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Paramedic Class 47 Drug List > Pediatrics > Flashcards

Pediatrics Flashcards

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1
Q

Newborn age range?

Normal pulse rate?

Normal respirations?

A

Younger than 1 month

100-205 bpm

30-60 RR

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2
Q

Infant age range?

Normal pulse rate?

Normal respirations?

A

1 to 12 months

100-180 bpm

30-53 RR

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3
Q

Toddlers age range?

Normal pulse rate?

Normal respirations?

A

1 to 2 years

98-140 bpm

22-37 RR

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4
Q

Preschooler age range?

Normal pulse rate?

Normal respirations?

A

3 to 5 years

80-120 bpm

20-28 RR

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5
Q

School age age range?

Normal pulse rate?

Normal respirations?

A

6 to 12 years

75-118 bpm

18-25 RR

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6
Q

Adolescent age range?

Normal pulse rate?

Normal respirations?

A

13 to 18 years

60-100 bpm

12-20 RR

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7
Q

What is the pediatric assessment triangle?

A

Appearance, circulation, and work of breathing

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8
Q

Formula for calculation of minimum systole blood pressure?

A

70 + (Age x 2)

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9
Q

What is croup?

A

An upper airway infection that causes a seal-like barky cough and stridor. These patients usually get better when put into cold or humid air. Croup causes narrowing of the airway, which can be life threatening if not treated. This has a slow onset.

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10
Q

What is epiglottitis?

A

An inflammation of the epiglottis cause by a bacterial infection. Kids with this usually have trouble swallowing and have a lot of drool. These kids need to be kept calm and do not agitate them. This has a rapid onset.

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11
Q

What is bacterial tracheitis?

A

A rare infection of the upper airway and subglottic trachea that may occur after a viral respiratory illness such a croup. This illness can cause severe airway obstruction and respiratory arrest. This causes respiratory distress, cough the produces pus or mucus, fever, hoarseness, and stridor

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12
Q

What is asthma?

A

A chronic inflammatory disorder of the airways that may cause recurrent episodes of wheezing, breathlessness, chest tightness, and cough. Ask questions like have you been in the ICU or intubated for your asthma before?

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13
Q

Oxytocin trade name?

A

Pitocin

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14
Q

Oxytocin classification?

A

Pituitary hormone

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15
Q

Oxytocin actions?

A

Stimulates uterine smooth muscle contractions, this causes a reduction in blood flow to the uterus. Stimulates the mammary glands to increase lactation. Administered prehospital setting to control postpartum bleeding.

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16
Q

Oxytocin onset/duration?

A

Immediate / 20 minutes after infusion stops

17
Q

Oxytocin indications?

A

Postpartum hemorrhage

18
Q

Oxytocin contraindications?

A

Hypertonic or hyperactive uterus, presence of second fetus, and fetal distress

19
Q

Oxytocin side effects?

A

Hypotension, tachycardia, hypertension, dysrhythmias, angina pectoris, anxiety, seizure, nausea and vomiting, allergic reaction, uterine rupture

20
Q

Oxytocin route of admin?

A

IV, IM

21
Q

Oxytocin adult dose?

A

Postpartum hemorrhage:
IM: 3-10 units

Bleeding following incomplete or elective abortion:
IV: Mix 10-40 units in 1000cc Normal Saline; infuse at 10-40 miliuinits/min, titrate to severity of bleeding and uterine response.

22
Q

Oxytocin supply?

A

10 units/ 1mL ampule

5 units/ 1mL ampule

23
Q

Racemic Epinephrine trade name?

A

Micronefrin

24
Q

Racemic Epi classification?

A

Muscle relaxant, Sympathomimetic

25
Q

Racemic Epi actions?

A

Bronchodilator, reduces mucosal edema reduces airway smooth muscle spasms

26
Q

Racemic Epi onset/duration?

A

< 5 min / 1-3 hours

27
Q

Racemic Epi indications?

A

Croup, bronchial asthma, bronchospasms, laryngeal edema

28
Q

Racemic Epi contraindications?

A

Epiglottitis, hypertension, underlying cardiovascular disease, MAOI psychiatric drugs

29
Q

Racemic Epi side effects?

A

Nervousness, tremors, restlessness, tachycardia

30
Q

Racemic Epi route of admin?

A

Nebulized

31
Q

Racemic Epi adult dose?

A

Dilute 0.5mL in 5mL (1% or 2.25%) of Normal Saline, administer nebulized over 15 minutes

32
Q

Racemic Epi pediatric dose?

A

Dilute 0.25-0.5mL in 3mL (2.25%) of Normal Saline, administer nebulized over 15 minutes

33
Q

Racemic Epi supply?

A

25,50mg/mL in 1mL ampules

Paramedic Class 47 Drug List (11 decks)

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