Sometimes I Do Drugs
Mac Miller
Sour Patch Kids
It's Tearin' Up My Heart
Deadpool
100

It's the frontline drug given for STABLE SYMPTOMATIC BRADYCARDIA with dose, route, and frequency.

What is 0.5mg ATROPINE IV every 3-5 minutes?

100

These are Indications for RSI.

What are:

Impending Airway Compromise?

Failure to Oxygenate?

Failure to Ventilate?

Failure to protect the Airway?

100

This is an acceptable BIAD to use for a pediatric patient who is 10-25kg.

What is a Size 2 IGel?

100

The rhythm seen here.

What is MONOMORPHIC VENTRICULAR TACHYCARDIA?

100

This is a 6yr old patient who is 20kg w/ a bgl of 35.  Pt is lethargic, pale, and diaphoretic.  SpO2% is 94 and Blood Pressure is 94/60  Unable to give oral glucose. These interventions should be performed.

Oxygen


0.5-1g/kg or 5-10mL/kg

1g/kg=20g total given

which would be 200mL

200

It's the drug given to Pediatric Diabetic Hypoglycemia at the Advanced level. (Drug Dose/Route/Administration)

What is D10?

0.5-1G/kg or 5-10mL/kg

Can be repeated based on bgl results.

200

These are the basic needed ingredients (equipment) for intubating a patient successfully.

What is:

2 Paramedics (RSI)

BVM

Oxygen Source

Suction

BIAD

Blade and handle

Tube with Securing Device and Inflation syringe

Stylette/Bougie

Co2 monitor

200
In Pulseless VTach/VFib, This is the correct dosing of Epinepherine for a patient who is >28 days and <12years old. (Dilution/Dose/Route/Frequency)

What is Epinephrine 1:10,000 

0.01mg/kg IV/IO with a Max of 1mg 

every 3-5 minutes?

200

The Rhythm seen here.

What is Supraventricular Tachycardia?

200

This patient is a 72 y/o Female with a history of osteoporosis and Atrial Fibrillation, who fell within the last 24 hours.  She presents with Altered Mental Status, Unequal Pupils, her left leg is longer than her right and faces away from her body.  The provider will inform the hospital of this, and provide these main interventions.

What is a Geri-Trauma?

C-Spine immobilization

Bind Hips

Consider Sedation if Combative

Consider Airway Management if necessary.

300

This drug is a depolarizing agent used in RSI protocol as a temporary paralytic. (Drug, Dose, and Route)

What is Succinylcholine?, IV or IO, 1.5-2mg/kg

300

It's the most reliable monitor of endotracheal tube position.

What is WAVEFORM CAPNOGRAPHY?

300



CPR should be started in pediatrics with a HR less than this, despite adequate ventilation and oxygenation.

What is 60bpm?

300

This drug is contraindicated in this situation specifically.

What is NITRO?

Right Sided STEMI:

Due to 

Elevation III>II

Depression in V2

Elevation in V4R

300

This patient is a 38 y/o Female who was at a picnic.  She presents with Audible Wheezing, Difficulty Swallowing, Pale Diaphoretic Skin, and Hypotension.  Her family identifies that she has a bee sting allergy.  Treatment is necessary for this condition and can generally requires these interventions.

What is an Allergic Reaction?

Epi 1:1000  0.3mg IM

Benadryl 25-50mg IV/IM/IO

Albuterol 2.5-5mg Nebulizer (up to 3 times)

Normal Saline Bolus 500mL IV/IO

Solumedrol 125mg IV/IO


Last effort Epi 1:10 0.2-0.5mg Slow IV/IO push

400

An alternative to Etomidate used in RSI protocol that is contraindicated in possible head injuries. (Drug/Dose/Route/Frequency)

What is Ketamine? 1.5-2mg/Kg,  IV/IO, May be repeated x1 

400

This is the proper size IGel for a 50-90kg patient.

What is Size 4?

400

The majority of Pediatric arrests are due to this.

What are AIRWAY PROBLEMS?

400

This is the frontline drug used in association with this rhythm. (Drug name, Dose, Route)

What is Magnesium Sulfate 2gm IV/IO over 2 minutes.

400

This is a 52 y/o Male who presents with Deep/Rapid breathing, Flushed Dry Skin, Combative behavior, and a beeping insulin pump.  CBG reads : "HI".  He is most likely suffering from this and will require these interventions.

What is DKA?

Normal Saline Bolus 500mL IV/IO may repeat up to 2L max

Possible Sedation for combative behavior

500

This drug is an Inotropic Agent used for pressure control in Symptomatic Hypotensive patients. (Drug Name, Dose, Route)

What is Dopamine IV/IO 5-20mcg/kg/min

or Norepinephrine IV/IO 2-30 mcg/min

or Epinephrine 1:100,000 5mcg (0.5mL)/2 minutes IV/IO

500

When is it acceptable for an Advanced to intubate a patient?

What is NEVER***

500

In Pulseless VTach/VFib, This is the dosage of Electricity required for defibrillation in pediatric patients.

What is 2J/Kg with increase to 4J/Kg

500

At an Advanced Level, this is the appropriate course of action for a person presenting with this EKG.

Send EKG to Hospital and notify them that EKG READS STEMI

Oxygen

IV Access

Aspirin 325mg

Beta Blockers? Erectile Dysfunction Meds?

Nitro if SBP >90 every 5 minutes as needed

Fluids for pressure support


As an advanced, you are not allowed to interpret EKG rhythms in Buncombe County


500

This is a 50 y/o Male who presents with Vertigo, Hypertension, Hemiparesis, and recent surgical history.  Symptoms formed less than 4 hours ago.  Hospital should be notified of this and these interventions should be performed. 

What is a CODE STROKE?

Accurate RACE score

12 Lead EKG

IV Access

Consider Labetalol 10mg IV  after consulting Medical Control, if Hypertension meets criteria after 3 BP readings 10 minutes apart.

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