NEWBORN (birth to 24 hours)
|
|
|
- Edith Young
- 8 years ago
- Views:
Transcription
1 NEWBORN (birth to 24 hours) 3kg ETT size: 3mm ETT length: 14cm AIRTRAQ: GREY LMA size: 1 or 1.5 IGT size: 5 FG SHOCK: 15 joules CPR: one third of chest depth rate 100/min 3:1 The emphases in resuscitation of a newborn are: tactile stimulation ventilation (with air; add 100% O 2 with CPR) chest compressions (if HR <60/min) IV attempts are unlikely to be successful; IO should not be attempted; adrenaline (only) may be given down the ETT. 0.01mg/kg 0.03 mg 0.3 ml IV ETT 0.02mg/kg 0.06 mg 0.6 ml FOR POST RESUSCITATION MANAGEMENT DRUG / ROUTE PREPARATION DOSE (weight) DOSE (ml) IV FLUID NaCl 0.9% 10ml/kg 30 ml 30 ml GLUCOSE 10% IV PAEDIATRIC REFERENCE CARD NEWBORN (Revised: November 2014) GLUCAGON IM 0.25g (2.5ml)/kg 0.75 g 7. 50g in 500ml weight < 20kg = 0.5 IU 0.5 IU 0. 1 IU in 1ml DRUG / ROUTE PREPARATION DOSE (weight) DOSE (ml) 0.1mg/kg 0.3 mg 0.3 ml NORMAL VSS 30 60/min /min mmhg NEWBORN (birth to 24 hours) 3kg doses (ml) are rounded up to the nearest 0.1/ml
2 INFANT (24 hours to 6 months) 5kg ETT size: 3mm ETT length: 14cm AIRTRAQ: GREY LMA size: 1.5 (4-8ml inflation) IGT size: 5 FG SHOCK: 20 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg mg/kg ml 150mg in 10ml 50mg/kg 250 mg 1 ml 2.5g in 10ml 0.5mMol/kg 2.5 mmol 2. STANDARD / BURNS 10ml/kg 50 ml CARDIAC ARREST 20ml/kg 100 ml SEPSIS/ANAPHYLAXIS 20ml/kg 100 ml PAEDIATRIC REFERENCE CARD INFANT mg/kg (0.5ml if diluted to 10ml) 0.1mg/kg mg/kg 250 mg 2. 1g reconstitute to 10ml NORMAL VSS 25 60/min /min mmHg INFANT (24 hours to 6 months) 5kg doses (ml) are rounded up to the nearest 0.1/ml
3 6 MONTHS 7kg ETT size: 3mm ETT length: 14cm AIRTRAQ: GREY LMA size: 1.5 (4-8ml inflation) IGT size: 5 FG SHOCK: 30 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.07 mg 0.7 ml 5mg/kg ml 150mg in 10ml 50mg/kg 350 mg 1.4 ml 2.5g in 10ml 0.5mMol/kg 3.5 mmol 3. STANDARD / BURNS 10ml/kg 70 ml CARDIAC ARREST 20ml/kg 140 ml SEPSIS/ANAPHYLAXIS 20ml/kg 140 ml PAEDIATRIC REFERENCE CARD 6 MONTHS mg/kg 0.07 mg 0.07 ml (0.7ml if diluted to 10ml) 0.1mg/kg 0.7 mg 0.7 ml 50mg/kg 350 mg 3. 1g reconstitute to 10ml NORMAL VSS 25 40/min /min mmHg 6 MONTHS 7kg
4 12 MONTHS (1 year) 11kg ETT size: 4mm ETT length: 14cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 50 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.11 mg 1.1 ml 5mg/kg ml 150mg in 10ml 50mg/kg 550 mg 2.2 ml 2.5g in 10ml 0.5mMol/kg 5.5 mmol 5. STANDARD / BURNS 10ml/kg 110 ml CARDIAC ARREST 20ml/kg 220 ml SEPSIS/ANAPHYLAXIS 20ml/kg 220 ml PAEDIATRIC REFERENCE CARD 12 MONTHS 0.01mg/kg 0.11 mg 0.11 ml (1.1ml if diluted to 10ml) 0.1mg/kg 1.1 mg 1.1 ml 50mg/kg 550 mg 5. 1g reconstitute to 10ml NORMAL VSS 20 40/min /min mmHg 12 MONTHS (1 year) 11kg
5 2 YEARS 13kg ETT size: 4mm ETT length: 14cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 50 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.13 mg 1.3 ml 5mg/kg ml 150mg in 10ml 50mg/kg 650 mg 2.6 ml 2.5g in 10ml 0.5mMol/kg 6.5 mmol 6. STANDARD / BURNS 10ml/kg 130 ml CARDIAC ARREST 20ml/kg 260 ml SEPSIS/ANAPHYLAXIS 20ml/kg 260 ml PAEDIATRIC REFERENCE CARD 2 YEARS 0.01mg/kg 0.13 mg 0.13 ml (1.3ml if diluted to 10ml) 0.1mg/kg 1.3 mg 1.3 ml 50mg/kg 650 mg 6. 1g reconstitute to 10ml NORMAL VSS 20 35/min /min mmHg 2 YEARS 13kg
6 3 YEARS 15kg ETT size: 4mm ETT length: 14cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 70 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg mg/kg 7 150mg in 10ml 50mg/kg 750 mg 3 ml 2.5g in 10ml 0.5mMol/kg 7.5 mmol 7. STANDARD / BURNS 10ml/kg 150 ml CARDIAC ARREST 20ml/kg 300 ml SEPSIS/ANAPHYLAXIS 20ml/kg 300 ml PAEDIATRIC REFERENCE CARD 3 YEARS 0.01mg/kg (1.5ml if diluted to 10ml) 0.1mg/kg mg/kg 750 mg 7. 1g reconstitute to 10ml NORMAL VSS 20 35/min /min mmHg 3 YEARS 15kg
