E.I.E.IO
Your patient needs fluids or emergent medications and IV access is difficult or unattainable.
What is the indication/need for starting an IO?
324mg (4 - 81mg tablets)
What is the dose of Aspirin for a Patient with Chest Pain?
Pale/diaphoretic skin, Altered mental status, tachycardia, lethargy, moderately dilated pupils.
What are signs/symptoms of a potential hypoglycemic-diabetic crisis?
Cleaning with Alcohol Prep Pads or Chlorhexidine Swabs
What is the primary way to help prevent the introduction of infection when starting an IV?
6 to 8 lpm oxygen
What is the O2 flow rate for nebulized Albuterol?
45 mm/Yellow
What is the appropriate IO Needle size for a large adult - Humoral Head Placement?
2.5mg/3ml
MDI or Nebulized (Hand Held, NRB, CPAP)
What is the Adult does of Albuterol and how to administer?
Right Patient
Right Medication
Right Dose
Right Route
Right Time
What are the 5 rights of medication administration?
Holding Tension on the patients skin to prevent the vasculature from moving/Holding gentle pressure to occlude blood flow from the IV hub
What is Traction and Tamponade?
0.9% Sodium Chloride (NS) and Lactated Ringers (LR)
What are the 2 most widely used IV fluids pre-hospital and in-hospital?
Proximal Tibia
What is the Best (1st) Choice when placing an IO?
0.4mg x 3
What is the dose of Nitroglycerine and Max dose?
Altered Mental Status, Wheezing/Stridor, Swelling of Face and tongue, Rash/Hives
What are indications for the need to give Epinephrine?
Applying gentle/steady pressure with a gauze pad for a couple of minutes
What can lessen the chance of a bruise or hematoma when discontinuing IV Therapy?
10 Successful IV Starts
What is How many successful IV starts do I need to get my IV Certificate?
2 successful in class IV Starts and at least 8 successful IV Starts at my Hospital Clinical
Infection, Fracture, Infiltration, Pulmonary Embolism
What are the potential complications when placing an IO?
0.3 (NREMT) 0.5mg (El Paso Co) of 1:1000 Adrenaline
What is the dose and concentration of IM Epinephrine?
4mg ODT or 4mg IV Push
What is the dose of Zofran (Ondansetron)?
A rubber band
What is used as a tourniquet, to start an IV on an child up to the age of 18 months?
Withdrawal or failure to turn patient care to a competent same or higher level of care
What is Abandonment?
Infection or Burn Over the IO insertion site, IO Placement within 24-48 hours, Total Knee or Shoulder replacement/surgery, Fracture of targeted bone
What are contraindications in starting an IO?
Opioid antagonist, blocks the Opioid receptors to assist in the reversal of and Opioid overdose
0.5mg to 4mg
What is the action of Narcan and the dose range?
Oral glucose or IV D10 (Dextrose)
What are treatments for Hypoglycemia?
To mix any additives/reagents with the blood sample
What is inverting the vacutainer 8-10 times after collecting the blood sample?
Pinpoint pupils, Respiratory distress or failure, Unresponsive (Coma of unknown origin)
What is the Opioid Overdose Triad?