PCT Week 1 - ALS PCS

The dosing interval for MDI or Nebulized salbutamol is a 5-15 min PRN and the max single dose for both is 3

Dex can be given PO/IM/IV and MDI

What RR does a patient need to be considered to have bradypnea

Epi should be the 1st medication administered if the patient is apneic

If the patient has vomited and the airway has been cleared successfully and SGA may be inserted

Major trauma or burns to the head or torso is a contraindication of giving CPAP

We increase the CPAP titration level by 2.5 cm H2O every 5 minutes up to 15 cm H2O

How are we going to administer Epi.

The only contraindications for salbutamol and Epinephrine is that they have an allergy or sensitivity to them

patients ≥25 kg are given 5 mg of salbutamol via nebulizer and the max single dose is the same

What are the indications of the CPAP medical directive

If a patient has an allergy or sensitivity to steroids they cannot be given dexamethasone

Which excludes a patient from CPAP use?

What are the 3 medications we can administer for a patient suffering from bronchoconstriction

How do we confirm SGA placement in the primary method (being sure the SGA is in place)

What are the conditions for salbutamol?

What is the ONLY condition for a supraglottic airway?

Which is NOT a contraindication for SGA insertion

What are the conditions for EPINEPHrine

What is the indication for the Supraglottic Airway Medical Directive?

what is the correct dose for a pt <25kg receiving nebulized salbutamol

The max single dose for epi is 0.5 mg and we can administer 2 doses

How are we going to know if a patient has suspected bronchoconstriction

at what setting do we start our CPAP at

What is the maximum number of supraglottic airway insertion attempts

The dose for dex is 0.5 mg/kg and the max single dose is 8 mg

What are the conditions to give dexamethasone? (can be either one as long as they have one of these)

If a patient is wheezing, but has full air entry, they are bronchoconstricted

What other conditions must a patient meet to receive CPAP

600 mcg is equivalent to 6 puffs (1 puff = 100 mcg) and is the max single dose

Salbutamol cannot be administered through a BVM MDI adapter

What are the indications for the bronchoconstriction medical directive

What is the dose for epi

We can use nebulization for a patient with a known or suspected fever

What is a contraindication of the supraglottic airway

The max single dose for salbutamol through MDI in a pt ≥25 kg is 900 mcg (9 puffs)

The dosing interval and max number of doses is the same for both patients who weigh <25 Kg and ≥25 kg

An attempt at supraglottic airway insertion is defined as the insertion of the supraglottic airway into the mouth

For a patient who weight <25kg, how many mcg can we administer via MDI

Trauma to the nasopharynx is a contraindication of the supraglottic airway

The max single dose for nebulizer salbutamol for a pt <25 kg is 5 mg

How do we confirm SGA placement in the secondary method (used when waveform capnography (primary method) is not working)

For a patient who is ≥ 25 kg what is their dose for salbutamol given through MDI

Epi dose may be rounded to the nearest 0.05 mg

We can give a patient salbutamol via MDI or Nebulizer regardless of their weight

Active vomiting is considered ongoing vomiting where the Paramedic is unable to clear the airway

A patient can be given dexamethasone if they are on PO or parenteral steroids

You must be ≥18 years to be considered for a CPAP

We should continue SGA insertion if the patient is actively vomiting

For a patient who is having an asthma exacerbation and has a suspected pneumothorax, they can receive a CPAP