AIRMETHODS PCG'S(QUESTIONS AND ANSWERS)2023

Pediatric Maintenance Fluids -CORRECT ANSWER-4mL/kg/hr for the first 10kg per hour (with physician order only) ESMOLOL LABETOLOL 100 per hour Bolus and Infusion Dose -CORRECT ANSWER-Bolus: 50mcg/kg over 1 min Dose -CORRECT ANSWER-10-20 mg IV may repeat every 10 minutes with additional 1mL/kg/hr for each kg of body weight above 20kg VASOPRESSIN units/kg/hr Dose, MOA, Indication -CORRECT ANSWER-Dose: 0.01-0.04 units/min -change IV fluids to D5W if serum glucose drops below 300 2mL/kg/hr for the second 10kg Pediatric DKA Interventions -CORRECT ANSWER--Begin regular insulin infusion at 0.1 Infusion: 50mcg/kg/min; If no response consider repeating IV Bolus and increase -If serum glucose decreases by more than 100 per hour add D5 to it fluids -Potassium replacement should be started once urinary output is confirmed 10-20 mEq PHENYTOIN (Dilantin) infusion by 50mcg/kg/mi IV increments every 5-15 min up to 300 mcg/kg/min Diluted in NS Pediatric: 15-20 mg/kg IV diluted in NS, Infusion should not exceed 1 mg/kg/min -Monitor BGL every 30 min and adjust therapy to decrease serum glucose no more than -if signs of cerebral edema consider mannitol 1g/kg IV with physicians order MOA: Vasoconstriction with no Beta 1 Effects -if serum K+ 5 consider potassium supplement KCI IV Bolus, Infusion, and Pediatric Dose -CORRECT ANSWER-Bolus: 15-20 mg/kg IV Indication: Septic Shock refractory to Levo & Epi Infusion: should not exceed 50mg/min doses of 40mg then 80mg until max dose of 300mg