Pediatric Maintenance of Paralysis and Sedation

Question 1

Pediatric Maintenance of Paralysis and Sedation - Non-hypotensive medication for continued sedation?

Answer 1

Ketamine 1 mg/kg IV/IO q 10 min

Question 2

Pediatric Maintenance of Paralysis and Sedation - repeat sedation ineffective in reducing patient movement or respiration?

Answer 2

Mandatory OLMC

Rocuronium 1 mg/kg q 20 min at 0.5 mg/kg

Question 3

Pediatric Maintenance of Paralysis and Sedation - S/S of under sedation?

Answer 3

Movement
Bucking/chewing the tube
Coughing
Tearing
Increased BP or HR

Question 4

Pediatric Maintenance of Paralysis and Sedation - How frequent should sedation and vital signs be reassessed?

Answer 4

q 10 min

Question 5

Pediatric Maintenance of Paralysis and Sedation - Long acting paralytics are contraindicated in which patient group?

Answer 5

Seizures

Question 6

Pediatric Maintenance of Paralysis and Sedation - Ketamine indications

Answer 6

Maintain sedation post advanced airway management when systolic BP more than 70 + (2 x age) mmHg

Question 7

Pediatric Maintenance of Paralysis and Sedation - Ketamine dose

Answer 7

1 mg/kg SIVP/IO q 10 minutes prn

Question 8

Pediatric Maintenance of Paralysis and Sedation - Ketamine EMS contraindications

Answer 8

Hypersensitivity

Relative – conditions where a significant elevation of blood pressure is hazardous

Question 9

Pediatric Maintenance of Paralysis and Sedation - Rocuronium indications

Answer 9

Maintain paralysis post advanced airway management where the repeat dosing of sedation alone is ineffective in limiting patient movement or respiration which compromises adequate ventilation or airway patency

Question 10

Pediatric Maintenance of Paralysis and Sedation - Rocuronium dose

Answer 10

rocuronium 1 mg/kg IV/IO q 20 minutes prn at 0.5 mg/kg IV/IO

Question 11

Pediatric Maintenance of Paralysis and Sedation - Rocuronium EMS contraindications

Answer 11

Hypersensitivity