Air Methods - Air Methods Critical Care Questions and Answers 100% A+ Pass

Air Methods - Air Methods Critical Care Questions and Answers 100% A+ Pass Phenobarbital - CORRECT ANSWER-Infant seizures 5-20mg/kg load dose Diphenhydramine - CORRECT ANSWER-Allergies, anaphylactic Adult 25-50 mg Pedi 5mg/kg/day Dopamine - CORRECT ANSWER-Shock, hypotension, heart failure 2-20 mcg/kg/min Beta: <10 ^pump Alpha: >10 vasoconstriction Epinephrine - CORRECT ANSWER-Anaphylaxis, bronchospasm, cardiac arrest, impending cardiovascular collapse Full Arrest: 1:10,000 Adult: 1mg IVP 3-5 minutes Pedi: 0.01 mg/kg IVP 3-5 minutes Bronchospasm, anaphylaxis, impending cardiovascular collapse 1:1,000 Adult: 0.1-0.5 mg SC Pedi: 0.01 mg/kg IM Rocuronium - CORRECT ANSWER-Long term paralytic 1.0 mg/kg Succinylcholine - CORRECT ANSWER-RSI 2 mg/kg Oxytocin - CORRECT ANSWER-Post partum bleeding 20-40 milliunits/min infusion Dobutamine - CORRECT ANSWER-Cardiac decomposition, hypotension 2-20 mcg/kg/min Labetolol - CORRECT ANSWER-Severe HTN 10-20 mg slow IVP 40 mg 10 min later 80 mg 10 min later Repeating to max 300mg total Ketamine - CORRECT ANSWER-RSI, pain control RSI: 1-2 mg/kg IVP Analgesic: 0.1-0.25 mg Potassium chloride - CORRECT ANSWER-Hypokalemia 10-15 meq/hr Phenytoin - CORRECT ANSWER-Seizures 15-20 mg/kg IVP Max 1500mg Terbutaline - CORRECT ANSWER-Bronchospasm, preterm labor Bronchospasm Adult: 0.25 mg SC q 15 min Max 0.5 mg over 4 hours Pedi: 0.005-0.01 mg/kg SC q 15 min Max two doses in 4 hours Tocolytic 0.25 mg SC q 20 min Max: 1 mg over 4 hours Insulin infusion rate - CORRECT ANSWER-0.1 units/kg/hour Calcium Gluconate - CORRECT ANSWER-Calcium channel blocker overdose, hyperkalemia, mag sulfate OD/toxicity Adult: 7-14 meq IV slow Pedi: 1-7 meq IV slow Levophed - CORRECT ANSWER-¡SEPIS! Hypotension Mix: 4mg/250cc NS or D5w Adult: 2-20 mcg/min Pedi: <2yo 0.1-2 mcg/kg/min Lorazepam - CORRECT ANSWER-Anxiety, status epilepticus, sedation Adult: 0.05-0.1 mg/kg(usual dose 2-4 mg) Repeat q 5 minutes Max 10mg Pedi/neonate: 0.05-0.1 mg/kg q 5 min over 2-3 minutes Age >5 max single dose 1mg Age <5 max single dose 0.5 mg Lasix - CORRECT ANSWER-CHF, pulmonary edema Adult: 40mg IV slow, repeat dose 80mg Pedi mg/kg Max 6mg/kg/day Atropine - CORRECT ANSWER-Bradycardia: 0.5-1.0 mg IVP q 5 minutes Max 0.04mg/kg Prelarangoscopy (pedi): 0.02 mg/kg Max 0.04 mg/kg Organophosphate Adult(mild) 2mg IVP q 5-10 min Moderate 2-4 mg IVP q 5-10 minutes Severe: 6mg IVP q 5-10 minutes Nitroprusside - CORRECT ANSWER-HTN 0.5-10 mcg/kg/min titrated q 5 minutes Nimodipine - CORRECT ANSWER-Subarachnoid hemorrhage 60 mg PO/NG q 4 hours Metoprolol - CORRECT ANSWER-ACS, tachydysrhythmias, HTN ¡CONTRAINDICATED WITH HIGH HEART BLOCKS, INFERIOR MI, BRADYCARDIA! 5mg, repeat 2 minutes later Phenylephrine - CORRECT ANSWER-Spinal/neurogenic shock, Hypotension