NJ MICU Radio Failure

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Author:
medicstudent1125
ID:
295892
Filename:
NJ MICU Radio Failure
Updated:
2015-02-16 08:53:09
Tags:
MICU RadioFailure
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Description:
NJ MONOC MICU Radio Failure protocols
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  1. Anaphylaxis
    • sys < 80 – 250cc bolus NSS
    • vitals and clinical status
    • sys <80
    • dopamine 400 mg/250cc D5w
    • infuse @ 5mcg/kg/min
    • titrate max 20mcg/kg/min for BP > 100 sys
  2. COPD Bronchospasm w/ Wheeze
    • Albuterol – continuous neb 2.5mg/3cc
    • NSS
    • Solumedrol 125mg
    • CPAP considered
    • 1g Magnesium Sulfate/100cc NSS/10min
    • monitor closely
    • epi 0.3mg 1:1,000(under 50yo and/or no cardiac history)
    • or terbutiline 0.25mg SQ (over 50 and/or cardiac history)
    • consider ETT
  3. CHF Pulm Edema
    • Ensure CPAP
    • 1mg/kg Lasix max 80mg total
    • Nitro 50mg/250ccD5W@20mcg/min Titrate 10mcg q 5min to keep sys>90
    • Severe – morphine 2mg (BP>100sys)
    • Repeat 1 time q 3mins
    • Advanced Airway if SPO2 <85 or can not tolerate CPAP
  4. Allergic Reaction
    • Albuterol 2.5mg/3cc NSS x3 max
    • Monitor Vitals Cardiac Monitor and clinical status
    • Solu-Medrol 125mg
    • Bronchospasm or Uticaria presist or develop
    • 0.3mg Epi 1:1000 IM
    • Sys BP <90 500mL NSS
  5. Sedation for Airway
    • Hi-Flow o2 by BVM or NRB
    • IV access (In AC if possible)
    • 0.1mg/kg max of 5mg Versed
    • 0.3mg/kg max of 30 Etomadate BP >80
    • 0.15mg/kg max of 15 Etomadate BP <80
    • Unsuccessful attempt secondary to LOC
    • half original dose of versed

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