7 4 YEARS 17kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 70 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.17 mg 1.7 ml 5mg/kg ml 150mg in 10ml 50mg/kg 850 mg 3.4 ml 2.5g in 10ml 0.5mMol/kg 8.5 mmol 8. STANDARD / BURNS 10ml/kg 170 ml CARDIAC ARREST 20ml/kg 340 ml SEPSIS/ANAPHYLAXIS 20ml/kg 340 ml PAEDIATRIC REFERENCE CARD 4 YEARS 0.01mg/kg 0.17 mg 0.17 ml (1.7ml if diluted to 10ml) 0.1mg/kg 1.7 mg 1.7 ml 50mg/kg 850 mg 8. 1g reconstitute to 10ml NORMAL VSS 20 30/min /min mmHg 4 YEARS 17kg
8 5 YEARS 19kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2 (6-12ml inflation) IGT size: 10 FG SHOCK: 70 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.19 mg 1.9 ml 5mg/kg ml 150mg in 10ml 50mg/kg 950 mg 3.8 ml 2.5g in 10ml 0.5mMol/kg 9.5 mmol 9. STANDARD / BURNS 10ml/kg 190 ml CARDIAC ARREST 20ml/kg 380 ml SEPSIS/ANAPHYLAXIS 20ml/kg 380 ml PAEDIATRIC REFERENCE CARD 5 YEARS 0.01mg/kg 0.19 mg 0.19 ml (1.9ml if diluted to 10ml) 0.1mg/kg 1.9 mg 1.9 ml 50mg/kg 950 mg 9. 1g reconstitute to 10ml NORMAL VSS 20 30/min /min mmHg 5 YEARS 19kg
9 6 YEARS 21kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 100 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.21 mg 2.1 ml 5mg/kg 10 7 ml 150mg in 10ml 50mg/kg 1.05 g 4.2 ml 2.5g in 10ml 0.5mMol/kg 10.5 mmol 10. STANDARD / BURNS 10ml/kg 210 ml CARDIAC ARREST 20ml/kg 420 ml SEPSIS/ANAPHYLAXIS 20ml/kg 420 ml PAEDIATRIC REFERENCE CARD 6 YEARS MAX EFFECT MAX EFFECT 0.01mg/kg 0.21 mg 0.21 ml (2.1ml if diluted to 10ml) 0.1mg/kg 2.1 mg 2.1 ml 50mg/kg 1.05 g x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min /min mmHg 6 YEARS 21kg
10 7 YEARS 23kg ETT size: 5mm ETT length: 16cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 100 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg 0.23 mg 2.3 ml 5mg/kg ml 150mg in 3ml () 50mg/kg 1.15 g 2.3 ml 2.5g in 5ml () 0.5mMol/kg 11.5 mmol 11. STANDARD / BURNS 10ml/kg 230 ml CARDIAC ARREST 20ml/kg 460 ml SEPSIS/ANAPHYLAXIS 20ml/kg 460 ml PAEDIATRIC REFERENCE CARD 7 YEARS 0.01mg/kg 0.23 mg 0.23 ml (2.3ml if diluted to 10ml) 0.1mg/kg 2.3 mg 2.3 ml 50mg/kg 1.15 g x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min /min mmHg 7 YEARS 23kg
11 8 YEARS 25kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 100 joules CPR: one third of chest depth rate 100/min 15:2 0.01mg/kg mg/kg mg in 3ml () 50mg/kg 1.25 g g in 5ml () 0.5mMol/kg 12.5 mmol 12. STANDARD / BURNS 10ml/kg 250 ml CARDIAC ARREST 20ml/kg 500 ml SEPSIS/ANAPHYLAXIS 20ml/kg 500 ml PAEDIATRIC REFERENCE CARD 8 YEARS 0.01mg/kg (2.5ml if diluted to 10ml) 0.1mg/kg mg/kg 1.25 g x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min /min mmHg 8 YEARS 25kg
12 9 YEARS 27kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 120 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.27 mg 2.7 ml 5mg/kg ml 150mg in 3ml () 50mg/kg 1.35 g 2.7 ml 2.5g in 5ml 0.5mMol/kg 13.5 mmol 13. STANDARD / BURNS 10ml/kg 270 ml CARDIAC ARREST 20ml/kg 540 ml SEPSIS/ANAPHYLAXIS 20ml/kg 540 ml PAEDIATRIC REFERENCE CARD 9 YEARS 0.01mg/kg 0.27 mg 0.27 ml (2.7ml if diluted to 10ml) 0.1mg/kg 2.7 mg 2.7 ml 50mg/kg 1.35 g x 1g vials reconstitute to 5ml each NORMAL VSS 15 25/min /min mmHg 9 YEARS 27kg
13 10 YEARS 30kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 2.5 (10-20ml inflation) IGT size: 10 FG SHOCK: 120 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.3 mg 3 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.5 g 3 ml 2.5g in 5ml () 0.5mMol/kg 15 mmol 1 STANDARD / BURNS 10ml/kg 300 ml CARDIAC ARREST 20ml/kg 600 ml SEPSIS/ANAPHYLAXIS 20ml/kg 600 ml PAEDIATRIC REFERENCE CARD 10 YEARS 0.01mg/kg 0.3 mg 0.3 ml (3ml if diluted to 10ml) 0.1mg/kg 3 mg 3 ml 50mg/kg 1.5 g 7. 2 x 1g vials reconstitute to 5ml each NORMAL VSS 14 20/min /min mmHg 10 YEARS 30kg
