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Tylenol Adult Dose
650mg PO
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Tylenol indications
- -fever > 100.4
- -pain relief
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Pediatric Tylenol dose
15mg/kg PO
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Ketamine Contraindications
- -<4yo
- -GCS <= 14
- -known allergy
- -intoxication
- -pregnancy
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Ketamine dose
- 15mg in 100ml bag over 5min
- 25mg IN
Repeat 1x prn after 15min
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Ketamine Ped Dose
- .3mg/kg in 100ml bag over 5min
- .5mg/kg IN
Repeat 1x prn after 15min
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Tranexamic Acid (TXA) Indications
- -Trauma w/ hemorrhage
- -within 3hrs if injury
- -SBP<90 and/or HR>110
- -tachy >120bpm w/ signs of hypoperfusion
- -Pts >65yo w/ SBP<110
- -postpartum hemorrhage >500ml within 24hrs I’d delivery
- -epistaxis uncontrolled by BLS
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Tranexamic Acid (TXA) contraindications
- -known hypersens
- -suspected MI, stroke, or PE
- -injury >3hrs old
- -pts <14yo
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Tranexamic Acid (TXA) adult dose
1g in 100ml bag over 10min (110gtt/min)
-Epistaxis - 1ml per nare IN, clamp nostrils, repeat 1x after 5min prn
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Epi Indications
- -Asystole
- -PEA
- -Anaphylaxis
- -Bronchospasm
- -bradycardia
- -hypoperfusion
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Epi Asys / PEA dose
2-8mcg drip
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Epi Anaphylaxis dose
- -.3mg 1:1000 q20min I’d needed
- -severe cases - 2-8mcg drip OR 0.5ml push dose
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Epi bronchospasm dose
.3mg 1:1000 OR 2-8mcg/min drip
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Epi Dose
-Bradycardia
-Hypoperfusion
Push dose 0.5ml q1-5min
OR
Drip 2-8mcg/min
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Epi ped cardiac arrest dose
.1-1mcg/kg/min drip
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Epi Ped anaphylaxis dose
-.01mg/kg 1:1000 IM max .3mg
- -severe .2-1mcg/kg drip
- OR
- -1ml push dose q2min to SBP 70mmHg age 1-10, 90mmHg >10yo
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Epi Ped bronchospasm dose
.01mg/kg 1:1000 IM, repeat q20min prn
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Epi Ped bradycardia dose
- .1-1mcg/kg/min drip
- OR
- 1ml push dose q3-5min
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Epi Ped Severe Croup dose
.5mg 1:10000 nebulized
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Epi Ped Hypotension dose
.1-1mcg/kg/min drip
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Push Dose Epi preparation
Take 1:10000 preload and waste 9ml
Draw up 9ml NS
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Base contact Reqd
- -Bradycardia - sedation beyond initial dose for TCP
- -Ped ROSC - Epi infusion
- -seizures - verses after 1st 2 doses
- -tachy w/ pulse peds - lido if unresp to cardiovert
- -shock - fluid bolus
- -epistaxis - TXA Admin
- -delirium - versed beyond initial dose
- -Combative - versed beyond initial dose
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Lidocaine for Tachy w/ pulse
-Peds - 1mg/kg, repeat in 10min prn
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Hypoperfusion Fluid Bolus
- -Adult - 250ml to maintain SBP > 80
- -ped - 5ml/kg to maintain SBP > 70, 80
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Adenosine Procedure
- -1st - 6mg Adenosine mixed in 18ml NS in 20ml syringe
- -2nd & 3rd - 12mg mixed with 16ml NS in 20ml syringe
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Adenosine for Peds
.1mg/kg mixed with NS to equal 10ml
.2ml/kg mixed w/ NS to equal 10ml
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Lidocaine Cardiac Arrest Dose
VF / VT
1-1.5mg/kg first, .5-.75mg/kg 2nd / 3rd... max 3mg/kg
-1st dose of lido given at 2nd shock
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