AIRMETHODS PCG'S-Exam 2024
Questions and Answers
Pediatric Maintenance Fluids - -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 - --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
-PHENYTOIN (Dilantin)
Bolus, Infusion, and Pediatric Dose - -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 - -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 - -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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