14 11 YEARS 33kg ETT size: 6mm ETT length: 19cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 120 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.33 mg 3.3 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.65 g 3.3 ml 2.5g in 5ml () 0.5mMol/kg 16.5 mmol 16. STANDARD / BURNS 10ml/kg 330 ml CARDIAC ARREST 20ml/kg 660 ml SEPSIS/ANAPHYLAXIS 20ml/kg 660 ml PAEDIATRIC REFERENCE CARD 11 YEARS 0.01mg/kg 0.33 mg 0.33 ml 0.1mg/kg 3.3 mg 3.3 ml 50mg/kg 1.65 g x 1g vials reconstitute to 5ml each NORMAL VSS 14 20/min /min mmHg 11 YEARS 33kg
15 12 YEARS 36kg ETT size: 7mm ETT length: 21cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 150 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.36 mg 3.6 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.8 g 3.6 ml 2.5g in 5ml () 0.5mMol/kg 18 mmol 18 ml STANDARD / BURNS 10ml/kg 360 ml CARDIAC ARREST 20ml/kg 720 ml SEPSIS/ANAPHYLAXIS 20ml/kg 720 ml PAEDIATRIC REFERENCE CARD 12 YEARS 0.01mg/kg 0.36 mg 0.36 ml 0.1mg/kg 3.6 mg 3.6 ml 50mg/kg 1.8 g 9 ml 2 x 1g vials reconstitute to 5ml each NORMAL VSS 14 20/min /min mmHg 12 YEARS 36kg
16 13 YEARS 39kg ETT size: 7mm ETT length: 21cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 150 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.39 mg 3.9 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 1.95 g 3.9 ml 2.5g in 5ml () 0.5mMol/kg 19.5 mmol 19. STANDARD / BURNS 10ml/kg 390 ml CARDIAC ARREST 20ml/kg 780 ml SEPSIS/ANAPHYLAXIS 20ml/kg 780 ml PAEDIATRIC REFERENCE CARD 13 YEARS 0.01mg/kg 0.39 mg 0.4 ml 0.1mg/kg 3.9 mg 3.9 ml 50mg/kg x 1g vials reconstitute to 5ml each NORMAL VSS 15 20/min /min mmHg 13 YEARS 39kg
17 14 YEARS 42kg ETT size: 7mm ETT length: 21cm AIRTRAQ: PURPLE LMA size: 3 (15-30ml inflation) IGT size: 14 FG SHOCK: 170 joules CPR: one third of chest depth rate 100/min 30:2 0.01mg/kg 0.42 mg 4.2 ml 5mg/kg 150mg in 3ml 150 mg 3 ml () 50mg/kg 2.1 g 4.2 ml 2.5g in 5ml () 0.5mMol/kg 21 mmol 21 ml STANDARD / BURNS 10ml/kg 420 ml CARDIAC ARREST 20ml/kg 840 ml SEPSIS/ANAPHYLAXIS 20ml/kg 840 ml PAEDIATRIC REFERENCE CARD 14 YEARS 0.01mg/kg 0.42 mg 0.42 ml 0.1mg/kg 4.2 mg 4.2 ml 50mg/kg 1g reconstitute to 10ml 2 g 10 ml NORMAL VSS 15 20/min /min mmHg 14 YEARS 42kg
ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE
ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic will provide the treatment based on the randomization scheme and as prescribed in this
It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive.
It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. This presentation will highlight the changes and any new
!!! BOLUS DOSE IV. Use 5-10 mcg IV boluses STD ADRENALINE INFUSION. Use IM adrenaline in advance of IV dosing!
ADRENALINE IVI BOLUS IV Open a vial of 1:1000 ADRENALINE 1 mg /ml Add 1 ml to 9 ml N/Saline = 1mg adrenaline in 10 ml (or 100 mcg/ml) Add 1 ml 1:10,000 to 9 ml N/Saline = 100 mcg adrenaline in 10 ml (or
(C) AMBULANCE VICTORIA
The Newborn Baby: Definitions and Contacts Newborn definition 'Newborn' refers to the first min to hours post birth. For the purpose of resuscitation, AV accepts up to the first 24 hours from birth in
Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008
Cardiac Arrest Pediatric Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble In contrast to cardiac arrest in adults, cardiopulmonary arrest in pediatric
Neonatal Reference Guide
Operated by REACH Air Medical Services Assessment Heart Rate (beats/min.) Age Rate
Preventing Medication Errors in EMS
Preventing Medication Errors in EMS Examples and Case Reports John Gallagher MD Phoenix Fire Dept. 1 Six R s Right Medication Right Dose Right Time Right Route Right Patient Right Documentation Bryan Bledsoe
ANZCOR Guideline 12.4 Medications and Fluids in Paediatric Advanced Life Support
ANZCOR Guideline 12. Medications and Fluids in Paediatric Advanced Life Support Who does this guideline apply to? This guideline applies to infants and children. Summary Who is the audience for this guideline?
