Set 2 Flashcards
8024 Cardiac Dysrhythmias
SYMPTOMATIC BRADYCARDIA
Atropine:
0.5 mg – 1.0 mg IV/IO push every 3-5 minutes until 3 mg total given
If SBP remains < 90mmHG after Atropine/TCP:
Push Dose Epinephrine
0.01 mg/ml (10mcg/ml)
Dose: 0.5-2 ml (5-20 mcg) IV/IO every 2-5 minutes.
Titrate to SBP > 90 mmHg.
Midazolam if needed for sedation:
4 mg IV/IO/IN/IM
May give an additional 2 mg dose. IV/IO preferred route. Titrate to patient comfort. Max dose of 6 mg
8025 Burns
Administer 500 ml normal saline fluid bolus to all adult patients with a Total Body Surface Area (TBSA) of burns ≥ 50%
8026 Respiratory Distress
ASTHMA/COPD
Albuterol:
2.5-5.0 mg via HHN, mask or inline nebulizer. May repeat if persistent dyspnea
Ipratropium Bromide:
May be used as substitute in existing policies when the policy calls for Albuterol, when Albuterol is not available. DOSE: 500 mcg via hand held nebulizer, mask or BVM. Single dose only (DO NOT REPEAT)
Epinephrine:
Epi 1:1000 0.3 mg IM For patients with severe asthma/ bronchospasm ONLY. Can be given at same time as Albuterol.
CHF/PULMONARY EDEMA
Nitroglycerin (NTG):
0.4 mg SL q 5 minutes. Hold NTG if SBP < 90 mmHg.
Push Dose Epinephrine:
Epinephrine 0.01mg/ml (10mcg/ml) DOSE: 0.5-2 ml every 2-5 minutes (5-20 mcg) Titrate to SBP > 90 mmHg. NOTE: Monitor SBP while administering/titrating
8027 Symptomatic Nerve Agent Exposure-Treatment
NERVE AGENT EXPOSURE PATIENT
Atropine:
2-6 mg May repeat every 3-5 min
Pralidoxime (2-PAM):
1-3 auto-injectors (600-1800 mg)
SBP<90 1000 ml NS
8029 Hazardous Materials
ALBUTEROL:
5 mg (3 ml unit dose) may be repeated as needed based on reassessment
ATROPINE:
2 mg IV push, repeat every 3-5 minutes until secretions improve
8030 -Discomfort-Pain of Suspected Cardiac Origin
Aspirin (ASA):
Administer 324mg chewable ASA orally
NTG:
0.4 mg sublingual if Systolic Blood Pressure (SBP) >90mmHg. May be repeated every 5 minutes
