Set 3

Question 1

9020 Pediatric Nausea and/or Vomiting

Answer 1

If vital signs or exam suggests volume depletion, consider:
a) IV/IO access.
b) Normal Saline 20 ml/kg x 1.
c) Recheck vitals every 5 minutes.

Consider Ondansetron if age > one (1) month and weight ≥ eight (8) kg.
[8-15 kg]:
* Dose: 2 mg PO/IM x 1; Alt: 0.15 mg/kg/dose IV/IO x 1.
[16-30 kg]:
* Dose: 4 mg PO/IM x 1;
Max: 4 mg/dose; Alt: 0.15 mg/kg/dose IV/IO x 1.
[> 31 kg]:
* Dose 4 mg PO/IM x 1
Max: 8 mg/dose PO/IM; Alt: 0.15 mg/kg/dose IV/IO x 1.

Question 2

9021 Pediatric Behavioral Crisis Restraint

Answer 2

Midazolam:
* Patient must be ≥ twelve (12) years of age
* Intravenous (IV) - 0.1 mg/Kg (max dose 3 mg) slow IV push in 1 mg incrementstitrate to reduction in agitation.
* Intranasal (IN) – 0.1 mg/Kg (max dose 3 mg) one-half dose in each nares. May
repeat x 2, q 5 minutes for a total max dose of 3 mg.
* Intramuscular (IM) - 0.1 mg/Kg (max dose 3 mg) in single IM injection (may be
split into two sites if sufficient muscle mass is not present for a single injection).
May repeat x1, q 30 minutes for a total max dose of 3 mg.