My Broadview Prep

Question 1

Epinephrine

In Anaphylaxis (IM) (Lateral of thigh):

1. Dosage
2. Solution
3. Repetition

Answer 1

Child 0.01 mg/kg,
Adult 0.5 mg.

Solution: Epinephrine 1/1K, (1 mg/ml)

Repeat Q5min if needed.

Question 2

Epinephrine

In VF or Pulseless VT or Asystole:
(IV or IO)

1. Dosage
2. Solution
3. Repetition

Answer 2

Child 0.01 mg/kg,
Adult 1 mg

Solution 1/Ten K (0.1 mg/ml)

Repeat Q3min

Question 3

Epinephrine

Compare 1/1,000 with 1/10,000 solutions

Answer 3

1/1K
= 1 mg/ml
Recommended for IM injection (Anaphylaxis)

1/10K
= 0.1 mg/ml
Recommended for IV or IO injection (ACLS, PCLS)

Question 4

Amiodarone

Dosage in VF or Pulseless VT
Vs
Dosage in Stable VT

Answer 4

IV Push 300 mg
vs
IV 150 mg over 10 min

Question 5

Magnesium Sulfate

Dosage in Torsades

Answer 5

2 gram IV bolus of magnesium sulfate
(4 mL of 50% solution [ie, 500 mg/mL] mixed with D5W to a total volume of 10 mL or more)

The rate of magnesium infusion depends on the clinical situation. In patients with pulseless cardiac arrest, infusion occurs over one to two minutes; in patients without cardiac arrest, infusion should occur over 15 minutes as rapid magnesium infusion may be associated with hypotension

Question 6

Tachycardia Algorithm:

If unstable?

Answer 6

If biphasic:
Cardioversion 100 J

If monophasic:
Cardioversion 200 J

Question 7

Tachycardia Algorithm:

If Stable, then look at QRS.

If wide?

Answer 7

Amiodarone 150 mg over 10 min

Question 8

Tachycardia Algorithm:

If Stable, then look at QRS.

If narrow and irregular?

Answer 8

AFib

Metoprolol or Diltiazem or Amiodarone

Question 9

Tachycardia Algorithm:

If Stable, then look at QRS.

If narrow and regular?

Answer 9

ST or SVT or AFlutter 2:1

VV or Adenosine or Metoprolol or Diltiazem

Question 10

Labetalol in HTN Emergency

Answer 10

10 to 20 mg IV push over 2 min

Repeat every 10 min.

Question 11

Dosage

Midazolam Pre-Procedural

Answer 11

IV

0.5-2 mg over at least 2 min

Question 12

Dosage

Ketamine in Pre-Procedural

Answer 12

IV

IV: 1 to 2 mg/kg (usual adult dose: 100 mg) over 1 to 2 minutes

Question 13

Metoprolol

Dosage in acute rate control

Vs

Maintenance rate control

Answer 13

IV
5 mg in 2 min Q5 min

PO
50 mg BID

Question 14

VTach

If Pulseless:

Answer 14

Pulseless VTach is like VFib:

ACLS CPR

Question 15

VTach

If unstable but has a pulse:

Answer 15

Sedation+Cardioversion

If biphasic: 100 J

If monophasic: 200 J

Question 16

VTach

If stable but sustained:

Answer 16

Amiodarone

150 mg bolus over 10 minutes

Question 17

VTach

If Nonsustained:

Answer 17

betablocker

Like metoprolol

Question 18

Intubation

Ketamine 
Or
Midazolam
Or
.........

Answer 18

Fentanyl

Question 19

Intubation

Macintosh blade size
Men…..
Women…..
Children…..

Answer 19

4
3
2 or 1

Question 20

Intubation

Endotracheal tube size
Men…..
Average…..
Women…..

Answer 20

8
7.5
7

Question 21

Intubation

Endotracheal tube size
Children…..

Answer 21

(Age/4)+4

For 8 yo
=6

Question 22

Intubation

Endotracheal tube
How much of the tube remains outside?

Answer 22

19 to 22

And check stomach and lungs

Question 23

V Tach or SVT

If unstable?

Answer 23

Both: Synchronized Cardioversion

If biphasic:
Cardioversion 100 J

If monophasic:
Cardioversion 200 J