AIRMETHODS PCG'S QUESTIONS& ANSWERS (GRADED A)

Pediatric Maintenance Fluids - 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 - 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 - 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 - 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