What is pedatric normotension?
≥ 90mmHg + (2 x age in years)
What is pediatric hypotension?
< 70mmHg + (2 x age in years)
Indications for supraglottic airway?
Need for ventilatory assistance or airway control
AND
Other airway management is ineffective
Conditions for supraglottic airway?
Absent gag reflex
Contraindications for supraglottic airway?
- Airway obstructed by a foreign object
- Known esophageal disease (varices)
- Trauma to oropharynx
- Caustic ingestion
What is the maximum number of attempts to insert a supraglottic airway?
2!!!!
What is the primary method to confirm supraglottic airway?
ETCO2 (waveform capnography)
What are the secondary methods to confirm supraglottic airway?
- ETCO2 (waveform capnography)
- Auscultation
- Chest rise and fall
Indications for broncoconstriction?
Respiratory distress
AND
Suspected bronchoconstriction
Conditions for salbutamol? (bronchoconstriction)
N/A
Conditions for Epi? (bronchoconstriction)
- BVM ventilations
- Hx of asthma
Conditions for dexamethasone? (bronchoconstriction)
Hx of asthma OR
COPD OR
20 pack year history of smoking
Contraindications for salbutamol? (bronchoconstriction)
Allergy or sensitivity to salbutamol
Contraindications for Epi? (bronchoconstriction)
Allergy or sensitivity to epinepherine
Contraindications for dexamethasone? (bronchoconstriction)
- Allergy or sensitivity to steroids
- Currently on PO or parental steroids
Treatment for salbutamol MDI? (bronchoconstriction)
<25 kg
- Up to 600 mcg (6 puffs)
- 3 doses
- 5-15 min PRN
≥25 kg
- Up to 800 mcg (8 puffs)
- 3 doses
- 5-15 min PRN
Treatment for salbutamol NEB? (bronchoconstriction)
<25 kg
- 2.5mg
- 3 doses
- 5-15 min PRN
≥25 kg
- 5mg
- 3 doses
- 5-15 min PRN
Treatment for Epi? (bronchoconstriction)
- IM
- 0.01mg/kg
- Max 0.5mg
- 1 dose max
Treatment for dexamethasone? (bronchoconstriction)
- PO/IM/IV
- 0.5mg/kg
- Max 8mg
- 1 dose max
When is NEB contraindicated in bronchoconstriction?
pt’s with a known or suspected fever or in the setting of a declared febrile respiratory illness outbreak
How many mcg per breath for MDI administration?
100 mcg per 4 breaths
