Term
| What is the normal respiratory rate (range) for a newborn? |
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Definition
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Term
| What is the normal pulse rate (range) for a newborn? |
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Definition
|
|
Term
| What is the normal systolic BP for a newborn? |
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Definition
|
|
Term
| What is the normal respiratory rate (range) for an infant (<1 year)? |
|
Definition
| 30-60 per minute (same as newborn). |
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|
Term
| What is the normal pulse rate (range) for an infant (<1 year)? |
|
Definition
|
|
Term
| What is the normal systolic BP for an infant (<1 year)? |
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Definition
| > 60 (same as a newborn). |
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|
Term
| What is the normal respiratory rate (range) for a toddler (1-3y)? |
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Definition
|
|
Term
| What is the normal pulse rate (range) for a toddler (1-3y)? |
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Definition
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|
Term
| What is the normal systolic BP for a toddler (1-3y)? |
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Definition
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Term
| What is the normal respiratory rate (range) for a preschooler (3-5y)? |
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Definition
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Term
| What is the normal pulse rate (range) for a preschooler (3-5y)? |
|
Definition
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|
Term
| What is the normal systolic BP for a preschooler (3-5y)? |
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Definition
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Term
| What is the normal respiratory rate (range) for a school-aged child (6-8y)? |
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Definition
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Term
| What is the normal pulse rate (range) for a school-aged child (6-8y)? |
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Definition
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Term
| What is the normal systolic BP for a school-aged child (6-8y)? |
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Definition
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Term
| What is the current REMO definition of a "pediatric" patient? |
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Definition
| Birth to puberty (breast development in females, underarm hair in males). |
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Term
| You are treating a pediatric patient for bradycardia. The patient is symptomatic (ALOC) and BVM is not working. What procedure can you do next? |
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Definition
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Term
| You are treating a pediatric patient for bradycardia. What two medications can you give on standing orders? |
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Definition
1.) Epinephrine 1:10,000 0.01 mg/kg IV or IO.
2.) Atropine 0.02 mg/kg, with a minimum dose of 0.1 MG IV or IO. |
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Term
| You are treating a pediatric patient for bradycardia. You are giving Epinephrine 1:10,000 IV. How many doses can you give? |
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Definition
| Can repeat Epi every 3-5 minutes. No max dose given in protocols. |
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Term
| You are treating a pediatric patient for bradycardia. You are giving Atropine 0.02 mg/kg. How many doses can you give? |
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Definition
| You can repeat the Atropine once in 5 minutes (same 0.02 mg/kg dose) with a max total dose of 1 mg. |
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Term
| You are treating a pediatric patient for bradycardia. What procedure and what medication variation can you give by Physician Option? |
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Definition
1.) Transcutaneous pacing
2.) Epinephrine 0.1-1.5 ug/kg/min IV drip. |
|
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Term
| For a newborn/infant, what pulse rate is considered bradycardic? |
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Definition
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Term
| For a child over 1 year of age, what pulse rate is considered bradycardic? |
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Definition
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Term
| Should you always contact medical control for pediatric patients with bradycardia? |
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Definition
|
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Term
| Should you treat pediatric patients with asymptomatic bradycardia? |
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Definition
| No. Contact medical control. |
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Term
| If bradycardia in the pediatric patient is caused by increased vagal tone or primary AV block should you give Atropine or Epinephrine first? |
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Definition
| Give atropine first 0.02 mg/kg 0.1 mg min dose. |
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Term
| What four conditions constitute "symptomatic bradycardia" in the pediatric patient? |
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Definition
1.) poor systemic perfusion
2.) hypotension
3.) Respiratory difficulty
4.) Altered Level of Consciousness. |
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Term
| You are treating a pediatric patient for tachycardia. Is a 12-lead warranted for this type of patient? |
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Definition
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Term
| Are there any medications you can give on standing orders to a pediatric patient with tachycardia? |
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Definition
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Term
| What NS bolus can you give on standing orders to a pediatric patient with tachycardia/ |
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Definition
| 20 ml/kg IV or IO; may repeat once. |
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Term
| You are treating an USTABLE pediatric tachycardia patient. Regardless of QRS width, what is the FIRST treatment per physician option? |
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Definition
| Synchronized Cardioversion at 0.5-1 J/kg. Consider sedation if vascular access is available. |
