Intraosseous Access

Question 1

A GCS less than ____ may require IO access.

Answer 1

8

*GCS under 8 indicates the inability to protect one’s airway. These people may need life-saving medications through the IO to maintain an adequate GCS or LOC.

Question 2

What is the contraindication for IO In patients with a GCS less than 8

Answer 2

Known diabetic with symptomatic hypoglycemia.

Question 3

Shock from any cause with an SBP less than ____ is an indication for IO access.

A. 100 mmHg
B. 90 mmHg
C. 80 mmHg
D. 70 mmHg

Answer 3

C. 80 mmHg

Question 4

Patients in ____ may require IO access.

Answer 4

Extremis (at risk for death/disability)

Some examples include: life threatening and symptomatic heart rhythm disturbances, respiratory arrest, status asthmaticus, anaphylaxis, etc.

Question 5

What are the three approved sites for IO access?

Answer 5

Proximal tibia
Distal tibia
Proximal humerus

Question 6

Dosage of lidocaine for infusion discomfort in the conscious/previous unconscious who became conscious patient.

Answer 6

30 mg slow IO push (over 30-60 seconds)

Question 7

T/F: Pain medications may be administered through an IO?

Answer 7

False. Morphine and Fentanyl must be administered IV, IM, or IN, according to protocol.

*So…..if you have IV access, why would you drop an IO? I assume you should just use IM or IN access.
Perhaps fluid resuscitation in an individual in shock without IV access? Then you could just do IM/IN pain control.

Question 8

What is the minimum number of unsuccessful IV attempts before IO access may be obtained?

A. 1
B. 2
C. 3
D. 4

Answer 8

B. 2