Meds
What is the pediatric dose for Aspirin
None
When do you need to needle decompress? S/S? Where do you perform needle decompression?
Tension pneumo. Absent lung sounds, JVD, hypotension.
Mid axillary 5th intercostal space just on top of 6th rib. Or mid clavicular 2nd intercostal space just above 3rd rib.
Bonus: why above 6th and 3rd rib
What type of vent do we carry?
Hamilton T1
What route should you never administer meds through for a full body burn patient
IM
What does APGAR stand for
Appearance
Pulse
Grimace
Activity
Respirations
Name at least 3 contraindications of Nitroglycerin
- ED drug usage
- head injury
-stroke symptoms
-hypotension
How do you handle a tooth that needs to be reimplantated?
Rinse with water
-place in container with patient saliva
- place in container of milk
Tube pressures for adult and pediatric
Adult: 20-30
Ped: 15-20
What is the level up from DKA
Hypersolmonler hyperglycemic state (HHS)
Ped dose for fentanyl and route
1 mcg/kg IV/IO, Max 50 mcg
per dose. IN 2 mcg/kg, Max
100 mcg dose
What is the adult dose, max dose and route for fentanyl?
25-100mcg. May repeat in 10 minutes. Max of 200mcg. IV/IO/IN/IM
Open head injury, what do you want your target systolic BP?
Closed head injury what do you want your systolic BP?
Open: 90
Closed: 110
vt/IBW range for peds and adults
4-8 vt/IBW
How do you access a drowned victim for resuscitation
ABC
What is this APGAR score
AppearancePink body, blue extremities
Pulse120 bpm
GrimaceWeak grimace to stimulation
ActivitySome flexion
RespirationsWeak, irregular cry
6
Name the 3 indications for Magnesium sulfate
-Torsade de pointe
-asthma
-eclampsia
Shock and fluid replacement therapy normotensive vs hypotensive calculation
Normo: 90+ ( age x 2) = SBP
Hypotensive: 70+ ( age x 2 ) = SBP
Explain how you find the leak percentage
Page 2
If a patient is experiencing a fib for the first time, what med do you administer
Aspirin
Where are you not allowed to perform IO for pediatric
Distal femur
Humerous
What is the antidote for benzodiazapines?
Flumazenil
Name all of the Hs and Ts
Hypovolemia
Hypoxia
Hydrogen ions
Hypo-/Hyperkalemia
Hypoglycemia
Hypothermia
Toxins
Tamponade
Tension pneumothorax
Order of vent tubing when using nebulizer
Circuit, ETCO2, filter, nebulizer, blue sensor, patient
Percentage of ischemic vs hemorrhagic strokes
83% ischemic
13% hemorrhagic
What the the PAT? What does it stand for and when is it used
Pediatric assessment triangle. Appearance, circulation, and work of breathing