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Term
| For a STABLE pediatric tachycardic patient with a wide QRS, what two medications are avaialable as physician option? |
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Definition
1.) Amiodarone 5 mg/kg IV or IO
2.) Lidocane 1 mg/kg IV. |
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|
Term
| In treating a tachycardic pediatric patient (wide QRS) how to you mix up and administer Amiodarone? |
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Definition
| 150 mg in 100ml, run in over 20 minutes. |
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|
Term
| For a STABLE tachycardic Pediatric patient (Narrow QRS), what medication can you give on physician order? |
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Definition
| Adenosine 0.1 mg/kg (6mg max). May repeat ONCE at 0.2 mg/kg. |
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|
Term
| Should you always contact medical control for a pediatric tachycardic patient? |
|
Definition
|
|
Term
| Should you treat an asymptomatic tachycardic pediatric patient? |
|
Definition
|
|
Term
| What three conditions consitute an "unstable" pediatric tachycardia patient? |
|
Definition
1.) Cardio-respiratory compromise
2.) Hypotension
3.) ALOC. |
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|
Term
| For the newborn/infant, what pulse rate constitutes SVT? |
|
Definition
|
|
Term
| For a child > 1 year old, what pulse rate constitutes SVT? |
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Definition
| > 180 bpm with no discernable P-waves. |
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|
Term
| For the pediatric asthma patient, what two medications can you give on standing orders? |
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Definition
1.)Duo-neb (max 3 doses)
2.) Epinephrine 0.01 mg/kg (max dose 0.5 mg). |
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|
Term
| For the pediatric asthma patient, when should you give Epineprhine IM? |
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Definition
| When the patient is in severe distress. |
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Term
| If you have given 3 dou-nebs and 0.01 mg/kg of IM Epi and there is no improvement in your pediatric patient, what should you do next? |
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Definition
| Establish IV access and call Medical Control. |
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Term
| What are 3 medications avaialble by physician option for the treatment of pediatric Asthma? |
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Definition
1.) Solu-Medrol
2.) Epi (nebulized)
3.) Magnesium Sulfate. |
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|
Term
| What is the Pediatric Asthma dosage for Solu-Medrol (physician option)? |
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Definition
|
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Term
| What is the Pediatric Asthma dosage for nebulized Epi (physician option)? |
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Definition
| 0.3 mg mixed with 3 ml NS in an SVN. |
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|
Term
| What is the Pediatric Asthma dosage for Mag Sulfate (physician option)? |
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Definition
| 50 mg/kg over 10 minutes IV. |
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Term
| For the pediatric anaphylaxis patient, what is the "weight cutoff" for the Epi Jr Pen? |
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Definition
| 30 kg (think of dosage = 0.3, 30 kg). |
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|
Term
| What three medications can you administer on standing orders for a pediatric anaphylaxis patient? |
|
Definition
1.) Duo-neb
2.) Epi 1:1000 IM
3.) Benadryl |
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|
Term
| On standing orders, how many duo-neb treatments can you give a pediatric anaphylaxis patient? |
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Definition
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|
Term
| What is the (standing orders) Epineprhine dosage for pediatric anaphylaxis patients? |
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Definition
| 0.01 mg/kg (1:1000), max 0.5 mg. This is delivered IM. |
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Term
| What is the (standing orders) Benadryl dosage for pediatric anaphylaxis patients? |
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Definition
| 1 mg/kg, max dose 25 mg. Can be IV or IM. |
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|
Term
| What IV NS fluid bolus should you give to pediatric anaphylaxis patients? |
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Definition
| 20 ml/kg. This can be IV or IO. |
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Term
| Besides Epi, what is one medication available as physician option for the treatment of pediatric anaphylaxis? |
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Definition
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Term
| What is the Epinephrine IV drip dosage for pediatric anaphylaxis (Physician Option)? |
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Definition
| 0.1-1.5 ug/kg/min IV drip. |
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Term
| Under what condition should you give IV or IO Epi in the Pediatric Patient with anaphylaxis? |
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Definition
| Cardiovascular collapse - Physician Option only. |
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Term
| What is the IV/IO Epi dosage for Epi in the pediatric anaphylaxis patient (in cardiovascular collapse)? |
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Definition
| 1:10,000 0.01 mg/kg (the 'standard 0.01'). |
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Term
| What dosage of Glucagon can you give to the Pediatric Hypoglycemic patient on standing orders? |
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Definition
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Term
| What two ways can you give 1 mg Glucagon to the pediatric hypoglycemic patient? |
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Definition
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|
Term
| What BGL constitutes hypoglycemia in a pediatric patient (excludes neonates)? |
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Definition
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|
Term
| What BGL constitutes hypoglycemia in a neonate patient? |
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Definition
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Term
| For the hypoglycemic patient less than 1 year old, what concentration and dose of glucose should you give? |
