Non Cardiac Protocols

Question 1

Allergic - Moderate

Answer 1

Epi - 0.01mg/kg - 0.5mg IM
Duo neb - 2.5 mg Albuterol, 0.5mg Atrovent
IV
Benadryl - 1mg/kg - 50 mg IM/IV
Solumederol - 2mg/kg - 125mg IM/IV

Question 2

Allergic - Severe

Answer 2

Epi - 0.01mg/kg - 0.5mg IM
Duoneb 2.5mg + 0.5mg
IV
NS for pressure support
Benadryl - 1mg/kg - 50mg
Solu-Medrol - 2mg/kg - 125mg

Epi drip 1mg in 250 ml = 4mcg/ml 0.01mg/kg - 0.5mg IV (125ml)

Question 3

Asthma (adult)

Answer 3

Duo Neb
IV
Solu-Medrol 2mg/kg - 125mg IV/IM
Duo Neb 2x
CPAP 5cm
Epi - 0.5mg (MED CONTROL)
Mag - 2g over 20 min (MED CONTROL)

Question 4

COPD

Answer 4

Duo Neb
IV
Solu-Medrol 125mg IV/IM
Duo Neb (2x)
CPAP 5 cm

Question 5

Behavioral

Answer 5

Med Control for
Hadol 5mg IM
Versed 5mg IM - 2.5mg IV

Question 6

Hyperglycemia

Answer 6

> 150mg/dl
20ml/kg - 1L NS

Question 7

Hypoglycemia

Answer 7

< 70 and/or symptomatic
250ml of D10 until resolved

or

Glucagon - 0.025mg/kg - 1mg IM

Question 8

Hyperthermia

Answer 8

NS - 20ml/kg - 1L

Question 9

Pain

Answer 9

Tylenol - 15mg/kg - 975
Fent 1mcg/kg - 100mcg IM/IN or IV (over 2 min) 2X
Morphine - 0.1mg/kg 5mg IM or IV (over 2 min) 2X

Question 10

Nausea

Answer 10

Zofran - 0.15mg/kg - 4mg IM/IV

Question 11

Beta blocker poison

Answer 11

Glucagon - 0.1mg/kg - 2mg 2x q5

Calcium Chloride 20mg/kg - 1g slow

Question 12

CC Blocker poison

Answer 12

Glucagon 0.1mg/kg - 2mg iV push - 2x - q 3-5

Calcium Chloride - 20mg/kg - 1g - slow IV push

Question 13

Tricyclic poison

Answer 13

Sodium Chloride - 1mEq/kg - 50mEq

Question 14

Seizures

Answer 14

Versed -
0.1mg/kg - 2.5mg IV
0.2mg/kg - 5mg IM

Question 15

Eclamptic

Answer 15

Mag - 5g over 10min
Med control

Question 16

Febrile Seizure

Answer 16

15mg/kg - 975 mg

Question 17

Ped Stridor

Answer 17

Epi Neb - 2mg Epi + 1ml NS

Question 18

Ped Wheezing (asthma)

Answer 18

Duo Neb
IV
Solu Medrol - 2mg/kg 125mg
Duo Neb (2x)
Epi - 0.01mg/kg 0.5mg IM (MED CONTROL)
Mag - 25mg/kg - 2g IV over 20min (MED CONTROL)