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ALS PCS Midterm PCP > Midterm > Flashcards

Midterm Flashcards

1
Q

Bronchoconstriction (Indications)

A
  • Respiratory distress
  • Suspected bronchoconstriction
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2
Q

Bronchoconstriction Meds

A

Salbutamol
Epinephrine
Dexamethasone

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3
Q

Bronchoconstriction salbutamol (conditions)

A

None

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4
Q

Bronchoconstriction epi (conditions)

A

RR: BVM required
HX. of asthma

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5
Q

Bronchoconstriction Dexamethasone (conditions)

A

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

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6
Q

Bronchoconstriction (contraindications)
1. Salbutamol
2. Epi
3. Dexamethasone

A
  1. allergy or sensitivity
  2. allergy or sensitivity
  3. allergy or sensitivity, Currently on PO or parenteral steroids
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7
Q

Bronchoconstriction salbutamol MDI (Treatment)

A

Weight: <25kg
Up to 600 mcg
max of 600 mcg
Interval: 5-15min PRN
Max # of doses: 3

Weight: >/= 25kg
Up to 800 mcg
Max of 800mcg
Interval: 5-15min
Max # of doses: 3

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8
Q

Bronchoconstriction salbutamol NEB (Treatment)

A

Weight: <25kg
Dose 2.5mg
Max dose 2.5mg
Interval 5-15 min
Max # of doses 3

Weight: >/= 25kg
Dose 5mg
Max dose 5mg
Interval 5-15min
Max # of doses 3

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9
Q

Bronchoconstriction Epi (Treatment)

A

Route: IM
Concentration: 1mg/ML = 1:1000
Dose: 0.01mg/kg
Max single dose: 0.5mg
Max # of doses: 1

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10
Q

Bronchoconstriction Dexamethasone (Treatment)

A

Route: PO/IM/IV
Dose: 0.5mg/kg
Max: 8mg
Max # doses 1

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11
Q

Moderate to severe allergic reaction (Indications)

A

Exposure to a probable allergen
Signs and/ or symptoms of a moderate to severe allergic reaction (including anaphylaxis)

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12
Q

Moderate to severe allergic reaction (Meds/ Conditions)

A

Epi: for anaphylaxis only
Diphenhydramine (Benadryl): > 25kg

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13
Q

Moderate to severe allergic reaction (Contraindications)

A

Epi: allergy or sensitivity
Diphenhydramine: allergy or sensitivity

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14
Q

Moderate to severe allergic reaction Epi (Treatment)

A

Route: IM
Concentration: 1mg/ mL = 1:1000
Dose: 0.01mg/ kg
Max single dose: 0.5mg
Dosing interval: minimum of 5 min
Max. # of doses: 2

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15
Q

Moderate to severe allergic reaction Diphenhydramine (Treatment)

A

Weight: >/= 25kg to 50kg
Route: IV/IM
Dose: 25 mg
Max single dose: 25mg
Dosing interval: None
Max # of doses: 1

Weight: >/= 50kg
Route: IV/IM
Dose: 50mg
Max single dose: 50mg
Dosing interval: N/A
Max # of doses: 1

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16
Q

Hypoglycemia (Indications)

A

Suspected hypoglycemia

17
Q

Hypoglycemia (Meds/ Conditions)

A

Dextrose
Age: >/= 2 yrs
LOA: altered
Other: hypoglycemia

Glucagon
LOA: altered
Other: hypoglycemia

18
Q

Hypoglycemia (Contraindications)

A

Dextrose: allergy or sensitivity

Glucagon: allergy or sensitivity, pheochromocytoma

19
Q

Hypoglycemia (Treatment) Dextrose

A

Age: >/= 2 yrs

Concentration: 10%
Route: IV
Dose: 0.2g/kg (2mL/kg)
Max single dose: 25g (250ml)
Dosing interval: 10 min
Max # of doses: 2

Concentration: 50%
Route: IV
Dose: 0.5g/kg (1mL/kg)
Max single dose: 25g (50mL)
Dosing interval: 10 min
Max # of doses: 2

20
Q

Hypoglycemia (Treatment) Glucagon

A

Weight: <25 kg
Route: IM
Dose: 0.5mg
Max single dose: 0.5 mg
Dosing interval: 20 min
Max # of doses: 2

Weight: >/= 25kg
Route: IM
Dose: 1mg
Max single dose: 1mg
Dosing interval: 20 min
Max # of doses: 2

21
Q

Opioid Toxicity and Withdrawal (Indications)

A

Suspected opioid toxicity

22
Q

Opioid Toxicity and Withdrawal (Meds/ Conditions)

A

Naloxone
Age: >/= 24 hrs
LOA: altered
RR: <10 breaths/ min
Other: inability to adequately ventilate OR persistent need to assist ventilations

23
Q

Opioid Toxicity and Withdrawal (Contraindications) naloxone

A

Allergy or sensitivity

24
Q

Opioid Toxicity and Withdrawal (Treatment) naloxone

A

Route: IV
Dose: up to 0.4mg (titrate to restore resps)
Max single dose: 0.4 mg
Dosing interval: 5 min
Max # of doses: 3

Route: IM
Dose: 0.4mg
Max single dose: 0.4 mg
Dosing interval: 5 min
Max # of doses: 3

Route: IN
Dose: 2-4 mg
Max dose: 2-4 mg
Dosing interval: 5 min
Max # of doses: 3

Route: SC
Dose: 0.8mg
Max single dose: 0.8 mg
Dosing interval: 5 min
Max # of doses: 3

25
Q

Nausea/ Vomiting (Indications)

A

Nausea OR vomiting

26
Q

Nausea/ Vomiting (Meds/ Conditions)

A

Ondansetron (Zofran)
Weight: >/= 25kg
LOA: unaltered

Dimenhydrinate (Gravol)
Age: < 65 yrs
Weight: >/= 25kg
LOA: unaltered

27
Q

Nausea/ Vomiting (contraindications)

A

Ondansetron:
- Allergy or sensitivity
- Prolonged QT syndrome (known to pt)
- Apomorphine use

Dimenhydrinate:
- allergy or sensitivity or other antihistamines
- overdose on antihistamines or anticholinergics or tricyclic antidepressants
- co-administration of diphenhydramine

28
Q

Nausea/ Vomiting (Treatment) Ondansetron

A

Weight: > / = 25 kg
Route: PO
Dose: 4mg
Max single dose: 4mg
Dosing interval: None
Max # of doses: 1

29
Q

Nausea/ Vomiting (Treatment) Dimenhydrinate

A

Weight: >/= 25kg to <50kg
Route: IV/IM
Dose: 25mg
Max single dose: 25mg
Dosing interval: N/A
Max # of doses: 1

Weight: >/= 50kg
Route: IV/IM
Dose: 50mg
Max single dose: 50mg
Dosing interval: none
Max # of doses: 1

ALS PCS Midterm PCP (2 decks)

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