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PCP Directives Flashcards

SGA, bronchoconstriction, allergy, croup, CPAP, ischemia

1
Q

What are the indications for an SGA?

A
  1. Need for ventilatory assistance or airway control
  2. Other airway management ineffective
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2
Q

What are the conditions for an SGA?

A
  1. absent gag reflex
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3
Q

Contraindications for SGA

A
  1. airway obstructed by FBAO
  2. known esophageal disease
  3. trauma to oropharynx
  4. caustic ingestion
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4
Q

Number of attempts for SGA

A

2

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5
Q

Conditions for salbutamol
(bronchoconstriction directive)

A

none

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6
Q

Conditions for epinephrine
(bronchoconstriction directive)

A
  1. BVM ventilation required
  2. Hx of asthma
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7
Q

Conditions for dexamethasone
(bronchoconstriction directive)

A
  1. Hx of asthma
    OR
  2. COPD
    OR
  3. 20 pack year hx smoking
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8
Q

Contraindications for dexamethasone
(bronchoconstriction directive)

A
  1. allergy or sensitivity to steriods
  2. currently on PO or parenteral steroids (systemic only)
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9
Q

Contraindications for salbutamol
(bronchoconstriction directive)

A
  1. allergy or sensitivity to salbutamol
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10
Q

Contraindications for epinephrine
(bronchoconstriction directive)

A
  1. allergy or sensitivity to epinephrine
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11
Q

Dose for dexamethasone
(bronchoconstriction directive)

A

PO, IM, IV
0.5mg/kg (max 8mg)
SINGLE DOSE ONLY

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12
Q

Dose for epinephrine
(bronchoconstriction directive)

A

IM only
1:1,000
0.01mg/kg (max 0.5mg)
SINGLE DOSE ONLY

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13
Q

Dose for epinephrine
(allergic reaction directive)

A

IM only
1:1,000
0.01mg/kg (max 0.5mg)
2 doses, q 5 minutes

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14
Q

Indications for croup directive

A
  1. Current hx of URTI
    AND
  2. barking cough or recent hx of barking cough
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15
Q

Conditions for epinephrine
(croup directive)

A
  1. at least 6 months to <8 years
  2. HR <200bpm
  3. stridor at rest
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16
Q

Conditions for dexamethasone
(croup directive)

A
  1. at least 6 months to <8 years
  2. unaltered
17
Q

Contraindications for dexamethasone
(croup directive)

A
  1. Allergy or sensitivity to steroids
  2. Steroids received in last 48 hours
  3. unable to tolerate PO medications
18
Q

Contraindications for epinephrine
(croup directive)

A
  1. allergy or sensitivity to epi
19
Q

Dosing, route and concentration for epinephrine
(croup directive)

A

NEB only, 1:1,000 only
<10kg gets 2.5mg
over 10kg gets 5mg

20
Q

Dosing, max single dose and route for dexamethasone
(croup directive)

A

PO only
0.5mg/kg (max 8mg)
SINGLE DOSE ONLY

21
Q

Indications for CPAP

A
  1. severe respiratory distress
    AND
  2. suspected ACPE or COPD
22
Q

conditions for CPAP

A
  1. at least 18 years old
  2. tachypnea
  3. Normotension
  4. SpO2 < 90% or accessory muscle use
23
Q

Contraindications for CPAP

A
  1. asthma exacerbation
  2. suspected pneumothorax
  3. unstable or unprotected airway
  4. major trauma or burnts to hear or torso
  5. tracheostomy
  6. inability to sit upright
  7. Unable to cooperate
24
Q

CPAP settings

A

5cm initial
increase by 2.5cm q 5 mins
max 15cm

25
Q

Suction settings for patient less than 1 year

A

60-100mmHg

26
Q

Suction settings for patient 1 - <12 years

A

100-120mmHg

27
Q

Suction settings for patient older than 12 years

A

100-150mmHg

28
Q

Conditions for ASA
(cardiac ischemia)

A
  1. pt is at least 18 years old
  2. unaltered
  3. able to chew and swallow
29
Q

Conditions for nitroglycerin
(cardiac ischemia)

A
  1. at least 18 years old
  2. unaltered
  3. HR 60-159bpm
  4. Normotensive
  5. Prior hx of nitro OR IV access
30
Q

Contraindications for ASA
(cardiac ischemia)

A
  1. Allergy or sensitivity to ASA
    2.if asthmatic, no prior use of ASA
  2. current active bleeding
  3. CVA or TBI in the previous 24 hours
31
Q

Contraindications for nitroglycerin
(cardiac ischemia)

A
  1. Allergy or sensitivity to nitrates
  2. Phosphodiesterase inhibitor use within the previous 48 hours
  3. SBP drops 1/3 after initial dose
  4. RV STEMI
32
Q

Dose of ASA
(cardiac ischemia)

33
Q

Dose for nitro for non-STEMI
(cardiac ischemia)

A

0.4mg
q 5 minutes
6 doses

34
Q

Dose for nitro for STEMI
(cardiac ischemia)

A

0.4mg
q 5 minutes
3 doses

Medical directives (3 decks)

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