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Questions and Answers
A 45-year-old male presents with a heart rate of 180 bpm and stable blood pressure. The ECG shows a narrow-complex SVT. After the initial dose of adenosine is administered without conversion, what is the MOST appropriate next step?
A 45-year-old male presents with a heart rate of 180 bpm and stable blood pressure. The ECG shows a narrow-complex SVT. After the initial dose of adenosine is administered without conversion, what is the MOST appropriate next step?
- Administer 3 mg of atropine IV/IO.
- Administer 6 mg of adenosine IVP followed by a 20 cc NS bolus.
- Administer 12 mg of adenosine IVP followed by a 20 cc NS bolus. (correct)
- Begin an albuterol nebulized treatment.
A 6-year-old child is experiencing moderate pain (rated 4 on a scale of 1-5) due to a fractured arm. What is the correct dose of acetaminophen to administer?
A 6-year-old child is experiencing moderate pain (rated 4 on a scale of 1-5) due to a fractured arm. What is the correct dose of acetaminophen to administer?
- 15 mg/kg IV/IO, up to a maximum of 500 mg.
- 15 mg/kg IV/IO, up to a maximum of 1 gm. (correct)
- 10 mg/kg IV/IO, up to a maximum of 1 gm.
- 1 gm IV/IO.
A patient is suspected of organophosphate poisoning and is displaying significant symptoms. After administering an initial 2 mg dose of atropine IV/IO with no improvement, how should subsequent atropine doses be administered?
A patient is suspected of organophosphate poisoning and is displaying significant symptoms. After administering an initial 2 mg dose of atropine IV/IO with no improvement, how should subsequent atropine doses be administered?
- Repeat 2 mg of atropine every 5 minutes until symptoms subside. (correct)
- Administer a one-time dose of 4 mg of atropine.
- Repeat 1 mg of atropine every 10 minutes until symptoms subside.
- Discontinue atropine administration.
Following the administration of albuterol via nebulizer to your patient who is suffering from asthma, you note minimal improvement in his respiratory effort. What is the maximum number of additional albuterol treatments you can administer?
Following the administration of albuterol via nebulizer to your patient who is suffering from asthma, you note minimal improvement in his respiratory effort. What is the maximum number of additional albuterol treatments you can administer?
You are treating a 7-year-old patient with suspected organophosphate poisoning. What is the initial dose of atropine you should administer?
You are treating a 7-year-old patient with suspected organophosphate poisoning. What is the initial dose of atropine you should administer?
Flashcards
Acetaminophen (Tylenol) Adult Use
Acetaminophen (Tylenol) Adult Use
Used for mild to moderate pain (1-5 pain scale) or when other pain meds are not suitable. Single dose only.
Adenosine (Adenocard) Adult Use
Adenosine (Adenocard) Adult Use
For stable narrow-complex SVT or wide-complex tachycardia. Follow each dose with a 20 cc NS bolus. May repeat the 12mg dose once.
Albuterol Adult Use
Albuterol Adult Use
Used for respiratory distress. Can repeat two times.
Atropine Adult Use
Atropine Adult Use
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Atropine Pediatric Use - Organophosphate Poisoning
Atropine Pediatric Use - Organophosphate Poisoning
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Study Notes
- Acetaminophen (Tylenol) is indicated for mild to moderate pain (1-5 on pain scale).
- Acetaminophen can also be administered in moderate to severe pain if other medications are not suitable.
- Adult dose of Acetaminophen: 1 gm IV/IO infusion over 15 minutes, single dose only.
- Pediatric dose (2-14 years) of Acetaminophen: 15mg/kg (up to 1000mg or 1 gm) IV/IO infusion over 15 minutes, single dose only.
- Adenosine (Adenocard) is used for stable narrow-complex SVT or wide complex tachycardia.
- Adult dose of Adenosine: 6 mg rapid IVP followed by 20 cc NS bolus.
- If the patient does not convert, administer 12 mg rapid IVP Adenosine followed by 20 cc NS bolus, may repeat once.
- Albuterol (Proventil) is administered via aerosolized solution.
- Adult dose: 2.5 mg nebulized, may repeat twice.
- Adult dose of Atropine: 1 mg IV/IO, repeat every 5 minutes up to 3 mg or 0.04 mg/kg.
- In organophosphate poisoning, administer 2 mg IV/IO Atropine, repeat at 2 mg increments every 5 minutes if patient remains symptomatic.
- For pediatric organophosphate poisoning (less than 14 years): Atropine 0.05 mg/kg IV/IO (not to exceed adult dose of 2 mg).
- Repeat at 0.1 mg/kg increments every 5 minutes if patient remains symptomatic for pediatric organophosphate poisoning .
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