minute until adequate response or a total of 3 mg is given

Pediatric: Not recommended