Community Ambulance Service of Minot ALS Standing Orders Legend
Legend Indicates General Information and Guidelines Indicates Procedures Indicates Medication Administration Indicates Referral to Other Protocol Indicates Referral to Online Medical Direction Pediatric
Intraosseous Vascular Access and Lidocaine
Intraosseous Vascular Access and Lidocaine Intraosseous (IO) needles provide access to the medullary cavity of a bone. It is a technique primarily used in emergency situations to administer fluid and medication
Example 3: Dilantin-125 is available as 125 mg/5 ml. Dilantin-125, 0.3 g PO, is ordered. How much should the nurse administer to the patient?
Drug Dosage & IV Rates Calculations Drug Dosage Calculations Drug dosage calculations are required when the amount of medication ordered (or desired) is different from what is available on hand for the
Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008
Cardiac Arrest - Ventricular Fibrillation / Pulseless Ventricular Tachycardia Protocol revised October 2008 Preamble Survival from cardiorespiratory arrest for patients who present with ventricular fibrillation
Color Code Drug Doses L.A. County Kids
3 Kg 1. 3.0 Joules 3.0 Joules 12 Joules 12 Joules 0. 60 mg 0.0 3 meq Add 18 mg (.23mL) to a 100 ml bag of NS. adequate perfusion 6 ml 1. 0.0 0. 0. 60 ml 4 Kg 2 Joules 1 1 0. 80 mg 0.0 4 meq Add 2 (.3mL)
Neonatal Reference Guide
Operated by REACH Air Medical Services Assessment Heart Rate (beats/min.) Rate
Paramedic Pediatric Medical Math Test
Paramedic Pediatric Medical Math Test Name: Date: Problem 1 Your 4 year old pediatric patient weighs 40 pounds. She is febrile. You need to administer acetaminophen (Tylenol) 15mg/kg. How many mg will
DRUG CALCULATIONS. Mathematical accuracy is a matter of life and death. [Keighley 1984]
![DRUG CALCULATIONS. Mathematical accuracy is a matter of life and death. [Keighley 1984]](/thumbs/39/19297070.jpg "DRUG CALCULATIONS. Mathematical accuracy is a matter of life and death. [Keighley 1984]")
DRUG CALCULATIONS Mathematical accuracy is a matter of life and death. [Keighley 1984] At the end of this practice sheet, you will be able to: Perform simple arithmetical tasks. Accurately calculate drug
HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE
FORM 314 HEALTH PROFESSIONS COUNCIL OF SOUTH AFRICA PROFESSIONAL BOARD FOR EMERGENCY CARE EMERGENCY CARE TECHNICIAN SCOPE OF PRACTICE 2009 TABLE OF CONTENTS 1. Introduction Pg 3 2. Capabilities Pg 5 3.
Local Anaesthetic Systemic Toxicity. Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland
Local Anaesthetic Systemic Toxicity Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland Conflict of interest None Overview Local anesthetic systemic toxicity (LAST) Background
EMS Branch / Office of the Medical Director. Active Seziures (d) Yes Yes Yes Yes. Yes Yes No No. Agitation (f) No Yes Yes No.
M07 Medications 2015-07-15 All ages EMS Branch / Office of the Medical Director Benzodiazepines Primary Intermediate Advanced Critical INDICATIONS Diazepam (c) Lorazepam (c) Midazolam (c) Intranasal Midazolam
table of contents drug reference
table of contents drug reference ADULT DRUG REFERENCE...155 161 PEDIATRIC DRUG REFERENCE...162 164 PEDIATRIC WEIGHT-BASED DOSING CHARTS...165 180 Adenosine...165 Amiodarone...166 Atropine...167 Defibrillation...168
Summary of State Emergency Medical Control Committee (SEMCC) Approved Protocol Revisions September 1, 2015 NALOXONE
October 22, 2015 Summary of State Emergency Medical Control Committee (SEMCC) Approved Protocol Revisions September 1, 2015 NALOXONE Summary: Expand Naloxone down to the Emergency Medical Technician (EMT)
Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University
Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the
Read the following information carefully before attempting the examples and exercises. TABLETS Formula method. = No. of tablets to be given
drug calculations Read the following information carefully before attempting the examples and exercises. TABLETS Required dose No. of tablets to be given Required dose : Required tablet : Stock tablet
What is the Future of Epinephrine in Cardiac Arrest? Pros and Cons
What is the Future of Epinephrine in Cardiac Arrest? Pros and Cons Melissa L. Thompson Bastin, PharmD., BCPS Komal A. Pandya, PharmD., BCPS 0 Presenter Disclosure Information Melissa L. Thompson Bastin,
Adult Drug Reference. Dopamine Drip Chart. Pediatric Drug Reference. Pediatric Drug Dosage Charts DRUG REFERENCES
Adult Drug Reference Dopamine Drip Chart Pediatric Drug Reference Pediatric Drug Dosage Charts DRUG REFERENCES ADULT DRUG REFERENCE Drug Indication Adult Dosage Precautions / Comments ADENOSINE Paroxysmal
