-
Respiratory Distress, Med Control
COPD
- Possible Orders
- Repeat neb
-
Respiratory Distress, Med Control
ASTHMA
- Possible Orders
- Epi 1:1000 0.01mg/kg (0.3mg max)
-
Acute Pulmonary Edema, Med Control
- 1. SBP<100 or if erectile dysfunction meds used w/in last 48hrs
- 2. Possible Orders
- Repeat Lasix/Bumix
- Repeat MS 2-5mg SIVP
-
Delivery Complications, Med Control
Nuchal Cord
Contact
-
Delivery Complications, Med Control
Prolapsed Cord
Contact
-
Delivery Complications, Med Control
Breech Birth
Establish
-
Delivery Complications, Med Control
Extremity Presentation
Establish
-
Delivery Complications, Med Control
Postpartum Care of the Mother
Establish
-
Delivery Complications, Med Control
Post Partum Care of the Infant
- 1. Cyanotic
- 2. CPR in progress "Neonatal Resuscitation"
-
Delivery Complications, Med Control
Neonatal Resusitation
- Possible Orders
- Repeat
- 1. Epi
- 2. Narcan
- New Order
- 1. D5 5-10 ml/kg over 20 min w/ possible other treatment options
-
Routine Adult Cardiac Arrest, Med Control
- Establish
- Potential Orders:
- 1. Additional IV line
- 2. Additional Fluid Bolus
- 3. Blood Sugar Check
-
Pediatric Patient Assessment, Med Control
Problem w/ Circulation
Establish
-
Pediatric Airway Algorithm, Med Control
Post All Un-Maintainable Airways
Establish
-
Pediatric Patient Assessment, Med Control
Routine Pediatric Cardiac Arrest - Post 4 Cycles
Establish
-
Pediatric Respiratory Distress, Med Control
Last Protocol
Establish
-
Pediatric Asthma, Med Control
- Establish
- Pssible Physician Orders
- 1. Establish IV NS admin bolus
- 2. Repeat Neb
- 3. Admin Epi (1:1,000) 0.01 mg/kg SQ Max 0.3mg
-
Pediatric Suspected Croup or Epiglottitis, Med Control
Respitory Arrest Post Ventilation Attempts
Establish
-
Pediatric Suspected Croup or Epiglottitis, Med Control
Pre Epi Admin
Establish to council if pt has complicated or cardiac hx before admin of Epi
-
Pediatric Suspected Croup or Epiglottitis, Med Control
Post Epi Admin
- Establish
- Possible Orders:
- Nebulized Epi 5mg of 1:1000 in 3ml NS
-
Pediatric Obstructed Airway, Med Control
Complete Obstruction Last Protocol
Establish
-
Pediatric Pain Management, Med Control
Pre Admin
- Contact:
- Admin 0.1mg/kg of MS up to 10mg slow IV 4-5min. If no IV access 0.1mg/kg MS IM or SC
-
Pediatric Pain Management, Med Control
Post 10min 1st Admin
- Contact
- pt still in pain >= 4/10 & SBP approp admin 0.05mg/kg MS up to 5mg slow IV 4-5min (total max dose of .15mg/kg up to 15mg)
-
Pediatric Pain Management, Med Control
Post Admin 1/1 or 2/2 final dose
- Contact
- Possible Physician Order
- Additional MS
-
Pediatric Alergic Reaction, Med Control
- Establish
- Possible Physician Order
- Epi (1:1000) 0.01 mg/kg IM (2nd dose?)
-
Pediatric Anaphylaxis, Med Control
- Establish
- Possible Physician Orders
- 1. Repeat Epi IM or IV doses q 5
- 2. Epi infusion 0.1 - 0.3 mcg/kg/min increasing to 1.0 mcg/kg/min as necessary
- 3. Fluid Bolus 20 ml/kg of NS or LR
-
Pediatric Fever, Med Control
Final Protocol
- Continued Reassessment
- Contact
-
Pediatric Altered Mental Status/Hypoglycemia/Coma, Med Control
- Establish
- Possible Physician Orders
- 1. If no IV access establish IO
- 2. Repeat D25
- 3. Repeat Narcan
-
Pediatric Seizures/Status Epilepticus, Med Control
Seizure > 10 min
- Establish
- Possible Physician Orders:
- 1. Repeat antiseizure meds (Ativan or Versed)
- 2. Repeat D25
-
Pediatric Seizures/Status Epilepticus, Med Control
Seizure < 10 min
- Establish
- Possible Physician Orders
- 1. Ativan 0.1 mg/kg (up to 2mg) SIVP or
- 2. If unable to establish IV access admin Versed 0.1 mg/kg (up to 2 mg) IM
- 3. Ativan/Versed may be repeated 1X
- 4. Repeat D25 (0.5 gm/kg)
-
Pediatric Overdose/Poisoning, Med Control
Conscious Oral Ingestion
- Establish
- Possible Physician Orders
- 1. Activated Charcoal
-
Pediatric Overdose/Poisoning, Med Control
General
- Establish
- Possible Physician Orders
- 1. management specific for agent exposure
- 2. additional D25 (.5gm/kg)
-
Pediatric Overdose/Poisoning, Med Control
Inhalation or Topical Exposure
- Establish
- Specific exposure info for further treatment orders & specific arrival instructions (eg specific hospital entrance)
-
Pediatric Bradycardia, Med Control
- Establish
- Possible Physician Orders
- 1. Pacing
- 2. Other Modalities
-
Pediatric Tachycardia, Med Control
Establish
-
Pediatric Overdose/Poisoning, Med Control
-
Pediatric Pulseless Arrest, Med Control
Establish Medical Control
-
Pediatric Trauma Triage, Med Control
- Establish
- Help In Determining Appropriate Trauma Center
-
Pediatric Burn Patient, Med Control
Thermal Burns
- Establish
- Possible Physician Orders:
- 1. Additional MS
- 2. Intubation
-
Pediatric Burn Patient, Med Control
Chemical Burns
- Establish
- Possible Physician Orders
- 1. MS IVP
-
Pediatric Burn Patient, Med Control
Electrical Burns
Establish
-
Hypothermia, Med Control
Moderate
- Contact
- Possible Physician Prders:
- 1. Dextrose 25 gms IVP
- 2. Narcan 0.4 - 2.0 mg IVP
-
Hypothermia, Med Control
Severe
Contact
-
Near Drowning, Med Control
Contact
-
Universal Patient Care Guideline, Med Control
Contact (if pt doesn't fit a guideline)
-
Acute Coronary Syndromes, Med Control
- Establish
- Possible Physician Orders
- 1. additional MS 2mg SIVP q 5 min (up to max of 0.1mg/kg) titrated to discomfort/pain relief probided SBP > 100
- 2. additional sublingual Nitro SBP > 100
-
Routine Adult Cardiac Arrest, Med Control
- Establish
- Possible Physician Orders
- 1. additional IV lines
- 2. additional fluid bolus
- 3. additional shocks
- 4. blood sugar check
-
Tachycardias - Wide Complex Tachycardias, Med Control
Stable
- Possible Physician Orders
- 1. Synchronized Cardioversion
|
|
