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36 Cards in this Set
- Front
- Back
Definition: Prehospital Sedation is a fully monitored pharmacologic intervention applied in instances where patients may need short-term analgesic and/or anxiolytic therapy for... |
...procedures that may be painful or anxiety producing. |
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Three indications for Prehospital Sedation. |
(1) ET Intubation (2) Synchronized Cardioversion (3) Transcutaneous Pacing |
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True or False Sedation of Seizure Patients falls under the GOP definition of Prehospital Sedation. |
False. Prehospital Sedation pertains to procedures. |
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True or False PPMC is required for Prehospital Sedation. |
True. |
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Name the two categories of Prehospital Sedation "indications" that are listed in the GOP protocol. |
(1) Endotracheal Intubation
(2) Synched Cardioverion OR Transcutaneous Pacing |
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Which phamacologic intervention applies to Synchronized Cardioversion only? |
Etomidate 0.15 mg/kg IVB Max total dose 20 mg |
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Name the drugs (without doses) that appear in the Prehospital Sedation options for ET Intubation. |
(a) Diazepam
(b) Midazolam
(c) Etomidate followed by Diazapam or Lorazepam |
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Name the drugs (without doses) that appear in the Prehospital Sedation options for Synchronized Cardioversion. |
(a) Diazepam
(b) Midazolam
(c) Etomidate |
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Name the drugs (without doses) that appear in the Prehospital Sedation options for Transutaneous Pacing. |
(a) Diazepam
(b) Midazolam |
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Patients receiving prehospital sedation must be continuously administered _____ and must be continuously monitored using _____ and _____. |
high concentration oxygen
cardiac monitoring pulse oximetry |
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Dose and route(s) of Diazepam when used as the sole sedative for ET intubation. |
5-10 mg, IV bolus Repeat doses at 5-10 mg as needed (Max total 20 mg) |
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Dose and route(s) of Midazolam for ET intubation. |
1-2 mg, IV/IN bolus Repeat doses at 1 mg as needed (Max total 5 mg) |
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Sequence, dose and route(s) of Etomidate, Diazapam and Lorazepam for ET intubation. |
Etomidate 0.3 mg/kg, IV bolus (max 40 mg)
After intubation, Diazepam 5 mg IV bolus OR Lorazepam 2mg IV or IM |
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Dose and route(s) of Diazepam for Cardioversion and Pacing. |
5-10 mg, IV bolus Repeat doses at 5-10 mg as needed (Max total 20 mg) |
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Dose and route(s) of Midazolam for Cardioversion and Pacing. |
1-2 mg, IV/IN bolus Repeat doses at 1 mg as needed (Max total 5 mg) |
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Name the difference(s) in the prescribed use of Midazolam in ET Intubation versus Cardioversion/Pacing (option "b"). |
There is no difference. The text in option "b" is identical for both interventions. |
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When used as a primary sedative (option "a"), name the difference(s) in the prescribed use of Diazepam in ET Intubation versus Cardioversion/Pacing. |
There is no difference. The text in option "a" is identical for both interventions. |
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Name the difference(s) in the prescribed use of Etomidate in ET Intubation versus Cardioversion/Pacing (option "c"). |
(1) Lorazepam or Diazepam for continued sedation are indicated for ET intubation only
(2) 1/2 dose/kg and max is used for cardioversion (.15 mg/kg, max 20)
(3) Etomidate is not used for pacing |
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Dose and route(s) of Etomidate for Cardioversion. |
0.15 mg/kg IV bolus (Max total 20 mg) |
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Dose and route(s) of Etomidate for Pacing. |
Etomidate is not used for pacing. (short acting) |
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In the GOP Prehospital Sedation protocol, which is the only drug that can be given IN? |
Midazolam |
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In the GOP Prehospital Sedation protocol, which is the only drug that can be given IM? |
Lorazepam |
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When is Lorazepam administered by itself in the GOP Prehospital Sedation protocol? |
Never. (It appears only once in Prehospital Sedation, following Etomidate in intubation.) |
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What is the repeat dose of Diazepam for continued sedation following Etomidate? |
There is no repeat indicated in the protocol. |
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What is the repeat dose of Lorazepam for continued sedation following Etomidate? |
There is no repeat indicated in the protocol. |
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The max dose of Etomidate for intubation is ____ that of cardioversion. |
double (40mg vs 20mg) |
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The max dose of Etomidate for cardioversion is ____ that of intubation. |
1/2 (20mg vs 40mg) |
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The dose/kg of Etomidate for cardioversion is ____ that of intubation. |
1/2 (0.15 mg/kg vs 0.3 mg/kg) |
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The dose/kg of Etomidate for intubation is ____ that of cardioversion. |
twice (0.3 mg/kg vs 0.15 mg/kg) |
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Initial Dose of Diazepam as a standalone sedative in all Prehospital Sedation interventions. |
5-10 mg |
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Initial Dose of Midazolam in all Prehospital Sedation interventions. |
1-2 mg |
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Repeat Doses of Diazepam as a standalone sedative in all Prehospital Sedation interventions. |
5-10 mg |
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Repeat Doses of Midazolam in all Prehospital Sedation interventions. |
1 mg |
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Name the Prehospital Sedation drug(s) administered in mg/kg. |
Etomidate |
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Prehospital Sedation may be required for patients who are _____ prior to procedures. |
conscious |
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Administer oxygen by _____ at _____ during laryngoscopy and intubation.
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nasal cannula
maximum flow rate |