Addendum to the NRP Provider Textbook 6 th Edition Recommendations for specific modifications in the Canadian context
Addendum to the NRP Provider Textbook 6 th Edition Recommendations for specific modifications in the Canadian context A subcommittee of the Canadian Neonatal Resuscitation Program (NRP) Steering Committee
Section 2 Solving dosage problems
Section 2 Solving dosage problems Whether your organization uses a bulk medication administration system or a unit-dose administration system to prepare to administer pediatric medications, you may find
ACLS PRE-TEST ANNOTATED ANSWER KEY
ACLS PRE-TEST ANNOTATED ANSWER KEY June, 2011 Question 1: Question 2: There is no pulse with this rhythm. Question 3: Question 4: Question 5: Question 6: Question 7: Question 8: Question 9: Question 10:
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006. ECG Analysis. Name the following rhythms from the list below:
American Heart Association ACLS Pre-Course Self Assessment Dec., 2006 ECG Analysis This pre-test is exactly the same as the pretest on the ACLS Provider manual CD. This paper version can be completed in
DRUG CALCULATIONS FOR REGISTERED NURSES ADULT SERVICES
Serving the people of north east Essex DRUG CALCULATIONS FOR REGISTERED NURSES ADULT SERVICES A Programmed Approach - It is essential you read this pack & practice the questions prior to your drug calculation
DRUG DOSE CALCULATIONS
FINDING THE ORDERED DOSE The ordered dose is the most simple dosage calculation for the prehospital care provider. In this type of problem, the paramedic is given an order to administer to a patient. There
ANAPHYLAXIS. Introduction. Differential Diagnosis. Starship Children s Health Clinical Guideline
Introduction Differential Diagnosis Management Treatment of Anaphylaxis (Flow Chart) Disposition from Emergency Department Adrenaline Autoinjectors Action Plan Adrenaline Autoinjector Information Sheet
Michigan Adult Cardiac Protocols CARDIAC ARREST GENERAL. Date: May 31, 2012 Page 1 of 5
Date: May 31, 2012 Page 1 of 5 Cardiac Arrest General This protocol should be followed for all adult cardiac arrests. Medical cardiac arrest patients undergoing attempted resuscitation should not be transported
PEDIATRIC TREATMENT GUIDELINES
P1 Pediatric Patient Care P2 Cardiac Arrest Initial Care and CPR P3 Neonatal Resuscitation P4 Ventricular Fibrillation / Ventricular Tachycardia P5 PEA / Asystole P6 Symptomatic Bradycardia P7 Tachycardia
When calculating how much of a drug is required, working with the formula helps the accuracy of the calculation.
DRUG CALCULATIONS When calculating how much of a drug is required, working with the formula helps the accuracy of the calculation. Always remember this formula: What you want X Quantity it comes in What
Infant CPR Skills Testing Checklist
Infant CPR Skills Testing Checklist Student Name Date of Test Scenario: While you are pushing a baby in a stroller at the park, you notice something is wrong with the baby. You do not have a phone nearby.
COUNTY OF SAN DIEGO EMERGENCY MEDICAL SERVICES No. P-117a POLICY/PROCEDURE/PROTOCOL Page 1 of 6
POLICY/PROCEDURE/PROTOCOL Page 1 of 6 GREY/PINK Kg range: < 8 kg Approx Kg: 5 kg 1 st 2 nd 3 rd Approximate LBS: 10 lbs Defib: 10 J 20 J 20 J ET uncuffed tube size: 3.5 Cardiovert: 5 J 10 J 10 J ET cuffed
Reconstitution of Solutions
Chapter 12 Reconstitution of Solutions Reconstitution Process of mixing and diluting solutions Some medications supplied in powder form and must be mixed with liquid before administration Parts of Solutions
Procedure -8. Intraosseous Infusion Adult and Pediatric EZIO. Page 1 of 7 APPROVED:
Page 1 of 7 Intraosseous Infusion Adult and Pediatric APPROVED: EMS Medical Director EMS Administrator 1. Goals/Introduction: 1.1 Intraosseous (IO) infusion provides an effective alternative means of providing
PREPARATIONS: Adrenaline 1mg in 1ml (1:1000) Adrenaline 100micrograms in 1ml (1:10,000)
ADRENALINE Acute hypotension Via a CENTRAL venous line Initially 100-300 nanograms/kg/minute 0.1-0.3 microgram/kg/minute adjusted according to response up to a maximum of 1.5 micrograms/kg/minute. Increase
11 Newborn Life Support
11 Newborn Life Support Introduction Passage through the birth canal is a hypoxic experience for the fetus, since significant respiratory exchange at the placenta is prevented for the 50-75 s duration
D( desired ) Q( quantity) X ( amount ) H( have)
Name: 3 (Pickar) Drug Dosage Calculations Chapter 10: Oral Dosage of Drugs Example 1 The physician orders Lasix 40 mg p.o. daily. You have Lasix in 20 mg, 40 mg, and 80 mg tablets. If you use the 20 mg
Neonatal Emergencies. Care of the Neonate. Care of the Neonate. Care of the Neonate. Student Objectives. Student Objectives continued.
