AIRMETHODS PCG'S-Exam 2023 Questions and Answers 2023

then continuous Infusion of 2-4 g/hr IV Pediatric Reactive Airway & Torsades: 50mg/kg IV max single dose 2g over 20 min Hydralazine Indications &Dose, MOA - Answer- Hypertensive Emergency: 10mg SIVP, may repeat in 20 min up to max dose 40mg Pre-Eclampsia: 5mg IV repeated as needed every 20 minutes at a dose of 5-10mg IV to a total dose of 40mg MOA: Directly dilates peripheral vessels, Antihypertensive, nitrate LEVOPHED Dose, MOA - Answer- Dose: 2-20 mcg/min max 30mcg MOA: Peripheral vasoconstriction, Inotropy, Dilates Coronary Arteries TXA Loading & Maintenance Doses, Criteria, MOA - Answer- Loading Dose: 1g in 100mL NS over 10 minutes Maintenance Dose: 1g in 500mL NS infusing at 60mL/hr IV for 8 hours Inclusion Criteria: -blunt of penetrating trauma - >12 years old - Initial injury <3 hours (prefer <1 hour) -S/S of severe hemorrhage ~ SBP <90 ~ HR >110 ~ RR >24 ~ pale/cool skin ~ cap refill <2 seconds MOA: decreases plasmin formation and fibrinolylsis ROCURONIUM Dose, Onset, Duration - Answer- Dose: 1mg/kg Onset: 30-60 seconds Duration: 30-45 minutes SUCCINYLCHOLINE Dose, Onset, Duration, Antidote, Contraindications - Answer- Dose: 2mg/kg Onset: 30 sec- 1min Duration: 5-8 minutes Contraindications: -known or suspected hyperkalemia -Severe crush or traumatic injuries > 2 days old -Spinal Cord injuries > 2 days old -Burn injuries >24 hours old - Renal Failure - Known hx of malignant hyperthermia - neuromuscular disorders - penetrating eye injuries Antidote: Dantrolene Ketamine Doses & Indications, contraindication - Answer- Pain Management: 0.1-0.25 mg/kg may repeat every 10 min Delirium: 0.5-1 mg/kg may repeat X1 or 2mg/kg IM RSI: 2mg/kg IV or 4mg/kg IM Post Intubation Sedation: bolus of 0.5-1mg/kg every 10 min or Infusion 0.1-0.5 mg/min Contraindications: -hypertension or when hypertension would be detrimental (AMI, cerebral hemorrhage, AAA etc.) Nitroglycerine Doses & Indications - Answer- ACS Dose: 0.4 mg SL every 5 min x3; may continue if relieving pain. If not relieving pain 10 mcg/kg/min IV Infusion- titrate to max 200mcg/min CHF/Pulmonary Edema Dose: 0.4 mg SL every 3-5 min x3 doses. Initiate infusion at 40mcg/min not to exceed 200 mcg/min INSULIN Doses & Indications - Answer- Adult DKA Dose: 100 units /100mL NS at 0.1 units/kg/hr Hyperkalemia: 10 Units IVP (after administering 25g D50 IVP) PEDIATRIC DKA: 0.1 units/kg/hr CALCIUM Doses & Indications - Answer- Hyperkalemia Dose: -Calcium Chloride 10%: 500-1,000 mg over 2 min; repeat every 10 minutes OR -Calcium Gluconate: 1g slow IVP over 5 min re