Pedi Decreased Sensorium

Question 0

Suspected Hypoglycemia -

Initiate __________access with NS: titrate to a minimal Systolic Blood pressure ___________

Answer 0

IV

For pt age

Question 1

Suspected Hypoglycemia -

Support hypoglycemia with 1)_____________(Pedi GCS < ____) or 2) __________________

Answer 1

1) decreased responsiveness <14

2) decreased responsiveness with a history of diabetes

Question 2

Suspected Hypoglycemia -

_____% Dextrose:

_______ IV ____, to a maximum of _____, if blood sugar <___

Answer 2

25%
0.5gm/kg IV push
25gm
<60mg/dl

Question 3

Suspected Hypoglycemia

Glucagon:

_______ IM if blood sugar _______

Answer 3

0.5mg

<60mg/dl

Question 4

Suspected Hypoglycemia

Oral Glucose: ________ sweetened with sugar, regular _____ drinks, candy, oral glucose _____, or _____ dextrose. Only if the pt has a ____ reflex, first have the pt ______ a test dose of water, if tolerated, EMT may give oral glucose

Answer 4

orange juice 
soft 
paste
50%
gag 
swallow

Question 5

Suspected Narcotic Overdose

Clinical findings may include _______, ________, ________, __________, ________, or ________

Answer 5

pinpoint pupils, decreased sensorium, respiratory depression, respiratory insufficiency, bradycardia, or hypotension

Question 6

Suspected Narcotic OD -

Initiate IV access with NS . Titrate to _____________

Perform ______________

Answer 6

a minimal SBP for pt age

Blood sugar determination

Question 7

Suspected Narcotic OD - Naloxone

________ __,__,__ push (__ if unable to establish ___) titrate to _______ _______ status, or a maximum of ______. If no improvement, consider repeat doses _____ times ( total of _____ doses ) reassess after each dose

Answer 7

0.1mg/kg   
IV/IM/IN
IM ,  IV 
adequate respiratory status 
2 mg 
2x 
3

Question 8

Pedi Seizure - Active _____ ______, _______ seizing with ______ ______ or recurrent ______ without ______ interval

Answer 8

Generalized seizing
focal seizing
respiratory compromise
seizures without lucid interval

Question 9

Pedi Seizure - ALS

Perform _______ ________ determination , if blood sugar < _______ go to suspected hypoglycemia protocol

Answer 9

blood sugar

<60mg/dl

Question 10

Pedi Seizure - ALS

If seizure activity has stopped and the level of consciousness is ____ or remaining constant, ______ transport

Answer 10

improving

continue

Question 11

Pedi Seizure - ALS

If seizures are continuing, ______ ___ _______, titrate to a _____________.

Answer 11

initiate IV access

Titrate to a minimal SBP for pt age.

Question 12

Pedi Seizure - Continuous Seizures

Midazolam:

IV \_\_\_\_\_\_\_\_ ( Max dose \_\_\_\_\_) \_\_\_\_ IV push in \_\_\_\_\_\_ increments, titrate to \_\_\_\_\_\_\_\_\_\_\_. 
-OR-

IM- _______ (max dose _____) IM

IN- _______(Max dose ______)

Answer 12

IV 0.1mg/kg - max 4mg . Slow IV push 1-2mg increments

IM - 0.1mg/kg - max 4mg

IN - 0.2mg/kg (max dose 6mg)

Question 13

Pedi Seizure - quick ALS

Answer 13

Airway Adjunct 
BGL
Seizure stopped tx 
Seizure continue IV 
Versed - continuous seizure 
ECG

Question 14

The majority of seizures are self limited with resolution before medication administration. Administration of Midazolam should only be used for continuous seizure and :::
A)
B)
C)

Answer 14

A) Hx of non-febrile seizures, or
B) Respiratory compromise, or
C) Emesis

Question 15

Pedi Seizure - Base Hospital Order

Answer 15

Any other indication of seizure activity requiring medication administration.