PCP MDs

Question 1

Indication and condition for SGA

Answer 1

Need for airway control/ventilatory assistance and an absent gag reflex

Question 2

Contraindications for a SGA

Answer 2

FBAO, esophageal varices, trauma to oropharynx, caustic ingestion

Question 3

Bronchoconstriction indications

Answer 3

Respiratory distress AND suspected bronchoconstriction

Question 4

Doses for salbutamol MDI

Answer 4

<25kgs - 600mcg, 5-15mins PRN, 3 doses

> 25kgs - 800mcg, 5-15mins PRN, 3 doses

Question 5

Doses for salbutamol NEB

Answer 5

<25kgs - 2.5mg, 5-15mins PRN, 3 doses

> 25kgs - 5mg, 5-15mins PRN, 3 doses

Question 6

Conditions to use EPI for bronchoconstriction

Answer 6

BVM ventilation required AND Hx of ASTHMA

Question 7

Tx of EPI for bronchoconstriction

Answer 7

IM, 0.01mg/kg, max of 0.5mg, ONCE

Question 8

What if your patient is apneic

Answer 8

Give epi first, before salbutamol

Question 9

Conditions for dexamethasone for bronchoconstriction

Answer 9

Hx of COPD, asthma, 20 pack a day smoker

Question 10

Tx of dexamethasone

Answer 10

PO/IM/IV, 0.5mg/kg, max of 8mg, ONCE

Question 11

What is the preferred route of dexamethasone

Answer 11

PO, but if pt is extremely SOB in suspected respiratory failure then should be IM/IV

Question 12

What can you give for a moderate to severe allergic reaction

Answer 12

EPI and Diphenhydramine (Benadryl)

Question 13

Conditions to give EPI for an allergic reaction

Answer 13

For anaphylaxis only

Question 14

Tx of EPi for an allergic reaction

Answer 14

IM, 0.01mg/kg, max of 0.5mg, every 5 mins, TWICE

Question 15

During a severe allergic reaction, what takes priority?

Answer 15

EPI takes priority over IV access, and urticaria is not alone an indication for EPI

Question 16

Conditions to use diphenhydramine

Answer 16

Patient must be over 25kgs

Question 17

Tx for diphenhydramine if pt is between 25 and 50kgs

Answer 17

IV/IM, 25mg, ONCE

Question 18

Tx of diphenhydramine if pt is over 50kgs

Answer 18

IV/IM, 50mg ONCE

Question 19

Indications for Croup medical directive

Answer 19

Current history of a UTRI and barking cough

Question 20

Conditions to give EPi for croup

Answer 20

Must be between 6 months and 8 years, HR less than 200bpm, and stridor at rest

Question 21

Treatment of Epi for croup if the pt is less than 10kg

Answer 21

NEB, 2.5mg, ONCE

Question 22

Tx for epi for croup if pt is greater than 10kgs

Answer 22

NEB, 5mg, ONCE

Question 23

Conditions to give dexamethasone for Croup

Answer 23

6 months to 8 years, unaltered, mild-severe croup

Question 24

Tx of dexamethasone for croup

Answer 24

Pt needs to be between 6 months and 8 years
PO, 0.5mg/kg, 8mg, ONCE