Pediatrics
What criteria does a patient have to meet to be considered a pediatric patient?
15 YOA or less, 36 KG or puberty
Saline Bolus Dose?
20ml/kg
CHF, COPD, Asthma
What medications do we give for chest pain?
Aspirin, nitro, fentanyl
What is the only medication we give buccally?
Dextrose
Seizure medications, age restrictions and doses for pediatrics?
Ativan 0.05-0.1 mg/kg must be 1 YOA
Versed 0.1mg/kg safe for all ages
Bicarbonate Dose for Crush Injuries?
5mEq/1000ml NS administer 30ml/kg
What should you always have before attempting an airway?
Back up airway device
What medication can we give to assist with choking?
Glucagon
If you give a medication nasally, what do you typically do to the dose?
Double it
Pediatric allergic reaction meds and doses?
Albuterol 2.5mg in 3ml must be 2 YOA
Epi 1:10 0.01mg/kg IV/IO or 1:1 0.01mg/kg IM
Benadryl 1mg/kg must be 1 MOA
Solu-Medrol 1-2mg/kg
Breathine 0.25mg must be 12YOA
Mag25-50mg/kg over 20 minutes
Epi Infusion 0.1-.1mcg/kg/min
Racemic Epi 0.5ml in 3ml
What is our first line med for pain with signs of hemorrhagic shock?
Ketamine 0.1-0.5mg/kg
What are our RSI medications and doses?
Ketamine 1-2mg/kg
Etomidate 0.3mg/kg
Versed 2-10mg
Ativan 1-2mg
Fentanyl 1-2mcg/kg
Dilaudid 0.5-1mg
Vec 0.1-0.2mg/kg
Roc 1mg/kg
What medications and doses can we give for a hyptertensive crisis?
Nicardipine 5mghr titrated to condition
Labetalol 20mg over 2 minutes q 20mg every 10 minutes to max of 300mg
What medication must be pushed extremely fast due to it's demand in the body?
Adenosine
Medications for bradycardia and preferred med?
Medications for pacing?
Epi 1:10 0.01mg/kg
Atropine 0.02mg/kg
Epi Infusion 0.1-1mcg/kg/min
Ativan 0.05-0.1mg/kg Must be 3YOA
Versed 0.1mg/kg must be 1YOA
Ketamine 0.1-0.5mg/kg IV/IO or 0.5mg/kg IM
Fentanyl 1-2mcg/kg IV/IO or 2-4mcg/kg IM/IN
Ancef doses?
over 120kg 3G over 10mins
20-120kg 2G over 10
What is our nebulized mag dose and the correct MLs?
150mg/0.7ml
What is our STEMI drugs and doses?
Heparin 60u/kg max 4000
Nitro 5-20mcg/min
Metoprolol 5mg q every 5 minutes to max of 15mg
What three medications do we carry have antiemetic effects?
Zofran, Benadryl, Phenergan
Overdose medications and doses for beta blockers?
Epi drip 0.1-1mcg/kg
Glucagon 0.03mg/kg
Calcium Gluconate 20mg/kg over 10 minutes
Pacing
A patient with a fall from more than 20 feet or neurovascular compromise of a limb should be transported to which trauma level?
Level 2
What is our nitro infusion dose for CHF?
10-200mcg/min
What are our preterm labor medications and doses?
Mag 2-4G over 10 minutes
Breathine 0.25mg
Calcium Gluconate for mag toxicity 0.5G
Which classification does Vecuronium fall in?
Nondepolarizing paralytic