EU15 bmj im ekg dosing - GrepMed

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Croup Management - Epinephrine Dosing
Use steroids appropriately, as needed
In older children with mild symptoms, may consider

- Epinephrine Dosing ... • Epinephrine IM ... IM/SC > 30 ... kg: 0.3 mg IM/SC ... #Epinephrine #dosing

Differential Diagnosis of Hypoglycemia
Evaluation of Hypoglycemia
Patients with known diabetes who are not systemically ill and can

patients, consider: - BMP ... blood cultures - ECG ... Diagnosis #EM #IM

Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give

Phenytoin 20 mg/kg ... IM or IV at 150 ... acid 20-40 mg/kg ... IV at 1-5 mg/kg ... #pharmacology #dosing

#ICUCard
RENAL
GFR
90-131
mL/min
((140-age)*Wt)/(72*Cr)
Glomerular Filtration Rate (Cockcroft)
CI Cr
90-131
mL/min
(CrU * volume)/CrS
Creatinine Clearance
FENa
0.0-1.0
%
((U/P Na)/(U/P Cr))*100
Fractional Excretion of Na+
Na req
mEq
(125-Na)*0.6*Wt
Required Sodium
FE Urea

275-295 mOsm/kg ... 0.0-10.0 mOsm/kg ... Ideal Body Weight BMI ... Bumetanide: IV or IM ... x4 q15-30min) *IM

Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
-

Midazolam - Preferred IM ... additional 5 PE/kg ... dose of 20 mg/kg ... doses >4.8 mg/kg ... #Pharmacology #Dosing

MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins):
- Lorazepam 4mg IV

20mg rectally (using ... intranasal/buccal/IM ... (using IV sol’n ... (max rate 6mg/kg ... over 5 min (need EKG

STOP-BANG - Screening Mnemonic for Obstructive Sleep Apnea (OSA)

S - Snoring - Do you snore loudly?
T

stop breathing during ... B - BMI > 35 kg/

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