LOC/Pain/Nausea

Question 1

Hypoglycemia
What are the conditions for dextrose

Answer 1

2 years+, altered, hypoglycemic

Question 2

Hypoglycemia
What are the conditions for glucagon

Answer 2

Altered and hypoglycemic

Question 3

Hypoglycemia
What is the contraindication for dextrose

Answer 3

Allergy

Question 4

Hypoglycemia
What are the 2 contraindications for glucagon

Answer 4

Allergy and pheochromocytoma

Question 5

Hypoglycemia
What is the treatment for Dextrose 10

Answer 5

IV
0.2 g/kg (0.02mg)
MAX 25g
10mins
2x

Question 6

Hypoglycemia
What is the treatment for Dextrose 10

Answer 6

IV
0.2 g/kg (0.02mg)
MAX 25g
10mins
2x

Question 7

Hypoglycemia
What is the treatment for glucagon

Answer 7

<25kg >25kg
IM IM
0.5mg 1mg
20min interval 20min interval
2x 2x

Question 8

Nausea/Vomiting
What are the conditions of Ondansetron

Answer 8

> 25kg and unaltered

Question 9

N/V
What are the conditions of dimenhydrinate

Answer 9

<65years old, <25kg, unaltered

Question 10

N/V
What are the 3 contraindications for ondans

Answer 10

1. Allergy
2. Prolonged QT syndrome
3. Apomorphine use

Question 11

N/V
What are the 3 contraindications for dimenhydrinate

Answer 11

1. Allergy
2. Overdose to antihistamine, anticholinergic or tricyclic
3. Coadmin with benadryl

Question 12

N/V
What is the treatment for ondans

Answer 12

> 25kg
PO
4mg
1x

Question 13

N/V
What is the treatment for dimenhydrinate

Answer 13

> 25-50kg > 50kg
IM/IV IM/IV
25mg 50mg
1x 1x

Question 14

Opioid Toxicity
What are the indications

Answer 14

Altered LOC, respiratory depression, inability to adequately ventilate, suspected OD

Question 15

Opioid Toxicity
What are the conditions for naloxone

Answer 15

> 24hours old, altered, <10 breaths per min

Question 16

Opioid Toxicity
What is the contraindication for naloxone

Answer 16

Allergy

Question 17

Opioid Toxicity
Treatment for IV and IM nalonone

Answer 17

IV IM
up to 0.4mg 0.4 mg
5 min intervals 5 min intervals
3x 3x

Question 18

Opioid Toxicity
What is the treatment for IN and SC naloxone

Answer 18

IN. SC
2-4 mg 0.8mg
5 min intervals 5 min intervals
3x 3x

Question 19

Pain
What are the conditions for acetaminophen, ibuprofen and ketorolac

Answer 19

12 years old+, unaltered, normotensive (ketorlac only)

Question 20

Pain
What are the 6 contraindications for acetaminophen

Answer 20

1. Allergy
2. Acetaminophen use in last 4 hours
3. Hx of liver disease
4. Actively vomiting
5. Unable to tolerate oral meds
6. Suspected Ischemic Chest pain

Question 21

Pain
What are the 12 contraindications for ibuprofen

Answer 21

1. Allergy
2. NSAID use in last 6 hours
3. Active bleed
4. CVA/TBI in prior 12 hours
5. Known renal impairment
6. If asthmatic
7. Pregnant
8. Actively vomiting
9. Anticoagulant therapy
10. Peptic ulcer/GI bleed
11. Unable to tolerate oral meds
12. Suspected ischemic Chest pain

Question 22

Pain
What are the 10 contraindications for ketorolac

Answer 22

1. Allergy
2. NSAID use prior 6 hours
3. Actively bleeding
4. CVA/TBI in last 24 hours
5. Anticoagulant therapy
6. Pregnant
7. If asthmatic
8. Peptic ulcer/GI bleed
9. Known renal impairment
10. Suspected ischemic Chest pai

Question 23

Pain
What is the treatment for acetaminophen

Answer 23

12-18 years 18 years+
PO PO
500-650 mg 960-1,000 mg
1x 1x

Question 24

Pain
What is the treatment for ibuprofen

Answer 24

12 years old+
PO
400mg
1x

Question 25

Pain What is the treatment for ketorolac

Answer 25

12 years old+ IM/IV 10-15 mg 1x