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vcems policies
policy
23
Health Care
Professional
01/04/2012

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Cards

Term
ALLERGIC REACTION / ANAPHYLAXIS

BENADRYL DOSE
Definition
IV/IM 50MG
Term
ALLERGIC REACTION / ANAPHYLAXIS

ALBUTEROL IF _______ PRESENT & DOSE
Definition
WHEEZING PRESENT, 5MG /6 ML, REPEAT AS NEEDED
Term
ALLERGIC REACTION / ANAPHYLAXIS
ANAPHYLAXIS WITHOUT SHOCK

EPI IM DOSE LESS THEN 40 &
OVER 40 ONLY IF SEVERE ___________ DISTRESS

IV ACCESS & BENADRYL DOSE, MAY REPEAT X ? IN ? MIN
Definition
LESS THEN 40
1:1000 IM 0.5 MG OR HALF THE VIAL 5ML
OVER 40 1:1,000 IM 0.3 MG OR 3ML
ONLY IF SEVERE RESPIRATORY DISTRESS

BENADRYL IV/IM 50 MG MAY REPEAT X 1 IN 10 MIN
Term
ANAPHYLAXIS WITH SHOCK
SAME AS WITHOUT &

INITIATE ___ IV NORMAL SALINE DOSE
Definition
2ND IV, NS BOLUS 1 L
Term
ALLERGIC REACTION / ANAPHYLAXIS
FOR PROFOUND SHOCK

EPI DOSE SLOW IVP & MAX DOSE
Definition
EPI IV 1:10,000 0.1MG / 1 ML INCREMENTS
MAX 0.3 MG, 3ML OVER 1-2 MINUTES
Term
ALLERGIC REACTION / ANAPHYLAXIS PEDIATRICS

BENADRYL DOSE IV/IM & MAX
Definition
1MG/KG
MAX 50 MG
Term
ALLERGIC REACTION / ANAPHYLAXIS PEDIATRICS
ALBUTEROL DOSE LESS THAN 2 & GREATER THAN 2
Definition
LESS THAN 2
2.5MG / 3 ML
GREATER THAN 2
5MG / 6ML REPEAT AS NEEDED
Term
ALLERGIC REACTION / ANAPHYLAXIS PEDIATRICS
ANAPHYLAXIS WITHOUT SHOCK
EPI DOSE IM DOSE & MAX
IV ACCESS BENADRYL DOSE MAY REPEAT X ? IN ? MIN
MAX DOSE
Definition
EPI IM 1:1,000 0.01 MG / KG, MAX 0.3 MG
BENADRYL 1MG/KG MAY REPEAT X1 IN 10 MIN
Term
ALLERGIC REACTION / ANAPHYLAXIS PEDIATRICS
ANAPHYLAXIS WITH SHOCK
INITIATE __ IV NS DOSE
Definition
INITIATE 2ND IV NS 20ML / KG
Term
ALLERGIC REACTION / ANAPHYLAXIS PEDIATRICS
FOR PROFOUND SHOCK
EPI DOSE SLOW IVP DOSE & MAX
Definition
EPI 1:10,000
0.01 MG / KG / 0.1ML INCREMENTS
MAX 0.3MG 3 ML OVER 1-2 MINUTES
Term
ALTERED NEUROLOGICAL FUNCTION
ORAL GLUCOSE DOSE
Definition
PO 15 GM
Term
ALTERED NEUROLOGICAL FUNCTION
DETERMINE BG IS LESS THAN ?
D50 DOSE AND GLUCAGON DOSE
Definition
LESS THAN 60
D50 25ML OR 12.5 GRAMS, HALF THE VIAL
GLUCAGON IM / 1MG
Term
ALTERED NEUROLOGICAL FUNCTION
RECHECK BG EVERY ? MIN AFTER D50
OR ? MIN AFTER GLUCAGON
IF STILL LESS THAN 60 D50 DOSE
Definition
5 MIN AFTER D50, 10 MIN AFTER GLUCAGON
IV 25 ML OR 12.5 GRAMS
Term
ALTERED NEUROLOGICAL FUNCTION PEDIATRICS
LESS THAN 2 / D25 DOSE
GREATER THAN 2 / D50 DOSE
& GLUCAGON DOSE AND MAX
Definition
LESS THAN 2 D25 - 2ML/KG
GREATER THAN D50 - 1ML/ KG
GLUCAGON 0.1 MG / KG- MAX 1MG
Term
BEHAVIORAL EMERGENCIES
MIDAZOLAM DOSE IV AND IM AND MAX
Definition
IV 2MG REPEAT 1MG EVERY 2 MIN AS NEEDED
MAX 5 MG
IM 0.1MG / KG
Term
BEHAVIORAL EMERGENCIES PEDIATRICS
IM DOSE & MAX
Definition
0.1MG / KG IM ONLY
MAX 5MG
Term
CARDIAC ARREST PEA /ASYSTOLE
EPI DOSE / EVERY ? TO ? MIN
Definition
1MG EVERY 3-5 MIN
Term
CARDIAC ARREST PEA /ASYSTOLE
IF SUSPECTED HYPOVOLEMIA NS BOLUS DOSE
Definition
1 L BOLUS
Term
CARDIAC ARREST PEA /ASYSTOLE
TRICYCLIC O.D. / SODIUM BICARB DOSE
Definition
1mEq / KG REPEAT 0.5 mEq EVERY 5 MIN
Term
CARDIAC ARREST PEA /ASYSTOLE
BETA BLOCKER O.D. GLUCAGON DOSE
Definition
IV/IO 2MG, MAY GIVE UP TO 10 MG
Term
CARDIAC ARREST PEA /ASYSTOLE
CALCIUM CHANNEL BLOCKER O.D.
CALCIUM CHLORIDE DOSE & REPEAT X ? IN ? MIN
GLUCAGON DOSE, MAY GIVE UP TO ?
Definition
CALCIUM CHLORIDE IV/IO 1GM, REPEAT X1 IN 10 MIN
GLUCAGON 2MG, UP TO 10MG
Term
CARDIAC ARREST VF/VT
DEFIB
EPI DOSE
AMIODARONE DOSE
Definition
EPI DOSE 1:10,000 1MG IV/IO
AMIODARONE 300 MG
REPEAT 150MG IN 3-5 IF PERSISTANT
Term
TORSADES
MAG SULFATE DOSE AND MAX
Definition
2GM OVER 2MIN
MAY REPEAT X 1 IN 5 MIN
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