AIRMETHODS PCG'S(QUESTIONS AND
ANSWERS)2023
Pediatric Maintenance Fluids - CORRECT ANSWER-4mL/kg/hr for the first 10kg
2mL/kg/hr for the second 10kg
1mL/kg/hr for each kg of body weight above 20kg
Pediatric DKA Interventions - CORRECT ANSWER--Begin regular insulin infusion at 0.1
units/kg/h...
AIRMETHODS PCG'S (QUESTIONS AND ANSWERS)2023 Pediatric Maintenance Fluids - CORRECT ANSWER -4mL/kg/hr for the first 10kg 2mL/kg/hr for the second 10kg 1mL/kg/hr for each kg of body weight above 20kg Pediatric DKA Interventions - CORRECT ANSWER --Begin regular insulin infusion at 0.1 units/kg/hr -Monitor BGL every 30 min and adjust therapy to decrease serum glucose no more than 100 per hour -If serum glucose decreases by more than 100 per hour add D5 to it fluids -change IV fluids to D5W if serum glucose drops below 300 -Potassium replacement should be started once urinary output is confirmed 10 -20 mEq per hour (with physician order only) -if serum K+ <5 consider potassium supplement KCI IV - if signs of cerebral edema consider mannitol 1g/kg IV with physicians order VASOPRESSIN Dose, MOA, Indication - CORRECT ANSWER -Dose: 0.01 -0.04 units/min Indication: Septic Shock refractory to Levo & Epi MOA: Vasoconstriction with no Beta 1 Effects PHENYTOIN (Dilantin) Bolus, Infusion, and Pediatric Dose - CORRECT ANSWER -Bolus: 15 -20 mg/kg IV Diluted in NS Infusion: should not exceed 50mg/min Pediatric: 15 -20 mg/kg IV diluted in NS, Infusion should not exceed 1 mg/kg/min ESMOLOL Bolus and Infusion Dose - CORRECT ANSWER -Bolus: 50mcg/kg over 1 min Infusion: 50mcg/kg/min; If no response consider repeating IV Bolus and increase infusion by 50mcg/kg/mi IV increments every 5 -15 min up to 300 mcg/kg/min LABETOLOL Dose - CORRECT ANSWER -10-20 mg IV may repeat every 10 minutes with additional doses of 40mg then 80mg until max dose of 300mg
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