Student Objectives Neonatal Emergencies After completing this section the student will be able to: 1. Identify three physiologic and/or anatomic features unique to the newborn 2. List three perinatal factors
How To Treat A Cardiac Arrest
Advanced Life Support Patient Care Standards November 2011 Version 3.0 Emergency Health Services Branch Ministry of Health and Long-Term Care To all users of this publication: The information contained
Cardiac Arrest VF/Pulseless VT Learning Station Checklist
Cardiac Arrest VF/Pulseless VT Learning Station Checklist VF/VT 00 American Heart Association Adult Cardiac Arrest Shout for Help/Activate Emergency Response Epinephrine every - min Amiodarone Start CPR
EMBARGOED FOR RELEASE
Systems of Care and Continuous Quality Improvement Universal elements of a system of care have been identified to provide stakeholders with a common framework with which to assemble an integrated resuscitation
Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com
ADRENALINE (EPINEPHRINE) ANAESTHESIA TUTORIAL OF THE WEEK 226 6 TH JUNE 2011 Prof. John Kinnear Southend University Hospital NHS Foundation Trust, UK Correspondence to John.Kinnear@southend.nhs.uk QUESTIONS
CARDIOPULMONARY RESUSCITATION (CPR)
Alert the Emergency Team Algorithm ABC Assess & Manage Defibrillation Medications Disability Exposure Secondary Survey Emergency Team Roles Medical Emergency Team Roles - Nursing Role in Wards Post-Resuscitation
Southern Stone County Fire Protection District Emergency Medical Protocols
TITLE Pediatric Medical Assessment PM 2.4 Confirm scene safety Appropriate body substance isolation procedures Number of patients Nature of illness Evaluate the need for assistance B.L.S ABC s & LOC Focused
Percent pulseless cardiac events monitored or witnessed (pediatric patients): Percent of pulseless cardiac events monitored or witnessed
RESUSCITATION RFACT SHEET Get With The Guidelines -Resuscitation is the American Heart Association s collaborative quality improvement program demonstrated to improve adherence to evidence-based care of
If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor.
This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly
Good practice for drug calculations
Good practice for drug calculations A step-by-step guide for nurses, doctors and all other healthcare professionals Pharmacyservices 7048 Drug Cal Guide A6 Update_AW.indd 1 22/07/2014 09:55 2 Contents
Pediatric Dosages CHAPTER 18 ALERT LEARNING OBJECTIVES
CHAPTER 18 Pediatric Dosages LEARNING OBJECTIVES On completion of the materials provided in this chapter, you will be able to perform computations accurately by mastering the following mathematical concepts:
ADVANCED LIFE SUPPORT LEARNING PACKAGE
SOUTH WEST HEALTHCARE WARRNAMBOOL ADVANCED LIFE SUPPORT LEARNING PACKAGE Prepared by: J. Brown, ICU Last revised February, 2010. C. Joseph, Nursing Education. CONTENTS: Page: Objectives 3-5 Basic Life
AHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings
AHA/AAP Neonatal Resuscitation Guidelines 2010: Summary of Major Changes and Comment on its Utility in Resource-Limited Settings Resuscitation step Recommendations (2005) Recommendations (2010) Comments/LOE
Chapter 15. Reconstitution and Dosages Measured in Units. Copyright 2012, 2007 Mosby, Inc., an affiliate of Elsevier Inc. All rights reserved.
Chapter 15 Reconstitution and Dosages Measured in Units 1 Objectives Calculating drug dosage problems that first require reconstitution of a powdered drug into a liquid form Using a proportion to solve
SUFFOLK COUNTY COMMUNITY COLLEGE NURSING DEPARTMENT MEDICATION ADMINISTRATION TEST NR 40 Practice test questions READ INSTRUCTIONS CAREFULLY
NR40 MEDICATION MATH TEST Practice questions page 1 SUFFOLK COUNTY COMMUNITY COLLEGE NURSING DEPARTMENT MEDICATION ADMINISTRATION TEST NR 40 Practice test questions READ INSTRUCTIONS CAREFULLY Students
Hypoglycemia (Technician-Paramedic) Protocol revised October 2008
Hypoglycemia (Technician-Paramedic) Protocol revised October 2008 Preamble Prolonged hypoglycemia may result in serious neurologic complications and death. Glucose and glucagon can be administered to correct
ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC. BLS Changes
ACLS Provider Manual Comparison Sheet Based on 2010 AHA Guidelines for CPR and ECC CPR Chest compressions, Airway, Breathing (C-A-B) BLS Changes New Old Rationale New science indicates the following order:
2015 Interim Resources for HeartCode ACLS
2015 Interim Resources for HeartCode ACLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published
AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW
AMERICAN HEART ASSOCIATION 2010 ACLS GUIDELINES: WHAT EVERY CLINICIAN NEEDS TO KNOW Joseph Heidenreich, MD Texas A&M Health Science Center Scott & White Memorial Hospital Scott & White Memorial Hospital
MEDICATION MANUAL Policy & Procedure
MEDICATION MANUAL Policy & Procedure TITLE: Section: Initial Management of Anaphylaxis Following Immunization Medication Specific NUMBER: MM 20-005 Date Issued: October 2009 Source: Distribution: Capital
Update on Neonatal Resuscitation
Update on Neonatal Resuscitation Ola Didrik Saugstad MD, PhD, FRCPE Professor of Pediatrics Director Department of Pediatric Research Rikshospitalet, Faculty of Medicine University of Oslo NORWAY 1st.
