AIRMETHODS PCG'S(QUESTIONS AND ANSWERS)2023

AIRMETHODS PCG'S(QUESTIONS AND ANSWERS)2023 Pediatric Maintenance Fluids - CORRECT ANSWER-4mL/kg/hr for the first 10kg 2mL/kg/hr for the second 10kg 1mL/kg/hr for each kg of body weight above 20kg Pediatric DKA Interventions - CORRECT ANSWER--Begin regular insulin infusion at 0.1 units/kg/hr -Monitor BGL every 30 min and adjust therapy to decrease serum glucose no more than 100 per hour -If serum glucose decreases by more than 100 per hour add D5 to it fluids -change IV fluids to D5W if serum glucose drops below 300 -Potassium replacement should be started once urinary output is confirmed 10-20 mEq per hour (with physician order only) -if serum K+ <5 consider potassium supplement KCI IV - if signs of cerebral edema consider mannitol 1g/kg IV with physicians order VASOPRESSIN Dose, MOA, Indication - CORRECT ANSWER-Dose: 0.01-0.04 units/min Indication: Septic Shock refractory to Levo & Epi MOA: Vasoconstriction with no Beta 1 Effects PHENYTOIN (Dilantin) Bolus, Infusion, and Pediatric Dose - CORRECT ANSWER-Bolus: 15-20 mg/kg IV Diluted in NS Infusion: should not exceed 50mg/min Pediatric: 15-20 mg/kg IV diluted in NS, Infusion should not exceed 1 mg/kg/min ESMOLOL Bolus and Infusion Dose - CORRECT ANSWER-Bolus: 50mcg/kg over 1 min Infusion: 50mcg/kg/min; If no response consider repeating IV Bolus and increase infusion by 50mcg/kg/mi IV increments every 5-15 min up to 300 mcg/kg/min LABETOLOL Dose - CORRECT ANSWER-10-20 mg IV may repeat every 10 minutes with additional doses of 40mg then 80mg until max dose of 300mg OXYTOCIN Dose, MOA, Indication, IM Dose - CORRECT ANSWER-Post Partum Hemorrhage Dose: 20 units/1,000mL NS or LR at 20-40 miliunits/min (120-140 mL/hr) IV IM dose: 10 units MOA: Stimulates uterine contraction CARDENE MOA, Dose - CORRECT ANSWER-Dose: 2.5mg/hr IV continuous infusion. Increase by 2.5mg/hr every 5-15 min up to a max dose of 15mg/hr IV. Once target BP is achieved titrate dose down by 2.5 mg/hr to target 3mg/hr IV infusion. MOA: Inhibits Calcium Ion influx into vascular smooth muscle and myocardium (calcium channel blocker); relaxes and widens arterial walls. MAG SULFATE Indications & Doses - CORRECT ANSWER-Torsades: 2g over 2 min Bronchospasm: 2g over 20min Pre-Eclampsia/Tocolysis: 4g IV Bolus over 20 min 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 - CORRECT 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 - CORRECT ANSWER-Dose: 2-20 mcg/min max 30mcg MOA: Peripheral vasoconstriction, Inotropy, Dilates Coronary Arteries TXA Loading & Maintenance Doses, Criteria, MOA - CORRECT ANSWER-Loading Dose: 1g in 100mL NS over 10 minutes Maintenance Dose: 1g in 500mL NS infusing at 60mL/hr IV for 8 hours