E.I.E.IO
Indications or needs for starting an IO.
What is your patient needs fluids or emergent medications and IV access is difficult or unattainable.
The dose of Aspirin for a Patient experiencing Chest Pain.
What is 324mg (4 - 81mg chewable tablets)?
Potential signs/symptoms of a hypoglycemic-diabetic crisis.
What is Pale/diaphoretic skin, Altered mental status, tachycardia, lethargy, moderately dilated pupils, hunger?
The primary way to help prevent the introduction of infection when starting an IV?
What is cleaning with Alcohol Prep Pads or Chlorhexidine Swabs to make the site Aseptic?
The O2 flow rate for nebulized Albuterol.
What is 6 to 8 lpm?
The appropriate IO Needle size for an adult patient. (Hint: Humoral Head Placement)
What is 45 mm/Yellow?
The Adult dose of Albuterol and how it is administered.
What is 2.5mg/3ml of solution, MDI or Nebulized (Hand Held Nebulizer, Non Rebreather Mask, or CPAP)
The 5 rights of medication administration.
What are Right Patient, Right Medication, Right Dose, Right Route, & Right Time?
Traction and Tamponade
What is holding tension (Anchoring) on the patients skin to prevent the vasculature from moving?
What is holding gentle pressure proximal to the puncture site to occlude blood flow from the IV hub?
The 2 most widely used IV fluids pre-hospital and in-hospital.
What are 0.9% Sodium Chloride (NS) and Lactated Ringers (LR)?
The Best (1st) Choice when placing an IO.
What is the Proximal Tibia?
(Humoral Head would also be appropriate)
The dose of Nitroglycerine and Max dose that can be administered.
What is 0.4mg (sublingual tablet or spray) and a Max of 3 doses?
Altered Mental Status, Respiratory distress - Wheezing/Stridor, Swelling of Face and tongue, Rash/Hives.
What are indications/symptoms showing the need to give Epinephrine?
This can lessen the chance of a bruise or hematoma when discontinuing IV Therapy?
What s applying gentle/steady pressure with a gauze pad for a couple of minutes?
The number of required successful IV starts needed to get your IV Certificate.
What is a minimum of 10 Successful IV Starts?
(2 successful in class IV Starts and at least 8 successful IV Starts at my Hospital Clinical)
Some potential complications when placing an IO.
What is Infection, Fracture, Infiltration, Pulmonary Embolism?
The dose and concentration of IM Epinephrine/Adrenaline.
What is 0.3mg (NREMT) or 0.5mg (El Paso Co) with a concentration of 1:1000?
The dose of Zofran (Ondansetron)
What is 4mg ODT or 4mg IV Push?
The bigger the _________, the smaller the _________.
What is Gauge and Needle/Catheter?
IV Catheter Sizes from Smallest to Largest
26 Gauge (Violet)
24 Gauge (Yellow)
22 Gauge (Blue)
20 Gauge (Pink)
18 Gauge (Green)
16 Gauge (Gray)
14 Gauge (Orange)
Abandonment
What is withdrawal of treatment or failure to turn patient care to a competent same or higher level of care?
Potential contraindications in starting an IO.
What is Infection or Burn Over the IO insertion site, IO Placement in the same location within 24-48 hours, Total Knee or Shoulder replacement/surgery, Fracture of targeted bone, Outside your scope of practice?
The action of Narcan and the typical dose range.
What is an Opioid antagonist: blocks the Opioid receptors to assist in the reversal of and Opioid overdose?
0.5mg to 4mg
The treatment for a patient with Hypoglycemia - Diabetic Crisis.
What is Oral Glucose or IV D10 (10% Dextrose)?
Inverting the vacutainer 8-10 times after collecting the blood sample.
What is to mix any additives/reagents with the blood sample?
The Opioid Overdose Triad
What is pinpoint pupils, respiratory distress or failure, and unresponsiveness (Coma of unknown origin)?