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Definition
| D12.5 2ml/kg IV. (note it's ML, not mg) |
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Term
| For the hypoglycemic patient 1-8 years old, what concentration and dose of glucose should you give? |
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Definition
| D25, give 2 ml/kg IV (note it's ML, not MG) - same dosage as <1y/o, just different concentration. |
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|
Term
| How do you make D12.5 from D50? |
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Definition
| Draw up 5ml of D50 in a 20ml syringe and then dilute to a total volume of 20ml. |
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|
Term
| Should you treat a pediatric hyperglycemic (BGL >400) with NS on standing orders? |
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Definition
| No. Call Med control. You may or may not get orders for fluids. |
|
|
Term
| For the pediatric hyperglycemic patient (BGL >400), what clinical condition must be present for medical control to give orders for fluid? |
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Definition
| Signs of dehydration must be present. |
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Term
| What is the NS bolus for a dehydrated hyperglycemic pediatric patient (physician order only)? Age 0-1y |
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Definition
|
|
Term
| What is the NS bolus for a dehydrated hyperglycemic pediatric patient (physician order only)? Age 1-8y |
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Definition
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|
Term
| Should you use MAST in pediatric patients? |
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Definition
|
|
Term
| If you suspect cardiogenic shock in a hypovolemic/hypoperfusing pediatric patient what should you do first/ |
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Definition
|
|
Term
| Waht is the NS bolus you can give to a hypovolemic/hypoperfused pediatric patient on standing orders? |
|
Definition
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|
Term
| What systolic BP indicates hypovolemia/hypoperfusion in the pediatric patient (age 2 and older)? |
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Definition
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|
Term
| What systolic BP indicates hypovolemia/hypoperfusion in the pediatric patient (less than 2 years old)? |
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Definition
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Term
| Name several indiacators of hypovolemia/hypoperfusion in the Pediatric patient. |
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Definition
| Hypotension, tachycardia, tachypnea, restless, listless, inability to recognize parents, pale/cool/mottled skin, cap refill >2s. |
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|
Term
| Are there any medications you can give on standing orders to the pediatric patient with nausea and vomiting? |
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Definition
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|
Term
| What medication can you give as Physician Option for the pediatric patient with nausea and vomiting? |
|
Definition
| Zofran 0.1 mg/kg IV or IM. |
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|
Term
| When treating a suspected pediatric overdose, what is the first thing to check/rule out? |
|
Definition
|
|
Term
| When treating a pediatric patient who is unconscious/unresponsive (incl brief LOC) without suspected trauma or other causes, what protocol should you consider following? |
|
Definition
|
|
Term
| Is an EKG/Cardiac monitor warranted for pediatric overdose/toxic exposure? |
|
Definition
|
|
Term
| What is the one medication you can give on standing orders for a pediatric overdose/toxic exposure? |
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Definition
| Narcan (for symptomatic opiate overdose). |
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|
Term
| What is the standing orders pediatric overdose Narcan dosage? |
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Definition
| 0.1 mg/kg, max dose 2 mg. Can admin IV, IO, IM, IN. |
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|
Term
| Name 9 Narcotic overdoses that can be treated with Narcan: |
|
Definition
| Morphine, Dilaudid, Fentanyl, Demerol, Paregoric, Methadone, Heroin, Percodan, Tylox. |
|
|
Term
| Name 4 synthetic analgesic overdoses that can be treated with Narcan: |
|
Definition
| Nubain, Stadol, Talwin, Darvon. |
|
|
Term
| What is the treatment for pediatric Organophosphate poisoning? (Physician option only) |
|
Definition
| Atropine 1 mg IV dose, continue every 3-5 minutes until secretions dry. |
|
|
Term
| What is the treatment for a pediatric dystonic reaction? (physician option only) |
|
Definition
| Benadryl 1 mg/kg IV or IM. |
|
|
Term
| What is a dystonic reaction? |
|
Definition
| Uncontrolled contractions of the face, neck, tongue, etc. |
|
|
Term
| What is the treatment for a pedeatric Beta Blocker OD? (physician option only) |
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Definition
|
|
Term
| What is the treatment for a pediatric sympathomimetic OD (Cocaine/amphetamine)? (Physician option only) |
|
Definition
| Versed (midazolam) 0.1 mg/kg IV, IO, IM, IN. |
|
|
Term
| What is the treatment for a pediatric Calcium Channel Blocker OD (two drugs)? (physician option only) |
|
Definition
1.) Calcium Chloride 20 mg/kg IV
2.) Glucagon 1 mg IV. |
|
|
Term
| For the treatment of pediatric pain, can all analgesics be administered IM? |
|
Definition
|
|
Term
| What is the dosage of Morphine you can give on standing orders for the pediatric pain management protocol? |
|
Definition
|
|
Term
| How many times can you repeat Morphine admin on standing orders in the pediatric pain management protocol and what is the total dosage? |
|
Definition
| Can repeat once in 5 minutes. Total dosage cannot exceed 0.1 mg/kg. |
|
|
Term
| What is the Zofran dosage for a nauseus pedatric patient per the pain management protocol (standing orders)? |
|
Definition
| 0.1 mg/kg IV or IM, only if patient becomes nauseous. |
|
|
Term
| In addition to additional Morphine and Zofran, what other medication is available by physician option for the pediatric pain management protocol? |
|
Definition
| Fentanyl 0.5-1.0 ug/kg slow IV, IM, or IN. |
|
|
Term
| What are the contraindications (patient presentations) for the pediatric pain management protocol? (4 things) |
|
Definition
1.) Hypoventilation
2.) Hypoperfusion
3.) AMS
4.) Other traumatic injuries. |
|
|
Term
| What two specific types of injuries allow the use of the pediatric pain management protocol? |
|
Definition
1.) Isolated extremity and hip/shoulder fractures with severe pain.
