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12 Lead EKG > Southeast Region PCGs > Flashcards

Southeast Region PCGs Flashcards

1
Q

Adult RSI

RSI dose for Ketamine? (adult)

A

1.5mg/kg

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2
Q

Adult RSI

RSI Dose for Versed? (adult)

A

0.05-0.1mg/kg

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3
Q

Adult RSI

RSI Dose for Rocuronium? (adult)

A

1.5mg/kg

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4
Q

Adult Crash Airway

Adult Crash Airway (not obtunded)

A

Ketamine 0.5mg/kg
and
Rocuronium 1.5mg/kg

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5
Q

Adult Crash Airway

Adult Crash Airway (obtunded)

A

Rocuronium 1.5mg/kg

Sedation should be considered after restoration of hemodynamics.

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6
Q

Pediatric RSI (Hemodynamically Stable)

Sedation Choices and Doses

A

Ketamine 1.5mg/kg
Etomidate 0.3mg/kg (max 30mg)
Versed 0.05-0.1mg/kg

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7
Q

Pediatric RSI (Hemodynamically Stable)

Paralytic Used and Dose

A

Rocuronium 1.5mg/kg

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8
Q

Pediatric RSI (Hemodynamically Stable)

Medication for Analgesia

A

Fentanyl 1mcg/kg

Consider if utilizing induction agent besides Ketamine

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9
Q

Pediatric Crash Airway

Medications and Dose (not obtunded)

A

Ketamine 0.5mg/kg
AND
Rocuronium 1.5mg/kg

If Rocuronium is unavailable, Succinylcholine OR Vecuronium may be used as a substitute.

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10
Q

Pediatric Crash Airway

Paralytic and Dose (obtunded)

A

Rocuronium 1.5mg/kg

Sedation should be considered AFTER restoration of hemodynamics.

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11
Q

Push Dose Pressor (Pediatric)

PDP Epinephrine

A

1mcg/kg
(max 20mcg single dose)
Repeat q 1 minute prn

Positive Shock Index = Age 4-6 >1.22 / Age 7-12 >1.0 / Age 13-16 >0.9

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12
Q

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Pain Control

A

Fentanyl 1-2mcg/kg
Acetaminophen 10-15mg/kg over 15 minutes then 400mL/hr (1g max)
Morphine 0.05-0.1mg/kg
Ketamine 0.5-1mg/kg

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13
Q

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Sedation- Ketamine

A

1-2mg/kg (bolus over 2 mins)
1mg/kg/hr (infusion)

500mg/250mL=2mg/mL (100kg Pt = 50mL/hr)

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14
Q

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Sedation- Versed

A

0.01-0.1mg/kg
q 5 minutes

Expect hypotension

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15
Q

Adult Post-Intubation Sedation, Pain Control and Paralysis

Post-Intubation Paralysis

A

Rocuronium 0.6-1.2mg/kg (q 20min prn)
Vecuronium 0.1mg/kg (q 1hr prn)

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16
Q

Adult Pain Management/Sedation (w/o advanced airway)

Adult Pain Management - Tylenol

A

10-15mg/kg (over 15 mins)
Then 400mL/hr (1g max)

17
Q

Adult Pain Management/Sedation (w/o advanced airway)

Adult Pain Management - Ketamine

A

0.1-0.5 mg/kg
Repeat as needed

18
Q

Adult Pain Management/Sedation (w/o advanced airway)

Adult Sedation- Ketamine

A

0.5-1 mg/kg
Repeat as needed

19
Q

Adult Pain Management/Sedation (w/o advanced airway)

Adult Sedation - Versed

A

2-5 mg
(q 5 min prn)

20
Q

Adult Pain Management/Sedation (w/o advanced airway)

Adult Sedation - Lorazepam

A

0.01-0.05mg/kg
(q 15 mins prn)

21
Q

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Analgesia: Fentanyl and Tylenol

A

Fentanyl 0.5-2mcg/kg
Tylenol 10-15mg/kg (over 15 mins)
400mL/hr (mx 1g)

22
Q

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Analgesia: Morphine and Ketamine

A

Morphine <6kg 0.05-0.1mg/kg
>6kg 0.1mg/kg
Ketamine 0.5-1mg/kg

23
Q

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Sedation: Ketamine

A

1-2mg/kg (bolus)
1mg/kg/hr (infusion)

24
Q

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Sedation: Versed

A

0.05-0.1mg/kg
(q 5 min prn)

25
Q

Pediatric: Post-Intubation Sedation, Pain Control & Paralysis

Sedation: Lorazepam

A

0.05mg/kg
(q 15 mins prn)

26
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Analgesia: Fentanyl and Tylenol

A

Fentanyl 0.5-1mcg/kg (0.5-2 if IN)
Tylenol 10-15mg/kg (over 15 mins)
400mL/hr (max 1g)

27
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Analgesia: Morphine

A

<6kg 0.05-0.1mg/kg
>6kg 0.1mg/kg
(q 5-10 mins)

Max single dose = 4mg

28
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Analgesia: Ketamine

A

0.5mg/kg
(q 5-10 mins prn)

Max single dose = 25mg

29
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Dose for Zofran (pediatric)

A

0.1mg/kg
(may repeat for a total 8mg)

Max single dose = 4mg

30
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Sedation: Ketamine

A

1-2mg/kg
(q 5-10 mins prn)

31
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Sedation: Versed

A

0.05-0.1mg/kg
(q 5 min prn)

Max single dose = 2mg

32
Q

Pediatric: Pain Management/Sedation (w/o advanced airway)

Sedation: L:orazepam

A

0.15mg/kg
(q 15 mis prn)

Max single dose = 2mg

33
Q

Adult Seizure

Benzo’s

A

Lorazepam 2-4mg
Versed 2-5mg
Diazepam 5-10mg

Consider Any One

34
Q

Adult Seizure

If Benzo’s Unsuccessful

A

Ketamine 0.5mg/kg
(prn)

35
Q

Adult Seizure

Keppra Dose

A

50mg/kg (over 15 mins)

Max dose = 2g

36
Q
A

12 Lead EKG (2 decks)

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