Questions and Answers
What is the maximum single dose of Epinephrine that can be administered if a patient shows signs of respiratory fatigue and/or failure?
Which of the following treatments should NOT be performed for a patient with Croup?
What is the first step in providing BLS treatment for a pediatric patient in respiratory distress?
If a pediatric patient diagnosed with asthma is not relieved with Albuterol, what is the appropriate follow-up medication to administer?
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When treating pneumonia in a pediatric patient, what should be considered if the patient is febrile?
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What is a key step in BLS treatment for pediatric respiratory distress?
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Which action is NOT recommended when treating a patient with Croup?
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When should Epinephrine be administered to a pediatric patient with asthma?
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What is an appropriate first action when assessing a pediatric patient with pneumonia?
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Which method of vascular access is recommended for ALS treatment in pediatric respiratory distress?
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Study Notes
Pediatric Respiratory Distress Protocol
- Effective since April 27, 2017, replacing the earlier version from February 8, 2013.
- Subject to review every five years, last reviewed on April 27, 2022.
BLS Treatment
- Follow routine pediatric medical care guidelines (refer to 700-S05).
- Administer oxygen and titrate as needed for patient comfort.
- Position patient to reduce work of breathing.
- If airway is unmanageable or ventilation is not possible, transport to the nearest hospital as per Policy 602.
ALS Treatment
- Initiate vascular access (IV) with TKO (to keep open).
- Conduct a complete assessment of lung sounds; treat based on findings.
- Be prepared to secure the airway if the patient's condition declines.
Asthma Management
- Administer Albuterol 2.5mg in 3ml normal saline via nebulizer; can repeat for up to a total of 5mg if distress persists.
- If there's no relief with Albuterol and signs of respiratory fatigue or failure appear, administer Epinephrine 1:1,000 at 0.01mg/kg IM, with a maximum single dose of 0.3mg.
Croup Treatment
- Avoid visualizing the pharynx to prevent further distress.
- Consider administering Normal Saline 3ml via nebulizer; can repeat if respiratory distress continues.
Pneumonia Considerations
- Record the patient's temperature for assessment.
- Implement cooling measures or remove excess clothing if the patient is febrile.
- Albuterol 2.5mg in 3ml normal saline may be given via nebulizer if wheezing is present.
Pediatric Respiratory Distress Protocol
- Effective since April 27, 2017, replacing the earlier version from February 8, 2013.
- Subject to review every five years, last reviewed on April 27, 2022.
BLS Treatment
- Follow routine pediatric medical care guidelines (refer to 700-S05).
- Administer oxygen and titrate as needed for patient comfort.
- Position patient to reduce work of breathing.
- If airway is unmanageable or ventilation is not possible, transport to the nearest hospital as per Policy 602.
ALS Treatment
- Initiate vascular access (IV) with TKO (to keep open).
- Conduct a complete assessment of lung sounds; treat based on findings.
- Be prepared to secure the airway if the patient's condition declines.
Asthma Management
- Administer Albuterol 2.5mg in 3ml normal saline via nebulizer; can repeat for up to a total of 5mg if distress persists.
- If there's no relief with Albuterol and signs of respiratory fatigue or failure appear, administer Epinephrine 1:1,000 at 0.01mg/kg IM, with a maximum single dose of 0.3mg.
Croup Treatment
- Avoid visualizing the pharynx to prevent further distress.
- Consider administering Normal Saline 3ml via nebulizer; can repeat if respiratory distress continues.
Pneumonia Considerations
- Record the patient's temperature for assessment.
- Implement cooling measures or remove excess clothing if the patient is febrile.
- Albuterol 2.5mg in 3ml normal saline may be given via nebulizer if wheezing is present.
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Description
This quiz focuses on the Emergency Medical Services protocols for addressing pediatric respiratory distress. It covers BLS treatment, routine medical care, and positioning strategies to improve breathing. Ideal for EMTs and medical responders looking to enhance their pediatric emergency care skills.