Perfalgan 10 mg/ml, solution for infusion
PACKAGE LEAFLET: INFORMATION FOR THE USER Perfalgan 10 mg/ml, solution for infusion Paracetamol Read all of this leaflet carefully before you start using this medicine. Keep this leaflet. You may need
Pennsylvania Statewide Advanced Life Support Protocols
Pennsylvania Statewide Advanced Life Support Protocols Pennsylvania Department of Health Bureau of Emergency Medical Services Effective September 1, 2015 (717) 787-8740 June 1, 2015 Dear EMS Provider:
Wilson County Emergency Management Agency Protocol Manual Protocols
Asystole No pulse or respirations Confirm cardiac rhythm with combo pads or electrodes Record in two leads to confirm Asystole and to rule out fine V-Fib. Basic assessment and management (up to your scope
The management of cardiac arrest
CHAPTER 6 The management of cardiac arrest LEARNING OBJECTIVES In this chapter you will learn: How to assess the cardiac arrest rhythm and perform advanced life support 6.1. INTRODUCTION Cardiac arrest
BLS for Healthcare Providers Study Guide and Pretest
BLS for Healthcare Providers Study Guide and Pretest Adult CPR 1-Rescuer CPR Sequence check for responsiveness if no response, activate 911 and get the AED open the airway look, listen, & feel for breathing
Parenteral Dosage of Drugs
Chapter 11 Parenteral Dosage of Drugs Parenteral Route of administration other than gastrointestinal Intramuscular (IM) Subcutaneous (SC) Intradermal (ID) IV Parenteral Most medications prepared in liquid
Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new?
Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on
REFERENCE. Admit to: Program/Service: Diagnosis: Droplet/ Contact Airborne/ Contact
Weight (kg) REFER TO THE ALLERGY SCREEN IN MEDITECH FOR ALLERGY INFORMATION To complete the order form, fill in the required blanks and/or check the appropriate boxes. To delete orders, draw one line through
Pharmacy Technician Web Based Calculations Review
Pharmacy Technician Web Based Calculations Review MODULE 3 3 2009 PRESENTED BY: Jenifer Maki, JENIFER PharmD MAKI, PHARMD BRETT SALEM, PHARMD WITH CONTRIBUTIONS DEREK LOMAS, FROM: PHARMD Brett Salem, PharmD
Mechanical Ventilation for Dummies Keep It Simple Stupid
Mechanical Ventilation for Dummies Keep It Simple Stupid Indications Airway Ventilation failure (CO2) Hypoxia Combination Airway obstruction Inability to protect airway Hypoxia (PaO 2 < 50) Hypercapnia
NEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS
NEONATAL RESUSCITATION PROVIDER (NRP) RECERTIFICATION TABLE OF CONTENTS NEONATAL FLOW ALGORITHM.2 INTRODUCTION 3 ANTICIPATION OF RESUSCITATION 4 TEMPERATURE CONTROL.4 CLEARING THE AIRWAY OF MECONIUM 5
CPT Pediatric Coding Updates 2009. The 2009 Current Procedural Terminology (CPT) codes are effective as of January 1, 2009.
CPT Pediatric Coding Updates 2009 The 2009 Current Procedural Terminology (CPT) codes are effective as of January 1, 2009. NEW CODES Evaluation and Management Services Normal Newborn Care Codes 99431-99440
30. BASIC PEDIATRIC REGIONAL ANESTHESIA
30. BASIC PEDIATRIC REGIONAL ANESTHESIA INTRODUCTION Military anesthesia providers often encounter pediatric patients while delivering medical care in the field. The application of regional anesthesia
Rise of the killer peanuts
Rise of the killer peanuts Epi Then, Epi Now Taher Vohra, MD Henry Ford Hospital Department of Emergency Medicine ObjecCves To define anaphylaxis To review the epidemiology of anaphylaxis To discuss treatments
INTRAVENOUS DRUG QUICKGUIDE
INTRAVENOUS DRUG QUICKGUIDE GENERAL NOTES IMPORTANT THIS GUIDE IS AN AIDE MEMOIRE ONLY, AND SHOULD NOT REPLACE YOUR PROFESSIONAL REQUIREMENT TO USE MANUFACTUER S LICENSED INFORMATION TO INFORM YOUR PREPARATION
The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010.
ACLS Study Guide The American Heart Association released new resuscitation science and treatment guidelines on October 19, 2010. Please read the below information carefully This letter is to confirm your
THE REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE NEW YORK CITY PREHOSPITAL TREATMENT PROTOCOLS ADVANCED LIFE SUPPORT (PARAMEDIC) PROTOCOLS
THE REGIONAL EMERGENCY MEDICAL ADVISORY COMMITTEE NEW YORK CITY PREHOSPITAL TREATMENT PROTOCOLS ADVANCED LIFE SUPPORT (PARAMEDIC) PROTOCOLS July 2012 Version 07012012 The Regional Emergency Medical Services
Beaumont Hospital Department of Nephrology and Renal Nursing. Guideline for administering Ferinject
Beaumont Hospital Department of Nephrology and Renal Nursing Guideline Name: Guideline for administering Ferinject Guideline Number: 18 Guideline Version: a Developed By: Louise Kelly CNM 1 Renal Day Care
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY. Guidelines for Use of Intravenous Isoproterenol
ANNE ARUNDEL MEDICAL CENTER CRITICAL CARE MEDICATION MANUAL DEPARTMENT OF NURSING AND PHARMACY Guidelines for Use of Intravenous Isoproterenol Major Indications Status Asthmaticus As a last resort for
Management of Adult Cardiac Arrest
73991_CH27_page68-73.qxd 6/6/11 3:54 PM Page 68 27.68 Section 5 Medical Guidelines for Performing a 12-Lead ECG The only way to learn how to obtain a 12-lead ECG is to practice with the equipment itself.