2.) Severe burns without hemodynamic compromise.
Contact REMO for all other conditions. |
|
|
Term
| Can the pediatric pain management protocol be combined with the procedural sedation protocol on standing orders? |
|
Definition
| No. You must contact medical control. |
|
|
Term
| Are you allowed to perform procedural sedation on standing orders for the pediatric patient? |
|
Definition
|
|
Term
| What are 3 medications available by physician option for procedural sedation in a pediatric patient? |
|
Definition
1.) Morphine
2.) Fentanyl
3.) Versed (Midazolam). |
|
|
Term
| What is the pedatric procedural sedation dosage of Morphine? (physician option only) |
|
Definition
0.05 mg/kg IV IO, IM
(same as pain mgmt) |
|
|
Term
| What is the pedatric procedural sedation dosage of Fentanyl? (physician option only) |
|
Definition
|
|
Term
| What is the pedatric procedural sedation dosage of Versed? (physician option only) |
|
Definition
| 0.05 mg/kg IV, IO, IM, IN. |
|
|
Term
| Which pediatric procedural meds can be administered IO or IM if necessary? |
|
Definition
|
|
Term
| Which two pediatric procedural meds can be administered IN if necessary? |
|
Definition
|
|
Term
| When treating a pediatric patient for seizures, what is the first thing to check/rule out? |
|
Definition
|
|
Term
| Should you apply an EKG to the pediatric seizure patient? |
|
Definition
|
|
Term
| What are the two medications you can give to the seizing pediatric patient on standing orders/ |
|
Definition
1.) Valium (Diazepan)
2.) Versed (Midazolam) |
|
|
Term
| What is the pediatric seizure dosage (standing orders) for Valium? |
|
Definition
| 0.2 mg/kg, max dose 5 mg. |
|
|
Term
| For Valium, what three routes admin are available for the sezing pediatric patient? |
|
Definition
|
|
Term
| On standing orders, do you increase the dosage of Valium if using PR? |
|
Definition
|
|
Term
| What is the pediatric seizure dosage (standing orders) for Versed? |
|
Definition
|
|
Term
| For Versed, what four routes admin are available for the sezing pediatric patient? |
|
Definition
|
|
Term
| Can you give Versed PR to a seizing pedatric patient? |
|
Definition
|
|
Term
| Diastat is a common name for PR Valium. If a parent has this med can you assist in its admin? |
|
Definition
| Yes if the patient is seizing. |
|
|
Term
| Additional administration of Valium and Versed are available as physician option in the seizing pediatric patient. Do the dosages change? |
|
Definition
| No, same dosages (0.2 mg/kg Valium, 0.1 mg/kg Versed). |
|
|
Term
| Are any meds available on standing orders for the treatment of pediatric stridor? |
|
Definition
|
|
Term
| What two meds are available as physician option for the treatment of pediatric stridor? |
|
Definition
1.) Solu-Medrol
2.) EpinePhrine (1:1000) |
|
|
Term
| What is the dosage of Solu-Medrol for a stridorous pediatric patient (physician option only)? |
|
Definition
|
|
Term
| How do you administer Epi to the stridorus pediatric patient (Physician option only)? |
|
Definition
| 1:1000 0.3 mg in 3 ml NS, via SVN. |
|
|
Term
| Should you contact a REMO physician ASAP when dealing with a stridorous pediatric patient? |
|
Definition
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