10. An infant with a history of vomiting and diarrhea arrives by ambulance. During your primary assessment the infant responds only to painful stimula
1. You are called to help resuscitate an infant with severe symptomatic bradycardia associated with respiratory distress. The bradycardia persists despite establishment of an effective airway, oxygenation,
2015 Interim Resources for BLS
2015 Interim Resources for BLS Original Release: November 25, 2015 Starting in 2016, new versions of American Heart Association online courses will be released to reflect the changes published in the 2015
If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor.
This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly
PALS Interim Study Guide
PALS Interim Study Guide 2006 Bulletin: New resuscitation science and American Heart Association treatment guidelines were released November 28, 2005! The new AHA Handbook of Emergency Cardiac Care (ECC)
Medical Direction and Practices Board WHITE PAPER
Medical Direction and Practices Board WHITE PAPER Use of Pressors in Pre-Hospital Medicine: Proper Indication and State of the Science Regarding Proper Choice of Pressor BACKGROUND Shock is caused by a
ACID-BASE DISORDER. Presenter: NURUL ATIQAH AWANG LAH Preceptor: PN. KHAIRUL BARIAH JOHAN
ACID-BASE DISORDER Presenter: NURUL ATIQAH AWANG LAH Preceptor: PN. KHAIRUL BARIAH JOHAN OBJECTIVES OF PRESENTATION 1. To refresh knowledge of acid-base disorders 2. To evaluate acid-base disorders using
paediatric nursing: calculation skills
Calculation skills p a e d i a t r i c n u r s i n g : c a l c u l a t i o n s k i l l s Written by: Meriel Hutton RGN, BA, CertEd, PhD, Senior Associate Dean (Undergraduate Studies, Nursing and Midwifery),
PEDIATRIC GUIDELINES
PEDIATRIC GUIDELINES Southwest CT EMS,coord. Rev. 4/07 5-01 Guidelines For Pediatric Care Page 1 of 1 5-01 GUIDELINES FOR PEDIATRIC CARE I. Cardiac arrest in children is not a sudden event. It is almost
NRP 2012 Putting New Resuscitation Guidelines into Practice
Outreach Education Online Video Library for Healthcare Professionals NRP 2012 Putting New Resuscitation Guidelines into Practice. Jeanette Zaichkin, RN, MN, NNP-BC December 2, 2010 Program Handouts This
Allergy Emergency Treatment Protocol
Allergy Emergency Treatment Protocol I. Initial evaluation of possible allergic reaction a. Cease administration of allergenic extracts b. Notify physician c. Record vital signs: blood pressure, pulse,
American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students.
E C C American Heart Association Pediatric Advanced Life Support Written Precourse Self-Assessment Questions and Answer Key for Students January 2012 PALS Written 2011 Precourse Self-Assessment ECG Rhythm
The aero-medical transfer of neonates and children
The aero-medical transfer of neonates and children Andrew C Argent Red Cross War Memorial Children s Hospital and University of Cape Town introduction context why transfer neonates and children? are children
INR: RUPTURED ANEURYSM: POST EMBOLIZATION Patient Identification Page 1 of 5. Allergies: Weight: kg Diagnosis:
Page 1 of 5 Allergies: Weight: kg Diagnosis: Service: Admission Admit to Inpatient Admit to Daypatient Place on Outpatient Observation Status Hospital Attending: Attending Physician Attending Provider:
GUIDELINE FOR ADMINISTRATION OF FENTANYL FOR PAIN RELIEF IN LABOUR
GUIDELINE FOR ADMINISTRATION OF FENTANYL FOR PAIN RELIEF IN LABOUR INTRODUCTION Intravenous (IV) Fentanyl is a good option for pain management during labour and should be administered in a safe and competent
DEBRIEFING GUIDE. The key components of an optimal code response: 1. Early recognition that the patient is deteriorating or has become unresponsive.
DEBRIEFING GUIDE I N T R O D U C T I O N Debriefing has been shown to improve clinical behavior during cardiac resuscitation and, as such, has become a recommended procedure in the 2010 American Heart
ACLS Study Guide BLS Overview CAB
ACLS Study Guide The ACLS Provider exam is 50-mutiple choice questions. Passing score is 84%. Student may miss 8 questions. For students taking ACLS for the first time or renewing students with a current
Creatine Kinase Activity Colorimetric Assay Kit ABE5487 100 assays; Store at -20 C
Creatine Kinase Activity Colorimetric Assay Kit ABE5487 100 assays; Store at -20 C I. Introduction: Creatine Kinase (CK) also known as creatine phosphokinase (CPK) and ATP: creatine N- phosphotransferase